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
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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.
Provider Manual | Meridian Health Plan of Illinois 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>>
Member Handbook | Meridian Health Plan of Illinois 0000068208 00000 n
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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.
For Members | Meridian 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
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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. // Documents and Forms - Meridian Medicare Medicaid Plan If you experience any problems receiving your mail order prescription, call Member Services at. 0000040481 00000 n
Youll tell us about any health conditions, recent hospital visits, medications, and more. Material ID:H6080_WEBSITE_2023_Accepted_09282022. 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.
ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. %%EOF
On weekends and on state or federal holidays, you may be asked to leave a message. 0000000956 00000 n
La llamada es gratis. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. You've got questions and we've got answers. For more information contact the plan or read the Meridian Member Handbook. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Member ID Cards 5. Please review the various programs below. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. You will need Adobe Reader to open PDFs on this site. 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. You will need Adobe Reader to open PDFs on this site. +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
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providerhelp.IL@mhplan.com. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. If you wish to stay on this website, please click Cancel.
PDF here's your member handbook. MeridianHealth is now Meridian! If we fall short, you can file a grievance or appeal. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. 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) 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. This is not a complete list.
PDF ILLINOIS MEMBER HANDBOOK - Meridian Illinois Managed Care Plans Your handbook is full of important information about your health care and Meridian. If you wish to stay on this website, please click Cancel. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. For certain kinds of drugs, you can use the plans network mail-order services. The benefit information is a brief summary, not a complete description of benefits. Want a paper copy? The call is free.
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For a more comprehensive description of the plan benefits, please refer to your Member Handbook. 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.
PDF <DATE> Program called HealthChoice Illinois . We have been working hard Meridian Medicare Medicaid Plan 866-606-3700 . The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Report an address update to HFS online. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. 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. 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. 0000046966 00000 n
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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
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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.
Member Handbook - Meridian Medicare Medicaid Plan 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.