0000040678 00000 n The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. Su llamada ser devuelta dentro del siguiente da hbil. An appeal is a way for you to ask for a review of our actions. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. If we fall short, you can file a grievance or appeal. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. %%EOF It also explains how to find care and how to earn rewards. We want you to be happy with your healthcare services. The call is free. This is not a complete list. Copyright 2023 Meridian All Rights Reserved. [CDATA[ We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 0000001774 00000 n We need to be able to send you important information in the mail. 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. The call is free. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. If your address changes, let us know. endstream endobj startxref The call is free. 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. 0000047422 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. 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. Your call will be returned within the next business day. Su llamada ser devuelta dentro del siguiente da hbil. MeridianHealth is now Meridian! Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. Llame al. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. The benefit information is a brief summary, not a complete description of benefits. 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. 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) 0000046966 00000 n 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. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! On weekends and on state or federal holidays, you may be asked to leave a message. Material ID:H6080_WEBSITE_2023_Accepted_09282022. The benefit information is a brief summary, not a complete description of benefits. This is not a complete list. 0000041668 00000 n Monday-Friday, 8 a.m. to 8 p.m. CST 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. If you experience any problems receiving your mail order prescription, call Member Services at. 0000002041 00000 n 0000002131 00000 n 0000000956 00000 n 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. Want a paper copy? 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. If you wish to stay on this website, please click Cancel. trailer You can get this document for free in other formats, such as large print, braille, or audio. 0000000016 00000 n On weekends and on state or federal holidays, 0000046386 00000 n 2369 0 obj <> endobj More information is in your Member Handbook(PDF). Download the Member Handbook (PDF). Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . This handbook will help you understand your coverage. 866-606-3700 . Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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. Call 1-855-580-1689 (TTY: 711). Your call will be returned within the next business day. 3. It outlines services and benefits that areand are notcovered. La llamada es gratis. You will be able to work with one health plan for all of your health insurance needs. You can join our Start Smart for Your Baby program. La llamada es gratis. You can also visit the Illinois Client Enrollment Services website. Monday-Friday, 8 a.m. to 8 p.m. CST The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. 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. Each link will open a new window and is either a PDF or a website. 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 Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . Copays for prescription drugs may vary based on the level of Extra Help you receive. It will also explain our responsibilities to you, as well as outline the following details: La llamada es gratis. For more information contact the plan or read the Meridian Member Handbook. This is not a complete list. Other pharmacies/physicians/providers are available in our network. We will send you a notice before we make a change that affects you. Your call will be returned within the next business day. Provider Network 6 0000001708 00000 n 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. 0000067553 00000 n 0000072727 00000 n You are now able to view your health information from a third-party app on a mobile device or PC! 2023 Download the Member Handbook(PDF). Meridian covers all counties in Illinois. You will need Adobe Reader to open PDFs on this site. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. +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 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. Youll tell us about any health conditions, recent hospital visits, medications, and more. At the right time and place. Member ID Cards 5. Want a paper copy? It also explains how to find care and how to earn rewards. 167 33 window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); JB Pritzker, Governor Theresa Eagleson, Director. 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! Other pharmacies/physicians/providers are available in our network. All Rights Reserved. 0000151745 00000 n 0 0000080946 00000 n 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. Catching a Breath Complex Case Management Flu Outreach Opioids 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. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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)! If you wish to stay on this website, please click Cancel. 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. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Open Enrollment 6. The benefit information is a brief summary, not a complete description of benefits. This way, we can connect you with the right care. Looking for your plan home page or interested in becoming a member? Monday-Friday, 8 a.m. to 5 p.m. CST You can also visit the Illinois Client Enrollment Services website. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Meridian will work with you to make sure you get all of the care you need, when you need it. A grievance is a complaint about a provider or about the quality of care or services you received. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. We want you to be happy with the treatment and services you get from Meridian and our providers. Your handbook is full of important information about your health care and Meridian. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. A certificate of coverage (COC) tells you what to expect from your healthcare plan. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> 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. 0000002074 00000 n The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. Report an address update to HFS online. 0 Call 1-855-580-1689 (TTY: 711). It explains the medical, dental, vision, and pharmacy services that are covered by your plan. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Your call will be returned within the next business day. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Understanding the ins and outs of your health plan can be difficult. Your call will be returned within the next business day. 0000068208 00000 n For more information contact the plan or read the Meridian Member Handbook. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. The call is free. member.ILmeridian.com. For more information contact the plan or read the Meridian Member Handbook.