Understanding the ins and outs of your health plan can be difficult. The call is free. Please review the various programs below. Su llamada ser devuelta dentro del siguiente da hbil. The benefit information is a brief summary, not a complete description of benefits. Member Handbooks and Forms Its full of tips and resources for pregnant members and new parents. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 0000041585 00000 n HFS sends paperwork in the mail that you need to renew your Medicaid coverage. trailer 2023 2500 0 obj <>stream Check out the Interoperability page to learn more. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. // ]]>. 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 <. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. HealthChoice Illinois is the smart way most Medicaid members get quality care. Usually a mail-order pharmacy order will get to you in no more than 5 days. The call is free. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. We need to be able to send you important information in the mail. At the right time and place. The call is free. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! Meridian is for people eligible for both Medicaid and Medicare. 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. 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. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. 167 33 This is not a complete list. With HealthChoice Illinois, you have a health plan partner to turn to for help. Want a paper copy? La llamada es gratis. 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! Want a paper copy? It looks like your browser does not have JavaScript enabled. La llamada es gratis. For more information contact the plan or read the MeridianComplete Member Handbook. More information is in your Member Handbook(PDF). It will also explain our responsibilities to you, as well as outline the following details: 0000046799 00000 n Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 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. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist 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. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. 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. Moving? You can join our Start Smart for Your Baby program. See if you qualify, and explore the HealthChoice Illinois advantage. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 0000001774 00000 n Material ID:H6080_WEBSITE_2023_Accepted_09282022. 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. 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 experience any problems receiving your mail order prescription, call Member Services at. 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. 0000041209 00000 n The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all Monday-Friday, 8 a.m. to 8 p.m. CST Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. This is not a complete list. 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. Youll tell us about any health conditions, recent hospital visits, medications, and more. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. 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. All Rights Reserved. Download the Member Handbook (PDF). 2023 This is not a complete list. 866-606-3700 . All Rights Reserved. Meridian 0000067354 00000 n An appeal is a way for you to ask for a review of our actions. 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) 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. 0000001708 00000 n With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Your call will be returned within the next business day. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Be sure to read your Meridian Member Handbook and keep it handy. 0000072727 00000 n You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. PDF 2021 Member Handbook - Meridian Medicare Medicaid Plan 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. 0 Other pharmacies/physicians/providers are available in our network. Language Assistance & Notice of Nondiscrimination. 0000047422 00000 n providerhelp.IL@mhplan.com. Download the Member Handbook (PDF). 2369 0 obj <> endobj Looking for your plan home page or interested in becoming a member? Call 1-855-580-1689 (TTY: 711). Provider Manual | Meridian Health Plan of Illinois Visit your Member Portal or call Member Services. PDF Welcome to MeridianHealth Intro to Plan The Personal Wellness Assessment is a short form about you and your health journey. 0000040481 00000 n There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! 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. View our Frequently Asked Questions page. Report an address update to HFS online. Copyright 2023 Meridian All Rights Reserved. For more information contact the plan or read the Meridian Member Handbook. 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. 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. We can connect you with support, services, and even rewards. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> 0000046966 00000 n If you wish to stay on this website, please click Cancel. You will need Adobe Reader to open PDFs on this site. endstream endobj startxref +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 Material ID:H6080_WEBSITE_2023_Accepted_09282022. Each link will open a new window and is either a PDF or a website. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Your call will be returned within the next business day. 3. The benefit information is a brief summary, not a complete description of benefits. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. You can also visit the Illinois Client Enrollment Services website. Member Handbook | Meridian Complete of Illinois You can get this document for free in other formats, such as large print, braille, or audio. 0000040678 00000 n MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan 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. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 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. You can get this document in Spanish, or speak with someone about this information in other languages for free. [CDATA[ Su llamada ser devuelta dentro del siguiente da hbil. 0000000016 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. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ The benefit information is a brief summary, not a complete description of benefits. Meridian will work with you to make sure you get all of the care you need, when you need it. Your call will be returned within the next business day. You are now able to view your health information from a third-party app on a mobile device or PC! 0000017969 00000 n Your call will be returned within the next business day. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Find a doctor, explore coverage, review documents and much more. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. You've got questions and we've got answers. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 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 handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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. 0000021917 00000 n Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. HealthChoice Illinois | HFS Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 0000068208 00000 n Meridian Member Services . 0000014634 00000 n 0000080946 00000 n This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. If we fall short, you can file a grievance or appeal. We want you to be happy with your healthcare services. You will need Adobe Reader to open PDFs on this site. If you need help finding a network provider and/or pharmacy, please call 1-855-323-4578 (TTY 711) or visit mmp.mimeridian.com to access our online searchable directory. 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. 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)! %%EOF It outlines services and benefits that areand are notcovered. Member Handbook - Meridian Medicare Medicaid Plan 167 0 obj <> endobj 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. Want a paper copy? For more information contact the plan or read the Meridian Member Handbook. 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. Member Handbook | Meridian Health Plan of Illinois Open Enrollment 6. Click the link below to view or save a copy. It also explains how to find care and how to earn rewards. Call 1-855-580-1689 (TTY: 711). You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Learn more about how being a Meridian provider benefits you. You will need Adobe Reader to open PDFs on this site. On weekends and on state or federal holidays, you may be asked to leave a message. For certain kinds of drugs, you can use the plans network mail-order services. We will send you a notice before we make a change that affects you. 1-855-580-1689 (TTY 711) 0000151745 00000 n 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 a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. Keep in mind that everything you choose to share is confidential. Each link will open a new window and is either a PDF or a website. It also explains how to find care and how to earn rewards. 0000000956 00000 n Download the free version of Adobe Reader. On weekends and on state or federal holidays, you may be asked to leave a message. 0000067553 00000 n Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Monday-Friday, 8 a.m. to 5 p.m. CST