Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Click the link below to view or save a copy. 0000002041 00000 n 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. 2369 0 obj <> endobj La llamada es gratis. Copyright 2023 Meridian All Rights Reserved. We can connect you with support, services, and even rewards. Other pharmacies/physicians/providers are available in our network. Keep in mind that everything you choose to share is confidential. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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. 0000041668 00000 n 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. 0000014634 00000 n (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. 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) Monday-Friday, 8 a.m. to 8 p.m. CST Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all If your address changes, let us know. 0 This way, we can connect you with the right care. 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. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. 866-606-3700 . The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. All Rights Reserved. You are now able to view your health information from a third-party app on a mobile device or PC! On weekends and on state or federal holidays, you may be asked to leave a message. 0000067553 00000 n Your call will be returned within the next business day. You can get this document in Spanish, or speak with someone about this information in other languages for free. Download the Member Handbook (PDF). Su llamada ser devuelta dentro del siguiente da hbil. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Its full of tips and resources for pregnant members and new parents. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. You've got questions and we've got answers. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. The call is free. You will need Adobe Reader to open PDFs on this site. For more information contact the plan or read the Meridian Member Handbook. A certificate of coverage (COC) tells you what to expect from your healthcare plan. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. JB Pritzker, Governor Theresa Eagleson, Director. Your call will be returned within the next business day. 0000002131 00000 n 1-855-580-1689 (TTY 711) Call 1-855-580-1689 (TTY: 711). Limitations, copays, and restrictions may apply. Learn more about how being a Meridian provider benefits you. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. 167 0 obj <> endobj Usually a mail-order pharmacy order will get to you in no more than 5 days. 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. Download the Member Handbook(PDF). Llame al. Don't forget to call your local HFS oce and Meridian Member Services with your new address. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. At the right time and place. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. For more information contact the plan or read the Meridian Member Handbook. 0000001708 00000 n The call is free. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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. Want a paper copy? %PDF-1.7 % You can also visit the Illinois Client Enrollment Services website. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. startxref Call 1-855-580-1689 (TTY: 711). You can also visit the Illinois Client Enrollment Services website. 0000002220 00000 n 0000001774 00000 n There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation 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. 199 0 obj <>stream 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. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. Meridian covers all counties in Illinois. 0000041209 00000 n Download the free version of Adobe Reader. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 0000068208 00000 n With HealthChoice Illinois, you have a health plan partner to turn to for help. 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. An appeal is a way for you to ask for a review of our actions. 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. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Catching a Breath Complex Case Management Flu Outreach Opioids 2023 The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Each link will open a new window and is either a PDF or a website. 2023 Want a paper copy? 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. The call is free. This is not a complete list. Copays for prescription drugs may vary based on the level of Extra Help you receive. Download the Member Handbook (PDF). 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. Please review the various programs below. This is not a complete list. 0000046799 00000 n 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. Meridian Please visit our new website to see up to date information about your plan. The benefit information is a brief summary, not a complete description of benefits. 0000002074 00000 n We want you to be happy with your healthcare services. Each link will open a new window and is either a PDF or a website. 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 turn on JavaScript and try again. The COC lays out all the details so that you can stay on top of your coverage. You will be able to work with one health plan for all of your health insurance needs. You will need Adobe Reader to open PDFs on this site. For example, we may not approve your providers request for a certain drug. It will also explain our responsibilities to you, as well as outline the following details: h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. 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 <. On weekends and on state or federal holidays, you may be asked to leave a message. 0000046966 00000 n We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! We need to be able to send you important information in the mail. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. Su llamada ser devuelta dentro del siguiente da hbil. The Personal Wellness Assessment is a short form about you and your health journey. Call Member Services if youd like paper copies of any of these documents. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. xref The benefit information is a brief summary, not a complete description of benefits. You can get this document for free in other formats, such as large print, braille, or audio. 0000000016 00000 n On weekends and on state or federal holidays, Other pharmacies/physicians/providers are available in our network. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. 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. 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 wish to stay on this website, please click Cancel. 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. 1-855-580-1689 (TTY 711) With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. You can get this document for free in other formats, such as large print, braille, or audio. Open Enrollment 6. 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) With HealthChoice Illinois, you have a health plan partner to turn to for help. 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. HealthChoice Illinois is the smart way most Medicaid members get quality care. Youll tell us about any health conditions, recent hospital visits, medications, and more. Other pharmacies/physicians/providers are available in our network. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. On weekends and on state or federal holidays, you may be asked to leave a message. Meridian is for people eligible for both Medicaid and Medicare. Find a doctor, explore coverage, review documents and much more. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. View your Provider Manual, important plan information and more.
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