meridian illinois member handbook

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. 0000047422 00000 n The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The Personal Wellness Assessment is a short form about you and your health journey. This way, we can connect you with the right care. 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. View our Frequently Asked Questions page. PDF Welcome to MeridianHealth Intro to Plan A certificate of coverage (COC) tells you what to expect from your healthcare plan. This is not a complete list. 0000000016 00000 n Member ID Cards 5. For certain kinds of drugs, you can use the plans network mail-order services. Each link will open a new window and is either a PDF or a website. If your pregnancy is at high risk, we may call you. You can also visit the Illinois Client Enrollment Services website. 866-606-3700 . Keep in mind that everything you choose to share is confidential. 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. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Copyright 2023 Meridian All Rights Reserved. Call 1-855-580-1689 (TTY: 711). 2369 0 obj <> endobj It explains the medical, dental, vision, and pharmacy services that are covered by your plan. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! Usually a mail-order pharmacy order will get to you in no more than 5 days. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 0000068680 00000 n 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation Check out the Interoperability page to learn more. Want a paper copy? 2500 0 obj <>stream 0000041585 00000 n If you wish to stay on this website, please click Cancel. 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. Your call will be returned within the next business day. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 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. On weekends and on state or federal holidays, you may be asked to leave a message. The right care for you. Visit your Member Portal or call Member Services. Member Handbook | Meridian Health Plan of Illinois Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. The call is free. 199 0 obj <>stream For more information contact the plan or read the MeridianComplete Member Handbook. PDF ILLINOIS MEMBER HANDBOOK - Meridian Illinois Managed Care Plans It outlines services and benefits that areand are notcovered. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. La llamada es gratis. See if you qualify, and explore the HealthChoice Illinois advantage. 0000010510 00000 n You will be able to work with one health plan for all of your health insurance needs. 167 33 0000006553 00000 n The call is free. For more information contact the plan or read the Meridian Member Handbook. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Open Enrollment 6. More information is in your Member Handbook(PDF). 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! At the right time and place. For Members | Meridian 2023 You can get this document for free in other formats, such as large print, braille, or audio. HealthChoice Illinois is the smart way most Medicaid members get quality care. Copays for prescription drugs may vary based on the level of Extra Help you receive. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Don't forget to call your local HFS oce and Meridian Member Services with your new address. You are now able to view your health information from a third-party app on a mobile device or PC! On weekends and on state or federal holidays, you may be asked to leave a message. It will help you get the care you need. 1-855-580-1689 (TTY 711) The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. 0000002131 00000 n When you go to file, youll want to write when and where the incident took place, and what happened. 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. It will also explain our responsibilities to you, as well as outline the following details: Please review the various programs below. The call is free. Member Handbooks and Forms La llamada es gratis. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. 0000068208 00000 n 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). %%EOF The benefit information is a brief summary, not a complete description of benefits. Material ID:H6080_WEBSITE_2023_Accepted_09282022. 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 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. La llamada es gratis. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . %PDF-1.7 % JB Pritzker, Governor Theresa Eagleson, Director. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Understanding the ins and outs of your health plan can be difficult. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" Download the Member Handbook (PDF). ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. // For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. A grievance is a complaint about a provider or about the quality of care or services you received. Other pharmacies/physicians/providers are available in our network. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. 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. 0000067354 00000 n Your call will be returned within the next business day. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. We will send you a notice before we make a change that affects you. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Report an address update to HFS online. Documents and Forms - Meridian Medicare Medicaid Plan With HealthChoice Illinois, you have a health plan partner to turn to for help. Catching a Breath Complex Case Management Flu Outreach Opioids 0000041668 00000 n 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. Download the Member Handbook (PDF). Each link will open a new window and is either a PDF or a website. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. Youll tell us about any health conditions, recent hospital visits, medications, and more. 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. The COC lays out all the details so that you can stay on top of your coverage. Just call Member Services with your new address. Meridian The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Call 1-855-580-1689 (TTY: 711). 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.