If your pregnancy is at high risk, we may call you. Other pharmacies/physicians/providers are available in our network. You will need Adobe Reader to open PDFs on this site. Each link will open a new window and is either a PDF or a website. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. We want you to be happy with your healthcare services. Want a paper copy? member.ILmeridian.com. You can get this document for free in other formats, such as large print, braille, or audio. endstream endobj startxref This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Don't forget to call your local HFS oce and Meridian Member Services with your new address. Report an address update to HFS online. Meridian is for people eligible for both Medicaid and Medicare. 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. You will be able to work with one health plan for all of your health insurance needs. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. You've got questions and we've got answers. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. For more information contact the plan or read the Meridian Member Handbook. You can also visit the Illinois Client Enrollment Services website. It also explains how to find care and how to earn rewards. 0000002177 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. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. For certain kinds of drugs, you can use the plans network mail-order services. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! Meridian will work with you to make sure you get all of the care you need, when you need it. An appeal is a way for you to ask for a review of our actions. It looks like your browser does not have JavaScript enabled. 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. Download the Member Handbook (PDF). Provider Network 6 0000151745 00000 n Want a paper copy? v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" 1-855-580-1689 (TTY 711) With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, 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. 0000046386 00000 n The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. The right care for you. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. Visit your Member Portal or call Member Services. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 0000041585 00000 n Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. For more information contact the plan or read the Meridian Member Handbook. If you wish to stay on this website, please click Cancel. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. 0000025639 00000 n Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Call Member Services if youd like paper copies of any of these documents. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. 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. It will also explain our responsibilities to you, as well as outline the following details: If we fall short, you can file a grievance or appeal. 0 Material ID:H6080_WEBSITE_2023_Accepted_09282022. It will also explain our responsibilities to you, as well as outline the following details: 0000041209 00000 n On weekends and on state or federal holidays, you may be asked to leave a message. The call is free. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. La llamada es gratis. xref It also explains how to find care and how to earn rewards. Moving? We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 0000025980 00000 n Meridian 2500 0 obj <>stream Just call Member Services with your new address. Your call will be returned within the next business day. 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. Su llamada ser devuelta dentro del siguiente da hbil. 0000001774 00000 n View your Provider Manual, important plan information and more. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. 0000002074 00000 n MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. Each link will open a new window and is either a PDF or a website. Your call will be returned within the next business day. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. 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 <. You will need Adobe Reader to open PDFs on this site. At the right time and place. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. %PDF-1.4 % Meridian covers all counties in Illinois. 0000072727 00000 n If you wish to stay on this website, please click Cancel. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ 866-606-3700 . 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. Looking for your plan home page or interested in becoming a member? 0000067354 00000 n If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). This is not a complete list. The COC lays out all the details so that you can stay on top of your coverage. 0000047422 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. This is not a complete list. 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. If your address changes, let us know. Your call will be returned within the next business day. 0000046576 00000 n For example, we may not approve your providers request for a certain drug. Call 1-855-580-1689 (TTY: 711). Please visit our new website to see up to date information about your plan. 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. 0000068208 00000 n Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 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. 1-855-580-1689 (TTY 711) [CDATA[ It explains the medical, dental, vision, and pharmacy services that are covered by your plan. La llamada es gratis. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. 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. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. 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. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. Copays for prescription drugs may vary based on the level of Extra Help you receive. Meridian 199 0 obj <>stream Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. 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. This handbook will help you understand your coverage. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. La llamada es gratis. 0000006553 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. Call 1-855-580-1689 (TTY: 711). Each link will open a new window and is either a PDF or a website. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. startxref It also explains how to find care and how to earn rewards. 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. If you wish to stay on this website, please click Cancel. Find a doctor, explore coverage, review documents and much more. 0000000016 00000 n You are now able to view your health information from a third-party app on a mobile device or PC! Copyright 2023 Meridian All Rights Reserved. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. All Rights Reserved. Download the Member Handbook (PDF). 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 help you get the care you need. 0000067553 00000 n 0000001708 00000 n Other pharmacies/physicians/providers are available in our network. Meridian Member Services . %PDF-1.7 % The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. For more information contact the plan or read the MeridianComplete Member Handbook. Check out the Interoperability page to learn more. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. 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. This is not a complete list. 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. 0000002041 00000 n +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. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. // ]]>. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. The call is free. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. If you wish to stay on this website, please click Cancel. You will need Adobe Reader to open PDFs on this site. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. 0000002220 00000 n Please contact the plan for more details. Usually a mail-order pharmacy order will get to you in no more than 5 days. Open Enrollment 6. Monday-Friday, 8 a.m. to 8 p.m. CST On weekends and on state or federal holidays, you may be asked to leave a message. 0000014634 00000 n For a more comprehensive description of the plan benefits, please refer to your Member Handbook. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. 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! The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. 2023 %%EOF JB Pritzker, Governor Theresa Eagleson, Director. If you experience any problems receiving your mail order prescription, call Member Services at. Keep in mind that everything you choose to share is confidential. HealthChoice Illinois is the smart way most Medicaid members get quality care. Su llamada ser devuelta dentro del siguiente da hbil. 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. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. 167 0 obj <> endobj 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. Su llamada ser devuelta dentro del siguiente da hbil. 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. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. The Health Library is a free resource exclusively for MeridianComplete members and providers. You can get this document for free in other formats, such as large print, braille, or audio. For more information contact the plan or read the Meridian Member Handbook. 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. 0000021917 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. All Rights Reserved. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 Monday-Friday, 8 a.m. to 5 p.m. CST On weekends and on state or federal holidays, 1-855-580-1689 (TTY 711) 0000040481 00000 n Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). On weekends and on state or federal holidays, you may be asked to leave a message. It outlines services and benefits that areand are notcovered. // /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 You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. View our Frequently Asked Questions page. Other pharmacies/physicians/providers are available in our network. The call is free. Please turn on JavaScript and try again. 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. 0000046799 00000 n Your call will be returned within the next business day.