3. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. 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 handbook will explain your rights, benefits, and responsibilities as a member of Meridian. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. You can get this document in Spanish, or speak with someone about this information in other languages for free. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. La llamada es gratis. For more information contact the plan or read the Meridian Member Handbook. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 0000006553 00000 n If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. This is not a complete list. 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. Want a paper copy? If you wish to stay on this website, please click Cancel. 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. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. We need to be able to send you important information in the mail. 0000068680 00000 n If you wish to stay on this website, please click Cancel. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. +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 866-606-3700 . // ]]>. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. Just call Member Services with your new address. Download the Member Handbook (PDF). Material ID:H6080_WEBSITE_2023_Accepted_09282022. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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. Check out the Interoperability page to learn more. 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. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. 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. Looking for your plan home page or interested in becoming a member? ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. On weekends and on state or federal holidays, you may be asked to leave a message. 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. 0000068208 00000 n It will also explain our responsibilities to you, as well as outline the following details: We want you to be happy with your healthcare services. It also explains how to find care and how to earn rewards. Each link will open a new window and is either a PDF or a website. This is not a complete list. Meridian is for people eligible for both Medicaid and Medicare. The Health Library is a free resource exclusively for MeridianComplete members and providers. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Report an address update to HFS online. With HealthChoice Illinois, you have a health plan partner to turn to for help. On weekends and on state or federal holidays, you may be asked to leave a message. Understanding the ins and outs of your health plan can be difficult. Learn more about how being a Meridian provider benefits you. Download the Member Handbook(PDF). You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. For more information contact the plan or read the Meridian Member Handbook. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. 0000002041 00000 n We want you to be happy with the treatment and services you get from Meridian and our providers. 1-855-580-1689 (TTY 711) You can also visit the Illinois Client Enrollment Services website. Monday-Friday, 8 a.m. to 8 p.m. CST 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. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. Be sure to read your Meridian Member Handbook and keep it handy. Don't forget to call your local HFS oce and Meridian Member Services with your new address. On weekends and on state or federal holidays, you may be asked to leave a message. 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 Personal Wellness Assessment is a short form about you and your health journey. It also explains how to find care and how to earn rewards. Visit your Member Portal or call Member Services. 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 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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 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) Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! We will send you a notice before we make a change that affects you. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. 0000000956 00000 n Meridian Member Services . Find a doctor, explore coverage, review documents and much more. More information is in your Member Handbook(PDF). Language Assistance & Notice of Nondiscrimination. 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. 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. For certain kinds of drugs, you can use the plans network mail-order services. For more information contact the plan or read the MeridianComplete Member Handbook. 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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. trailer 2500 0 obj <>stream Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). If your pregnancy is at high risk, we may call you. If you wish to stay on this website, please click Cancel. Call 1-855-580-1689 (TTY: 711). 0000041209 00000 n 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. 0000001774 00000 n Usually a mail-order pharmacy order will get to you in no more than 5 days. %PDF-1.7 % The right care for you. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. Copyright 2023 Meridian All Rights Reserved. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); Open Enrollment 6. Please contact the plan for more details. 0000025980 00000 n Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 0000067553 00000 n This way, we can connect you with the right care. 0000080946 00000 n Your call will be returned within the next business day. Monday-Friday, 8 a.m. to 8 p.m. CST On weekends and on state or federal holidays, you may be asked to leave a message. providerhelp.IL@mhplan.com. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 2023 You will need Adobe Reader to open PDFs on this site. startxref Please visit our new website to see up to date information about your plan. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Copays for prescription drugs may vary based on the level of Extra Help you receive. 0000002074 00000 n For more information contact the plan or read the Meridian Member Handbook. 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 can get this document for free in other formats, such as large print, braille, or audio. 0000001708 00000 n 0 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. HealthChoice Illinois is the smart way most Medicaid members get quality care. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Want a paper copy? The benefit information is a brief summary, not a complete description of benefits. 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. Your handbook is full of important information about your health care and Meridian. This is not a complete list. This is not a complete list. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 2023 0000002177 00000 n member.ILmeridian.com. Meridian will work with you to make sure you get all of the care you need, when you need it. 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 0 You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! 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. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ We can connect you with support, services, and even rewards. View our Frequently Asked Questions page. 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. 167 33 Llame al. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. For example, we may not approve your providers request for a certain drug. Meridian On weekends and on state or federal holidays, If we fall short, you can file a grievance or appeal. The call is free. If your address changes, let us know. 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. 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. Member ID Cards 5. Please review the various programs below. 0000046799 00000 n Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 1-855-580-1689 (TTY 711) 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. MeridianHealth is now Meridian! %%EOF The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 0000017969 00000 n 0000014634 00000 n 0000046386 00000 n La llamada es gratis. You can also visit the Illinois Client Enrollment Services website. 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.
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