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. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 0000010510 00000 n (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Keep in mind that everything you choose to share is confidential. Report an address update to HFS online. 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 [email protected]. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. You will need Adobe Reader to open PDFs on this site. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. 2500 0 obj <>stream Usually a mail-order pharmacy order will get to you in no more than 5 days. 0000021917 00000 n Want a paper copy? 0000067354 00000 n 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. 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. 0000041209 00000 n It explains the medical, dental, vision, and pharmacy services that are covered by your plan. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. This is not a complete list. The Health Library is a free resource exclusively for MeridianComplete members and providers. You will need Adobe Reader to open PDFs on this site. Its full of tips and resources for pregnant members and new parents. 167 0 obj <> endobj Making healthcare decisions can be tough--who to see for care, what to ask, when to go. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" If you experience any problems receiving your mail order prescription, call Member Services at. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Your call will be returned within the next business day. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. Download the Member Handbook (PDF). 2369 0 obj <> endobj Each link will open a new window and is either a PDF or a website. You are now able to view your health information from a third-party app on a mobile device or PC! The right care for you. 0000046799 00000 n 0000000956 00000 n xref If your address changes, let us know. endstream endobj startxref You can also visit the Illinois Client Enrollment Services website. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. The call is free. Catching a Breath Complex Case Management Flu Outreach Opioids 0000002131 00000 n For example, we may not approve your providers request for a certain drug. Your call will be returned within the next business day. trailer Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 0000046576 00000 n HealthChoice Illinois is the smart way most Medicaid members get quality care. Click the link below to view or save a copy. [email protected]. Each link will open a new window and is either a PDF or a website. Your handbook is full of important information about your health care and Meridian. 0000151745 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. 0000001774 00000 n 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. Meridian 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. 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 in Spanish, or speak with someone about this information in other languages for free. 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. 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. 199 0 obj <>stream For more information contact the plan or read the Meridian Member Handbook. 2023 Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Other pharmacies/physicians/providers are available in our network. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Your call will be returned within the next business day. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Don't forget to call your local HFS oce and Meridian Member Services with your new address. Call 1-855-580-1689 (TTY: 711). Your call will be returned within the next business day. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. All Rights Reserved. View your Provider Manual, important plan information and more. You can also visit the Illinois Client Enrollment Services website. %PDF-1.4 % 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. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> Su llamada ser devuelta dentro del siguiente da hbil. It also explains how to find care and how to earn rewards. 0000080946 00000 n 866-606-3700 . You will need Adobe Reader to open PDFs on this site. Call Member Services if youd like paper copies of any of these documents. 0000000016 00000 n %PDF-1.7 % Monday-Friday, 8 a.m. to 8 p.m. CST 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation [email protected], The Interoperability and Patient Access Rule. 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)! Visit your Member Portal or call Member Services. On weekends and on state or federal holidays, Be sure to read your Meridian Member Handbook and keep it handy. More information is in your Member Handbook(PDF). Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. If you wish to stay on this website, please click Cancel. Want a paper copy? The Personal Wellness Assessment is a short form about you and your health journey. +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 3. On weekends and on state or federal holidays, you may be asked to leave a message. This way, we can connect you with the right care. Other pharmacies/physicians/providers are available in our network. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Download the free version of Adobe Reader. startxref ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. 0000072727 00000 n 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. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all With HealthChoice Illinois, you have a health plan partner to turn to for help. Just call Member Services with your new address. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ We want you to be happy with your healthcare services. We need to be able to send you important information in the mail.
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