meridian illinois member handbook meridian illinois member handbook

endstream endobj startxref 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. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. We need to be able to send you important information in the mail. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). 1-855-580-1689 (TTY 711) Please turn on JavaScript and try again. A grievance is a complaint about a provider or about the quality of care or services you received. Meridian Member Services . For more information contact the plan or read the MeridianComplete Member Handbook. La llamada es gratis. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . Be sure to read your Meridian Member Handbook and keep it handy. 0000021917 00000 n With HealthChoice Illinois, you have a health plan partner to turn to for help. 199 0 obj <>stream 0000046966 00000 n The call is free. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. This way, we can connect you with the right care. 1-855-580-1689 (TTY 711) 2500 0 obj <>stream 0000067553 00000 n You will be able to work with one health plan for all of your health insurance needs. Your call will be returned within the next business day. 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. 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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 1-855-580-1689 (TTY 711) We will send you a notice before we make a change that affects you. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 The call is free. 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. Other pharmacies/physicians/providers are available in our network. Su llamada ser devuelta dentro del siguiente da hbil. Limitations, copays, and restrictions may apply. 0000046576 00000 n +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 Download the free version of Adobe Reader. It will also explain our responsibilities to you, as well as outline the following details: 167 33 This handbook will help you understand your coverage. We want you to be happy with the treatment and services you get from Meridian and our providers. 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. At the right time and place. You can get this document in Spanish, or speak with someone about this information in other languages for free. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. 0000072727 00000 n Each link will open a new window and is either a PDF or a website. Meridian will work with you to make sure you get all of the care you need, when you need it. 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. View your Provider Manual, important plan information and more. Member ID Cards 5. More information is in your Member Handbook(PDF). Material ID:H6080_WEBSITE_2023_Accepted_09282022. xref 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. Youll tell us about any health conditions, recent hospital visits, medications, and more. It also explains how to find care and how to earn rewards. 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. If you wish to stay on this website, please click Cancel. You will need Adobe Reader to open PDFs on this site. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. // ^| ! 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. Its full of tips and resources for pregnant members and new parents. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Call 1-855-580-1689 (TTY: 711). You can make an appeal if you disagree with our verdict. On weekends and on state or federal holidays, you may be asked to leave a message. Each link will open a new window and is either a PDF or a website. 0000040678 00000 n Click the link below to view or save a copy. You will need Adobe Reader to open PDFs on this site. Download the Member Handbook(PDF). Copays for prescription drugs may vary based on the level of Extra Help you receive. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Don't forget to call your local HFS oce and Meridian Member Services with your new address. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. 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. 0000000956 00000 n All Rights Reserved. The call is free. 0000002041 00000 n For a more comprehensive description of the plan benefits, please refer to your Member Handbook. 0000041585 00000 n Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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. 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. %%EOF A certificate of coverage (COC) tells you what to expect from your healthcare plan. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Other pharmacies/physicians/providers are available in our network. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> Please visit our new website to see up to date information about your plan. We want you to be happy with your healthcare services. Your call will be returned within the next business day. All Rights Reserved. If you wish to stay on this website, please click Cancel. trailer Su llamada ser devuelta dentro del siguiente da hbil. Want a paper copy? You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. Open Enrollment 6. Want a paper copy? 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. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. Your call will be returned within the next business day. JB Pritzker, Governor Theresa Eagleson, Director. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. Check out the, Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Illinois Client Enrollment Services website, Language Assistance & Notice of Nondiscrimination. Call 1-855-580-1689 (TTY: 711). Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. 0000046386 00000 n providerhelp.IL@mhplan.com. You can get this document for free in other formats, such as large print, braille, or audio. Monday-Friday, 8 a.m. to 8 p.m. CST Report an address update to HFS online. 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. Monday-Friday, 8 a.m. to 5 p.m. CST 0000080946 00000 n For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. 0000041668 00000 n We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. 0 Download the Member Handbook (PDF). Looking for your plan home page or interested in becoming a member? v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Each link will open a new window and is either a PDF or a website. You can get this document for free in other formats, such as large print, braille, or audio. 0 Keep in mind that everything you choose to share is confidential. 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. 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. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. 0000006553 00000 n The benefit information is a brief summary, not a complete description of benefits. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. 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. 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. 0000151745 00000 n 0000002220 00000 n The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. Copyright 2023 Meridian All Rights Reserved. On weekends and on state or federal holidays, you may be asked to leave a message. 167 0 obj <> endobj MeridianHealth is now Meridian! On weekends and on state or federal holidays, you may be asked to leave a message. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. 2023 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. member.ILmeridian.com. You will need Adobe Reader to open PDFs on this site. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Your handbook is full of important information about your health care and 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 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. Llame al. You can join our Start Smart for Your Baby program. 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. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. When you go to file, youll want to write when and where the incident took place, and what happened. 0000014634 00000 n This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 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. 0000000016 00000 n