ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Your call will be returned within the next business day. member.ILmeridian.com. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. On weekends and on state or federal holidays, you may be asked to leave a message. 2500 0 obj <>stream 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. 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 visit our new website to see up to date information about your plan. Find a doctor, explore coverage, review documents and much more. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. The call is free. 1-855-580-1689 (TTY 711) 0000047422 00000 n This is not a complete list. Understanding the ins and outs of your health plan can be difficult. At the right time and place. Meridian covers all counties in Illinois. MeridianHealth is now Meridian! 0 2369 0 obj <> endobj If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. We will send you a notice before we make a change that affects you. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. 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. Other pharmacies/physicians/providers are available in our network. Language Assistance & Notice of Nondiscrimination. 0000025980 00000 n Other pharmacies/physicians/providers are available in our network. 2023 Your call will be returned within the next business day. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. All Rights Reserved. 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. On weekends and on state or federal holidays, you may be asked to leave a message. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. View your Provider Manual, important plan information and more. 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 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. Su llamada ser devuelta dentro del siguiente da hbil. Call Member Services if youd like paper copies of any of these documents. Meridian is for people eligible for both Medicaid and Medicare. 0000001774 00000 n startxref It will help you get the care you need. You can get this document for free in other formats, such as large print, braille, or audio. 3. providerhelp.IL@mhplan.com. 0000017969 00000 n Download the Member Handbook(PDF). If we fall short, you can file a grievance or appeal. Meridian You are now able to view your health information from a third-party app on a mobile device or PC! This way, we can connect you with the right care. Call 1-855-580-1689 (TTY: 711). 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. Usually a mail-order pharmacy order will get to you in no more than 5 days. 167 0 obj <> endobj Looking for your plan home page or interested in becoming a member? 0000002131 00000 n Don't forget to call your local HFS oce and Meridian Member Services with your new address. See if you qualify, and explore the HealthChoice Illinois advantage. Download the Member Handbook (PDF). 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. Catching a Breath Complex Case Management Flu Outreach Opioids 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 <. Please contact the plan for more details. 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. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. Meridian Member Services . The benefit information is a brief summary, not a complete description of benefits. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. 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) 0000080946 00000 n 0000002177 00000 n Your call will be returned within the next business day. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. 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. On weekends and on state or federal holidays, you may be asked to leave a message. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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 can get this document for free in other formats, such as large print, braille, or audio. This is not a complete list. The call is free. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 0000046799 00000 n Llame al. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. Member ID Cards 5. If you wish to stay on this website, please click Cancel. Please review the various programs below. 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. 0000067553 00000 n MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 0000000956 00000 n You will be able to work with one health plan for all of your health insurance needs. 0000067354 00000 n It will also explain our responsibilities to you, as well as outline the following details: The benefit information is a brief summary, not a complete description of benefits. 0000021917 00000 n You can get this document for free in other formats, such as large print, braille, or audio. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . You will need Adobe Reader to open PDFs on this site. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. 0 0000002041 00000 n The call is free. You can join our Start Smart for Your Baby program. 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. 0000040481 00000 n 0000014634 00000 n Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. The COC lays out all the details so that you can stay on top of your coverage. All Rights Reserved. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 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)! Meridian 0000046966 00000 n Su llamada ser devuelta dentro del siguiente da hbil. On weekends and on state or federal holidays, you may be asked to leave a message. For more information contact the plan or read the Meridian Member Handbook. 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. 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. Check out the Interoperability page to learn more. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. It also explains how to find care and how to earn rewards. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. 0000046386 00000 n Call 1-855-580-1689 (TTY: 711). Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 2023 This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. 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. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. Your handbook is full of important information about your health care and Meridian. Download the Member Handbook (PDF). <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> 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. More information is in your Member Handbook(PDF). 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. 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. This is not a complete list. This handbook will help you understand your coverage. The Personal Wellness Assessment is a short form about you and your health journey. For more information contact the plan or read the Meridian Member Handbook. On weekends and on state or federal holidays, 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. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 0000068680 00000 n Want a paper copy? 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. Be sure to read your Meridian Member Handbook and keep it handy. 0000068208 00000 n The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. It will also explain our responsibilities to you, as well as outline the following details: 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. Open Enrollment 6. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. If your pregnancy is at high risk, we may call you. Material ID:H6080_WEBSITE_2023_Accepted_09282022. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! Please turn on JavaScript and try again. Download the free version of Adobe Reader. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" It looks like your browser does not have JavaScript enabled. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). The call is free. Monday-Friday, 8 a.m. to 8 p.m. CST If your address changes, let us know. // ]]>. xref 0000040678 00000 n 0000001708 00000 n https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. Just call Member Services with your new address. HealthChoice Illinois is the smart way most Medicaid members get quality care. Limitations, copays, and restrictions may apply. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. 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.mi@mhplan.com. 0000000016 00000 n Your call will be returned within the next business day. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. We can connect you with support, services, and even rewards. For certain kinds of drugs, you can use the plans network mail-order services. %PDF-1.4 % If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). The Health Library is a free resource exclusively for MeridianComplete members and providers. Each link will open a new window and is either a PDF or a website. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf.
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