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. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. At the right time and place. 0 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! 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. %PDF-1.7 % The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation On weekends and on state or federal holidays, you may be asked to leave a message. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Other pharmacies/physicians/providers are available in our network. Download the Member Handbook (PDF). Open Enrollment 6. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. // stream Your call will be returned within the next business day. Each link will open a new window and is either a PDF or a website. 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) 0000010510 00000 n Meridian 866-606-3700 . Please visit our new website to see up to date information about your plan. 167 0 obj <> endobj More information is in your Member Handbook(PDF). 2023 Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . 0000068208 00000 n You will need Adobe Reader to open PDFs on this site. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" Be sure to read your Meridian Member Handbook and keep it handy. Looking for your plan home page or interested in becoming a member? 0000067553 00000 n Language Assistance & Notice of Nondiscrimination. // ]]>. Catching a Breath Complex Case Management Flu Outreach Opioids 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. It explains the medical, dental, vision, and pharmacy services that are covered by 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.il@mhplan.com. 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. 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. 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. Other pharmacies/physicians/providers are available in our network. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. You can make an appeal if you disagree with our verdict. 0000002220 00000 n The call is free. 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. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. Please contact the plan for more details. %%EOF 1-855-580-1689 (TTY 711) 0000001708 00000 n 0000041668 00000 n https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. Visit your Member Portal or call Member Services. Click the link below to view or save a copy. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. The COC lays out all the details so that you can stay on top of your coverage. 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. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. Your call will be returned within the next business day. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. 2369 0 obj <> endobj hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ Call 1-855-580-1689 (TTY: 711). 0000006553 00000 n If you experience any problems receiving your mail order prescription, call Member Services at. This is not a complete list. The Personal Wellness Assessment is a short form about you and your health journey. On weekends and on state or federal holidays, you may be asked to leave a message. Other pharmacies/physicians/providers are available in our network. The Health Library is a free resource exclusively for MeridianComplete members and providers. Your call will be returned within the next business day. Find a doctor, explore coverage, review documents and much more. 0000025639 00000 n Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> Each link will open a new window and is either a PDF or a website. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. %%EOF 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. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. Monday-Friday, 8 a.m. to 8 p.m. CST It also explains how to find care and how to earn rewards. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. 0000072727 00000 n You can get this document for free in other formats, such as large print, braille, or audio. Su llamada ser devuelta dentro del siguiente da hbil. This is not a complete list. 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. 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. 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. Call Member Services if youd like paper copies of any of these documents. Download the Member Handbook(PDF). If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. You can get this document for free in other formats, such as large print, braille, or audio. Check out the Interoperability page to learn more. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 1-855-580-1689 (TTY 711) 0000151745 00000 n This is not a complete list. When you go to file, youll want to write when and where the incident took place, and what happened. It will also explain our responsibilities to you, as well as outline the following details: For more information contact the plan or read the Meridian Member Handbook. 0000040481 00000 n The call is free. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. You will need Adobe Reader to open PDFs on this site. The call is free. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 0000021917 00000 n You can get this document in Spanish, or speak with someone about this information in other languages for free. 0000002177 00000 n Monday-Friday, 8 a.m. to 8 p.m. CST You will be able to work with one health plan for all of your health insurance needs. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. La llamada es gratis. 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. We can connect you with support, services, and even 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.mi@mhplan.com. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 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. xref It explains the medical, dental, vision, and pharmacy services that are covered by your plan. On weekends and on state or federal holidays, you may be asked to leave a message. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. Moving? Copays for prescription drugs may vary based on the level of Extra Help you receive. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. The right care for you. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. You can also visit the Illinois Client Enrollment Services website. Each link will open a new window and is either a PDF or a website. If you wish to stay on this website, please click Cancel. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 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. 0000046576 00000 n We will send you a notice before we make a change that affects you. You've got questions and we've got answers. 0 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. Download the Member Handbook (PDF). If your pregnancy is at high risk, we may call you. The benefit information is a brief summary, not a complete description of benefits. 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. You will need Adobe Reader to open PDFs on this site. 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. 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 certain kinds of drugs, you can use the plans network mail-order services. View our Frequently Asked Questions page. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. 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. 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 benefit information is a brief summary, not a complete description of benefits. You will need Adobe Reader to open PDFs on this site. 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. Each link will open a new window and is either a PDF or a website. 0000001774 00000 n 0000000016 00000 n 3. 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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 <. +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. It also explains how to find care and how to earn rewards. Call 1-855-580-1689 (TTY: 711). Understanding the ins and outs of your health plan can be difficult. 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. This handbook will help you understand your coverage. With HealthChoice Illinois, you have a health plan partner to turn to for help. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 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. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 It will also explain our responsibilities to you, as well as outline the following details: 2023 The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Keep in mind that everything you choose to share is confidential. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Limitations, copays, and restrictions may apply. A certificate of coverage (COC) tells you what to expect from your healthcare plan. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. It also explains how to find care and how to earn rewards. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. 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. 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 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. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); 0000002041 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. The benefit information is a brief summary, not a complete description of benefits. 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. Please turn on JavaScript and try again. 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)! 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. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. MeridianHealth is now Meridian! endstream endobj startxref 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. On weekends and on state or federal holidays, you may be asked to leave a message. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. See if you qualify, and explore the HealthChoice Illinois advantage. Other pharmacies/physicians/providers are available in our network.

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