meridian illinois member handbook

Call 1-855-580-1689 (TTY: 711). You will need Adobe Reader to open PDFs on this site. This is not a complete list. On weekends and on state or federal holidays, you may be asked to leave a message. 1-855-580-1689 (TTY 711) 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. For certain kinds of drugs, you can use the plans network mail-order services. trailer // stream 0000021917 00000 n More information is in your Member Handbook(PDF). The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Monday-Friday, 8 a.m. to 5 p.m. CST With HealthChoice Illinois, you have a health plan partner to turn to for help. Provider Network 6 All Rights Reserved. 2023 0000014634 00000 n 0000002041 00000 n La llamada es gratis. 0000072727 00000 n 0000046386 00000 n 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. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 0000006553 00000 n 1-855-580-1689 (TTY 711) There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! Meridian With HealthChoice Illinois, you have a health plan partner to turn to for help. Don't forget to call your local HFS oce and Meridian Member Services with your new address. Su llamada ser devuelta dentro del siguiente da hbil. An appeal is a way for you to ask for a review of our actions. All Rights Reserved. Just call Member Services with your new address. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. Material ID:H6080_WEBSITE_2023_Accepted_09282022. 0000000016 00000 n 0000001708 00000 n 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. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. 0000047422 00000 n Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 2023 We can connect you with support, services, and even rewards. When you go to file, youll want to write when and where the incident took place, and what happened. 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 can join our Start Smart for Your Baby program. 0000046799 00000 n If you wish to stay on this website, please click Cancel. 167 33 If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). 0000080946 00000 n Your call will be returned within the next business day. 167 0 obj <> endobj The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. For more information contact the plan or read the Meridian Member Handbook. If your pregnancy is at high risk, we may call you. Youll tell us about any health conditions, recent hospital visits, medications, and more. The COC lays out all the details so that you can stay on top of your coverage. providerhelp.IL@mhplan.com. Please contact the plan for more details. Visit your Member Portal or call Member Services. On weekends and on state or federal holidays, you may be asked to leave a message. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. %PDF-1.4 % Your call will be returned within the next business day. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 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. The benefit information is a brief summary, not a complete description of benefits. This handbook will help you understand your coverage. 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 can get this document for free in other formats, such as large print, braille, or audio. 0000025639 00000 n Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. We need to be able to send you important information in the mail. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. 0000046576 00000 n Understanding the ins and outs of your health plan can be difficult. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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 address changes, let us know. 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. This is not a complete list. It will also explain our responsibilities to you, as well as outline the following details: A certificate of coverage (COC) tells you what to expect from your healthcare plan. member.ILmeridian.com. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Usually a mail-order pharmacy order will get to you in no more than 5 days. Call 1-855-580-1689 (TTY: 711). 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: The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 0000002131 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. Material ID:H6080_WEBSITE_2023_Accepted_09282022. 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. 0000067354 00000 n 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation Download the free version of Adobe Reader. 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. Su llamada ser devuelta dentro del siguiente da hbil. 0000002074 00000 n 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. The call is free. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. You can also visit the Illinois Client Enrollment Services website. The call is free. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. We will send you a notice before we make a change that affects you. Download the Member Handbook(PDF). Your call will be returned within the next business day. Check out the, Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Illinois Client Enrollment Services website, Language Assistance & Notice of Nondiscrimination. This is not a complete list. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. 0000025980 00000 n Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. If you experience any problems receiving your mail order prescription, call Member Services at. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Learn more about how being a Meridian provider benefits you. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" Call 1-855-580-1689 (TTY: 711). 0000040481 00000 n The call is free. 3. 2369 0 obj <> endobj hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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. 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. Keep in mind that everything you choose to share is confidential. View your Provider Manual, important plan information and more. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica.

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