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You will need Adobe Reader to open PDFs on this site. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Meridian Member Handbook. 0000040678 00000 n The Personal Wellness Assessment is a short form about you and your health journey. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all Learn more about how being a Meridian provider benefits you. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. 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. Meridian will work with you to make sure you get all of the care you need, when you need it. Member ID Cards 5. 199 0 obj <>stream 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. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. A grievance is a complaint about a provider or about the quality of care or services you received. Provider Network 6 Keep in mind that everything you choose to share is confidential. 0000025980 00000 n 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. 0000046966 00000 n The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. %PDF-1.4 % All Rights Reserved. providerhelp.IL@mhplan.com. Check out the Interoperability page to learn 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. Each link will open a new window and is either a PDF or a website. La llamada es gratis. Youll tell us about any health conditions, recent hospital visits, medications, and more. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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. 2500 0 obj <>stream 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. 2369 0 obj <> endobj See if you qualify, and explore the HealthChoice Illinois advantage. The benefit information is a brief summary, not a complete description of benefits. Your call will be returned within the next business day. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 0000041585 00000 n This is not a complete list. This is not a complete list. Call 1-855-580-1689 (TTY: 711). 0000002041 00000 n Meridian The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. La llamada es gratis. 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. 2023 It also explains how to find care and how to earn rewards. On weekends and on state or federal holidays, 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. MeridianComplete 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. You can also visit the Illinois Client Enrollment Services website. Download the Member Handbook (PDF). For a more comprehensive description of the plan benefits, please refer to your Member Handbook. For more information contact the plan or read the Meridian Member Handbook. 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. MeridianHealth is now Meridian! Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. Other pharmacies/physicians/providers are available in our network. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. Find a doctor, explore coverage, review documents and much more. When you go to file, youll want to write when and where the incident took place, and what happened. Want a paper copy? Download the Member Handbook (PDF). 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. Your call will be returned within the next business day. trailer View your Provider Manual, important plan information and more. 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 The benefit information is a brief summary, not a complete description of benefits. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Other pharmacies/physicians/providers are available in our network. 0000151745 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. 0000000016 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. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! The Health Library is a free resource exclusively for MeridianComplete members and providers. It also explains how to find care and how to earn rewards. Each link will open a new window and is either a PDF or a website. You will be able to work with one health plan for all of your health insurance needs. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. Just call Member Services with your new address. 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. If you experience any problems receiving your mail order prescription, call Member Services at. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Your call will be returned within the next business day. The COC lays out all the details so that you can stay on top of your coverage. On weekends and on state or federal holidays, you may be asked to leave a message. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> 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. 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. 866-606-3700 . %%EOF You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Download the free version of Adobe Reader. Understanding the ins and outs of your health plan can be difficult. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. Want a paper copy? The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. If we fall short, you can file a grievance or appeal. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. You are now able to view your health information from a third-party app on a mobile device or PC! Moving? This way, we can connect you with the right care. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. We will send you a notice before we make a change that affects you. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation 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. Please turn on JavaScript and try again. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Other pharmacies/physicians/providers are available in our network. 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 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 <. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Monday-Friday, 8 a.m. to 8 p.m. CST Please review the various programs below. 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 call our Member Services number or see your Member Handbook for more information, including the cost-sharing that applies to out-of-network services. 0000041668 00000 n 0000014634 00000 n On weekends and on state or federal holidays, you may be asked to leave a message. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 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. With HealthChoice Illinois, you have a health plan partner to turn to for help. Visit your Member Portal or call Member Services. %%EOF We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 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 contact the plan for more details. 0000000956 00000 n All Rights Reserved. //