Copays for prescription drugs may vary based on the level of Extra Help you receive. Member ID Cards 5. For more information contact the plan or read the Meridian Member Handbook. You will need Adobe Reader to open PDFs on this site. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. This is not a complete list. If we fall short, you can file a grievance or appeal. 0000041209 00000 n Each link will open a new window and is either a PDF or a website. If your address changes, let us know. 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 benefit information is a brief summary, not a complete description of benefits. 0000001774 00000 n 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. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Youll tell us about any health conditions, recent hospital visits, medications, and more. Download the Member Handbook (PDF). Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 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. 0000021917 00000 n 0000046386 00000 n 0000072727 00000 n Your call will be returned within the next business day. HealthChoice Illinois is the smart way most Medicaid members get quality care. Its full of tips and resources for pregnant members and new parents. 0000002220 00000 n If you experience any problems receiving your mail order prescription, call Member Services at. For more information contact the plan or read the Meridian Member Handbook. Keep in mind that everything you choose to share is confidential. 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. %%EOF %%EOF La llamada es gratis. This is not a complete list. Visit your Member Portal or call Member Services. trailer 0000046576 00000 n 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 <. Language Assistance & Notice of Nondiscrimination. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 0000002131 00000 n MeridianHealth is now Meridian! With HealthChoice Illinois, you have a health plan partner to turn to for help. Other pharmacies/physicians/providers are available in our network. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" More information is in your Member Handbook(PDF). Monday-Friday, 8 a.m. to 8 p.m. CST HFS sends paperwork in the mail that you need to renew your Medicaid coverage. 3. The call is free. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. It also explains how to find care and how to earn rewards. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 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. 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. 866-606-3700 . Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. Your call will be returned within the next business day. Looking for your plan home page or interested in becoming a member? We need to be able to send you important information in the mail. It outlines services and benefits that areand are notcovered. +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 Want a paper copy? The benefit information is a brief summary, not a complete description of benefits. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). If you have any questions, call Meridian Member Services toll-free at 866-606-3700. 0000041585 00000 n With HealthChoice Illinois, you have a health plan partner to turn to for help. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. You can get this document in Spanish, or speak with someone about this information in other languages for free. Please turn on JavaScript and try again. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. 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. 199 0 obj <>stream Llame al. Understanding the ins and outs of your health plan can be difficult. 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. 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. We want you to be happy with the treatment and services you get from Meridian and our providers. We can connect you with support, services, and even rewards. 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. 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. 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. 167 33 Download the free version of Adobe Reader. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 0000017969 00000 n Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. You are now able to view your health information from a third-party app on a mobile device or PC! On weekends and on state or federal holidays, you may be asked to leave a message. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. 0000002074 00000 n Please visit our new website to see up to date information about your plan. 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 Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. On weekends and on state or federal holidays, you may be asked to leave a message. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. 0000151745 00000 n Other pharmacies/physicians/providers are available in our network. La llamada es gratis. It will help you get the care you need. Please contact the plan for more details. Just call Member Services with your new address. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. 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. 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. Su llamada ser devuelta dentro del siguiente da hbil. 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. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. Find a doctor, explore coverage, review documents and much more. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. The Health Library is a free resource exclusively for MeridianComplete members and providers. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! Meridian Member Services . Provider Network 6 For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. Meridian will work with you to make sure you get all of the care you need, when you need it. We will send you a notice before we make a change that affects you. Click the link below to view or save a copy. 0000068680 00000 n Su llamada ser devuelta dentro del siguiente da hbil. 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. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all Don't forget to call your local HFS oce and Meridian Member Services with your new address. 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. 0000067354 00000 n With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. If you wish to stay on this website, please click Cancel. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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) Monday-Friday, 8 a.m. to 8 p.m. CST Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. 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. endstream endobj startxref If your pregnancy is at high risk, we may call you. // ]/Prev 539953>> 0000014634 00000 n 0000046799 00000 n For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. %PDF-1.7 % You can also visit the Illinois Client Enrollment Services website. 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! This is not a complete list. Your call will be returned within the next business day. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 0000041668 00000 n 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. Limitations, copays, and restrictions may apply. Your call will be returned within the next business day. 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. If you wish to stay on this website, please click Cancel. This handbook will help you understand your coverage. We want you to be happy with your healthcare services. You can get this document for free in other formats, such as large print, braille, or audio. You will need Adobe Reader to open PDFs on this site. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. Catching a Breath Complex Case Management Flu Outreach Opioids See if you qualify, and explore the HealthChoice Illinois advantage. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! Material ID:H6080_WEBSITE_2023_Accepted_09282022. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Download the Member Handbook(PDF). 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. Open Enrollment 6. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. On weekends and on state or federal holidays, you may be asked to leave a message. Each link will open a new window and is either a PDF or a website. The call is free. The COC lays out all the details so that you can stay on top of your coverage. 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. 0000002177 00000 n The benefit information is a brief summary, not a complete description of benefits. Other pharmacies/physicians/providers are available in our network. 0000068208 00000 n Moving? JB Pritzker, Governor Theresa Eagleson, Director. 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. 0000002041 00000 n startxref Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+
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