Learn more about how being a Meridian provider benefits you. La llamada es gratis. All Rights Reserved. This handbook will help you understand your coverage. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); 0000068208 00000 n
You can also visit the Illinois Client Enrollment Services website. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The benefit information is a brief summary, not a complete description of benefits. 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. 0000080946 00000 n
For more information contact the plan or read the Meridian Member Handbook. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. Your call will be returned within the next business day. 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. You will be able to work with one health plan for all of your health insurance needs. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. We can connect you with support, services, and even rewards. Want a paper copy? startxref
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Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . Open Enrollment 6. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 167 0 obj
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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. 1-855-580-1689 (TTY 711) With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. For more information contact the plan or read the MeridianComplete Member Handbook. 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. Your call will be returned within the next business day. We need to be able to send you important information in the mail. 0000025980 00000 n
Keep in mind that everything you choose to share is confidential. 0000000016 00000 n
For a more comprehensive description of the plan benefits, please refer to your Member Handbook. 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. 199 0 obj
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Download the Member Handbook(PDF). Your call will be returned within the next business day. Catching a Breath Complex Case Management Flu Outreach Opioids For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. +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
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Download the Member Handbook (PDF). 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. Report an address update to HFS online. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Each link will open a new window and is either a PDF or a website. La llamada es gratis. 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. Each link will open a new window and is either a PDF or a website. An appeal is a way for you to ask for a review of our actions. 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. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. 0000002041 00000 n
The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The call is free. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Making healthcare decisions can be tough--who to see for care, what to ask, when to go. For certain kinds of drugs, you can use the plans network mail-order services. View our Frequently Asked Questions page. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. The Health Library is a free resource exclusively for MeridianComplete members and providers. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The Personal Wellness Assessment is a short form about you and your health journey. Each link will open a new window and is either a PDF or a website. Material ID:H6080_WEBSITE_2023_Accepted_09282022. 0000040678 00000 n
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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. Don't forget to call your local HFS oce and Meridian Member Services with your new address. This is not a complete list. Call 1-855-580-1689 (TTY: 711). xref
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. 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. Monday-Friday, 8 a.m. to 8 p.m. CST On weekends and on state or federal holidays, This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Limitations, copays, and restrictions may apply. The call is free. // /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
ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 0000046799 00000 n
Download the free version of Adobe Reader. 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. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. Monday-Friday, 8 a.m. to 5 p.m. CST Material ID:H6080_WEBSITE_2023_Accepted_09282022. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x
Y;EgPCSSphf>op!mOQtkC v^K#x" Other pharmacies/physicians/providers are available in our network. 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. Visit your Member Portal or call Member Services. With HealthChoice Illinois, you have a health plan partner to turn to for help. 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.