Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 0000001774 00000 n Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. 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. 0000002220 00000 n Be sure to read your Meridian Member Handbook and keep it handy. 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. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 0000041585 00000 n 0000041668 00000 n 0000025980 00000 n %%EOF If you wish to stay on this website, please click Cancel. 0000040481 00000 n Limitations, copays, and restrictions may apply. 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 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. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 0000014634 00000 n Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. We need to be able to send you important information in the mail. For more information contact the plan or read the Meridian Member Handbook. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. Want a paper copy? 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. Want a paper copy? 3. Find a doctor, explore coverage, review documents and much more. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. For example, we may not approve your providers request for a certain drug. The call is free. 2023 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. 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. Each link will open a new window and is either a PDF or a website. 0000021917 00000 n Keep in mind that everything you choose to share is confidential. Su llamada ser devuelta dentro del siguiente da hbil. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). The call is free. Your call will be returned within the next business day. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. Other pharmacies/physicians/providers are available in our network. The benefit information is a brief summary, not a complete description of benefits. You can also visit the Illinois Client Enrollment Services website. Download the Member Handbook (PDF). More information is in your Member Handbook(PDF). Material ID:H6080_WEBSITE_2023_Accepted_09282022. 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. 0000040678 00000 n Su llamada ser devuelta dentro del siguiente da hbil. 1-855-580-1689 (TTY 711) Monday-Friday, 8 a.m. to 5 p.m. CST For a more comprehensive description of the plan benefits, please refer to your Member Handbook. It will also explain our responsibilities to you, as well as outline the following details: 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 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. Visit your Member Portal or call Member Services. Monday-Friday, 8 a.m. to 8 p.m. CST 0 For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. With HealthChoice Illinois, you have a health plan partner to turn to for help. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. HealthChoice Illinois is the smart way most Medicaid members get quality care. Looking for your plan home page or interested in becoming a member? With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. 866-606-3700 . La llamada es gratis. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . Meridian covers all counties in Illinois. Meridian is for people eligible for both Medicaid and Medicare. 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! Download the Member Handbook(PDF). Other pharmacies/physicians/providers are available in our network. You can also visit the Illinois Client Enrollment Services website. You can join our Start Smart for Your Baby program. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. Your call will be returned within the next business day. For certain kinds of drugs, you can use the plans network mail-order services. Understanding the ins and outs of your health plan can be difficult. The call is free. Monday-Friday, 8 a.m. to 8 p.m. CST 0000047422 00000 n 2369 0 obj <> endobj 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. providerhelp.IL@mhplan.com. [CDATA[ %PDF-1.7 % 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) 2500 0 obj <>stream 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. 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. 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. Check out the Interoperability page to learn more. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. La llamada es gratis. A certificate of coverage (COC) tells you what to expect from your healthcare plan. On weekends and on state or federal holidays, you may be asked to leave a message. La llamada es gratis. 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. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. xref It looks like your browser does not have JavaScript enabled. %%EOF Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. +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 0 This is not a complete list. You are now able to view your health information from a third-party app on a mobile device or PC! The call is free. 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. 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) Usually a mail-order pharmacy order will get to you in no more than 5 days. On weekends and on state or federal holidays, you may be asked to leave a message. Call Member Services if youd like paper copies of any of these documents. It also explains how to find care and how to earn rewards. This handbook will help you understand your coverage. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> At the right time and place. If you wish to stay on this website, please click Cancel. JB Pritzker, Governor Theresa Eagleson, Director. 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. Call 1-855-580-1689 (TTY: 711). The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. The Health Library is a free resource exclusively for MeridianComplete members and providers. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Each link will open a new window and is either a PDF or a website. 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. 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. You will need Adobe Reader to open PDFs on this site. You will need Adobe Reader to open PDFs on this site. When you go to file, youll want to write when and where the incident took place, and what happened. On weekends and on state or federal holidays, you may be asked to leave a message. 0000002074 00000 n Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. We want you to be happy with your healthcare services. 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. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); 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. On weekends and on state or federal holidays, you may be asked to leave a message. Download the Member Handbook (PDF). Each link will open a new window and is either a PDF or a website. For more information contact the plan or read the Meridian Member Handbook. View your Provider Manual, important plan information and more. 0000000016 00000 n This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Your handbook is full of important information about your health care and Meridian. 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)! Please review the various programs below. It also explains how to find care and how to earn rewards. 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. Language Assistance & Notice of Nondiscrimination. Member ID Cards 5. 0000010510 00000 n Click the link below to view or save a copy. This is not a complete list. See if you qualify, and explore the HealthChoice Illinois advantage. member.ILmeridian.com. 0000046799 00000 n If you wish to stay on this website, please click Cancel. An appeal is a way for you to ask for a review of our actions. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Meridian Member Services . On weekends and on state or federal holidays, 167 33 Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. On weekends and on state or federal holidays, you may be asked to leave a message. You can get this document for free in other formats, such as large print, braille, or audio. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. For more information contact the plan or read the MeridianComplete Member Handbook. %PDF-1.4 % You can make an appeal if you disagree with our verdict. 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. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance.