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. 0000002177 00000 n
Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. We want you to be happy with your healthcare services. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Visit your Member Portal or call Member Services. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . 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. A certificate of coverage (COC) tells you what to expect from your healthcare plan. For example, we may not approve your providers request for a certain drug. endstream
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It also explains how to find care and how to earn rewards. View your Provider Manual, important plan information and more. See if you qualify, and explore the HealthChoice Illinois advantage. 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)! 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) Meridian Member Services . With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. member.ILmeridian.com. Understanding the ins and outs of your health plan can be difficult. Each link will open a new window and is either a PDF or a website. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. 0000025980 00000 n
Catching a Breath Complex Case Management Flu Outreach Opioids Language Assistance & Notice of Nondiscrimination. providerhelp.IL@mhplan.com. You can get this document in Spanish, or speak with someone about this information in other languages for free. 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. If you wish to stay on this website, please click Cancel. With HealthChoice Illinois, you have a health plan partner to turn to for help. 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. 1-855-580-1689 (TTY 711) The Personal Wellness Assessment is a short form about you and your health journey. 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. 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.
The call is free. 0000047422 00000 n
You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. You will need Adobe Reader to open PDFs on this site. You will need Adobe Reader to open PDFs on this site. 2023
MeridianHealth is now Meridian! 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. 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. On weekends and on state or federal holidays, you may be asked to leave a message. Copays for prescription drugs may vary based on the level of Extra Help you receive. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. [CDATA[ The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. If you wish to stay on this website, please click Cancel. // ]/Prev 539953>>
If you wish to stay on this website, please click Cancel. 0
Please review the various programs below. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. 0000014634 00000 n
It also explains how to find care and how to earn rewards. 1-855-580-1689 (TTY 711) Llame al. Download the Member Handbook (PDF). For more information contact the plan or read the Meridian Member Handbook. When you go to file, youll want to write when and where the incident took place, and what happened. trailer
La llamada es gratis. 0000072727 00000 n
Want a paper copy? Provider Network 6 On weekends and on state or federal holidays, you may be asked to leave a message. 0000046386 00000 n
The benefit information is a brief summary, not a complete description of benefits. It looks like your browser does not have JavaScript enabled. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Looking for your plan home page or interested in becoming a member? 3. HealthChoice Illinois is the smart way most Medicaid members get quality care. JB Pritzker, Governor Theresa Eagleson, Director. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x
Y;EgPCSSphf>op!mOQtkC v^K#x" This way, we can connect you with the right care. Other pharmacies/physicians/providers are available in our network. You will be able to work with one health plan for all of your health insurance needs. If you experience any problems receiving your mail order prescription, call Member Services at. Your call will be returned within the next business day. Each link will open a new window and is either a PDF or a website. 0000041209 00000 n
It will help you get the care you need. An appeal is a way for you to ask for a review of our actions. We can connect you with support, services, and even rewards. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Don't forget to call your local HFS oce and Meridian Member Services with your new address. %%EOF
If you wish to stay on this website, please click Cancel. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation The call is free. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. It will also explain our responsibilities to you, as well as outline the following details: HFS sends paperwork in the mail that you need to renew your Medicaid coverage. // ]]>. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 167 0 obj
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Just call Member Services with your new address. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. Call 1-855-580-1689 (TTY: 711). Download the Member Handbook (PDF). 0000006553 00000 n
Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. Monday-Friday, 8 a.m. to 5 p.m. CST 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. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. 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. Please visit our new website to see up to date information about your plan. 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. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. You can make an appeal if you disagree with our verdict. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. The call is free. The COC lays out all the details so that you can stay on top of your coverage. %PDF-1.7
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Meridian is for people eligible for both Medicaid and Medicare. The benefit information is a brief summary, not a complete description of benefits. You can get this document for free in other formats, such as large print, braille, or audio. Copyright 2023 Meridian All Rights Reserved. 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. 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've got questions and we've got answers. 0
We need to be able to send you important information in the mail. 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.