Llame al. 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. Su llamada ser devuelta dentro del siguiente da hbil. 0000002041 00000 n You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 167 33 It also explains how to find care and how to earn rewards. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. Monday-Friday, 8 a.m. to 8 p.m. CST Open Enrollment 6. 3. 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. For certain kinds of drugs, you can use the plans network mail-order services. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 0000001708 00000 n Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. With HealthChoice Illinois, you have a health plan partner to turn to for help. 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, 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. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 0 Making healthcare decisions can be tough--who to see for care, what to ask, when to go. 0000002177 00000 n Call Member Services if youd like paper copies of any of these documents. 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. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. 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. 0000017969 00000 n Monday-Friday, 8 a.m. to 5 p.m. CST Want a paper copy? With HealthChoice Illinois, you have a health plan partner to turn to for help. The call is free. Copyright 2023 Meridian All Rights Reserved. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Language Assistance & Notice of Nondiscrimination. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 1-855-580-1689 (TTY 711) 0000067553 00000 n [CDATA[ Each link will open a new window and is either a PDF or a website. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Keep in mind that everything you choose to share is confidential. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. 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. Your call will be returned within the next business day. 866-606-3700 . Please visit our new website to see up to date information about your plan. At the right time and place. You will be able to work with one health plan for all of your health insurance needs. Each link will open a new window and is either a PDF or a website. 0000041585 00000 n All Rights Reserved. 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. 2369 0 obj <> endobj If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. If your pregnancy is at high risk, we may call you. 0000068208 00000 n The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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 Member Services . ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. JB Pritzker, Governor Theresa Eagleson, Director. On weekends and on state or federal holidays, you may be asked to leave a message. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); We want you to be happy with the treatment and services you get from Meridian and our providers. Be sure to read your Meridian Member Handbook and keep it handy. 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. Meridian will work with you to make sure you get all of the care you need, when you need it. 0000046386 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. La llamada es gratis. 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. Check out the Interoperability page to learn more. Su llamada ser devuelta dentro del siguiente da hbil. You will need Adobe Reader to open PDFs on this site. The call is free. If you wish to stay on this website, please click Cancel. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation Visit your Member Portal or call Member Services. 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. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). The benefit information is a brief summary, not a complete description of benefits. 1-855-580-1689 (TTY 711) Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Provider Network 6 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. 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. Catching a Breath Complex Case Management Flu Outreach Opioids You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. startxref It looks like your browser does not have JavaScript enabled. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 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. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Su llamada ser devuelta dentro del siguiente da hbil. %PDF-1.4 % Call 1-855-580-1689 (TTY: 711). If you wish to stay on this website, please click Cancel. You can also visit the Illinois Client Enrollment Services website. 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. Other pharmacies/physicians/providers are available in our network. 0000000016 00000 n For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. 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. The benefit information is a brief summary, not a complete description of benefits. You will need Adobe Reader to open PDFs on this site. 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. Download the free version of Adobe Reader. Other pharmacies/physicians/providers are available in our network. The right care for you. 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. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. Your call will be returned within the next business day. 0000000956 00000 n 0000006553 00000 n Download the Member Handbook(PDF). 0000151745 00000 n The Health Library is a free resource exclusively for MeridianComplete members and providers. 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. 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. 0000040678 00000 n %%EOF It explains the medical, dental, vision, and pharmacy services that are covered by your plan. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. %%EOF xref This is not a complete list. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. For example, we may not approve your providers request for a certain drug. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . This is not a complete list. Just call Member Services with your new address. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ Call 1-855-580-1689 (TTY: 711). It outlines services and benefits that areand are notcovered. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Learn more about how being a Meridian provider benefits you. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. trailer // ]]>. The call is free. You will need Adobe Reader to open PDFs on this site. // /Filter/FlateDecode/ID[]/Index[2369 132]/Info 2368 0 R/Length 109/Prev 879097/Root 2370 0 R/Size 2501/Type/XRef/W[1 2 1]>>stream Looking for your plan home page or interested in becoming a member? Want a paper copy? Please note that once you have left our website, you may be able to access portions of the contracted company's website that are not related to your plan. Want a paper copy? hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! If you need help finding a network provider and/or pharmacy, please call 1-855-580-1689 (TTY: 711) or visit mmp.ILmeridian.com to access our online searchable directory. When you go to file, youll want to write when and where the incident took place, and what happened. It also explains how to find care and how to earn rewards. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. View our Frequently Asked Questions page. You are now able to view your health information from a third-party app on a mobile device or PC! +t x1Rdt!v8,1{1"sAS*.~Y|U:d\e6qXaI1,JSh\0y7x'zz|:nY\bnLM H\Bd ;,|Xt$Au*5Ndt:|_bLR[QcO?#VJ2VH n6 (_`/}^v}~/ OZ1?.9H Pl;-wrZi}wSzpibGlU}~/r B5[AuJL~2P1W^ j}Y@5( ?d v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" Each link will open a new window and is either a PDF or a website. Meridian covers all counties in Illinois. 199 0 obj <>stream All Rights Reserved. This handbook will help you understand your coverage. Usually a mail-order pharmacy order will get to you in no more than 5 days. 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. It will also explain our responsibilities to you, as well as outline the following details:
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