For other questions about Meridian, please contact Member Services at 1-855-580-1689 (TTY 711), Mondaythrough Friday from 8 a.m. to 8 p.m.On weekends and on state or federal holidays, you may be asked to leave a message. 0000080946 00000 n member.ILmeridian.com. 3. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. 2023 For certain kinds of drugs, you can use the plans network mail-order services. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. 0000006553 00000 n Los representantes estn disponibles para ayudarle de lunes a viernes de 8 a.m. a 8 p.m. Los fines de semana y los das feriados estatales o federales, es posible que se le solicite que deje un mensaje. Please call our Member Services number or see your Member Handbook for more information, including the cost-sharing that applies to out-of-network services. Youll tell us about any health conditions, recent hospital visits, medications, and more. Please call our Member Services number or see your Member Handbook for more information, including the cost-sharing that applies to out-of-network services. If you wish to stay on this website, please click Cancel. 0000001708 00000 n The call is free. Copays for prescription drugs may vary based on the level of Extra Help you receive. You are now able to view your health information from a third-party app on a mobile device or PC! You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Open Enrollment 6. Material ID:H6080_WEBSITE_2023_Accepted_09282022. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. You can get this document for free in other formats, such as large print, braille, or audio. Los representantes estn disponibles para ayudarle de lunes a viernes de 8 a.m. a 8 p.m. Los fines de semana y los das feriados estatales o federales, es posible que se le solicite que deje un mensaje. 2500 0 obj <>stream You can join our Start Smart for Your Baby program. Click the link below to view or save a copy. The call is free. Your call will be returned within the next business day. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. 0000021917 00000 n 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation La llamada es gratis. 0000001774 00000 n For more information contact the plan or read the Meridian Member Handbook. 0000067354 00000 n You will need Adobe Reader to open PDFs on this site. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 0000046386 00000 n Looking for your plan home page or interested in becoming a member? The call is free. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Monday-Friday, 8 a.m. to 5 p.m. CST It will also explain our responsibilities to you, as well as outline the following details: This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 2369 0 obj <> endobj Learn more about how being a Meridian provider benefits you. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Monday-Friday, 8 a.m. to 8 p.m. CST Los representantes estn disponibles para ayudarle de lunes a viernes de 8 a.m. a 8 p.m. Los fines de semana y los das feriados estatales o federales, es posible que se le solicite que deje un mensaje. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. We will send you a notice before we make a change that affects you. Please note that once you have left our website, you may be able to access portions of the contracted company's website that are not related to your plan. You can also visit the Illinois Client Enrollment Services website. Su llamada ser devuelta dentro del siguiente da hbil. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. If you need help finding a network provider and/or pharmacy, please call 1-855-580-1689 (TTY: 711) or visit mmp.ILmeridian.com to access our online searchable directory. It also explains how to find care and how to earn rewards. An appeal is a way for you to ask for a review of our actions. The right care for you. All Rights Reserved. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Understanding the ins and outs of your health plan can be difficult. 0000002220 00000 n If your pregnancy is at high risk, we may call you. Su llamada ser devuelta dentro del siguiente da hbil. %%EOF Your call will be returned within the next business day. If you would like a Provider/Pharmacy Directory mailed to you, you may call the number above, request one at the website link provided above, or email memberservices.mi@mhplan.com. On weekends and on state or federal holidays, you may be asked to leave a message. If you would like a Provider/Pharmacy Directory mailed to you, you may call the number above, request one at the website link provided above, or email memberservices.il@mhplan.com. If you need help finding a network provider and/or pharmacy, please call 1-855-323-4578 (TTY 711) or visit mmp.mimeridian.com to access our online searchable directory. 866-606-3700 . Meridian will work with you to make sure you get all of the care you need, when you need it. All Rights Reserved. Member ID Cards 5. 2390 0 obj <>/Filter/FlateDecode/ID[]/Index[2369 132]/Info 2368 0 R/Length 109/Prev 879097/Root 2370 0 R/Size 2501/Type/XRef/W[1 2 1]>>stream The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Be sure to read your Meridian Member Handbook and keep it handy. You will need Adobe Reader to open PDFs on this site. 1-855-580-1689 (TTY 711) You will be able to work with one health plan for all of your health insurance needs. Other pharmacies/physicians/providers are available in our network. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. 0000002074 00000 n ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. If we fall short, you can file a grievance or appeal. 0000072727 00000 n With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. 0000002041 00000 n ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. If you wish to stay on this website, please click Cancel. A certificate of coverage (COC) tells you what to expect from your healthcare plan. It will also explain our responsibilities to you, as well as outline the following details: The Annual Notice of Changes (ANOC) is a brief summary of benefits and benefit changes that occurred from one year to the next. It looks like your browser does not have JavaScript enabled. Each link will open a new window and is either a PDF or a website. 2023 It outlines services and benefits that areand are notcovered. Your call will be returned within the next business day. // /Metadata 260 0 R/Names 2392 0 R/OpenAction 2371 0 R/Outlines 2412 0 R/PageLayout/SinglePage/PageMode/UseOutlines/Pages 2360 0 R/StructTreeRoot 410 0 R/Type/Catalog/ViewerPreferences<>>> endobj 2371 0 obj <> endobj 2372 0 obj <. This is not a complete list. JB Pritzker, Governor Theresa Eagleson, Director. 0000000956 00000 n 0 Check out the, Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Illinois Client Enrollment Services website, Language Assistance & Notice of Nondiscrimination. HealthChoice Illinois is the smart way most Medicaid members get quality care. Meridian Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. 0000067553 00000 n 0000041209 00000 n You will need Adobe Reader to open PDFs on this site. 0000000016 00000 n La llamada es gratis. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. // ]]>. Call 1-855-580-1689 (TTY: 711). The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Your call will be returned within the next business day. Want a paper copy? Don't forget to call your local HFS oce and Meridian Member Services with your new address. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). You can get this document for free in other formats, such as large print, braille, or audio. %PDF-1.4 % Meridian If you wish to stay on this website, please click Cancel. Monday-Friday, 8 a.m. to 8 p.m. CST 0000010510 00000 n providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. 1-855-580-1689 (TTY 711) You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. If theres a question you cant find the answer to on our website, call us at 1-855-323-4578(TTY 711), Monday - Friday from 8 a.m. - 8 p.m. EST. The benefit information is a brief summary, not a complete description of benefits. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. xref Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Download the free version of Adobe Reader. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Download the Member Handbook (PDF). If you need help finding a network provider and/or pharmacy, please call 1-855-580-1689 (TTY: 711) or visit mmp.ILmeridian.com to access our online searchable directory. 0000041585 00000 n 0000002177 00000 n Meridian Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. On weekends and on state or federal holidays, you may be asked to leave a message. At the right time and place. 1-855-580-1689 (TTY 711) Copyright 2023 Meridian All Rights Reserved. When you go to file, youll want to write when and where the incident took place, and what happened. trailer It also explains how to find care and how to earn rewards. If you need help finding a network provider and/or pharmacy, please call 1-855-580-1689 (TTY: 711) or visit mmp.ILmeridian.com to access our online searchable directory. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! It will also explain our responsibilities to you, as well as outline the following details: The Annual Notice of Changes (ANOC) is a brief summary of benefits and benefit changes that occurred from one year to the next. Just call Member Services with your new address. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. On weekends and on state or federal holidays, you may be asked to leave a message. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. fm.formularynavigator.com,medicare.entrykeyid.com,member.membersecurelogin.com,mmp.ilmeridian.com,findaprovider.mmp.ilmeridian.com,provider.mmp.mimeridian.com, Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, 2022 IL Prior Authorization Fax Submission Forms - Inpatient (PDF), 2022 IL Prior Authorization Fax Submission Forms - Outpatient (PDF), 2020 MeridianComplete Authorization Lookup (PDF), Behavioral Health Discharge Transition of Care Form (PDF), HealthHelp and eviCore Provider Notification (PDF), Primary Care Provider Reassignment Form (PDF), Annual Care for Older Adults (COA) Form (PDF), Breast Cancer Screening Exclusion Form (PDF), Colorectal Cancer Screening Exclusion Form (PDF), Timely Submission of Encounter Data by Medicare-Medicaid Plans (MMPs) to CMS (PDF), Prohibition Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program (PDF), Part D Coverage Determination Request Form (PDF), Part D Redetermination Request Form (PDF), Hospice Information for Medicare Part D plans (PDF), 2021 IL Prior Authorization Fax Submission Forms - Inpatient (PDF), 2021 IL Prior Authorization Fax Submission Forms - Outpatient (PDF), Partnership for Quality (P4Q Program) (PDF), Language Assistance & Notice of Nondiscrimination. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. providerhelp.IL@mhplan.com. Each link will open a new window and is either a PDF or a website. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> Report an address update to HFS online. Download the Member Handbook (PDF). The benefit information is a brief summary, not a complete description of benefits. Its full of tips and resources for pregnant members and new parents. More information is in your Member Handbook(PDF). We want you to be happy with your healthcare services. For example, we may not approve your providers request for a certain drug. 199 0 obj <>stream It also explains how to find care and how to earn rewards. If you would like a Provider/Pharmacy Directory mailed to you, you may call the number above, request one at the website link provided above, or email memberservices.il@mhplan.com. Call 1-855-580-1689 (TTY: 711). You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. View our Frequently Asked Questions page. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. A grievance is a complaint about a provider or about the quality of care or services you received. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). Please call our Member Services number or see your Member Handbook for more information, including the cost-sharing that applies to out-of-network services. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. If you wish to stay on this website, please click Cancel. With HealthChoice Illinois, you have a health plan partner to turn to for help. If you experience any problems receiving your mail order prescription, call Member Services at. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. 167 0 obj <> endobj You can make an appeal if you disagree with our verdict. This is not a complete list. You will need Adobe Reader to open PDFs on this site. Catching a Breath Complex Case Management Flu Outreach Opioids Meridian 0000068208 00000 n 0000047422 00000 n If you would like a Provider/Pharmacy Directory mailed to you, you may call the number above, request one at the website link provided above, or email memberservices.il@mhplan.com. The Health Library is a free resource exclusively for MeridianComplete members and providers. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 0000025980 00000 n We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Meridian Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. Llame al. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! Language Assistance & Notice of Nondiscrimination, What is covered, including health care services, behavioral health coverage, prescription drug coverage, How to get the care you need, including the rules you must follow, Your rights and responsibilities as a member of our plan. 0000040481 00000 n window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); View your Provider Manual, important plan information and more. This handbook will help you understand your coverage. 0000014634 00000 n Keep in mind that everything you choose to share is confidential. Want a paper copy? 0000040678 00000 n 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. This way, we can connect you with the right care. 0000041668 00000 n The call is free. Want a paper copy? If your address changes, let us know. Please contact the plan for more details. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. You can enroll in Meridian by contacting Client Enrollment Services for the Illinois Department of Healthcare and Family Services at 1-877-912-8880 (TTY 1-866-565-8576), Mondaythrough Friday from 8 a.m. to 7 p.m. MeridianHealth is now Meridian! Please note that once you have left our website, you may be able to access portions of the contracted company's website that are not related to your plan. Add a New Provider or Term an Existing Provider, Make a Change to an IRS Number or NPI Number, IMPORTANT NOTICE TO PROVIDERS REGARDING THE PURCHASE, BILLING AND ADMINISTRATION OF J CODE DRUGS IN THE OFFICE AND OUTPATIENT FACILITY SETTING, MeridianHealth Provider Information Regarding System Updates Effective July 1, 2021, Meridian Clinical Policy Readmission Review, Meridian of Illinois Announces Provider Relations Team Reorganization, Meridian of Illinois Partners with Jeremiah Development for LOVE Rockford Event, UPDATE PRACTICE INFORMATION USING THE MERIDIAN PROVIDER UPDATES TOOL, SUPPORT & RESOURCES FOR THOSE IMPACTED BY THE HIGHLAND PARK TRAGEDY ON JULY 4, Personal Wellness Assessment: English (PDF), Personal Wellness Assessment: Spanish (PDF), Member Notification of Pregnancy form(PDF), Meridian Managed Long Term Services & Supports Plan, Or if you receive the form by mail, complete it and send it back to us in the perpaid envelope. endstream endobj startxref We want you to be happy with the treatment and services you get from Meridian and our providers. Your call will be returned within the next business day. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. Please call our Member Services number or see your Member Handbook for more information, including the cost-sharing that applies to out-of-network services. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. Check out the Interoperability page to learn more. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Download the Member Handbook(PDF). On weekends and on state or federal holidays, you may be asked to leave a message. startxref Visit your Member Portal or call Member Services. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Su llamada ser devuelta dentro del siguiente da hbil. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. This is not a complete list. ILLINOIS MEMBER HANDBOOK ILLINOIS MEMBER HANDBOOK EFFECTIVE DATE: July 1, 2021 MEMBER SERVICES: 866-821-2308 TTY/TDD: 711 ilmeridian.com ILLINOIS MLTSS 1 Welcome to MeridianHealth Managed Long Term Services and Supports (MLTSS) Welcome to MeridianHealth (Meridian)! 0000046799 00000 n ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. Other pharmacies/physicians/providers are available in our network. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Your handbook is full of important information about your health care and Meridian. The benefit information is a brief summary, not a complete description of benefits. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. The call is free. On weekends and on state or federal holidays, you may be asked to leave a message. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" You can enroll in Meridian by contacting Client Enrollment Services for the Illinois Department of Healthcare and Family Services at 1-877-912-8880 (TTY 1-866-565-8576), Monday through Friday from 8 a.m. to 7 p.m. +t x1Rdt!v8,1{1"sAS*.~Y|U:d\e6qXaI1,JSh\0y7x'zz|:nY\bnLM H\Bd ;,|Xt$Au*5Ndt:|_bLR[QcO?#VJ2VH n6 (_`/}^v}~/ OZ1?.9H Pl;-wrZi}wSzpibGlU}~/r B5[AuJL~2P1W^ j}Y@5( ?d Limitations, copays, and restrictions may apply. Member Request for Reimbursement (PDF) Mandatory Training Attestation (PDF) Mandatory Training Attestation (PDF) Preventive Care (HEDIS) (PDF) Annual Care for Older Adults (COA) Form (PDF) Breast Cancer Screening Exclusion Form (PDF) Colorectal Cancer Screening Exclusion Form (PDF) Diabetes Exclusion Form (PDF)
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