meridian illinois member handbook

0000068680 00000 n The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. 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. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! 0000068208 00000 n It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Please turn on JavaScript and try again. 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. 0000046576 00000 n Language Assistance & Notice of Nondiscrimination. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 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. Su llamada ser devuelta dentro del siguiente da hbil. 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. 0000025980 00000 n It also explains how to find care and how to earn rewards. 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. 1-855-580-1689 (TTY 711) This is not a complete list. 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. On weekends and on state or federal holidays, you may be asked to leave a message. Limitations, copays, and restrictions may apply. 1-855-580-1689 (TTY 711) https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. Call 1-855-580-1689 (TTY: 711). The COC lays out all the details so that you can stay on top of your coverage. If you wish to stay on this website, please click Cancel. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. providerhelp.IL@mhplan.com. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. The benefit information is a brief summary, not a complete description of benefits. This is not a complete list. Your call will be returned within the next business day. You can get this document for free in other formats, such as large print, braille, or audio. 0000151745 00000 n ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Report an address update to HFS online. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. If you wish to stay on this website, please click Cancel. 0000014634 00000 n You will need Adobe Reader to open PDFs on this site. You can get this document for free in other formats, such as large print, braille, or audio. 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. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Find a doctor, explore coverage, review documents and much more. 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. The call is free. See if you qualify, and explore the HealthChoice Illinois advantage. 0000067354 00000 n Want a paper copy? An appeal is a way for you to ask for a review of our actions. 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. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. 0000002074 00000 n Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. We want you to be happy with your healthcare services. Your call will be returned within the next business day. 0000000956 00000 n It will help you get the care you need. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 0000040481 00000 n 0000002177 00000 n Please visit our new website to see up to date information about your plan. 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. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Download the free version of Adobe Reader. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan 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.mi@mhplan.com. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. You can get this document in Spanish, or speak with someone about this information in other languages for free. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 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. For more information contact the plan or read the MeridianComplete Member Handbook. JB Pritzker, Governor Theresa Eagleson, Director. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. The benefit information is a brief summary, not a complete description of benefits. 199 0 obj <>stream startxref On weekends and on state or federal holidays, you may be asked to leave a message. 0000010510 00000 n We want you to be happy with the treatment and services you get from Meridian and our providers. Looking for your plan home page or interested in becoming a member? Copays for prescription drugs may vary based on the level of Extra Help you receive. 3. Each link will open a new window and is either a PDF or a website. 0 0000041585 00000 n endstream endobj startxref Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. On weekends and on state or federal holidays, you may be asked to leave a message. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. For more information contact the plan or read the Meridian Member Handbook. On weekends and on state or federal holidays, // ]]>. La llamada es gratis. Meridian is for people eligible for both Medicaid and Medicare. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ 0000000016 00000 n HFS sends paperwork in the mail that you need to renew your Medicaid coverage. You will need Adobe Reader to open PDFs on this site. 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. Your call will be returned within the next business day. You can get this document for free in other formats, such as large print, braille, or audio. Your call will be returned within the next business day. View our Frequently Asked Questions page. 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. The benefit information is a brief summary, not a complete description of benefits. Download the Member Handbook (PDF). Other pharmacies/physicians/providers are available in our network. The right care for you. 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. The call is free. With HealthChoice Illinois, you have a health plan partner to turn to for help. Don't forget to call your local HFS oce and Meridian Member Services with your new address. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. 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. If you wish to stay on this website, please click Cancel. If your pregnancy is at high risk, we may call you. When you go to file, youll want to write when and where the incident took place, and what happened. 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. 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 call is free. 0000041668 00000 n It outlines services and benefits that areand are notcovered. Monday-Friday, 8 a.m. to 5 p.m. CST We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! If you wish to stay on this website, please click Cancel. It also explains how to find care and how to earn rewards. 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. If you experience any problems receiving your mail order prescription, call Member Services at. 0000046966 00000 n This is not a complete list. 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)! The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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. 0000002131 00000 n Copyright 2023 Meridian All Rights Reserved. Please contact the plan for more details. If your address changes, let us know. %%EOF It also explains how to find care and how to earn rewards. 0000025639 00000 n The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 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. 0000040678 00000 n Your handbook is full of important information about your health care and Meridian. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. %%EOF ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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 It looks like your browser does not have JavaScript enabled. Monday-Friday, 8 a.m. to 8 p.m. CST Material ID:H6080_WEBSITE_2023_Accepted_09282022. Meridian Member Services . We will send you a notice before we make a change that affects you. For example, we may not approve your providers request for a certain drug. 0000067553 00000 n Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 // endobj For certain kinds of drugs, you can use the plans network mail-order services. 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. You are now able to view your health information from a third-party app on a mobile device or PC! The Health Library is a free resource exclusively for MeridianComplete members and providers. Please review the various programs below. 0000046386 00000 n If you have any questions, call Meridian Member Services toll-free at 866-606-3700. For more information contact the plan or read the Meridian Member Handbook. Su llamada ser devuelta dentro del siguiente da hbil. Call Member Services if youd like paper copies of any of these documents. 0000072727 00000 n The call is free. At the right time and place. 0000002041 00000 n 167 0 obj <> endobj 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. MeridianComplete is a health plan that contracts with both Medicare and Illinois 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. This is not a complete list. 2023 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. 1-855-580-1689 (TTY 711) Keep in mind that everything you choose to share is confidential. 0000017969 00000 n %PDF-1.4 % Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. The call is free. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. 0 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 <. It will also explain our responsibilities to you, as well as outline the following details: Other pharmacies/physicians/providers are available in our network. You've got questions and we've got answers. 0000046799 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. Meridian covers all counties in Illinois. trailer [CDATA[ Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. Meridian Download the Member Handbook(PDF). With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. You can also visit the Illinois Client Enrollment Services website. Click the link below to view or save a copy. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. 2500 0 obj <>stream We can connect you with support, services, and even rewards. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. 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 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. This handbook will help you understand your coverage. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. You will need Adobe Reader to open PDFs on this site. You will need Adobe Reader to open PDFs on this site. Your call will be returned within the next business day. 0000002220 00000 n Learn more about how being a Meridian provider benefits 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. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 0000021917 00000 n

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