Want a paper copy? 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. 0000080946 00000 n
For certain kinds of drugs, you can use the plans network mail-order services. 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. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. It also explains how to find care and how to earn rewards. See if you qualify, and explore the HealthChoice Illinois advantage. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all 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. 0000068208 00000 n
Keep in mind that everything you choose to share is confidential. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. You can join our Start Smart for Your Baby program. 866-606-3700 . The call is free. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. The call is free. 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. 167 33
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. Language Assistance & Notice of Nondiscrimination. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. 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) 0000006553 00000 n
Catching a Breath Complex Case Management Flu Outreach Opioids 0000041585 00000 n
Download the Member Handbook(PDF). 2023
You can also visit the Illinois Client Enrollment Services website. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. We want you to be happy with your healthcare services. 0000047422 00000 n
Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. You can make an appeal if you disagree with our verdict. Each link will open a new window and is either a PDF or a website. Llame al. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. 0000067553 00000 n
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Other pharmacies/physicians/providers are available in our network. Click the link below to view or save a copy. JB Pritzker, Governor Theresa Eagleson, Director. 0000072727 00000 n
Your call will be returned within the next business day. On weekends and on state or federal holidays, you may be asked to leave a message. La llamada es gratis. //
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The Personal Wellness Assessment is a short form about you and your health journey. You will need Adobe Reader to open PDFs on this site. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Other pharmacies/physicians/providers are available in our network. Youll tell us about any health conditions, recent hospital visits, medications, and more. You can get this document for free in other formats, such as large print, braille, or audio. trailer
For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. Call Member Services if youd like paper copies of any of these documents. 0
The benefit information is a brief summary, not a complete description of benefits. 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. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). MeridianHealth is now Meridian! Copays for prescription drugs may vary based on the level of Extra Help you receive. All Rights Reserved. This way, we can connect you with the right care. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. 0000002220 00000 n
Su llamada ser devuelta dentro del siguiente da hbil. Monday-Friday, 8 a.m. to 8 p.m. CST 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. 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. For more information contact the plan or read the Meridian Member Handbook. Provider Network 6 0000002131 00000 n
You can get this document for free in other formats, such as large print, braille, or audio. %%EOF
Want a paper copy? Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. // ]]>. 0000046576 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. 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. This is not a complete list. 0000002041 00000 n
You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. If you wish to stay on this website, please click Cancel. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+
With HealthChoice Illinois, you have a health plan partner to turn to for help. 0000002074 00000 n
Your call will be returned within the next business day. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! A certificate of coverage (COC) tells you what to expect from your healthcare plan. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. The call is free. 0000017969 00000 n
0000046966 00000 n
View your Provider Manual, important plan information and more. 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. The call is free. It will help you get the care you need. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. endstream
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<. Copyright 2023 Meridian All Rights Reserved. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. Your call will be returned within the next business day. Monday-Friday, 8 a.m. to 8 p.m. CST You will need Adobe Reader to open PDFs on this site. Learn more about how being a Meridian provider benefits you. We will send you a notice before we make a change that affects you. Su llamada ser devuelta dentro del siguiente da hbil. You will be able to work with one health plan for all of your health insurance needs. Meridian covers all counties in Illinois. 2390 0 obj
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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. For more information contact the plan or read the MeridianComplete Member Handbook. Member ID Cards 5. You are now able to view your health information from a third-party app on a mobile device or PC! 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)! Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. The right care for you. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); 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. 3. Visit your Member Portal or call Member Services. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. The COC lays out all the details so that you can stay on top of your coverage. If your address changes, let us know. Open Enrollment 6. 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. Each link will open a new window and is either a PDF or a website. 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 we fall short, you can file a grievance or appeal. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. Call 1-855-580-1689 (TTY: 711). An appeal is a way for you to ask for a review of our actions. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Understanding the ins and outs of your health plan can be difficult. If you wish to stay on this website, please click Cancel. 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. Report an address update to HFS online. At the right time and place. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). This handbook will help you understand your coverage. 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. We need to be able to send you important information in the mail. Please contact the plan for more details. 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. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Please visit our new website to see up to date information about your plan.