2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . 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. 0000040481 00000 n
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You are now able to view your health information from a third-party app on a mobile device or PC! Call 1-855-580-1689 (TTY: 711). You will need Adobe Reader to open PDFs on this site. 0
PDF Welcome to MeridianHealth Intro to Plan The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Open Enrollment 6. 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. Find a doctor, explore coverage, review documents and much more. 0000001708 00000 n
It also explains how to find care and how to earn rewards. We will send you a notice before we make a change that affects you. Download the free version of Adobe Reader. Su llamada ser devuelta dentro del siguiente da hbil. Understanding the ins and outs of your health plan can be difficult. 0000067354 00000 n
Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. The COC lays out all the details so that you can stay on top of your coverage. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+
The Personal Wellness Assessment is a short form about you and your health journey. 0000001774 00000 n
Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. Other pharmacies/physicians/providers are available in our network. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources.
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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. 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. La llamada es gratis. The call is free. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. Youll tell us about any health conditions, recent hospital visits, medications, and more. 0000002177 00000 n
The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. 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. Please turn on JavaScript and try again. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. 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! The right care for you. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711).
PDF 2021 Member Handbook - Meridian Medicare Medicaid Plan Llame al.
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The Health Library is a free resource exclusively for MeridianComplete members and providers. 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 1-855-580-1689 (TTY: 711) or visit mmp.ILmeridian.com to access our online searchable directory.
PDF ILLINOIS MEMBER HANDBOOK - Meridian Illinois Managed Care Plans 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. 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. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. Meridian will work with you to make sure you get all of the care you need, when you need it. Be sure to read your Meridian Member Handbook and keep it handy. Monday-Friday, 8 a.m. to 5 p.m. CST 0000046799 00000 n
Language Assistance & Notice of Nondiscrimination. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Meridian Member Services . 167 0 obj
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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. You've got questions and we've got answers. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Meridian
Call 1-855-580-1689 (TTY: 711). More information is in your Member Handbook(PDF). The call is free. // Meridian Medicare Medicaid Plan 0000046386 00000 n
La llamada es gratis. It also explains how to find care and how to earn rewards. You can also visit the Illinois Client Enrollment Services website. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. For more information contact the plan or read the Meridian Member Handbook. Please review the various programs below. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. // ]]>. An appeal is a way for you to ask for a review of our actions. Download the Member Handbook (PDF). 0000040678 00000 n
For more information contact the plan or read the Meridian Member Handbook. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica.
HealthChoice Illinois | HFS 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. 0000000016 00000 n
Report an address update to HFS online. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . 0000002041 00000 n
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This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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. 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" All Rights Reserved. MeridianHealth is now Meridian! h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. 2023
On weekends and on state or federal holidays, you may be asked to leave a message. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Looking for your plan home page or interested in becoming a member? Your call will be returned within the next business day. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Its full of tips and resources for pregnant members and new parents. 0
See if you qualify, and explore the HealthChoice Illinois advantage. You can get this document for free in other formats, such as large print, braille, or audio. 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. 0000046966 00000 n
This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. For example, we may not approve your providers request for a certain drug. 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. You will need Adobe Reader to open PDFs on this site. 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. endstream
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The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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.
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