For more information contact the plan or read the MeridianComplete Member Handbook. 0000151745 00000 n Download the free version of Adobe Reader. trailer 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 [email protected]. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. 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 have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). 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. Find a doctor, explore coverage, review documents and much more. For example, we may not approve your providers request for a certain drug. 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. %PDF-1.7 % This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. Each link will open a new window and is either a PDF or a website. You will be able to work with one health plan for all of your health insurance needs. 1-855-580-1689 (TTY 711) 866-606-3700 . Download the Member Handbook (PDF). Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 0000001774 00000 n The call is free. This handbook will help you understand your coverage. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Don't forget to call your local HFS oce and Meridian Member Services with your new address. You've got questions and we've got answers. 0000046386 00000 n HealthChoice Illinois is the smart way most Medicaid members get quality care. You can join our Start Smart for Your Baby program. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. 0000041209 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. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); You can also visit the Illinois Client Enrollment Services website. Each link will open a new window and is either a PDF or a website. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Please visit our new website to see up to date information about your plan. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. This is not a complete list. 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. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. JB Pritzker, Governor Theresa Eagleson, Director. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Other pharmacies/physicians/providers are available in our network. More information is in your Member Handbook(PDF). Copyright 2023 Meridian All Rights Reserved. All Rights Reserved. 0000072727 00000 n 199 0 obj <>stream 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. Limitations, copays, and restrictions may apply. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. You are now able to view your health information from a third-party app on a mobile device or PC! All Rights Reserved. 0000067553 00000 n You will need Adobe Reader to open PDFs on this site. 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 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. View our Frequently Asked Questions page. Open Enrollment 6. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. When you go to file, youll want to write when and where the incident took place, and what happened. Monday-Friday, 8 a.m. to 8 p.m. CST Youll tell us about any health conditions, recent hospital visits, medications, and more. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. It outlines services and benefits that areand are notcovered. 0000067354 00000 n The right care for you. Each link will open a new window and is either a PDF or a website. The Health Library is a free resource exclusively for MeridianComplete members and providers. Your call will be returned within the next business day. Just call Member Services with your new address. Member ID Cards 5. The call is free. For more information contact the plan or read the Meridian Member Handbook. Learn more about how being a Meridian provider benefits you. On weekends and on state or federal holidays, you may be asked to leave a message. Understanding the ins and outs of your health plan can be difficult. 0000002220 00000 n %%EOF An appeal is a way for you to ask for a review of our actions. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. 167 0 obj <> endobj // $ $= @+D C[} "Fod(AE+ With HealthChoice Illinois, you have a health plan partner to turn to for help. Su llamada ser devuelta dentro del siguiente da hbil. Keep in mind that everything you choose to share is confidential. Your call will be returned within the next business day. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. If you need help finding a network provider and/or pharmacy, please call 1-855-580-1689 (TTY: 711) or visit mmp.ILmeridian.com to access our online searchable directory. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. The call is free. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation %%EOF The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. 0000002131 00000 n Please turn on JavaScript and try again. Meridian Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. 0000046576 00000 n 2023 MeridianHealth is now Meridian! On weekends and on state or federal holidays, you may be asked to leave a message. 0000068680 00000 n +t x1Rdt!v8,1{1"sAS*.~Y|U:d\e6qXaI1,JSh\0y7x'zz|:nY\bnLM H\Bd ;,|Xt$Au*5Ndt:|_bLR[QcO?#VJ2VH n6 (_`/}^v}~/ OZ1?.9H Pl;-wrZi}wSzpibGlU}~/r B5[AuJL~2P1W^ j}Y@5( ?d 0000080946 00000 n It also explains how to find care and how to earn rewards. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. For more information contact the plan or read the Meridian Member Handbook. Su llamada ser devuelta dentro del siguiente da hbil. 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. Meridian We want you to be happy with the treatment and services you get from Meridian and our providers. 0000046966 00000 n The benefit information is a brief summary, not a complete description of benefits. You will need Adobe Reader to open PDFs on this site. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. [email protected], The Interoperability and Patient Access Rule. Meridian You can get this document for free in other formats, such as large print, braille, or audio. 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. The COC lays out all the details so that you can stay on top of your coverage. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. startxref Other pharmacies/physicians/providers are available in our network. The benefit information is a brief summary, not a complete description of benefits. 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. Be sure to read your Meridian Member Handbook and keep it handy. It will help you get the care you need. If your address changes, let us know. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. It will also explain our responsibilities to you, as well as outline the following details: If you wish to stay on this website, please click Cancel. It looks like your browser does not have JavaScript enabled. [email protected]. Meridian will help make your Medicare and Medicaid benefits work better together and work better for 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. 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. 0000040678 00000 n Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 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 <. 0000014634 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. Moving? 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. This is not a complete list. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all Making healthcare decisions can be tough--who to see for care, what to ask, when to go. We want you to be happy with your healthcare services. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. 2023 Call Member Services if youd like paper copies of any of these documents. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. You can get this document in Spanish, or speak with someone about this information in other languages for free. 0000021917 00000 n 0000002074 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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Your handbook is full of important information about your health care and Meridian. The call is free. 0 You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Please contact the plan for more details. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 Want a paper copy? endstream endobj startxref Want a paper copy? Meridian covers all counties in Illinois. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. It will also explain our responsibilities to you, as well as outline the following details: Please review the various programs below. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. You can get this document for free in other formats, such as large print, braille, or audio. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. If you experience any problems receiving your mail order prescription, call Member Services at. 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.

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