meridian illinois member handbook

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Just call Member Services with your new address. You can get this document in Spanish, or speak with someone about this information in other languages for free. Member Handbook | Meridian Health Plan of Illinois Its full of tips and resources for pregnant members and new parents. 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. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 0000002220 00000 n With HealthChoice Illinois, you have a health plan partner to turn to for help. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! This is not a complete list. 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. Please review the various programs below. Call 1-855-580-1689 (TTY: 711). <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . The benefit information is a brief summary, not a complete description of benefits. 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. 0000025639 00000 n Click the link below to view or save a copy. Provider Network 6 Your call will be returned within the next business day. Each link will open a new window and is either a PDF or a website. PDF 2021 Member Handbook - Meridian Medicare Medicaid Plan Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. You are now able to view your health information from a third-party app on a mobile device or PC! Language Assistance & Notice of Nondiscrimination. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all member.ILmeridian.com. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. Open Enrollment 6. A certificate of coverage (COC) tells you what to expect from your healthcare plan. 0000010510 00000 n You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. 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. Call 1-855-580-1689 (TTY: 711). PDF ILLINOIS MEMBER HANDBOOK - Meridian Illinois Managed Care Plans Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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. Other pharmacies/physicians/providers are available in our network. 0000025980 00000 n Meridian 167 0 obj <> endobj If you wish to stay on this website, please click Cancel. 0000046799 00000 n Download the Member Handbook (PDF). Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. The Health Library is a free resource exclusively for MeridianComplete members and providers. 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 0000068208 00000 n providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. // ]]>. It also explains how to find care and how to earn rewards. 0000002131 00000 n Usually a mail-order pharmacy order will get to you in no more than 5 days. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. Looking for your plan home page or interested in becoming a member? It looks like your browser does not have JavaScript enabled. The call is free. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. For more information contact the plan or read the MeridianComplete Member Handbook. 2369 0 obj <> endobj Report an address update to HFS online. HealthChoice Illinois | HFS The benefit information is a brief summary, not a complete description of benefits. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Copyright 2023 Meridian All Rights Reserved. At the right time and place. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. You can also visit the Illinois Client Enrollment Services website. 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. You will need Adobe Reader to open PDFs on this site. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. On weekends and on state or federal holidays, you may be asked to leave a message. For certain kinds of drugs, you can use the plans network mail-order services. 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. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. 0000041209 00000 n This handbook will help you understand your coverage. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. PDF here's your member handbook. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. Your call will be returned within the next business day. 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. If your address changes, let us know. Please turn on JavaScript and try again. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ You can get this document for free in other formats, such as large print, braille, or audio. 167 33 Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 0000067553 00000 n It will also explain our responsibilities to you, as well as outline the following details: We will send you a notice before we make a change that affects you. 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 1-855-323-4578 (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). It will also explain our responsibilities to you, as well as outline the following details: The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. The right care for you. 0000046966 00000 n Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. 0000006553 00000 n View your Provider Manual, important plan information and more. 0000046386 00000 n View our Frequently Asked Questions page. It outlines services and benefits that areand are notcovered. An appeal is a way for you to ask for a review of our actions. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. 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. Meridian Member 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. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. The call is free. xref 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . 0000040678 00000 n It also explains how to find care and how to earn rewards. It will help you get the care you need. Monday-Friday, 8 a.m. to 5 p.m. CST Providers - MeridianComplete Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Meridian Medicare Medicaid Plan MeridianHealth is now Meridian! 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. Each link will open a new window and is either a PDF or a website. Your call will be returned within the next business day. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. On weekends and on state or federal holidays, you may be asked to leave a message. Want a paper copy? 0000151745 00000 n providerhelp.IL@mhplan.com. 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.

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