hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Visit your Member Portal or call Member Services. When you go to file, youll want to write when and where the incident took place, and what happened. 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. xref We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 0000040678 00000 n Each link will open a new window and is either a PDF or a website. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. The Personal Wellness Assessment is a short form about you and your health journey. 0000067354 00000 n With HealthChoice Illinois, you have a health plan partner to turn to for help. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. You can make an appeal if you disagree with our verdict. For more information contact the plan or read the Meridian Member Handbook. 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 <. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. If you wish to stay on this website, please click Cancel. 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 Other pharmacies/physicians/providers are available in our network. You can also visit the Illinois Client Enrollment Services website. Llame al. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. All Rights Reserved. trailer 2500 0 obj <>stream 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. A grievance is a complaint about a provider or about the quality of care or services you received. If you wish to stay on this website, please click Cancel. Meridian is for people eligible for both Medicaid and Medicare. 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-1.7 % 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. %%EOF Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). At the right time and place. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. 0000000956 00000 n Download the free version of Adobe Reader. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. This handbook will help you understand your coverage. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Want a paper copy? We want you to be happy with your healthcare services. You can also visit the Illinois Client Enrollment Services website. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). 0000025639 00000 n Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 0000072727 00000 n This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 167 33 Your call will be returned within the next business day. 2369 0 obj <> endobj Keep in mind that everything you choose to share is confidential. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. Please contact the plan for more details. 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. Understanding the ins and outs of your health plan can be difficult. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 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. La llamada es gratis. Download the Member Handbook (PDF). Monday-Friday, 8 a.m. to 5 p.m. CST Please review the various programs below. For certain kinds of drugs, you can use the plans network mail-order services. 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. The benefit information is a brief summary, not a complete description of benefits. You will be able to work with one health plan for all of your health insurance needs. 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. [CDATA[ // ]/Prev 539953>> The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 1-855-580-1689 (TTY 711) 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. Download the Member Handbook(PDF). Its full of tips and resources for pregnant members and new parents. Your call will be returned within the next business day. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. It also explains how to find care and how to earn rewards. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ The call is free. Material ID:H6080_WEBSITE_2023_Accepted_09282022. startxref providerhelp.IL@mhplan.com. All Rights Reserved. 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. Other pharmacies/physicians/providers are available in our network. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Su llamada ser devuelta dentro del siguiente da hbil. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 0000046576 00000 n 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. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Call 1-855-580-1689 (TTY: 711). You will need Adobe Reader to open PDFs on this site. 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. 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. It will help you get the care you need. The call is free. More information is in your Member Handbook(PDF). 0000041209 00000 n You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Looking for your plan home page or interested in becoming a member? 0000047422 00000 n 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. Meridian Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. Your call will be returned within the next business day. 2023 If your address changes, let us know. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. If your pregnancy is at high risk, we may call 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 are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! You can get this document for free in other formats, such as large print, braille, or audio. You are now able to view your health information from a third-party app on a mobile device or PC! 0000151745 00000 n %PDF-1.4 % 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. Usually a mail-order pharmacy order will get to you in no more than 5 days. 0000010510 00000 n Su llamada ser devuelta dentro del siguiente da hbil. 0000041668 00000 n The right care for you. Click the link below to view or save a copy. See if you qualify, and explore the HealthChoice Illinois advantage. 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. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 0000006553 00000 n 1-855-580-1689 (TTY 711) 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. If you wish to stay on this website, please click Cancel. 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. The call is free. The call is free. 0000002177 00000 n 0000041585 00000 n You will need Adobe Reader to open PDFs on this site. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. View our Frequently Asked Questions page. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. The Health Library is a free resource exclusively for MeridianComplete members and providers. Monday-Friday, 8 a.m. to 8 p.m. CST Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 For more information contact the plan or read the Meridian Member Handbook. A certificate of coverage (COC) tells you what to expect from your healthcare 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 0000001708 00000 n Each link will open a new window and is either a PDF or a website. You can join our Start Smart for Your Baby program. Report an address update to HFS online. Please visit our new website to see up to date information about your plan. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 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)! +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 ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Copyright 2023 Meridian All Rights Reserved. Open Enrollment 6. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with 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. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. You will need Adobe Reader to open PDFs on this site. Want a paper copy? The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Limitations, copays, and restrictions may apply. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. 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. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. 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. Be sure to read your Meridian Member Handbook and keep it handy. It will also explain our responsibilities to you, as well as outline the following details: JB Pritzker, Governor Theresa Eagleson, Director. Check out the Interoperability page to learn more. Su llamada ser devuelta dentro del siguiente da hbil. Each link will open a new window and is either a PDF or a website. Meridian will work with you to make sure you get all of the care you need, when you need it. It will also explain our responsibilities to you, as well as outline the following details: 167 0 obj <> endobj It explains the medical, dental, vision, and pharmacy services that are covered by your plan. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 0000080946 00000 n The benefit information is a brief summary, not a complete description of benefits. Material ID:H6080_WEBSITE_2023_Accepted_09282022. 0000040481 00000 n 0000046799 00000 n La llamada es gratis. Your call will be returned within the next business day. 0000067553 00000 n Catching a Breath Complex Case Management Flu Outreach Opioids It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 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. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. 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 call is free. 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 more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. La llamada es gratis. Learn more about how being a Meridian provider benefits you. 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. It looks like your browser does not have JavaScript enabled. Your handbook is full of important information about your health care and Meridian. Want a paper copy? 0000017969 00000 n 0000014634 00000 n If you experience any problems receiving your mail order prescription, call Member Services at. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. // ]]>. You will need Adobe Reader to open PDFs on this site. If we fall short, you can file a grievance or appeal. 2023 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! For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. 0000068208 00000 n 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. View your Provider Manual, important plan information and more. Call Member Services if youd like paper copies of any of these documents. It also explains how to find care and how to earn rewards. 0000002074 00000 n You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. We can connect you with support, services, and even rewards. We need to be able to send you important information in the mail. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . 0000025980 00000 n 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. MeridianHealth is now Meridian! For more information contact the plan or read the Meridian Member Handbook. On weekends and on state or federal holidays, you may be asked to leave a message. On weekends and on state or federal holidays, Other pharmacies/physicians/providers are available in our network. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. You've got questions and we've got answers. You can get this document for free in other formats, such as large print, braille, or audio. Meridian Member Services . This is not a complete list. 0000068680 00000 n 0000046966 00000 n Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. 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. HealthChoice Illinois is the smart way most Medicaid members get quality care. Each link will open a new window and is either a PDF or a website. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. 0000002220 00000 n It outlines services and benefits that areand are notcovered. Moving? 0 This is not a complete list. Youll tell us about any health conditions, recent hospital visits, medications, and more. Call 1-855-580-1689 (TTY: 711). 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 can get this document in Spanish, or speak with someone about this information in other languages for free. member.ILmeridian.com. 0000021917 00000 n https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. On weekends and on state or federal holidays, you may be asked to leave a message. Language Assistance & Notice of Nondiscrimination. The COC lays out all the details so that you can stay on top of your coverage. Copays for prescription drugs may vary based on the level of Extra Help you receive. Just call Member Services with your new address.

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