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<. providerhelp.IL@mhplan.com. If you experience any problems receiving your mail order prescription, call Member Services at. Your call will be returned within the next business day. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. Monday-Friday, 8 a.m. to 8 p.m. CST Meridian
We can connect you with support, services, and even rewards. On weekends and on state or federal holidays, you may be asked to leave a message. 0
We want you to be happy with your healthcare services. 0000046386 00000 n
[CDATA[ Meridian will help make your Medicare and Medicaid benefits work better together and work better for 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. Material ID:H6080_WEBSITE_2023_Accepted_09282022. This handbook will help you understand your coverage. 2390 0 obj
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On weekends and on state or federal holidays, you may be asked to leave a message. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. 0000068680 00000 n
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It also explains how to find care and how to earn rewards. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. It will also explain our responsibilities to you, as well as outline the following details: startxref
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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. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. You can get this document for free in other formats, such as large print, braille, or audio. Su llamada ser devuelta dentro del siguiente da hbil. Find a doctor, explore coverage, review documents and much more. trailer
You will need Adobe Reader to open PDFs on this site. Click the link below to view or save a copy. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. If you wish to stay on this website, please click Cancel. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x
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The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Please turn on JavaScript and try again. You will need Adobe Reader to open PDFs on this site. All Rights Reserved. HealthChoice Illinois is the smart way most Medicaid members get quality care. This is not a complete list.
On weekends and on state or federal holidays, Visit your Member Portal or call Member Services. Please contact the plan for more details. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Other pharmacies/physicians/providers are available in our network. %PDF-1.7
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This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. You can join our Start Smart for Your Baby program. 0000040678 00000 n
When you go to file, youll want to write when and where the incident took place, and what happened. An appeal is a way for you to ask for a review of our actions. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! 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.
Member Handbook | Meridian Health Plan of Illinois You can also visit the Illinois Client Enrollment Services website. On weekends and on state or federal holidays, you may be asked to leave a message. Your call will be returned within the next business day. With HealthChoice Illinois, you have a health plan partner to turn to for help. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. Call Member Services if youd like paper copies of any of these documents. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. 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.
Member Handbooks and Forms The call is free. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The benefit information is a brief summary, not a complete description of benefits. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. 0000021917 00000 n
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The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. This is not a complete list. You will need Adobe Reader to open PDFs on this site. Meridian is for people eligible for both Medicaid and Medicare. 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. View your Provider Manual, important plan information and more. 0000002131 00000 n
Youll tell us about any health conditions, recent hospital visits, medications, and more. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Other pharmacies/physicians/providers are available in our network. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. It will help you get the care you need. Provider Network 6 It also explains how to find care and how to earn rewards. 1-855-580-1689 (TTY 711) 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. 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 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. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 0000151745 00000 n
Member ID Cards 5. If you wish to stay on this website, please click Cancel.
You can get this document in Spanish, or speak with someone about this information in other languages for free. Looking for your plan home page or interested in becoming a member? The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. The call is free. Copyright 2023 Meridian All Rights Reserved. Limitations, copays, and restrictions may apply. 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. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. Open Enrollment 6. 0000017969 00000 n
HealthChoice Illinois | HFS Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 0000041209 00000 n
Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. With HealthChoice Illinois, you have a health plan partner to turn to for help. Want a paper copy? 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. Your call will be returned within the next business day. 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. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); // Member Handbook - Meridian Medicare Medicaid Plan 167 0 obj
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Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. La llamada es gratis. member.ILmeridian.com. 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. You are now able to view your health information from a third-party app on a mobile device or PC! All Rights Reserved. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. Be sure to read your Meridian Member Handbook and keep it handy. Don't forget to call your local HFS oce and Meridian Member Services with your new address. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 199 0 obj
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Check out the Interoperability page to learn more. More information is in your Member Handbook(PDF). 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 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. 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. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. 0000046576 00000 n
Other pharmacies/physicians/providers are available in our network. 0000000016 00000 n
Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. JB Pritzker, Governor Theresa Eagleson, Director. View our Frequently Asked Questions page. 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. 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. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care.
PDF 2021 Member Handbook - Meridian Medicare Medicaid Plan You will need Adobe Reader to open PDFs on this site. This is not a complete list. // ]]>. For example, we may not approve your providers request for a certain drug. On weekends and on state or federal holidays, you may be asked to leave a message. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. A grievance is a complaint about a provider or about the quality of care or services you received. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. Other pharmacies/physicians/providers are available in our network. We will send you a notice before we make a change that affects you. Report an address update to HFS online.