Your call will be returned within the next business day. Its full of tips and resources for pregnant members and new parents. 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. 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. 0000046799 00000 n This is not a complete list. Su llamada ser devuelta dentro del siguiente da hbil. Please review the various programs below. Monday-Friday, 8 a.m. to 8 p.m. CST 0000080946 00000 n %PDF-1.7 % Other pharmacies/physicians/providers are available in our network. Call Member Services if youd like paper copies of any of these documents. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. We can connect you with support, services, and even rewards. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 0000001774 00000 n Download the Member Handbook (PDF). Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 0 Check out the Interoperability page to learn more. 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)! 0000067354 00000 n This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. You are now able to view your health information from a third-party app on a mobile device or PC! // ]]>. This is not a complete list. Other pharmacies/physicians/providers are available in our network. 2369 0 obj <> endobj 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. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. We want you to be happy with your healthcare services. Moving? Llame al. Copays for prescription drugs may vary based on the level of Extra Help you receive. 2023 Your call will be returned within the next business day. Your call will be returned within the next business day. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 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. 0000068208 00000 n 0000025639 00000 n The call is free. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. member.ILmeridian.com. Provider Network 6 Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. 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. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. 167 0 obj <> endobj 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. With HealthChoice Illinois, you have a health plan partner to turn to for help. If you wish to stay on this website, please click Cancel. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. Find a doctor, explore coverage, review documents and much more. More information is in your Member Handbook(PDF). 0000001708 00000 n If your pregnancy is at high risk, we may call you. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Don't forget to call your local HFS oce and Meridian Member Services with your new address. Please turn on JavaScript and try again. It will help you get the care you need. On weekends and on state or federal holidays, It also explains how to find care and how to earn rewards. On weekends and on state or federal holidays, you may be asked to leave a message. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Meridian covers all counties in Illinois. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ The call is free. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! It will also explain our responsibilities to you, as well as outline the following details: 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. JB Pritzker, Governor Theresa Eagleson, Director. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. You will be able to work with one health plan for all of your health insurance needs. 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. %%EOF Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 You can also visit the Illinois Client Enrollment Services website. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. The benefit information is a brief summary, not a complete description of benefits. A certificate of coverage (COC) tells you what to expect from your healthcare plan. %PDF-1.4 % Call 1-855-580-1689 (TTY: 711). 0000021917 00000 n Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. 0000014634 00000 n You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. 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. On weekends and on state or federal holidays, you may be asked to leave a message. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Your handbook is full of important information about your health care and Meridian. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. Limitations, copays, and restrictions may apply. We want you to be happy with the treatment and services you get from Meridian and our providers. 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. Su llamada ser devuelta dentro del siguiente da hbil. %%EOF providerhelp.IL@mhplan.com. Want a paper copy? 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. 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. 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 Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. La llamada es gratis. 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. 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. Meridian If you wish to stay on this website, please click Cancel. Want a paper copy? It explains the medical, dental, vision, and pharmacy services that are covered by your plan. The call is free. Each link will open a new window and is either a PDF or a website. 1-855-580-1689 (TTY 711) When you go to file, youll want to write when and where the incident took place, and what happened. 167 33 Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. The COC lays out all the details so that you can stay on top of your coverage. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. For more information contact the plan or read the Meridian Member Handbook. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. View our Frequently Asked Questions page. Open Enrollment 6. Material ID:H6080_WEBSITE_2023_Accepted_09282022. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. 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. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 0000067553 00000 n 0000040678 00000 n La llamada es gratis. See if you qualify, and explore the HealthChoice Illinois advantage. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Meridian is for people eligible for both Medicaid and Medicare. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . You will need Adobe Reader to open PDFs on this site. 0000041209 00000 n 0000025980 00000 n Learn more about how being a Meridian provider benefits you. 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. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. If you wish to stay on this website, please click Cancel. Monday-Friday, 8 a.m. to 8 p.m. CST The right care for you. You can get this document for free in other formats, such as large print, braille, or audio. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! MeridianHealth is now Meridian! Please visit our new website to see up to date information about your plan. Call 1-855-580-1689 (TTY: 711). You can join our Start Smart for Your Baby program. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. You can get this document in Spanish, or speak with someone about this information in other languages for free. You can get this document for free in other formats, such as large print, braille, or audio. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. All Rights Reserved. If you wish to stay on this website, please click Cancel. 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. HealthChoice Illinois is the smart way most Medicaid members get quality care. It also explains how to find care and how to earn rewards. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. On weekends and on state or federal holidays, you may be asked to leave a message. 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. Be sure to read your Meridian Member Handbook and keep it handy. 0000002074 00000 n For certain kinds of drugs, you can use the plans network mail-order services. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. 0000010510 00000 n You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. The Health Library is a free resource exclusively for MeridianComplete members and providers. All Rights Reserved. On weekends and on state or federal holidays, you may be asked to leave a message. If your address changes, let us know. startxref Other pharmacies/physicians/providers are available in our network. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. 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. 0000002131 00000 n v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" 0000041668 00000 n Understanding the ins and outs of your health plan can be difficult. Each link will open a new window and is either a PDF or a website. If we fall short, you can file a grievance or appeal. Visit your Member Portal or call Member Services. Just call Member Services with 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 It also explains how to find care and how to earn rewards. Copyright 2023 Meridian All Rights Reserved. For example, we may not approve your providers request for a certain drug. // ^| ! 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. 1-855-580-1689 (TTY 711) At the right time and place. Meridian Each link will open a new window and is either a PDF or a website. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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.