0000021917 00000 n La llamada es gratis. If you experience any problems receiving your mail order prescription, call Member Services at. Looking for your plan home page or interested in becoming a member? Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. 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. A grievance is a complaint about a provider or about the quality of care or services you received. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. You can also visit the Illinois Client Enrollment Services website. Catching a Breath Complex Case Management Flu Outreach Opioids Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all 167 0 obj <> endobj A certificate of coverage (COC) tells you what to expect from your healthcare plan. La llamada es gratis. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . Want a paper copy? HFS sends paperwork in the mail that you need to renew your Medicaid coverage. Monday-Friday, 8 a.m. to 5 p.m. CST 0000010510 00000 n Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Want a paper copy? 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. 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. 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. The call is free. 1-855-580-1689 (TTY 711) endstream endobj startxref 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 Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. Open Enrollment 6. The call is free. If you wish to stay on this website, please click Cancel. An appeal is a way for you to ask for a review of our actions. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. Meridian Find a doctor, explore coverage, review documents and much more. 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. Your call will be returned within the next business day. 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. The Personal Wellness Assessment is a short form about you and your health journey. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Please visit our new website to see up to date information about your plan. Each link will open a new window and is either a PDF or a website. This is not a complete list. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. 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. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. With HealthChoice Illinois, you have a health plan partner to turn to for help. 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. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). This way, we can connect you with the right care. 0000040678 00000 n For more information contact the plan or read the Meridian Member Handbook. 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. You will need Adobe Reader to open PDFs on this site. On weekends and on state or federal holidays, The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Please contact the plan for more details. It will also explain our responsibilities to you, as well as outline the following details: 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.mi@mhplan.com. With HealthChoice Illinois, you have a health plan partner to turn to for help. 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. Learn more about how being a Meridian provider benefits you. More information is in your Member Handbook(PDF). 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. 0000067553 00000 n 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 8 p.m. CST %PDF-1.7 % It outlines services and benefits that areand are notcovered. 0000001708 00000 n 0000072727 00000 n If you have any questions, call Meridian Member Services toll-free at 866-606-3700. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! You will need Adobe Reader to open PDFs on this site. Other pharmacies/physicians/providers are available in our network. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. The call is free. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! 0000041209 00000 n Monday-Friday, 8 a.m. to 8 p.m. CST xref MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 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 more information contact the plan or read the Meridian Member Handbook. View your Provider Manual, important plan information and more. Meridian covers all counties in Illinois. 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. Youll tell us about any health conditions, recent hospital visits, medications, and more. Meridian will work with you to make sure you get all of the care you need, when you need it. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. 1-855-580-1689 (TTY 711) 0000002177 00000 n Each link will open a new window and is either a PDF or a website. La llamada es gratis. It will also explain our responsibilities to you, as well as outline the following details: Call 1-855-580-1689 (TTY: 711). 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. You can get this document for free in other formats, such as large print, braille, or audio. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. The Health Library is a free resource exclusively for MeridianComplete members and providers. Each link will open a new window and is either a PDF or a website. The benefit information is a brief summary, not a complete description of benefits. We need to be able to send you important information in the mail. Each link will open a new window and is either a PDF or a website. On weekends and on state or federal holidays, you may be asked to leave a message. You can join our Start Smart for Your Baby program. On weekends and on state or federal holidays, you may be asked to leave a message. On weekends and on state or federal holidays, you may be asked to leave a message. Just call Member Services with your new address. The COC lays out all the details so that you can stay on top of your coverage. For example, we may not approve your providers request for a certain drug. %PDF-1.4 % This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 0 At the right time and place. See if you qualify, and explore the HealthChoice Illinois advantage. Meridian is for people eligible for both Medicaid and Medicare. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 3. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Download the free version of Adobe Reader. Your handbook is full of important information about your health care and Meridian. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> Understanding the ins and outs of your health plan can be difficult. It looks like your browser does not have JavaScript enabled. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. We want you to be happy with the treatment and services you get from Meridian and our providers. You can make an appeal if you disagree with our verdict. Your call will be returned within the next business day. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. 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. 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! 0000068208 00000 n Other pharmacies/physicians/providers are available in our network. 0000068680 00000 n ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to 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. Member ID Cards 5. 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. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. Keep in mind that everything you choose to share is confidential. Copays for prescription drugs may vary based on the level of Extra Help you receive. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist 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. Language Assistance & Notice of Nondiscrimination. providerhelp.IL@mhplan.com. 0000046799 00000 n
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