0000041668 00000 n Your call will be returned within the next business day. It outlines services and benefits that areand are notcovered. Monday-Friday, 8 a.m. to 5 p.m. CST 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. 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. You can get this document for free in other formats, such as large print, braille, or audio. 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). 0000021917 00000 n 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) It will also explain our responsibilities to you, as well as outline the following details: Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . [CDATA[ 0000067354 00000 n If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. You will need Adobe Reader to open PDFs on this site. Be sure to read your Meridian Member Handbook and keep it handy. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. You will need Adobe Reader to open PDFs on this site. You can get this document for free in other formats, such as large print, braille, or audio. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. It will also explain our responsibilities to you, as well as outline the following details: 0000040481 00000 n 0000025639 00000 n Moving? 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. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Want a paper copy? If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). Each link will open a new window and is either a PDF or a website. Find a doctor, explore coverage, review documents and much more. Meridian will work with you to make sure you get all of the care you need, when you need it. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. Other pharmacies/physicians/providers are available in our network. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 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. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. // stream Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 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. 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. La llamada es gratis. 0000025980 00000 n 866-606-3700 . 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 The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. We will send you a notice before we make a change that affects you. The benefit information is a brief summary, not a complete description of benefits. Monday-Friday, 8 a.m. to 8 p.m. CST 167 0 obj <> endobj For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. With HealthChoice Illinois, you have a health plan partner to turn to for help. Usually a mail-order pharmacy order will get to you in no more than 5 days. 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. %%EOF Your handbook is full of important information about your health care and Meridian. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. providerhelp.IL@mhplan.com. The Health Library is a free resource exclusively for MeridianComplete members and providers. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Su llamada ser devuelta dentro del siguiente da hbil. Each link will open a new window and is either a PDF or a website. View our Frequently Asked Questions page. Copyright 2023 Meridian All Rights Reserved. 0000067553 00000 n If you experience any problems receiving your mail order prescription, call Member Services at. Monday-Friday, 8 a.m. to 8 p.m. CST 0000000016 00000 n Want a paper copy? 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 1-855-580-1689 (TTY: 711) or visit mmp.ILmeridian.com to access our online searchable directory. For more information contact the plan or read the Meridian Member Handbook. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 2023 Call 1-855-580-1689 (TTY: 711). 2023 It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Call 1-855-580-1689 (TTY: 711). Understanding the ins and outs of your health plan can be difficult. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. On weekends and on state or federal holidays, you may be asked to leave a message. 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. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. 0000151745 00000 n hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ The call is free. 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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Your call will be returned within the next business day. 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 0000041585 00000 n It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Su llamada ser devuelta dentro del siguiente da hbil. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. 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. If you wish to stay on this website, please click Cancel. 2369 0 obj <> endobj La llamada es gratis. trailer 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. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. 0000046799 00000 n 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. The call is free. +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 On weekends and on state or federal holidays, you may be asked to leave a message. Please review the various programs below. 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. Llame al. This is not a complete list. We need to be able to send you important information in the mail. 0 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. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. 0000000956 00000 n You will need Adobe Reader to open PDFs on this site. See if you qualify, and explore the HealthChoice Illinois advantage. %PDF-1.4 % Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. You can get this document for free in other formats, such as large print, braille, or audio. %PDF-1.7 % You can also visit the Illinois Client Enrollment Services website. 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 <. Material ID:H6080_WEBSITE_2023_Accepted_09282022. This handbook will help you understand your coverage. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. You will be able to work with one health plan for all of your health insurance needs. Meridian covers all counties in Illinois. Language Assistance & Notice of Nondiscrimination. endstream endobj startxref 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. Download the free version of Adobe Reader. 0000080946 00000 n On weekends and on state or federal holidays, you may be asked to leave a message. 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. member.ILmeridian.com. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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)! 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. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. We can connect you with support, services, and even rewards. When you go to file, youll want to write when and where the incident took place, and what happened. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. If you wish to stay on this website, please click Cancel. Your call will be returned within the next business day. It also explains how to find care and how to earn rewards. 0000014634 00000 n At the right time and place. 0000006553 00000 n The call is free. Your call will be returned within the next business day. It looks like your browser does not have JavaScript enabled. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. Su llamada ser devuelta dentro del siguiente da hbil. Call Member Services if youd like paper copies of any of these documents. Check out the Interoperability page to learn more. If we fall short, you can file a grievance or appeal. Catching a Breath Complex Case Management Flu Outreach Opioids xref Meridian 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. 0000046386 00000 n 0000002131 00000 n 0000040678 00000 n Copays for prescription drugs may vary based on the level of Extra Help you receive. 0000047422 00000 n This is not a complete list. 0000017969 00000 n The call is free. JB Pritzker, Governor Theresa Eagleson, Director. 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. HealthChoice Illinois is the smart way most Medicaid members get quality care. Member ID Cards 5. 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. 0000001774 00000 n 0000001708 00000 n // ]]>. 0000068208 00000 n 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . %%EOF 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. You've got questions and we've got answers. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Please turn on JavaScript and try again. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. 0 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. We want you to be happy with the treatment and services you get from Meridian and our providers. The benefit information is a brief summary, not a complete description of benefits. 0000068680 00000 n Just call Member Services with your new address. Youll tell us about any health conditions, recent hospital visits, medications, and more. 3. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! The call is free. Meridian is for people eligible for both Medicaid and Medicare. 0000046966 00000 n We want you to be happy with your healthcare services. Provider Network 6 The COC lays out all the details so that you can stay on top of your coverage. 1-855-580-1689 (TTY 711) This way, we can connect you with the right care. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. 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! MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Each link will open a new window and is either a PDF or a website. A grievance is a complaint about a provider or about the quality of care or services you received. You can make an appeal if you disagree with our verdict. Call 1-855-580-1689 (TTY: 711). 0000002220 00000 n Material ID:H6080_WEBSITE_2023_Accepted_09282022. The right care for you. You will need Adobe Reader to open PDFs on this site. 0000072727 00000 n Visit your Member Portal or call Member Services. 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. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. For example, we may not approve your providers request for a certain drug. Other pharmacies/physicians/providers are available in our network. You will need Adobe Reader to open PDFs on this site. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. All Rights Reserved. Want a paper copy? It also explains how to find care and how to earn rewards. Learn more about how being a Meridian provider benefits you. If your pregnancy is at high risk, we may call you. Don't forget to call your local HFS oce and Meridian Member Services with your new address. Click the link below to view or save a copy. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. 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. 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. All Rights Reserved. On weekends and on state or federal holidays, This is not a complete list. Please visit our new website to see up to date information about your plan. 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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Your call will be returned within the next business day. 0000002177 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.
Mckinsey Associate Salary Paris, Articles M