If your address changes, let us know. Meridian covers all counties in Illinois. 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. trailer
You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. Want a paper copy? The Health Library is a free resource exclusively for MeridianComplete members and providers. Open Enrollment 6. We want you to be happy with your healthcare services. If we fall short, you can file a grievance or appeal. %PDF-1.7
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Material ID:H6080_WEBSITE_2023_Accepted_09282022. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x
Y;EgPCSSphf>op!mOQtkC v^K#x" The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 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. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. It also explains how to find care and how to earn rewards. 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. It also explains how to find care and how to earn rewards. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. If your pregnancy is at high risk, we may call you. %%EOF
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We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Catching a Breath Complex Case Management Flu Outreach Opioids Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. You will be able to work with one health plan for all of your health insurance needs. 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! 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) If you have any questions, call Meridian Member Services toll-free at 866-606-3700. The call is free. 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. 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. 2023
La llamada es gratis. Want a paper copy? Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Usually a mail-order pharmacy order will get to you in no more than 5 days. 0000025980 00000 n
Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. The call is free. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. The call is free. 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. // . Call Member Services if youd like paper copies of any of these documents. Other pharmacies/physicians/providers are available in our network. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+
We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 0000002074 00000 n
This way, we can connect you with the right care. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. For more information contact the plan or read the Meridian Member Handbook. endstream
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<. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. 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. 0000041668 00000 n
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At the right time and place. 0000047422 00000 n
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 call is free. 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. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation 0000000016 00000 n
Su llamada ser devuelta dentro del siguiente da hbil. Call 1-855-580-1689 (TTY: 711). Your call will be returned within the next business day. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. 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. Each link will open a new window and is either a PDF or a website. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. If you experience any problems receiving your mail order prescription, call Member Services at. With HealthChoice Illinois, you have a health plan partner to turn to for help. It outlines services and benefits that areand are notcovered. Your call will be returned within the next business day. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan 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. We need to be able to send you important information in the mail. Visit your Member Portal or call Member Services. On weekends and on state or federal holidays, you may be asked to leave a message. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. Download the Member Handbook (PDF). The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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. 0000080946 00000 n
Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. It will help you get the care you need. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 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. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. More information is in your Member Handbook(PDF). 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. 2390 0 obj
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Meridian is for people eligible for both Medicaid and Medicare. You can get this document for free in other formats, such as large print, braille, or audio.
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