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0000010510 00000 n 0000006553 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. Meridian trailer 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. endstream endobj startxref 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation 0000040678 00000 n Please visit our new website to see up to date information about your plan. Download the Member Handbook(PDF). At the right time and place. Check out the Interoperability page to learn more. 0000002074 00000 n Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. PDF Welcome to MeridianHealth Intro to Plan 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. It also explains how to find care and how to earn rewards. The call is free. Catching a Breath Complex Case Management Flu Outreach Opioids This handbook will help you understand your coverage. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). For more information contact the plan or read the Meridian Member Handbook. View our Frequently Asked Questions page. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! Meridian 0000001708 00000 n Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 0000040481 00000 n 2500 0 obj <>stream Copyright 2023 Meridian All Rights Reserved. Meridian Medicare Medicaid Plan If you experience any problems receiving your mail order prescription, call Member Services at. Download the Member Handbook (PDF). 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. 2023 Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. You will need Adobe Reader to open PDFs on this site. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. 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) Understanding the ins and outs of your health plan can be difficult. PDF <DATE> Program called HealthChoice Illinois . We have been working hard Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. A grievance is a complaint about a provider or about the quality of care or services you received. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Member Handbooks and Forms 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. Looking for your plan home page or interested in becoming a member? Provider Manual | Meridian Health Plan of Illinois On weekends and on state or federal holidays, you may be asked to leave a message. Want a paper copy? https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. xref 0000046966 00000 n Other pharmacies/physicians/providers are available in our network. 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. 167 0 obj <> endobj Moving? On weekends and on state or federal holidays, you may be asked to leave a message. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Member Handbook - Meridian Medicare Medicaid Plan Want a paper copy? 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 <. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. Limitations, copays, and restrictions may apply. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. Your call will be returned within the next business day. The right care for you. Su llamada ser devuelta dentro del siguiente da hbil. 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. 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 Each link will open a new window and is either a PDF or a website. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. 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. Provider Network 6 PDF ILLINOIS MEMBER HANDBOOK - Meridian Illinois Managed Care Plans This way, we can connect you with the right care. 0000000016 00000 n (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. We want you to be happy with the treatment and services you get from Meridian and our providers. The call is free. For example, we may not approve your providers request for a certain drug. 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. 0000046576 00000 n Monday-Friday, 8 a.m. to 8 p.m. CST The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. You will need Adobe Reader to open PDFs on this site. 1-855-580-1689 (TTY 711) 0000072727 00000 n v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" It explains the medical, dental, vision, and pharmacy services that are covered by your plan. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Find a doctor, explore coverage, review documents and much more. Call Member Services if youd like paper copies of any of these documents. 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 Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). We need to be able to send you important information in the mail. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. All Rights Reserved. 0000002177 00000 n 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. Your call will be returned within the next business day. If you wish to stay on this website, please click Cancel. 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. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. 0000068680 00000 n It will help you get the care you need. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. On weekends and on state or federal holidays, you may be asked to leave a message. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). %%EOF Llame al. Providers - MeridianComplete This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ View your Provider Manual, important plan information and more. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. Call 1-855-580-1689 (TTY: 711). Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. If your pregnancy is at high risk, we may call you. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. It will also explain our responsibilities to you, as well as outline the following details: Other pharmacies/physicians/providers are available in our network. If you wish to stay on this website, please click Cancel. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 0000068208 00000 n Your call will be returned within the next business day. Monday-Friday, 8 a.m. to 8 p.m. CST You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . You can get this document for free in other formats, such as large print, braille, or audio. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Meridian will work with you to make sure you get all of the care you need, when you need it. 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 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. This is not a complete list. HealthChoice Illinois | HFS 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Please review the various programs below. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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: We can connect you with support, services, and even rewards. You will need Adobe Reader to open PDFs on this site. startxref Be sure to read your Meridian Member Handbook and keep it handy. // ]]>. 0000047422 00000 n The Health Library is a free resource exclusively for MeridianComplete members and providers. 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. La llamada es gratis. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. 0000014634 00000 n h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. Documents and Forms - Meridian Medicare Medicaid Plan Want a paper copy? Keep in mind that everything you choose to share is confidential. More information is in your Member Handbook(PDF). For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. You can get this document in Spanish, or speak with someone about this information in other languages for free. The benefit information is a brief summary, not a complete description of benefits. 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. PDF 2021 Member Handbook - Meridian Medicare Medicaid Plan You've got questions and we've got answers. 0000002041 00000 n Each link will open a new window and is either a PDF or a website. 0000025639 00000 n Member Handbook | Meridian Complete of Illinois 0000002220 00000 n You can also visit the Illinois Client Enrollment Services website. 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. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. providerhelp.IL@mhplan.com. Learn more about how being a Meridian provider benefits you. The call is free. 199 0 obj <>stream The call is free. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. For more information contact the plan or read the Meridian Member Handbook. Visit your Member Portal or call Member Services. Member Handbook | Meridian Health Plan of Illinois Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. An appeal is a way for you to ask for a review of our actions. 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. JB Pritzker, Governor Theresa Eagleson, Director. 1-855-580-1689 (TTY 711) 0000041209 00000 n 0000017969 00000 n The call is free. 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. For more information contact the plan or read the Meridian Member Handbook. La llamada es gratis. 0000000956 00000 n The call is free. 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. Other pharmacies/physicians/providers are available in our network. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. For certain kinds of drugs, you can use the plans network mail-order services. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. 0000041668 00000 n This is not a complete list. Each link will open a new window and is either a PDF or a website. 0000002131 00000 n You can join our Start Smart for Your Baby program. The benefit information is a brief summary, not a complete description of benefits. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> With HealthChoice Illinois, you have a health plan partner to turn to for help. 0000001774 00000 n You will need Adobe Reader to open PDFs on this site. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. If we fall short, you can file a grievance or appeal. Download the Member Handbook (PDF). Report an address update to HFS online. This is not a complete list. If your address changes, let us know. Su llamada ser devuelta dentro del siguiente da hbil. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. Please turn on JavaScript and try again. The benefit information is a brief summary, not a complete description of benefits. We will send you a notice before we make a change that affects you. 0 The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. The benefit information is a brief summary, not a complete description of benefits. We want you to be happy with your healthcare services. You can get this document for free in other formats, such as large print, braille, or audio. The COC lays out all the details so that you can stay on top of your coverage. You can also visit the Illinois Client Enrollment Services website. Don't forget to call your local HFS oce and Meridian Member Services with your new address. The Personal Wellness Assessment is a short form about you and your health journey. Your handbook is full of important information about your health care and Meridian. 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. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! For Members | Meridian 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. //