The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. PDF here's your member handbook. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation 2023 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. 866-606-3700 . 0000025639 00000 n You will need Adobe Reader to open PDFs on this site. You can make an appeal if you disagree with our verdict. If you wish to stay on this website, please click Cancel. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Looking for your plan home page or interested in becoming a member? Your call will be returned within the next business day. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. 2023 Keep in mind that everything you choose to share is confidential. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. 0000000016 00000 n Other pharmacies/physicians/providers are available in our network. 0000040678 00000 n On weekends and on state or federal holidays, you may be asked to leave a message. 0000046386 00000 n If we fall short, you can file a grievance or appeal. 0000072727 00000 n 0000067553 00000 n All Rights Reserved. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 0000010510 00000 n The benefit information is a brief summary, not a complete description of benefits. Please visit our new website to see up to date information about your plan. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Other pharmacies/physicians/providers are available in our network. Open Enrollment 6. %PDF-1.4 % +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 The call is free. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. 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. You can also visit the Illinois Client Enrollment Services website. The right care for you. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ 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. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 0000017969 00000 n The benefit information is a brief summary, not a complete description of benefits. Your call will be returned within the next business day. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Be sure to read your Meridian Member Handbook and keep it handy. We need to be able to send you important information in the mail. 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. 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. Each link will open a new window and is either a PDF or a website. It also explains how to find care and how to earn rewards. Youll tell us about any health conditions, recent hospital visits, medications, and more. 0000041585 00000 n Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 167 0 obj <> endobj 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. HealthChoice Illinois | HFS This is not a complete list. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. %%EOF Visit your Member Portal or call Member Services. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all Provider Network 6 [CDATA[ 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . 0 On weekends and on state or federal holidays, you may be asked to leave a message. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Moving? Making healthcare decisions can be tough--who to see for care, what to ask, when to go. trailer Member ID Cards 5. At the right time and place. member.ILmeridian.com. Call 1-855-580-1689 (TTY: 711). Just call Member Services with your new address. Add a New Provider or Term an Existing Provider, Make a Change to an IRS Number or NPI Number, IMPORTANT NOTICE TO PROVIDERS REGARDING THE PURCHASE, BILLING AND ADMINISTRATION OF J CODE DRUGS IN THE OFFICE AND OUTPATIENT FACILITY SETTING, MeridianHealth Provider Information Regarding System Updates Effective July 1, 2021, Meridian Clinical Policy Readmission Review, Meridian of Illinois Announces Provider Relations Team Reorganization, Meridian of Illinois Partners with Jeremiah Development for LOVE Rockford Event, UPDATE PRACTICE INFORMATION USING THE MERIDIAN PROVIDER UPDATES TOOL, SUPPORT & RESOURCES FOR THOSE IMPACTED BY THE HIGHLAND PARK TRAGEDY ON JULY 4, Personal Wellness Assessment: English (PDF), Personal Wellness Assessment: Spanish (PDF), Member Notification of Pregnancy form(PDF), Meridian Managed Long Term Services & Supports Plan, Or if you receive the form by mail, complete it and send it back to us in the perpaid envelope. Report an address update to HFS online. More information is in your Member Handbook(PDF). We will send you a notice before we make a change that affects you. // ]]>. %%EOF Download the Member Handbook(PDF). <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> 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. Call 1-855-580-1689 (TTY: 711). It will help you get the care you need. Other pharmacies/physicians/providers are available in our network. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 0000021917 00000 n v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" Copyright 2023 Meridian All Rights Reserved. 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. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. With HealthChoice Illinois, you have a health plan partner to turn to for help. If you wish to stay on this website, please click Cancel. 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. View our Frequently Asked Questions page. 0000014634 00000 n If you wish to stay on this website, please click Cancel. All Rights Reserved. 0000002131 00000 n 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. The call is free. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Usually a mail-order pharmacy order will get to you in no more than 5 days. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. PDF ILLINOIS MEMBER HANDBOOK - Meridian Illinois Managed Care Plans You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. 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 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. On weekends and on state or federal holidays, Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Want a paper copy?
