The benefit information is a brief summary, not a complete description of benefits. 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. The benefit information is a brief summary, not a complete description of benefits. Understanding the ins and outs of your health plan can be difficult. 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! We will send you a notice before we make a change that affects you. If your address changes, let us know. 866-606-3700 . endstream endobj startxref Copyright 2023 Meridian All Rights Reserved. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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 handbook will explain your rights, benefits, and responsibilities as a member of Meridian. It will help you get the care you need. 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. 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. Check out the Interoperability page to learn more. 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 167 0 obj <> endobj Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 0000047422 00000 n Keep in mind that everything you choose to share is confidential. A certificate of coverage (COC) tells you what to expect from your healthcare plan. 2023 For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. 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. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. 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. 0000001708 00000 n ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Material ID:H6080_WEBSITE_2023_Accepted_09282022. It will also explain our responsibilities to you, as well as outline the following details: 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. For example, we may not approve your providers request for a certain drug. 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. Be sure to read your Meridian Member Handbook and keep it handy. The call is free. 3. You will need Adobe Reader to open PDFs on this site. 0000067354 00000 n You can get this document in Spanish, or speak with someone about this information in other languages for free. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Download the Member Handbook (PDF). La llamada es gratis. You will need Adobe Reader to open PDFs on this site. It will also explain our responsibilities to you, as well as outline the following details: 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. 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. Visit your Member Portal or call Member Services. It also explains how to find care and how to earn rewards. Monday-Friday, 8 a.m. to 5 p.m. CST It also explains how to find care and how to earn rewards. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. 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. On weekends and on state or federal holidays, you may be asked to leave a message. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. [CDATA[ Please contact the plan for more details. 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. %%EOF 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. 0 If you have any questions, call Meridian Member Services toll-free at 866-606-3700. 199 0 obj <>stream It looks like your browser does not have JavaScript enabled. Your call will be returned within the next business day. xref You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. 2500 0 obj <>stream 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. You will need Adobe Reader to open PDFs on this site. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. On weekends and on state or federal holidays, you may be asked to leave a message. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. This handbook will help you understand your coverage. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. Each link will open a new window and is either a PDF or a website. Catching a Breath Complex Case Management Flu Outreach Opioids MeridianHealth is now Meridian! 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) The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. Each link will open a new window and is either a PDF or a website. %%EOF hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Each link will open a new window and is either a PDF or a website. 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. Want a paper copy? 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. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 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 added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. Meridian is for people eligible for both Medicaid and Medicare. Download the free version of Adobe Reader. 0000080946 00000 n This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. // ]]>. Your call will be returned within the next business day. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. Copays for prescription drugs may vary based on the level of Extra Help you receive. 0000002220 00000 n 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 COC lays out all the details so that you can stay on top of your coverage. 0000151745 00000 n startxref This way, we can connect you with the right care. You will need Adobe Reader to open PDFs on this site. Limitations, copays, and restrictions may apply. 2023 An appeal is a way for you to ask for a review of our actions. On weekends and on state or federal holidays, you may be asked to leave a message. Usually a mail-order pharmacy order will get to you in no more than 5 days. Please review the various programs below. Report an address update to HFS online. JB Pritzker, Governor Theresa Eagleson, Director. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. This is not a complete list. If you wish to stay on this website, please click Cancel. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Other pharmacies/physicians/providers are available in our network. Your call will be returned within the next business day. Click the link below to view or save a copy. 1-855-580-1689 (TTY 711) Other pharmacies/physicians/providers are available in our network. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 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. You are now able to view your health information from a third-party app on a mobile device or PC! For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 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. 0000046386 00000 n Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Call 1-855-580-1689 (TTY: 711). 0000002131 00000 n 0000000016 00000 n 0000002074 00000 n The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 0000046576 00000 n You can get this document for free in other formats, such as large print, braille, or audio. 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. +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 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . 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. 0000046799 00000 n We want you to be happy with the treatment and services you get from Meridian and our providers. Material ID:H6080_WEBSITE_2023_Accepted_09282022. 0000002041 00000 n 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. 0000072727 00000 n For certain kinds of drugs, you can use the plans network mail-order services. 0000041585 00000 n 0000067553 00000 n 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. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. On weekends and on state or federal holidays, you may be asked to leave a message. For more information contact the plan or read the Meridian Member Handbook. Download the Member Handbook (PDF). Call Member Services if youd like paper copies of any of these documents. A grievance is a complaint about a provider or about the quality of care or services you received. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! More information is in your Member Handbook(PDF). 2369 0 obj <> endobj ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Su llamada ser devuelta dentro del siguiente da hbil. Moving? Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. //
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