meridian illinois member handbook meridian illinois member handbook

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. 0000025639 00000 n You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. View our Frequently Asked Questions page. 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 benefit information is a brief summary, not a complete description of benefits. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. You can get this document for free in other formats, such as large print, braille, or audio. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Meridian You will need Adobe Reader to open PDFs on this site. 2500 0 obj <>stream 2023 You can get this document in Spanish, or speak with someone about this information in other languages for free. Su llamada ser devuelta dentro del siguiente da hbil. 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, or to find out how to get enrolled, please contact Meridian at 888-437-0606. If you wish to stay on this website, please click Cancel. Your call will be returned within the next business day. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. 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 Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. 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. Each link will open a new window and is either a PDF or a website. // ]]>. Call 1-855-580-1689 (TTY: 711). 0000001774 00000 n 1-855-580-1689 (TTY 711) Monday-Friday, 8 a.m. to 5 p.m. CST 167 33 Each link will open a new window and is either a PDF or a website. JB Pritzker, Governor Theresa Eagleson, Director. 0000047422 00000 n For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. 1-855-580-1689 (TTY 711) We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. An appeal is a way for you to ask for a review of our actions. 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. It also explains how to find care and how to earn rewards. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> 0000068208 00000 n 0000000016 00000 n You will be able to work with one health plan for all of your health insurance needs. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). We need to be able to send you important information in the mail. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. Other pharmacies/physicians/providers are available in our network. You will need Adobe Reader to open PDFs on this site. You will need Adobe Reader to open PDFs on this site. Looking for your plan home page or interested in becoming a member? 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! Please contact the plan for more details. The call is free. Su llamada ser devuelta dentro del siguiente da hbil. You can also visit the Illinois Client Enrollment Services website. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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. 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. It will help you get the care you need. We can connect you with support, services, and even rewards. 0 0000067553 00000 n It will also explain our responsibilities to you, as well as outline the following details: When you go to file, youll want to write when and where the incident took place, and what happened. 0000002220 00000 n This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. More information is in your Member Handbook(PDF). 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. On weekends and on state or federal holidays, you may be asked to leave a message. We want you to be happy with your healthcare services. 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. The call is free. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation All Rights Reserved. 3. 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. 0000002177 00000 n This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. // endobj Download the Member Handbook (PDF). The benefit information is a brief summary, not a complete description of benefits. 0000025980 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. 0000002074 00000 n Open Enrollment 6. View your Provider Manual, important plan information and more. 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. This is not a complete list. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. trailer Copays for prescription drugs may vary based on the level of Extra Help you receive. 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)! Your call will be returned within the next business day. The COC lays out all the details so that you can stay on top of your coverage. 0 0000072727 00000 n This handbook will help you understand your coverage. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ The benefit information is a brief summary, not a complete description of benefits. 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. 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. We will send you a notice before we make a change that affects you. Meridian On weekends and on state or federal holidays, you may be asked to leave a message. With HealthChoice Illinois, you have a health plan partner to turn to for help. With HealthChoice Illinois, you have a health plan partner to turn to for help. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. 0000041209 00000 n It also explains how to find care and how to earn rewards. 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 <. 0000041585 00000 n You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 0000067354 00000 n You can make an appeal if you disagree with our verdict. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. Catching a Breath Complex Case Management Flu Outreach Opioids 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.