endstream endobj startxref Monday-Friday, 8 a.m. to 8 p.m. CST It will also explain our responsibilities to you, as well as outline the following details: Meridian will work with you to make sure you get all of the care you need, when you need it. The Personal Wellness Assessment is a short form about you and your health journey. Learn more about how being a Meridian provider benefits you. Catching a Breath Complex Case Management Flu Outreach Opioids If you wish to stay on this website, please click Cancel. For more information contact the plan or read the Meridian Member Handbook. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 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. You will need Adobe Reader to open PDFs on this site. Usually a mail-order pharmacy order will get to you in no more than 5 days. 0000025639 00000 n If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. The call is free. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 0000046966 00000 n The call is free. 0 member.ILmeridian.com. 0000068680 00000 n Provider Network 6 Download the Member Handbook (PDF). This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. If your address changes, let us know. 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. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> For more information contact the plan or read the Meridian Member Handbook. 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. Other pharmacies/physicians/providers are available in our network. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. For Members | Meridian Call 1-855-580-1689 (TTY: 711). For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. 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 You will be able to work with one health plan for all of your health insurance needs. Other pharmacies/physicians/providers are available in our network. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ Provider Manual | Meridian Health Plan of Illinois Each link will open a new window and is either a PDF or a website. 0000001774 00000 n All Rights Reserved. Please visit our new website to see up to date information about your plan. 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. %%EOF (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. Monday-Friday, 8 a.m. to 5 p.m. CST 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. 167 33 Monday-Friday, 8 a.m. to 8 p.m. CST This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. PDF ILLINOIS MEMBER HANDBOOK - Meridian Illinois Managed Care Plans 2023 For more information contact the plan or read the Meridian Member Handbook. Meridian covers all counties in Illinois. PDF <DATE> Program called HealthChoice Illinois . We have been working hard 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. 0000041585 00000 n [CDATA[ The benefit information is a brief summary, not a complete description of benefits. When you go to file, youll want to write when and where the incident took place, and what happened. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. This way, we can connect you with the right care. 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. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 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. 0000002041 00000 n Your call will be returned within the next business day. 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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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) La llamada es gratis. 866-606-3700 . 0000047422 00000 n %%EOF Please review the various programs below. Other pharmacies/physicians/providers are available in our network. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. Please turn on JavaScript and try again. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. The benefit information is a brief summary, not a complete description of benefits. Your call will be returned within the next business day. 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. You will need Adobe Reader to open PDFs on this site. This is not a complete list. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. 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. Keep in mind that everything you choose to share is confidential. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. On weekends and on state or federal holidays, Your call will be returned within the next business day. Call 1-855-580-1689 (TTY: 711). 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 Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation 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. 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. 0000080946 00000 n 0000040678 00000 n With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. 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. 0000021917 00000 n If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. You can get this document in Spanish, or speak with someone about this information in other languages for free. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 2500 0 obj <>stream You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. If you wish to stay on this website, please click Cancel. 0000010510 00000 n 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 more information contact the plan or read the MeridianComplete Member Handbook. Report an address update to HFS online. 2023 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! 2369 0 obj <> endobj You will need Adobe Reader to open PDFs on this site. This is not a complete list. Copyright 2023 Meridian All Rights Reserved. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. Meridian Member Services . 0000000016 00000 n For example, we may not approve your providers request for a certain drug. Its full of tips and resources for pregnant members and new parents. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. This is not a complete list. Call 1-855-580-1689 (TTY: 711). 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. 3. Material ID:H6080_WEBSITE_2023_Accepted_09282022. 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. // /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 <. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care.
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