Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. Download the Member Handbook (PDF). If you wish to stay on this website, please click Cancel. You can get this document for free in other formats, such as large print, braille, or audio. 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. 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. +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 member.ILmeridian.com. See if you qualify, and explore the HealthChoice Illinois advantage. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. It looks like your browser does not have JavaScript enabled. 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. %PDF-1.7 % HealthChoice Illinois is the smart way most Medicaid members get quality care. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. 0000000016 00000 n You've got questions and we've got answers. It will help you get the care you need. This is not a complete list. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" The benefit information is a brief summary, not a complete description of benefits. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. The call is free. 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. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. 0000002074 00000 n Call Member Services if youd like paper copies of any of these documents. Report an address update to HFS online. 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. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Just call Member Services with your new address. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. Copays for prescription drugs may vary based on the level of Extra Help you receive. 0000067553 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. Member ID Cards 5. 0 Keep in mind that everything you choose to share is confidential. 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) This is not a complete list. Be sure to read your Meridian Member Handbook and keep it handy. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Want a paper copy? Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Check out the Interoperability page to learn more. It will also explain our responsibilities to you, as well as outline the following details: Su llamada ser devuelta dentro del siguiente da hbil. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. 2023 The right care for you. Your call will be returned within the next business day. If your pregnancy is at high risk, we may call you. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. Monday-Friday, 8 a.m. to 5 p.m. CST Meridian covers all counties in Illinois. Download the Member Handbook (PDF). 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) 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. trailer Moving? The call is free. 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. An appeal is a way for you to ask for a review of our actions. 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 <. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> 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 will need Adobe Reader to open PDFs on this site. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Monday-Friday, 8 a.m. to 8 p.m. CST Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Usually a mail-order pharmacy order will get to you in no more than 5 days. Other pharmacies/physicians/providers are available in our network. 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. It also explains how to find care and how to earn rewards. Understanding the ins and outs of your health plan can be difficult. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. Your handbook is full of important information about your health care and Meridian. Youll tell us about any health conditions, recent hospital visits, medications, and more. On weekends and on state or federal holidays, you may be asked to leave a message. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. It will also explain our responsibilities to you, as well as outline the following details: Your call will be returned within the next business day. 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. Please turn on JavaScript and try again. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Other pharmacies/physicians/providers are available in our network. You can also visit the Illinois Client Enrollment Services website. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Want a paper copy? Its full of tips and resources for pregnant members and new parents. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. If your address changes, let us know. 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. Su llamada ser devuelta dentro del siguiente da hbil. 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. 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. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. Each link will open a new window and is either a PDF or a website. 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. The benefit information is a brief summary, not a complete description of benefits. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. The Personal Wellness Assessment is a short form about you and your health journey. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Your call will be returned within the next business day. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. You are now able to view your health information from a third-party app on a mobile device or PC! 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. // endobj %%EOF 0000046386 00000 n Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. La llamada es gratis. On weekends and on state or federal holidays, you may be asked to leave a message. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. You can also visit the Illinois Client Enrollment Services website. Call 1-855-580-1689 (TTY: 711). 0000068680 00000 n It also explains how to find care and how to earn rewards. 0000014634 00000 n hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! 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. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. Other pharmacies/physicians/providers are available in our network. 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. 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. 0000046799 00000 n endstream endobj startxref If you wish to stay on this website, please click Cancel. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. The call is free. Meridian There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! On weekends and on state or federal holidays, You will need Adobe Reader to open PDFs on this site. 3. 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)! We want you to be happy with your healthcare services. xref Don't forget to call your local HFS oce and Meridian Member Services with your new address. MeridianHealth is now 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. Limitations, copays, and restrictions may apply. 2500 0 obj <>stream 1-855-580-1689 (TTY 711) The benefit information is a brief summary, not a complete description of benefits. Meridian will work with you to make sure you get all of the care you need, when you need it. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. Visit your Member Portal or call Member Services. Download the free version of Adobe Reader. 0000006553 00000 n We need to be able to send you important information in the mail. Learn more about how being a Meridian provider benefits you. Material ID:H6080_WEBSITE_2023_Accepted_09282022. You will need Adobe Reader to open PDFs on this site. JB Pritzker, Governor Theresa Eagleson, Director. 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. 167 33 Other pharmacies/physicians/providers are available in our network. This way, we can connect you with the right care. 0000001708 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. Call 1-855-580-1689 (TTY: 711). If you wish to stay on this website, please click Cancel. Download the Member Handbook(PDF). A certificate of coverage (COC) tells you what to expect from your healthcare plan. providerhelp.IL@mhplan.com. 0000072727 00000 n With HealthChoice Illinois, you have a health plan partner to turn to for help. 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. You will be able to work with one health plan for all of your health insurance needs. If you wish to stay on this website, please click Cancel. If we fall short, you can file a grievance or appeal. 0 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . On weekends and on state or federal holidays, you may be asked to leave a message. 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. 0000025639 00000 n For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. We can connect you with support, services, and even rewards. Meridian Member Services . We will send you a notice before we make a change that affects you. 0000041585 00000 n Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 0000040678 00000 n The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 0000047422 00000 n 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 0000067354 00000 n Catching a Breath Complex Case Management Flu Outreach Opioids Copyright 2023 Meridian All Rights Reserved.

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