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. 1-855-580-1689 (TTY 711) It will also explain our responsibilities to you, as well as outline the following details: // ^| ! The Health Library is a free resource exclusively for MeridianComplete members and providers. 0000046386 00000 n La llamada es gratis. On weekends and on state or federal holidays, you may be asked to leave a message. We will send you a notice before we make a change that affects you. Meridian Member Services . If you wish to stay on this website, please click Cancel. 0 The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. MeridianComplete 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. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Each link will open a new window and is either a PDF or a website. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). The Personal Wellness Assessment is a short form about you and your health journey. Youll tell us about any health conditions, recent hospital visits, medications, and more. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. Your call will be returned within the next business day. Call 1-855-580-1689 (TTY: 711). 0000000016 00000 n 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). 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. 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. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 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. 0000021917 00000 n Meridian You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. On weekends and on state or federal holidays, you may be asked to leave a message. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Want a paper copy? https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. You can get this document for free in other formats, such as large print, braille, or audio. 0000041209 00000 n 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. 0000002074 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. Your call will be returned within the next business day. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" This way, we can connect you with the right care. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . We want you to be happy with the treatment and services you get from Meridian and our providers. You can join our Start Smart for Your Baby program. 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 are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 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: The Annual Notice of Changes (ANOC) is a brief summary of benefits and benefit changes that occurred from one year to the next. %%EOF Material ID:H6080_WEBSITE_2023_Accepted_09282022. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. Each link will open a new window and is either a PDF or a website. Call 1-855-580-1689 (TTY: 711). The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. The call is free. On weekends and on state or federal holidays, you may be asked to leave a message. 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. Find a doctor, explore coverage, review documents and much more. The call is free. %%EOF With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. At the right time and place. Learn more about how being a Meridian provider benefits you. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 1-855-580-1689 (TTY 711) 167 0 obj <> endobj If you wish to stay on this website, please click Cancel. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Meridian Member Handbook. All Rights Reserved. Usually a mail-order pharmacy order will get to you in no more than 5 days. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. We can connect you with support, services, and even rewards. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. More information is in your Member Handbook(PDF). // ]]>. Looking for your plan home page or interested in becoming a member? The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. This is not a complete list. 0000025639 00000 n 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. 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. providerhelp.IL@mhplan.com. Copyright 2023 Meridian All Rights Reserved. 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. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation Other pharmacies/physicians/providers are available in our network. Want a paper copy? You will need Adobe Reader to open PDFs on this site. For example, we may not approve your providers request for a certain drug. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 2023 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 benefit information is a brief summary, not a complete description of benefits. 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. If you experience any problems receiving your mail order prescription, call Member Services at. A grievance is a complaint about a provider or about the quality of care or services you received. Material ID:H6080_WEBSITE_2023_Accepted_09282022. For more information contact the plan or read the MeridianComplete Member Handbook. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. HealthChoice Illinois is the smart way most Medicaid members get quality care. Monday-Friday, 8 a.m. to 8 p.m. CST The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Limitations, copays, and restrictions may apply. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. Su llamada ser devuelta dentro del siguiente da hbil. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 0000006553 00000 n Other pharmacies/physicians/providers are available in our network. The call is free. Want a paper copy? Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Keep in mind that everything you choose to share is confidential. For certain kinds of drugs, you can use the plans network mail-order services. Meridian will work with you to make sure you get all of the care you need, when you need it. Please visit our new website to see up to date information about your plan. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); Moving? 0000080946 00000 n This is not a complete list. Member ID Cards 5. Please turn on JavaScript and try again. 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. 0000047422 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. Visit your Member Portal or call Member Services. Please review the various programs below. 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.