Download the free version of Adobe Reader. You will need Adobe Reader to open PDFs on this site. 1-855-580-1689 (TTY 711) 0000000016 00000 n Download the Member Handbook (PDF). La llamada es gratis. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. La llamada es gratis. You can get this document in Spanish, or speak with someone about this information in other languages for free. 0000068208 00000 n We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 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 are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Meridian Medicare Medicaid Plan For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. Each link will open a new window and is either a PDF or a website. %%EOF hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). The COC lays out all the details so that you can stay on top of your coverage. member.ILmeridian.com. Please contact the plan for more details. 0000080946 00000 n Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. 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. You are now able to view your health information from a third-party app on a mobile device or PC! Provider Manual | Meridian Health Plan of Illinois 0000001774 00000 n Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all 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. Check out the Interoperability page to learn more. A certificate of coverage (COC) tells you what to expect from your healthcare plan. For more information contact the plan or read the Meridian Member Handbook. It will also explain our responsibilities to you, as well as outline the following details: Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). If we fall short, you can file a grievance or appeal. Material ID:H6080_WEBSITE_2023_Accepted_09282022. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. 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. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 199 0 obj <>stream Providers - MeridianComplete View your Provider Manual, important plan information and more. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. Language Assistance & Notice of Nondiscrimination. You will need Adobe Reader to open PDFs on this site. It will also explain our responsibilities to you, as well as outline the following details: This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Copyright 2023 Meridian All Rights Reserved. Please review the various programs below. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 0000014634 00000 n The Health Library is a free resource exclusively for MeridianComplete members and providers. 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 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. 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. For example, we may not approve your providers request for a certain drug. HealthChoice Illinois is the smart way most Medicaid members get quality care. We want you to be happy with your healthcare services. It also explains how to find care and how to earn rewards. 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 your pregnancy is at high risk, we may call you. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Your call will be returned within the next business day. We need to be able to send you important information in the mail. It will help you get the care you need. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. View our Frequently Asked Questions page. 167 33 Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 With HealthChoice Illinois, you have a health plan partner to turn to for help. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 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. 0000001708 00000 n hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ 0000047422 00000 n You will need Adobe Reader to open PDFs on this site. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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 contact the plan or read the Meridian Member Handbook. 0000041209 00000 n Member ID Cards 5. 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)! The call is free. You can join our Start Smart for Your Baby program. Looking for your plan home page or interested in becoming a member? You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. La llamada es gratis. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Please visit our new website to see up to date information about your plan. Moving? 0000040481 00000 n All Rights Reserved. It will also explain our responsibilities to you, as well as outline the following details: The call is free. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. You've got questions and we've got answers. 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. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! Call 1-855-580-1689 (TTY: 711). On weekends and on state or federal holidays, you may be asked to leave a message. For more information contact the plan or read the MeridianComplete Member Handbook. On weekends and on state or federal holidays, you may be asked to leave a message. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. Other pharmacies/physicians/providers are available in our network. You can make an appeal if you disagree with our verdict. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. PDF here's your member handbook. 866-606-3700 . The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. The Personal Wellness Assessment is a short form about you and your health journey. 2023 This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Su llamada ser devuelta dentro del siguiente da hbil. 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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Su llamada ser devuelta dentro del siguiente da hbil. The call is free. HealthChoice Illinois | HFS You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. 0000046966 00000 n 167 0 obj <> endobj ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. This is not a complete list. 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 outlines services and benefits that areand are notcovered. startxref Member Handbooks and Forms 0000041585 00000 n 0000046799 00000 n Be sure to read your Meridian Member Handbook and keep it handy. This way, we can connect you with the right care. Your call will be returned within the next business day. %%EOF All Rights Reserved. Your call will be returned within the next business day. 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" Call 1-855-580-1689 (TTY: 711). [CDATA[ Other pharmacies/physicians/providers are available in our network. 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. The benefit information is a brief summary, not a complete description of benefits. Report an address update to HFS online. Want a paper copy? The benefit information is a brief summary, not a complete description of benefits. Monday-Friday, 8 a.m. to 5 p.m. CST For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. You can also visit the Illinois Client Enrollment Services website. It also explains how to find care and how to earn rewards. 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 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.