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You've got questions and we've got answers. %%EOF
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. An appeal is a way for you to ask for a review of our actions. This way, we can connect you with the right care. For more information contact the plan or read the MeridianComplete Member Handbook. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Don't forget to call your local HFS oce and Meridian Member Services with your new address. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. 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.
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. You can get this document in Spanish, or speak with someone about this information in other languages for free. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. 0000067354 00000 n
Click the link below to view or save a copy. Each link will open a new window and is either a PDF or a website. Monday-Friday, 8 a.m. to 8 p.m. CST h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. 0000002041 00000 n
For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 0000046386 00000 n
Download the free version of Adobe Reader. MeridianHealth is now Meridian! 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. Call 1-855-580-1689 (TTY: 711). 866-606-3700 . Your call will be returned within the next business day. 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. Looking for your plan home page or interested in becoming a member? +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
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Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. 0000010510 00000 n
Su llamada ser devuelta dentro del siguiente da hbil. For more information contact the plan or read the Meridian Member Handbook. You will need Adobe Reader to open PDFs on this site. 0000006553 00000 n
Copays for prescription drugs may vary based on the level of Extra Help you receive. Want a paper copy? 2390 0 obj
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If you wish to stay on this website, please click Cancel. You can get this document for free in other formats, such as large print, braille, or audio. The benefit information is a brief summary, not a complete description of benefits. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. 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. 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! 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. JB Pritzker, Governor Theresa Eagleson, Director. All Rights Reserved. Your call will be returned within the next business day. Provider Network 6 It also explains how to find care and how to earn rewards. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. 0000001774 00000 n
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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. Your call will be returned within the next business day. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. Want a paper copy? You can make an appeal if you disagree with our verdict. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Please visit our new website to see up to date information about your plan. 0000000956 00000 n
Material ID:H6080_WEBSITE_2023_Accepted_09282022. Find a doctor, explore coverage, review documents and much more. 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. HealthChoice Illinois is the smart way most Medicaid members get quality care. Open Enrollment 6. 0000067553 00000 n
La llamada es gratis. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. 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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. 0000068680 00000 n
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Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care.
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. 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)! We need to be able to send you important information in the mail. It will also explain our responsibilities to you, as well as outline the following details: You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>>
Youll tell us about any health conditions, recent hospital visits, medications, and more. View your Provider Manual, important plan information and more. The call is free. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. 0000046799 00000 n
Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all Su llamada ser devuelta dentro del siguiente da hbil. It outlines services and benefits that areand are notcovered. You are now able to view your health information from a third-party app on a mobile device or PC! 0000002220 00000 n
Language Assistance & Notice of Nondiscrimination. 1-855-580-1689 (TTY 711) We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 0000041585 00000 n
Keep in mind that everything you choose to share is confidential. It also explains how to find care and how to earn rewards. It looks like your browser does not have JavaScript enabled. Monday-Friday, 8 a.m. to 8 p.m. CST ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. You will need Adobe Reader to open PDFs on this site. 167 33
For more information contact the plan or read the Meridian Member Handbook. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 2500 0 obj
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providerhelp.IL@mhplan.com. Learn more about how being a Meridian provider benefits you. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. 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 will work with you to make sure you get all of the care you need, when you need it. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 0000041209 00000 n
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The call is free. This is not a complete list. 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. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. On weekends and on state or federal holidays, you may be asked to leave a message. Meridian covers all counties in Illinois. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Just call Member Services with your new address. endstream
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If you wish to stay on this website, please click Cancel. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 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) When you go to file, youll want to write when and where the incident took place, and what happened. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. 0000046576 00000 n
The right care for you. 0000014634 00000 n
You can get this document for free in other formats, such as large print, braille, or audio. 0
Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . We will send you a notice before we make a change that affects you. If we fall short, you can file a grievance or appeal. The call is free. Llame al. Your call will be returned within the next business day. Catching a Breath Complex Case Management Flu Outreach Opioids 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. This is not a complete list. 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.
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