If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. 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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Meridian Member Services . Language Assistance & Notice of Nondiscrimination. 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. Other pharmacies/physicians/providers are available in our network. 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. Just call Member Services with your new address. MeridianHealth is now Meridian! Please visit our new website to see up to date information about your plan. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> 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)! Report an address update to HFS online. Learn more about how being a Meridian provider benefits you. Copays for prescription drugs may vary based on the level of Extra Help you receive. Copyright 2023 Meridian All Rights Reserved. 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. You can get this document in Spanish, or speak with someone about this information in other languages for free. Want a paper copy? Provider Network 6 You can get this document for free in other formats, such as large print, braille, or audio. The benefit information is a brief summary, not a complete description of benefits. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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. We need to be able to send you important information in the mail. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. This is not a complete list. Su llamada ser devuelta dentro del siguiente da hbil. Check out the Interoperability page to learn more. 0000067354 00000 n ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Download the Member Handbook (PDF). Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. For more information contact the plan or read the Meridian Member Handbook. 866-606-3700 . An appeal is a way for you to ask for a review of our actions. 0000002041 00000 n 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. 1-855-580-1689 (TTY 711) With HealthChoice Illinois, you have a health plan partner to turn to for help. 0000000956 00000 n 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. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 0000072727 00000 n If you wish to stay on this website, please click Cancel. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Call 1-855-580-1689 (TTY: 711). 0000002074 00000 n You can get this document for free in other formats, such as large print, braille, or audio. Limitations, copays, and restrictions may apply. It looks like your browser does not have JavaScript enabled. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. Looking for your plan home page or interested in becoming a member? 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. We can connect you with support, services, and even rewards. 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. 3. 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. 0000010510 00000 n You will need Adobe Reader to open PDFs on this site. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, 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. Monday-Friday, 8 a.m. to 8 p.m. CST The benefit information is a brief summary, not a complete description of benefits. 0000000016 00000 n You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. 199 0 obj <>stream startxref It also explains how to find care and how to earn rewards. You will need Adobe Reader to open PDFs on this site. The call is free. 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. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Its full of tips and resources for pregnant members and new parents. 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. The Personal Wellness Assessment is a short form about you and your health journey. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. xref 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. 2023 On weekends and on state or federal holidays, you may be asked to leave a message. This handbook will help you understand your coverage. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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 call will be returned within the next business day. La llamada es gratis. JB Pritzker, Governor Theresa Eagleson, Director. %%EOF 0 View your Provider Manual, important plan information and more. 0000025639 00000 n 0000046576 00000 n Please contact the plan for more details. For certain kinds of drugs, you can use the plans network mail-order services. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. 0000014634 00000 n On weekends and on state or federal holidays, you may be asked to leave a message. The call is free. You will need Adobe Reader to open PDFs on this site. Click the link below to view or save a copy. Each link will open a new window and is either a PDF or a website. Moving? 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. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. On weekends and on state or federal holidays, %PDF-1.7 % You will need Adobe Reader to open PDFs on this site. It also explains how to find care and how to earn rewards. 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. 0000025980 00000 n endstream endobj startxref 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 1-855-323-4578 (TTY 711) or visit mmp.mimeridian.com to access our online searchable directory. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! Llame al. A grievance is a complaint about a provider or about the quality of care or services you received. You will need Adobe Reader to open PDFs on this site. The right care for you. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Call Member Services if youd like paper copies of any of these documents. Download the Member Handbook (PDF). 1-855-580-1689 (TTY 711) +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 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. Meridian ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. The COC lays out all the details so that you can stay on top of your coverage. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Meridian is for people eligible for both Medicaid and Medicare. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Your call will be returned within the next business day. It will also explain our responsibilities to you, as well as outline the following details: Member ID Cards 5. On weekends and on state or federal holidays, you may be asked to leave a message. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. %PDF-1.4 % trailer It will also explain our responsibilities to you, as well as outline the following details: The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Each link will open a new window and is either a PDF or a website. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. Don't forget to call your local HFS oce and Meridian Member Services with your new address. 0000046386 00000 n v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" If you wish to stay on this website, please click Cancel. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. If you experience any problems receiving your mail order prescription, call Member Services at. If we fall short, you can file a grievance or appeal. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. The call is free. If your address changes, let us know. Understanding the ins and outs of your health plan can be difficult. 0000040481 00000 n It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 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) You can also visit the Illinois Client Enrollment Services website. 0000002177 00000 n For a more comprehensive description of the plan benefits, please refer to your Member Handbook. It will help you get the care you need. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations.
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