meridian illinois member handbook

0000002177 00000 n 0000151745 00000 n You can also visit the Illinois Client Enrollment Services website. A certificate of coverage (COC) tells you what to expect from your healthcare plan. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. 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. You will need Adobe Reader to open PDFs on this site. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. If you wish to stay on this website, please click Cancel. MeridianHealth is now Meridian! Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Meridian Member ID Cards 5. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. 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. See if you qualify, and explore the HealthChoice Illinois advantage. If your pregnancy is at high risk, we may call you. Each link will open a new window and is either a PDF or a website. %%EOF You've got questions and we've got answers. Catching a Breath Complex Case Management Flu Outreach Opioids 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. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! For more information contact the plan or read the Meridian Member Handbook. On weekends and on state or federal holidays, you may be asked to leave a message. The Health Library is a free resource exclusively for MeridianComplete members and providers. Don't forget to call your local HFS oce and Meridian Member Services with your new address. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation Other pharmacies/physicians/providers are available in our network. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 0000072727 00000 n You are now able to view your health information from a third-party app on a mobile device or PC! 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. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year. 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. Copays for prescription drugs may vary based on the level of Extra Help you receive. 0000025639 00000 n providerhelp.IL@mhplan.com. Su llamada ser devuelta dentro del siguiente da hbil. We want you to be happy with the treatment and services you get from Meridian and our providers. 0 The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. If you wish to stay on this website, please click Cancel. La llamada es gratis. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Your handbook is full of important information about your health care and Meridian. We can connect you with support, services, and even rewards. 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. You can get this document for free in other formats, such as large print, braille, or audio. On weekends and on state or federal holidays, you may be asked to leave a message. This is not a complete list. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. If you wish to stay on this website, please click Cancel. 167 0 obj <> endobj Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. member.ILmeridian.com. Just call Member Services with your new address. Call 1-855-580-1689 (TTY: 711). <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> 0000001774 00000 n This is not a complete list. For more information contact the plan or read the Meridian Member Handbook. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. Llame al. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. Download the Member Handbook (PDF). 0000046576 00000 n Report an address update to HFS online. 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. 0000001708 00000 n The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. startxref It also explains how to find care and how to earn rewards. Other pharmacies/physicians/providers are available in our network. Provider Network 6 Material ID:H6080_WEBSITE_2023_Accepted_09282022. 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. Call 1-855-580-1689 (TTY: 711). Making healthcare decisions can be tough--who to see for care, what to ask, when to go. View our Frequently Asked Questions page. Language Assistance & Notice of Nondiscrimination. We will send you a notice before we make a change that affects you. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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. Other pharmacies/physicians/providers are available in our network. 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 which can also be found on this page. xref 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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. Please visit our new website to see up to date information about your plan. 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 <. Looking for your plan home page or interested in becoming a member? 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. Youll tell us about any health conditions, recent hospital visits, medications, and more. 0000067553 00000 n 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . 0000002220 00000 n Want a paper copy? 0000002074 00000 n With HealthChoice Illinois, you have a health plan partner to turn to for help. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. 1-855-580-1689 (TTY 711) An appeal is a way for you to ask for a review of our actions. 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. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. All Rights Reserved. Su llamada ser devuelta dentro del siguiente da hbil. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. Understanding the ins and outs of your health plan can be difficult. 167 33 ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. 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. Your call will be returned within the next business day. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all This handbook will help you understand your coverage. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. When you go to file, youll want to write when and where the incident took place, and what happened. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" Call Member Services if youd like paper copies of any of these documents. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). La llamada es gratis. Meridian Member Services . 0000068208 00000 n You will need Adobe Reader to open PDFs on this site. 2369 0 obj <> endobj Click the link below to view or save a copy. Moving? Your call will be returned within the next business day. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . 0000046799 00000 n 0000000016 00000 n 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. Call 1-855-580-1689 (TTY: 711). It will also explain our responsibilities to you, as well as outline the following details: It also explains how to find care and how to earn rewards. 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 Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Please contact the plan for more details. 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 are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. A grievance is a complaint about a provider or about the quality of care or services you received. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). If you wish to stay on this website, please click Cancel. The call is free. 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. On weekends and on state or federal holidays, you may be asked to leave a message. 0000041585 00000 n Monday-Friday, 8 a.m. to 8 p.m. CST Your call will be returned within the next business day. 0000047422 00000 n Monday-Friday, 8 a.m. to 8 p.m. CST 0000068680 00000 n 0000046966 00000 n Keep in mind that everything you choose to share is confidential. 199 0 obj <>stream Want a paper copy? 0000010510 00000 n With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. Check out the Interoperability page to learn more. 2500 0 obj <>stream 0000025980 00000 n Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Your call will be returned within the next business day. Su llamada ser devuelta dentro del siguiente da hbil. trailer Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 0000041209 00000 n 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. Learn more about how being a Meridian provider benefits 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. %%EOF More information is in your Member Handbook(PDF). Find a doctor, explore coverage, review documents and much more. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); 866-606-3700 . Download the Member Handbook(PDF). 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. 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. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. 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. Meridian 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. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. Its full of tips and resources for pregnant members and new parents. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. The COC lays out all the details so that you can stay on top of your coverage. If your address changes, let us know. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 0000046386 00000 n View your Provider Manual, important plan information and more. With HealthChoice Illinois, you have a health plan partner to turn to for help. Be sure to read your Meridian Member Handbook and keep it handy. Each link will open a new window and is either a PDF or a website. The right care for you. On weekends and on state or federal holidays, you may be asked to leave a message. 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. We need to be able to send you important information in the mail. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian.

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