On weekends and on state or federal holidays, you may be asked to leave a message. 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. If we fall short, you can file a grievance or appeal. 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. 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. We can connect you with support, services, and even rewards. 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 also visit the Illinois Client Enrollment Services website. 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. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. 167 33 0000068208 00000 n A grievance is a complaint about a provider or about the quality of care or services you received. 0000151745 00000 n 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. Learn more about how being a Meridian provider benefits you. If you wish to stay on this website, please click Cancel. 2500 0 obj <>stream 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 information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. When you go to file, youll want to write when and where the incident took place, and what happened. For more information contact the plan or read the MeridianComplete Member Handbook. endstream endobj startxref 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. You will be able to work with one health plan for all of your health insurance needs. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. 0000000956 00000 n JB Pritzker, Governor Theresa Eagleson, Director. 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. The Health Library is a free resource exclusively for MeridianComplete members and providers. 0000006553 00000 n Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. 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. 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 can get this document for free in other formats, such as large print, braille, or audio. +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 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. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . Making healthcare decisions can be tough--who to see for care, what to ask, when to go. You will need Adobe Reader to open PDFs on this site. If you wish to stay on this website, please click Cancel. You will need Adobe Reader to open PDFs on this site. 2023 You've got questions and we've got answers. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all Understanding the ins and outs of your health plan can be difficult. Other pharmacies/physicians/providers are available in our network. This is not a complete list. 0000041668 00000 n 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 call is free. If your pregnancy is at high risk, we may call you. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. Want a paper copy? 0000002131 00000 n If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Llame al. 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. Download the Member Handbook (PDF). 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. 199 0 obj <>stream With HealthChoice Illinois, you have a health plan partner to turn to for help. 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. 0000001774 00000 n Be sure to read your Meridian Member Handbook and keep it handy. Its full of tips and resources for pregnant members and new parents. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ 167 0 obj <> endobj All Rights Reserved. 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 will help you get the care you need. For more information contact the plan or read the Meridian Member Handbook. It outlines services and benefits that areand are notcovered. The call is free. Meridian The benefit information is a brief summary, not a complete description of benefits. Member ID Cards 5. 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 <. 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. 0000025980 00000 n 0000046576 00000 n You can also visit the Illinois Client Enrollment Services website. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. This handbook will help you understand your coverage. The benefit information is a brief summary, not a complete description of benefits. You are now able to view your health information from a third-party app on a mobile device or PC! There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! On weekends and on state or federal holidays, ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. 0000046386 00000 n Call 1-855-580-1689 (TTY: 711). All Rights Reserved. 0000002041 00000 n 0000041585 00000 n Meridian covers all counties in Illinois. The COC lays out all the details so that you can stay on top of your coverage. 0000010510 00000 n Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. Meridian 0000017969 00000 n If you wish to stay on this website, please click Cancel. Language Assistance & Notice of Nondiscrimination. The call is free. 0000000016 00000 n 0000002074 00000 n It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. Report an address update to HFS online. On weekends and on state or federal holidays, you may be asked to leave a message. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. This is not a complete list. Download the free version of Adobe Reader. trailer For more information contact the plan or read the Meridian Member Handbook. 0 0000047422 00000 n Monday-Friday, 8 a.m. to 8 p.m. CST If you experience any problems receiving your mail order prescription, call Member Services at. Want a paper copy? This way, we can connect you with the right care. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Your call will be returned within the next business day. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Member Request for Reimbursement (PDF) Mandatory Training Attestation (PDF) Mandatory Training Attestation (PDF) Preventive Care (HEDIS) (PDF) Annual Care for Older Adults (COA) Form (PDF) Breast Cancer Screening Exclusion Form (PDF) Colorectal Cancer Screening Exclusion Form (PDF) Diabetes Exclusion Form (PDF) The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. On weekends and on state or federal holidays, you may be asked to leave a message. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. Catching a Breath Complex Case Management Flu Outreach Opioids 0000002220 00000 n It will also explain our responsibilities to you, as well as outline the following details: With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. Limitations, copays, and restrictions may apply.
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meridian illinois member handbook