Su llamada ser devuelta dentro del siguiente da hbil. 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. providerhelp.IL@mhplan.com. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. Its full of tips and resources for pregnant members and new parents. 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. You will need Adobe Reader to open PDFs on this site. If your address changes, let us know. Copyright 2023 Meridian All Rights Reserved. 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. The call is free. [CDATA[ 0 The Health Library is a free resource exclusively for MeridianComplete members and providers. With HealthChoice Illinois, you have a health plan partner to turn to for help. An appeal is a way for you to ask for a review of our actions. Each link will open a new window and is either a PDF or a website. Meridian covers all counties in Illinois. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. 0000041585 00000 n The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. startxref Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 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. 0000025639 00000 n 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 Annual Notice of Changes - English (PDF), 2022 Notificacion Anual de Cambios - Spanish (PDF), 2023 Annual Notice of Changes - English (PDF), 2023 Notificacion Anual de Cambios - Spanish (PDF), 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. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. 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)! The call is free. A grievance is a complaint about a provider or about the quality of care or services you received. On weekends and on state or federal holidays, you may be asked to leave a message. The call is free. The call is free. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. 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. 0 Open Enrollment 6. Your call will be returned within the next business day. 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. View your Provider Manual, important plan information and more. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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 Material ID:H6080_WEBSITE_2023_Accepted_09282022. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! You can get this document for free in other formats, such as large print, braille, or audio. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. 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. When you go to file, youll want to write when and where the incident took place, and what happened. Other pharmacies/physicians/providers are available in our network. Other pharmacies/physicians/providers are available in our network. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 See if you qualify, and explore the HealthChoice Illinois advantage. More information is in your Member Handbook(PDF). JB Pritzker, Governor Theresa Eagleson, Director. View our Frequently Asked Questions page. Monday-Friday, 8 a.m. to 8 p.m. CST MeridianHealth is now Meridian! 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 have any questions, call Meridian Member Services toll-free at 866-606-3700. For more information contact the plan or read the Meridian Member Handbook. 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. We need to be able to send you important information in the mail. Your call will be returned within the next business day. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. You are now able to view your health information from a third-party app on a mobile device or PC! The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. The COC lays out all the details so that you can stay on top of your coverage. This is not a complete list. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. 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. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . 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.il@mhplan.com. 3. This is not a complete list. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); Member ID Cards 5. Please visit our new website to see up to date information about your plan. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" 0000017969 00000 n For more information contact the plan or read the Meridian Member Handbook. %%EOF HFS sends paperwork in the mail that you need to renew your Medicaid coverage. If you wish to stay on this website, please click Cancel. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. 1-855-580-1689 (TTY 711) The call is free. 0000068680 00000 n MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. Llame al. 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.mi@mhplan.com. 0000006553 00000 n The benefit information is a brief summary, not a complete description of benefits. Be sure to read your Meridian Member Handbook and keep it handy. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The call is free. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. Su llamada ser devuelta dentro del siguiente da hbil. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. For certain kinds of drugs, you can use the plans network mail-order services. 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 site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. It also explains how to find care and how to earn rewards. 1-855-580-1689 (TTY 711) 0000041668 00000 n Don't forget to call your local HFS oce and Meridian Member Services with your new address. You will need Adobe Reader to open PDFs on this site. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. 2500 0 obj <>stream It explains the medical, dental, vision, and pharmacy services that are covered by your plan. La llamada es gratis. 0000046799 00000 n Youll tell us about any health conditions, recent hospital visits, medications, and more. Please review the various programs below. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. On weekends and on state or federal holidays, you may be asked to leave a message. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. 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. Keep in mind that everything you choose to share is confidential. Copays for prescription drugs may vary based on the level of Extra Help you receive. Moving? The right care for you. You can get this document in Spanish, or speak with someone about this information in other languages for free. 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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Call 1-855-580-1689 (TTY: 711). 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. member.ILmeridian.com. For more information contact the plan or read the MeridianComplete Member Handbook. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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. 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. Check out the Interoperability page to learn more. 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. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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 <. Call Member Services if youd like paper copies of any of these documents. For more information contact the plan or read the Meridian Member Handbook. Each link will open a new window and is either a PDF or a website. Provider Network 6 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 will need Adobe Reader to open PDFs on this site. Meridian is for people eligible for both Medicaid and Medicare. 199 0 obj <>stream Please contact the plan for more details. If you wish to stay on this website, please click Cancel. 0000151745 00000 n Su llamada ser devuelta dentro del siguiente da hbil. You can also visit the Illinois Client Enrollment Services website. All Rights Reserved. %%EOF trailer You've got questions and we've got answers. A certificate of coverage (COC) tells you what to expect from your healthcare plan. 2369 0 obj <> endobj 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 want you to be happy with the treatment and services you get from Meridian and our providers. It will also explain our responsibilities to you, as well as outline the following details: You can also visit the Illinois Client Enrollment Services website. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. Each link will open a new window and is either a PDF or a website. 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. Each link will open a new window and is either a PDF or a website. Download the Member Handbook(PDF). 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. Want a paper copy? It will help you get the care you need. 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. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Meridian will work with you to make sure you get all of the care you need, when you need it. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ Please call our Member Services number or see your Member Handbook for more information, including the cost-sharing that applies to out-of-network services. It outlines services and benefits that areand are notcovered. Looking for your plan home page or interested in becoming a member? At the right time and place. This is not a complete list. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. On weekends and on state or federal holidays, 2023 You will be able to work with one health plan for all of your health insurance needs. 0000068208 00000 n 0000067354 00000 n Meridian Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. 0000001774 00000 n If theres a question you cant find the answer to on our website, call us at 1-855-323-4578(TTY 711), Monday - Friday from 8 a.m. - 8 p.m. EST. %PDF-1.7 % Please note that once you have left our website, you may be able to access portions of the contracted company's website that are not related to your plan. Call 1-855-580-1689 (TTY: 711). Meridian The benefit information is a brief summary, not a complete description of benefits. 0000080946 00000 n Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. +t x1Rdt!v8,1{1"sAS*.~Y|U:d\e6qXaI1,JSh\0y7x'zz|:nY\bnLM H\Bd ;,|Xt$Au*5Ndt:|_bLR[QcO?#VJ2VH n6 (_`/}^v}~/ OZ1?.9H Pl;-wrZi}wSzpibGlU}~/r B5[AuJL~2P1W^ j}Y@5( ?d