meridian illinois member handbook

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. With HealthChoice Illinois, you have a health plan partner to turn to for help. 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. We want you to be happy with the treatment and services you get from Meridian and our providers. It will also explain our responsibilities to you, as well as outline the following details: 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. The benefit information is a brief summary, not a complete description of benefits. On weekends and on state or federal holidays, you may be asked to leave a message. You can make an appeal if you disagree with our verdict. The call is free. You can join our Start Smart for Your Baby program. This is not a complete list. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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 Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. La llamada es gratis. Your call will be returned within the next business day. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . 0000010510 00000 n Report an address update to HFS online. 0000014634 00000 n Each link will open a new window and is either a PDF or a website. 0 Documents and Forms - Meridian Medicare Medicaid Plan 0000041585 00000 n 2500 0 obj <>stream Meridian Member Services . 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. 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! If you wish to stay on this website, please click Cancel. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. You've got questions and we've got answers. Each link will open a new window and is either a PDF or a website. providerhelp.IL@mhplan.com. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. Understanding the ins and outs of your health plan can be difficult. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. On weekends and on state or federal holidays, 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. Member Handbook | Meridian Health Plan of Illinois Download the Member Handbook(PDF). If you experience any problems receiving your mail order prescription, call Member Services at. Language Assistance & Notice of Nondiscrimination. On weekends and on state or federal holidays, you may be asked to leave a message. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. Each link will open a new window and is either a PDF or a website. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 Member Handbook - Meridian Medicare Medicaid Plan If we fall short, you can file a grievance or appeal. Please contact the plan for more details. You will need Adobe Reader to open PDFs on this site. Be sure to read your Meridian Member Handbook and keep it handy. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. 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. Meridian covers all counties in Illinois. The benefit information is a brief summary, not a complete description of benefits. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. Don't forget to call your local HFS oce and Meridian Member Services with your new address. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. endstream endobj startxref 0000021917 00000 n 0000002074 00000 n 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 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. Your call will be returned within the next business day. A certificate of coverage (COC) tells you what to expect from your healthcare plan. Provider Network 6 %PDF-1.7 % For more information contact the plan or read the Meridian Member Handbook. // ]]>. PDF 2021 Member Handbook - Meridian Medicare Medicaid Plan If your address changes, let us know. This is not a complete list. The call is free. View our Frequently Asked Questions page. 0000000016 00000 n 167 33 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. We need to be able to send you important information in the mail. Other pharmacies/physicians/providers are available in our network. 199 0 obj <>stream 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. +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 Member Handbook | Meridian Complete of Illinois Meridian is for people eligible for both Medicaid and Medicare. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. You can also visit the Illinois Client Enrollment Services website. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. 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 will need Adobe Reader to open PDFs on this site. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). For more information contact the plan or read the Meridian Member Handbook. Meridian 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. Find a doctor, explore coverage, review documents and much more. Monday-Friday, 8 a.m. to 8 p.m. CST xref This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). More information is in your Member Handbook(PDF). // Llame al. 0000047422 00000 n For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. 0000072727 00000 n 0000040481 00000 n It will help you get the care you need. Its full of tips and resources for pregnant members and new parents. %%EOF Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). All Rights Reserved. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. We want you to be happy with your healthcare services. 0000046386 00000 n 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. On weekends and on state or federal holidays, you may be asked to leave a message. Other pharmacies/physicians/providers are available in our network. You can also visit the Illinois Client Enrollment Services website. Copyright 2023 Meridian All Rights Reserved. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ A grievance is a complaint about a provider or about the quality of care or services you received. Please turn on JavaScript and try again. Call Member Services if youd like paper copies of any of these documents. Download the free version of Adobe Reader. 0000041209 00000 n 2369 0 obj <> endobj 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. [CDATA[ This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Member Handbooks and Forms 0000002131 00000 n ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. %%EOF Please review the various programs below. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Other pharmacies/physicians/providers are available in our network. 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. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 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. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. At the right time and place. Download the Member Handbook (PDF). It also explains how to find care and how to earn rewards. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. Su llamada ser devuelta dentro del siguiente da hbil. Monday-Friday, 8 a.m. to 5 p.m. CST 0000068208 00000 n startxref The call is free. 0000041668 00000 n If you wish to stay on this website, please click Cancel. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. The call is free. 0000068680 00000 n The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. trailer Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. 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. Open Enrollment 6. For certain kinds of drugs, you can use the plans network mail-order services. 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. Other pharmacies/physicians/providers are available in our network. Su llamada ser devuelta dentro del siguiente da hbil. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 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. 0000025639 00000 n It also explains how to find care and how to earn rewards. Keep in mind that everything you choose to share is confidential. 0000002177 00000 n 0000046576 00000 n MeridianHealth is now Meridian! The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Your call will be returned within the next business day. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" Member ID Cards 5. This way, we can connect you with the right care. You can get this document for free in other formats, such as large print, braille, or audio. You can get this document for free in other formats, such as large print, braille, or audio. Meridian On weekends and on state or federal holidays, you may be asked to leave a message. JB Pritzker, Governor Theresa Eagleson, Director. 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. 866-606-3700 . Check out the Interoperability page to learn more. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all 0000002041 00000 n This handbook will help you understand your coverage. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. You will need Adobe Reader to open PDFs on this site. Material ID:H6080_WEBSITE_2023_Accepted_09282022. 0000002220 00000 n hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! Each link will open a new window and is either a PDF or a website. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. Copays for prescription drugs may vary based on the level of Extra Help you receive. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook.

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