meridian illinois member handbook
Learn more about how being a Meridian provider benefits you. Each link will open a new window and is either a PDF or a website. Meridian Please review the various programs below. We want you to be happy with the treatment and services you get from Meridian and our providers. 0000046576 00000 n 0000068208 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. 0000021917 00000 n %%EOF This is not a complete list. This handbook will help you understand your coverage. 0000000956 00000 n 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. 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. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. You are now able to view your health information from a third-party app on a mobile device or PC! With HealthChoice Illinois, you have a health plan partner to turn to for help. 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. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. Just call Member Services with your new address. All Rights Reserved. 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 are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. Each link will open a new window and is either a PDF or a website. 0000041668 00000 n Download the Member Handbook (PDF). For a more comprehensive description of the plan benefits, please refer to your Member Handbook. 2369 0 obj <> endobj 0000151745 00000 n 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. A grievance is a complaint about a provider or about the quality of care or services you received. 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 also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. 0000002177 00000 n 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. 0000040481 00000 n 0000046386 00000 n This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. Call Member Services if youd like paper copies of any of these documents. Su llamada ser devuelta dentro del siguiente da hbil. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 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. La llamada es gratis. 866-606-3700 . 0000046799 00000 n We need to be able to send you important information in the mail. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. Meridian Member Services . Llame al. 0 Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. Meridian covers all counties in Illinois. HealthChoice Illinois is the smart way most Medicaid members get quality care. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. Please contact the plan for more details. 0000002131 00000 n Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 0000046966 00000 n The call is free. We can connect you with support, services, and even rewards. 167 33 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . La llamada es gratis. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. On weekends and on state or federal holidays, For more information contact the plan or read the Meridian Member Handbook. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Call 1-855-580-1689 (TTY: 711). The call is free. 0000017969 00000 n 0000001774 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. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. 0000002041 00000 n 2500 0 obj <>stream 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) 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. 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. The COC lays out all the details so that you can stay on top of your coverage. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. Open Enrollment 6. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" Usually a mail-order pharmacy order will get to you in no more than 5 days. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. 199 0 obj <>stream <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. For more information contact the plan or read the Meridian Member Handbook. Your call will be returned within the next business day. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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. Download the Member Handbook (PDF). (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. Want a paper copy? Youll tell us about any health conditions, recent hospital visits, medications, and more. It also explains how to find care and how to earn rewards. If you wish to stay on this website, please click Cancel. On weekends and on state or federal holidays, you may be asked to leave a message. The call is free. Your call will be returned within the next business day. See if you qualify, and explore the HealthChoice Illinois advantage. Member ID Cards 5. Provider Network 6 La llamada es gratis. Don't forget to call your local HFS oce and Meridian Member Services with your new address. 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. View your Provider Manual, important plan information and more. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. On weekends and on state or federal holidays, you may be asked to leave a message. +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 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! Monday-Friday, 8 a.m. to 8 p.m. CST With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Your call will be returned within the next business day. View our Frequently Asked Questions page. You will need Adobe Reader to open PDFs on this site. Call 1-855-580-1689 (TTY: 711). With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. Its full of tips and resources for pregnant members and new parents. 0000006553 00000 n Keep in mind that everything you choose to share is confidential. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. The benefit information is a brief summary, not a complete description of benefits. Su llamada ser devuelta dentro del siguiente da hbil. Looking for your plan home page or interested in becoming a member? Su llamada ser devuelta dentro del siguiente da hbil. Each link will open a new window and is either a PDF or a website. Other pharmacies/physicians/providers are available in our network. 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. 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. 0000002074 00000 n For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. Your call will be returned within the next business day. If your address changes, let us know. Understanding the ins and outs of your health plan can be difficult. 0000067553 00000 n 2023 1-855-580-1689 (TTY 711) When you go to file, youll want to write when and where the incident took place, and what happened. Other pharmacies/physicians/providers are available in our network. %%EOF The call is free. It will help you get the care you need. 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. This is not a complete list. 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 will also explain our responsibilities to you, as well as outline the following details: 167 0 obj <> endobj With HealthChoice Illinois, you have a health plan partner to turn to for help. Want a paper copy? 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. xref The benefit information is a brief summary, not a complete description of benefits. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. If you wish to stay on this website, please click Cancel. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Call 1-855-580-1689 (TTY: 711). 0000025980 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. You will need Adobe Reader to open PDFs on this site. 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 looks like your browser does not have JavaScript enabled. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Limitations, copays, and restrictions may apply. You can get this document for free in other formats, such as large print, braille, or audio. 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. 0000001708 00000 n // /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 If you wish to stay on this website, please click Cancel. Copyright 2023 Meridian All Rights Reserved.
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