meridian illinois member handbook

0000067354 00000 n 167 0 obj <> endobj 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. Don't forget to call your local HFS oce and Meridian Member Services with your new address. The Personal Wellness Assessment is a short form about you and your health journey. 0000151745 00000 n Its full of tips and resources for pregnant members and new parents. 1-855-580-1689 (TTY 711) Call 1-855-580-1689 (TTY: 711). v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" 0000001708 00000 n 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) providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. 0000041668 00000 n Moving? The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 0000072727 00000 n Your call will be returned within the next business day. This handbook will help you understand your coverage. See if you qualify, and explore the HealthChoice Illinois advantage. 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. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. 1-855-580-1689 (TTY 711) 0000000016 00000 n Call Member Services if youd like paper copies of any of these documents. We want you to be happy with the treatment and services you get from Meridian and our providers. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. The benefit information is a brief summary, not a complete description of benefits. The benefit information is a brief summary, not a complete description of benefits. An appeal is a way for you to ask for a review of our actions. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. 0000080946 00000 n 0000046966 00000 n You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. You are now able to view your health information from a third-party app on a mobile device or PC! You will need Adobe Reader to open PDFs on this site. 0000040481 00000 n MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. On weekends and on state or federal holidays, For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. All Rights Reserved. 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. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. All Rights Reserved. 0000001774 00000 n With HealthChoice Illinois, you have a health plan partner to turn to for help. 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. Each link will open a new window and is either a PDF or a website. 0000025980 00000 n Your call will be returned within the next business day. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Learn more about how being a Meridian provider benefits you. If we fall short, you can file a grievance or appeal. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . 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. If your pregnancy is at high risk, we may call you. Other pharmacies/physicians/providers are available in our network. Click the link below to view or save a copy. Usually a mail-order pharmacy order will get to you in no more than 5 days. 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). Meridian 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 <. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. It will also explain our responsibilities to you, as well as outline the following details: 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Please turn on JavaScript and try again. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. 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, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. You can get this document in Spanish, or speak with someone about this information in other languages for free. It also explains how to find care and how to earn rewards. 0000002074 00000 n If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. 0000021917 00000 n Su llamada ser devuelta dentro del siguiente da hbil. Each link will open a new window and is either a PDF or a website. Monday-Friday, 8 a.m. to 5 p.m. CST If you wish to stay on this website, please click Cancel. You've got questions and we've got answers. You can get this document for free in other formats, such as large print, braille, or audio. startxref When you go to file, youll want to write when and where the incident took place, and what happened. 0000068208 00000 n View your Provider Manual, important plan information and more. Please visit our new website to see up to date information about your plan. Meridian is for people eligible for both Medicaid and Medicare. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. HealthChoice Illinois is the smart way most Medicaid members get quality care. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 0000006553 00000 n More information is in your Member Handbook(PDF). Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Call 1-855-580-1689 (TTY: 711). 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. 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 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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. View our Frequently Asked Questions page. Youll tell us about any health conditions, recent hospital visits, medications, 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)! 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. Open Enrollment 6. La llamada es gratis. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. It will help you get the care you need. 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. Material ID:H6080_WEBSITE_2023_Accepted_09282022. This way, we can connect you with the right care. You can also visit the Illinois Client Enrollment Services website. 2023 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. Keep in mind that everything you choose to share is confidential. 0000068680 00000 n ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. If you wish to stay on this website, please click Cancel. We will send you a notice before we make a change that affects you. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 2500 0 obj <>stream For example, we may not approve your providers request for a certain drug. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. The call is free. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 0000046799 00000 n 0000002220 00000 n Download the Member Handbook(PDF). We need to be able to send you important information in the mail. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. // ]]>. %PDF-1.4 % Other pharmacies/physicians/providers are available in our network. The COC lays out all the details so that you can stay on top of your coverage. We can connect you with support, services, and even rewards. For more information contact the plan or read the MeridianComplete 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. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! Report an address update to HFS online. 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 weekends and on state or federal holidays, you may be asked to leave a message.

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