For certain kinds of drugs, you can use the plans network mail-order services. La llamada es gratis. You are now able to view your health information from a third-party app on a mobile device or PC! Other pharmacies/physicians/providers are available in our network. The call is free. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. For more information contact the plan or read the Meridian Member Handbook. This is not a complete list. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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. Copyright 2023 Meridian All Rights Reserved. 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. Meridian will work with you to make sure you get all of the care you need, when you need it. View your Provider Manual, important plan information and more. endstream endobj startxref Each link will open a new window and is either a PDF or a website. You can get this document for free in other formats, such as large print, braille, or audio. The call is free. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. Each link will open a new window and is either a PDF or a website. Su llamada ser devuelta dentro del siguiente da hbil. You can also visit the Illinois Client Enrollment Services website. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. 2023 0000002074 00000 n 0000072727 00000 n Download the Member Handbook (PDF). 0000000016 00000 n Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. It will also explain our responsibilities to you, as well as outline the following details: 0000001774 00000 n You can get this document in Spanish, or speak with someone about this information in other languages for free. 0 If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). This is not a complete list. 2500 0 obj <>stream 0000151745 00000 n Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. 866-606-3700 . It also explains how to find care and how to earn rewards. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. 0000002041 00000 n La llamada es gratis. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. The Health Library is a free resource exclusively for MeridianComplete members and providers. 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. 0000002131 00000 n Check out the Interoperability page to learn more. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Language Assistance & Notice of Nondiscrimination. 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. This handbook will help you understand your coverage. You will need Adobe Reader to open PDFs on this site. Limitations, copays, and restrictions may apply. 0000068680 00000 n Monday-Friday, 8 a.m. to 5 p.m. CST An appeal is a way for you to ask for a review of our actions. 0000046799 00000 n startxref member.ILmeridian.com. 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. 0000017969 00000 n If you experience any problems receiving your mail order prescription, call Member Services at. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. 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. 0000000956 00000 n For more information contact the plan or read the Meridian Member Handbook. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> We will send you a notice before we make a change that affects you. See if you qualify, and explore the HealthChoice Illinois advantage. 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. Your call will be returned within the next business day. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 The benefit information is a brief summary, not a complete description of benefits. This is not a complete list. Meridian Your handbook is full of important information about your health care and 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. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . 0000080946 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. Be sure to read your Meridian Member Handbook and keep it handy. The COC lays out all the details so that you can stay on top of your coverage. The call is free. You've got questions and we've got answers. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. The call is free. 0000047422 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. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. Youll tell us about any health conditions, recent hospital visits, medications, and more. View our Frequently Asked Questions page. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 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 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. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Please contact the plan for more details. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. All Rights Reserved. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. If we fall short, you can file a grievance or appeal. // ]]>. Meridian covers all counties in Illinois. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! Meridian %PDF-1.7 % Copays for prescription drugs may vary based on the level of Extra Help you receive. 2369 0 obj <> endobj You will need Adobe Reader to open PDFs on this site. 0000001708 00000 n 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. 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. 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. 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. Download the Member Handbook (PDF). 0000041668 00000 n 167 33 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation 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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. This way, we can connect you with the right care. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. When you go to file, youll want to write when and where the incident took place, and what happened. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" With HealthChoice Illinois, you have a health plan partner to turn to for help. You can make an appeal if you disagree with our verdict. Llame al. 0000025639 00000 n The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. On weekends and on state or federal holidays, you may be asked to leave a message. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 0000002220 00000 n xref This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Find a doctor, explore coverage, review documents and much more. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. Just call Member Services with your new address. +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 ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. 0000021917 00000 n ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Understanding the ins and outs of your health plan can be difficult. 0000046966 00000 n [CDATA[ window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); Provider Network 6 The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 0000067553 00000 n 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. For more information contact the plan or read the MeridianComplete Member Handbook. If your address changes, let us know. For example, we may not approve your providers request for a certain drug. It also explains how to find care and how to earn rewards. Want a paper copy? Monday-Friday, 8 a.m. to 8 p.m. CST Please visit our new website to see up to date information about your plan. Call 1-855-580-1689 (TTY: 711). Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Call 1-855-580-1689 (TTY: 711). Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Download the free version of Adobe Reader. You can also visit the Illinois Client Enrollment Services website. 0000010510 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. Your call will be returned within the next business day. trailer Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Moving? 0000025980 00000 n Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . Meridian is for people eligible for both Medicaid and Medicare. 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. La llamada es gratis. 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. For more information contact the plan or read the Meridian Member Handbook. Each link will open a new window and is either a PDF or a website. You will need Adobe Reader to open PDFs on this site. The call is free. Click the link below to view or save a copy. 1-855-580-1689 (TTY 711) 3. Its full of tips and resources for pregnant members and new parents. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist 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. Don't forget to call your local HFS oce and Meridian Member Services with your new address. A certificate of coverage (COC) tells you what to expect from your healthcare plan. 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 Meridian Medicare-Medicaid Plan's (MMP) contract with you. On weekends and on state or federal holidays, 199 0 obj <>stream It looks like your browser does not have JavaScript enabled. 0000040678 00000 n You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address.