meridian illinois member handbook

[CDATA[ 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)! Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. Meridian Member Services . Your call will be returned within the next business day. 0000041209 00000 n You will need Adobe Reader to open PDFs on this site. 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. View your Provider Manual, important plan information and more. 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. 2023 Moving? Su llamada ser devuelta dentro del siguiente da hbil. 1-855-580-1689 (TTY 711) 2369 0 obj <> endobj On weekends and on state or federal holidays, you may be asked to leave a message. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. If you wish to stay on this website, please click Cancel. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! The call is free. We can connect you with support, services, and even rewards. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. The call is free. Copyright 2023 Meridian All Rights Reserved. Each link will open a new window and is either a PDF or a website. Call 1-855-580-1689 (TTY: 711). For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. Want a paper copy? 0000041668 00000 n Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. For more information contact the plan or read the Meridian Member Handbook. member.ILmeridian.com. 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. Report an address update to HFS online. 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. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. %%EOF Download the Member Handbook (PDF). 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 Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. Su llamada ser devuelta dentro del siguiente da hbil. providerhelp.IL@mhplan.com. 0000025980 00000 n 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. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. 2500 0 obj <>stream Meridian Youll tell us about any health conditions, recent hospital visits, medications, and more. Click the link below to view or save a copy. For example, we may not approve your providers request for a certain drug. Your call will be returned within the next business day. Learn more about how being a Meridian provider benefits you. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! This is not a complete list. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! Member ID Cards 5. You will need Adobe Reader to open PDFs on this site. Your call will be returned within the next business day. Monday-Friday, 8 a.m. to 5 p.m. CST Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. All Rights Reserved. The call is free. Meridian covers all counties in Illinois. It will also explain our responsibilities to you, as well as outline the following details: Your call will be returned within the next business day. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation The benefit information is a brief summary, not a complete description of benefits. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. You can get this document for free in other formats, such as large print, braille, or audio. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. View our Frequently Asked Questions page. 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. 0000000016 00000 n 866-606-3700 . xref You will need Adobe Reader to open PDFs on this site. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Other pharmacies/physicians/providers are available in our network. A grievance is a complaint about a provider or about the quality of care or services you received. Understanding the ins and outs of your health plan can be difficult. 0000021917 00000 n 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. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ 0 0000067354 00000 n 0000040678 00000 n Find a doctor, explore coverage, review documents and much more. Don't forget to call your local HFS oce and Meridian Member Services with your new address. Check out the Interoperability page to learn more. 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 HealthChoice Illinois, you have a health plan partner to turn to for help. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . On weekends and on state or federal holidays, you may be asked to leave a message. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Copays for prescription drugs may vary based on the level of Extra Help you receive. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. MeridianHealth is now Meridian! The COC lays out all the details so that you can stay on top of your coverage. An appeal is a way for you to ask for a review of our actions. Please review the various programs below. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Please contact the plan for more details. The benefit information is a brief summary, not a complete description of benefits. 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. Call Member Services if youd like paper copies of any of these documents. 0000002131 00000 n Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. This is not a complete list. 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. Your handbook is full of important information about your health care and Meridian. 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. 0000002177 00000 n 0000017969 00000 n 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. 1-855-580-1689 (TTY 711) Each link will open a new window and is either a PDF or a website. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. If you wish to stay on this website, please click Cancel. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 0000001708 00000 n Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). It will also explain our responsibilities to you, as well as outline the following details: 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. 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 make an appeal if you disagree with our verdict. 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. This handbook will help you understand your coverage. You can also visit the Illinois Client Enrollment Services website. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. 0000014634 00000 n Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all Visit your Member Portal or call Member Services. 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. 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 now able to view your health information from a third-party app on a mobile device or PC! If you experience any problems receiving your mail order prescription, call Member Services at. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. %PDF-1.4 % For more information contact the plan or read the Meridian Member Handbook. 0000010510 00000 n Its full of tips and resources for pregnant members and new parents. 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 benefit information is a brief summary, not a complete description of benefits. 0000002041 00000 n Limitations, copays, and restrictions may apply. You can get this document for free in other formats, such as large print, braille, or audio. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 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. Usually a mail-order pharmacy order will get to you in no more than 5 days. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. %%EOF You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Be sure to read your Meridian Member Handbook and keep it handy. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 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. If you wish to stay on this website, please click Cancel. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. A certificate of coverage (COC) tells you what to expect from your healthcare plan. Download the free version of Adobe Reader. See if you qualify, and explore the HealthChoice Illinois advantage. This is not a complete list. It also explains how to find care and how to earn rewards. Open Enrollment 6. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. trailer 167 33 Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you.

meridian illinois member handbook 2023