You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. With HealthChoice Illinois, you have a health plan partner to turn to for help. 0000041585 00000 n Please contact the plan for more details. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Don't forget to call your local HFS oce and Meridian Member Services with your new address. You can make an appeal if you disagree with our verdict. Call 1-855-580-1689 (TTY: 711). It outlines services and benefits that areand are notcovered. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. La llamada es gratis. 0 Understanding the ins and outs of your health plan can be difficult. 0000001774 00000 n Llame al. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 199 0 obj <>stream 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. 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. You can get this document in Spanish, or speak with someone about this information in other languages for free. Click the link below to view or save a copy. 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)! 0000017969 00000 n On this page, youll learn more about your Member Handbook and some important forms that can help you understand your plan and get the care you need. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! Download the Member Handbook (PDF). 0000000956 00000 n On weekends and on state or federal holidays, you may be asked to leave a message. Meridian Please review the various programs below. Your call will be returned within the next business day. For more information contact the plan or read the Meridian Member Handbook. +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 Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). The benefit information is a brief summary, not a complete description of benefits. You've got questions and we've got answers. Catching a Breath Complex Case Management Flu Outreach Opioids 167 0 obj <> endobj 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. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Your handbook is full of important information about your health care and Meridian. 0000002041 00000 n Member ID Cards 5. 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. Please turn on JavaScript and try again. 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 Download the Member Handbook(PDF). 0000001708 00000 n hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! 0 Making healthcare decisions can be tough--who to see for care, what to ask, when to go. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 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 Be sure to read your Meridian Member Handbook and keep it handy. %PDF-1.7 % Just call Member Services with your new address. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 0000021917 00000 n Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. 0000080946 00000 n Copyright 2023 Meridian All Rights Reserved. MeridianHealth is now Meridian! Provider Network 6 For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. Copays for prescription drugs may vary based on the level of Extra Help you receive. Download the Member Handbook (PDF). This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Your call will be returned within the next business day. %PDF-1.4 % MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. The benefit information is a brief summary, not a complete description of benefits. This is not a complete list. 1-855-580-1689 (TTY 711) 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! This way, we can connect you with the right care. 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. We can connect you with support, services, and even rewards. 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. Find a doctor, explore coverage, review documents and much more. For certain kinds of drugs, you can use the plans network mail-order services. The call is free. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. 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. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. View your Provider Manual, important plan information and more. 0000068680 00000 n With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. xref Your call will be returned within the next business day. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. 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. Youll tell us about any health conditions, recent hospital visits, medications, and more. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. 2500 0 obj <>stream 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. More information is in your Member Handbook(PDF). Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. Your call will be returned within the next business day. 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. If you wish to stay on this website, please click Cancel. JB Pritzker, Governor Theresa Eagleson, Director. endstream endobj 2370 0 obj <>/Metadata 260 0 R/Names 2392 0 R/OpenAction 2371 0 R/Outlines 2412 0 R/PageLayout/SinglePage/PageMode/UseOutlines/Pages 2360 0 R/StructTreeRoot 410 0 R/Type/Catalog/ViewerPreferences<>>> endobj 2371 0 obj <> endobj 2372 0 obj <. 0000047422 00000 n 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. It will also explain our responsibilities to you, as well as outline the following details: You can get this document for free in other formats, such as large print, braille, or audio. For example, we may not approve your providers request for a certain drug. Monday-Friday, 8 a.m. to 5 p.m. CST 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 you experience any problems receiving your mail order prescription, call Member Services at. Your call will be returned within the next business day. 0000041668 00000 n Report an address update to HFS online. 2023 For more information contact the plan or read the MeridianComplete Member Handbook. Meridian will work with you to make sure you get all of the care you need, when you need it. The Health Library is a free resource exclusively for MeridianComplete members and providers. You can also visit the Illinois Client Enrollment Services website. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Open Enrollment 6. On weekends and on state or federal holidays, you may be asked to leave a message. 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. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 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. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. 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. All Rights Reserved. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. Call 1-855-580-1689 (TTY: 711). View our Frequently Asked Questions page. Each link will open a new window and is either a PDF or a website. 0000000016 00000 n The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 0000041209 00000 n ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. It also explains how to find care and how to earn rewards. Other pharmacies/physicians/providers are available in our network. You will need Adobe Reader to open PDFs on this site. Check out the Interoperability page to learn more. On weekends and on state or federal holidays, This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. The benefit information is a brief summary, not a complete description of benefits. 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. Moving? If we fall short, you can file a grievance or appeal. La llamada es gratis. Material ID:H6080_WEBSITE_2023_Accepted_09282022. If your pregnancy is at high risk, we may call you. 0000040481 00000 n 0000002220 00000 n //