For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. You will need Adobe Reader to open PDFs on this site. If your pregnancy is at high risk, we may call you. 0000002041 00000 n 0000080946 00000 n The benefit information is a brief summary, not a complete description of benefits. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. All Rights Reserved. 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. 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. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. Your call will be returned within the next business day. A grievance is a complaint about a provider or about the quality of care or services you received. Llame al. Learn more about how being a Meridian provider benefits you. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 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 Personal Wellness Assessment is a short form about you and your health journey. For more information contact the plan or read the Meridian Member Handbook. 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. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. 0000041585 00000 n %%EOF %PDF-1.4 % 0000014634 00000 n La llamada es gratis. We can connect you with support, services, and even rewards. Meridian Member Services . 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. 0000017969 00000 n This handbook will help you understand your coverage. 0000000016 00000 n Your call will be returned within the next business day. Find a doctor, explore coverage, review documents and much 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. You can get this document for free in other formats, such as large print, braille, or audio. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. At the right time and place. Meridian covers all counties in Illinois. Language Assistance & Notice of Nondiscrimination. Want a paper copy? Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. On weekends and on state or federal holidays, you may be asked to leave a message. Moving? 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. 1-855-580-1689 (TTY 711) Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Meridian is for people eligible for both Medicaid and Medicare. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. It also explains how to find care and how to earn rewards. 2369 0 obj <> endobj Download the Member Handbook (PDF). Other pharmacies/physicians/providers are available in our network. For certain kinds of drugs, you can use the plans network mail-order services. 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. All Rights Reserved. On weekends and on state or federal holidays, Download the free version of Adobe Reader. Each link will open a new window and is either a PDF or a website. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); Want a paper copy? La llamada es gratis. You can get this document for free in other formats, such as large print, braille, or audio. If we fall short, you can file a grievance or appeal. Download the Member Handbook(PDF). 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. It will also explain our responsibilities to you, as well as outline the following details: It explains the medical, dental, vision, and pharmacy services that are covered by your plan. member.ILmeridian.com. We want you to be happy with your healthcare services. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! 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. Provider Network 6 For example, we may not approve your providers request for a certain drug. 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. More information is in your Member Handbook(PDF). ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. trailer For more information contact the plan or read the Meridian Member Handbook. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. Your call will be returned within the next business day. You will need Adobe Reader to open PDFs on this site. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. 0000002074 00000 n 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)! Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. 0000001708 00000 n On weekends and on state or federal holidays, you may be asked to leave a message. 167 33 0000046966 00000 n 866-606-3700 . We want you to be happy with the treatment and services you get from Meridian and our providers. You will be able to work with one health plan for all of your health insurance needs. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. 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. HealthChoice Illinois is the smart way most Medicaid members get quality care. endstream endobj 2370 0 obj <>/Metadata 260 0 R/Names 2392 0 R/OpenAction 2371 0 R/Outlines 2412 0 R/PageLayout/SinglePage/PageMode/UseOutlines/Pages 2360 0 R/StructTreeRoot 410 0 R/Type/Catalog/ViewerPreferences<>>> endobj 2371 0 obj <> endobj 2372 0 obj <. 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. 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. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. You can join our Start Smart for Your Baby program. Material ID:H6080_WEBSITE_2023_Accepted_09282022. 0000025639 00000 n Meridian It will also explain our responsibilities to you, as well as outline the following details: 3. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 2023 View our Frequently Asked Questions page. The benefit information is a brief summary, not a complete description of benefits. 0000021917 00000 n On weekends and on state or federal holidays, you may be asked to leave a message. 0000001774 00000 n This way, we can connect you with the right care. 0000002220 00000 n If you wish to stay on this website, please click Cancel. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Download the Member Handbook (PDF). You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. %%EOF 0000000956 00000 n JB Pritzker, Governor Theresa Eagleson, Director. Call 1-855-580-1689 (TTY: 711). For more information contact the plan or read the MeridianComplete Member Handbook. The call is free. If you wish to stay on this website, please click Cancel. Just call Member Services with your new address. 0000040481 00000 n The call is free. Please review the various programs below. 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. On weekends and on state or federal holidays, you may be asked to leave a message. 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.

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