Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Each link will open a new window and is either a PDF or a website. HealthChoice Illinois is the smart way most Medicaid members get quality care. The benefit information is a brief summary, not a complete description of benefits. On weekends and on state or federal holidays, On this page, youll learn more about your Member Handbook and some important forms that can help you understand your plan and get the care you need. 0000072727 00000 n 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. For more information contact the plan or read the MeridianComplete Member Handbook. 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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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 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. The Health Library is a free resource exclusively for MeridianComplete members and providers. 0000002074 00000 n This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 0 You can join our Start Smart for Your Baby program. 1-855-580-1689 (TTY 711) The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. It looks like your browser does not have JavaScript enabled. Limitations, copays, and restrictions may apply. If we fall short, you can file a grievance or appeal. 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. 0 If you wish to stay on this website, please click Cancel. Other pharmacies/physicians/providers are available in our network. View our Frequently Asked Questions page. Want a paper copy? Understanding the ins and outs of your health plan can be difficult. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! We also have an optional automatic mail-order delivery program under which we will automatically fill all new prescriptions your health care provider sends to us, as well as refills for prescriptions that have already been filled but are running out. 0000068680 00000 n Be sure to read your Meridian Member Handbook and keep it handy. It also explains how to find care and how to earn rewards. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. You've got questions and we've got answers. For more information contact the plan or read the Meridian Member Handbook. member.ILmeridian.com. Meridian Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 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. You will need Adobe Reader to open PDFs on this site. 0000000956 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. [CDATA[ Your call will be returned within the next business day. With HealthChoice Illinois, you have a health plan partner to turn to for help. 0000046966 00000 n The benefit information is a brief summary, not a complete description of benefits. Su llamada ser devuelta dentro del siguiente da hbil. The Personal Wellness Assessment is a short form about you and your health journey. If you wish to stay on this website, please click Cancel. La llamada es gratis. On weekends and on state or federal holidays, you may be asked to leave a message. 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. You can get this document in Spanish, or speak with someone about this information in other languages for free. Please visit our new website to see up to date information about your plan. If you wish to stay on this website, please click Cancel. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Meridian Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . 0000001708 00000 n // ]]>. JB Pritzker, Governor Theresa Eagleson, Director. 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. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. If you experience any problems receiving your mail order prescription, call Member Services at. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 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. This way, we can connect you with the right care. 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. 0000002041 00000 n HFS sends paperwork in the mail that you need to renew your Medicaid coverage. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. We need to be able to send you important information in the mail. When you go to file, youll want to write when and where the incident took place, and what happened. Download the Member Handbook (PDF). It also explains how to find care and how to earn rewards. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. 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. 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. Call 1-855-580-1689 (TTY: 711). xref Your call will be returned within the next business day. 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. Call Member Services if youd like paper copies of any of these documents. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. // endobj Keep in mind that everything you choose to share is confidential. The COC lays out all the details so that you can stay on top of your coverage. providerhelp.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. Call 1-855-580-1689 (TTY: 711). Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. 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. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. The benefit information is a brief summary, not a complete description of benefits. %PDF-1.7 % You will need Adobe Reader to open PDFs on this site. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> You can get this document for free in other formats, such as large print, braille, or audio. %%EOF This is not a complete list. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ It will help you get the care you need. Meridian will work with you to make sure you get all of the care you need, when you need it. Want a paper copy? Click the link below to view or save a copy. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 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. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! Each link will open a new window and is either a PDF or a website. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. 0000046386 00000 n Learn more about how being a Meridian provider benefits you. You can make an appeal if you disagree with our verdict. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Call 1-855-580-1689 (TTY: 711). The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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. Member ID Cards 5. fm.formularynavigator.com,medicare.entrykeyid.com,member.membersecurelogin.com,mmp.ilmeridian.com,findaprovider.mmp.ilmeridian.com,provider.mmp.mimeridian.com, You are now able to view your health information from a third-party app on a mobile device or PC! 0000014634 00000 n The call is free. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 0000002131 00000 n All Rights Reserved. All Rights Reserved. This is not a complete list. Want a paper copy? 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. 0000040678 00000 n For example, we may not approve your providers request for a certain drug. 0000041668 00000 n More information is in your Member Handbook(PDF). 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. 0000046799 00000 n Monday-Friday, 8 a.m. to 5 p.m. CST Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 0000151745 00000 n 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. trailer Its full of tips and resources for pregnant members and new parents. If your address changes, let us know. If you wish to stay on this website, please click Cancel. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . Provider Network 6 On weekends and on state or federal holidays, you may be asked to leave a message. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Download the free version of Adobe Reader. 2369 0 obj <> endobj Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" On weekends and on state or federal holidays, you may be asked to leave a message. You can get this document for free in other formats, such as large print, braille, or audio. Language Assistance & Notice of Nondiscrimination. 0000046576 00000 n For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. Download the Member Handbook(PDF). Llame al. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. Check out the Interoperability page to learn more. A certificate of coverage (COC) tells you what to expect from your healthcare plan. Your call will be returned within the next business day. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. For certain kinds of drugs, you can use the plans network mail-order services. 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. 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) endstream endobj 2370 0 obj <>/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 <. 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. 3. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. For more information contact the plan or read the Meridian Member Handbook. 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. 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 Annual Notice of Changes - English (PDF), 2022 Notificacion Anual de Cambios - Spanish (PDF), 2023 Annual Notice of Changes - English (PDF), 2023 Notificacion Anual de Cambios - Spanish (PDF), 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The call is free. 2023 La llamada es gratis. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Please contact the plan for more details. 0000001774 00000 n Moving? The call is free. Monday-Friday, 8 a.m. to 8 p.m. CST It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 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. 0000010510 00000 n The call is free. 0000000016 00000 n Open Enrollment 6. Please review the various programs below. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation A grievance is a complaint about a provider or about the quality of care or services you received. 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)!
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meridian illinois member handbook