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Each link will open a new window and is either a PDF or a website. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. We can connect you with support, services, and even rewards. Usually a mail-order pharmacy order will get to you in no more than 5 days. You are now able to view your health information from a third-party app on a mobile device or PC! v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" For Members | Meridian When you go to file, youll want to write when and where the incident took place, and what happened. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. This handbook will help you understand your coverage. Copays for prescription drugs may vary based on the level of Extra Help you receive. 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. We will send you a notice before we make a change that affects you. The COC lays out all the details so that you can stay on top of your coverage. Language Assistance & Notice of Nondiscrimination. Report an address update to HFS online. The call is free. Keep in mind that everything you choose to share is confidential. On weekends and on state or federal holidays, you may be asked to leave a message. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Other pharmacies/physicians/providers are available in our network. 0000025980 00000 n <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. Don't forget to call your local HFS oce and Meridian Member Services with your new address. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . If your pregnancy is at high risk, we may call you. +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 B5[AuJL~2P1W^ j}Y@5( ?d 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. 0000006553 00000 n This is not a complete list. Su llamada ser devuelta dentro del siguiente da hbil. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). The call is free. Check out the Interoperability page to learn more. 0000046576 00000 n This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. The call is free. 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. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. 0000002177 00000 n We want you to be happy with the treatment and services you get from Meridian and our providers. Llame al. Please contact the plan for more details. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. 0000002220 00000 n 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. Monday-Friday, 8 a.m. to 8 p.m. CST https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. 199 0 obj <>stream The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 0000067354 00000 n You will need Adobe Reader to open PDFs on this site. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. 0000046799 00000 n trailer Each link will open a new window and is either a PDF or a website. Other pharmacies/physicians/providers are available in our network. On weekends and on state or federal holidays, La llamada es gratis. // PDF ILLINOIS MEMBER HANDBOOK - Meridian Illinois Managed Care Plans Its full of tips and resources for pregnant members and new parents. 0000010510 00000 n 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)! 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 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. fm.formularynavigator.com,medicare.entrykeyid.com,member.membersecurelogin.com,mmp.ilmeridian.com,findaprovider.mmp.ilmeridian.com,provider.mmp.mimeridian.com, You are now able to view your health information from a third-party app on a mobile device or PC! For more information contact the plan or read the Meridian Member Handbook. 0 Meridian is for people eligible for both Medicaid and Medicare. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. If you wish to stay on this website, please click Cancel. Please review the various programs below. It also explains how to find care and how to earn rewards. You can join our Start Smart for Your Baby program. 0000040678 00000 n View your Provider Manual, important plan information and more. The Personal Wellness Assessment is a short form about you and your health journey. 0000068208 00000 n member.ILmeridian.com. 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. Each link will open a new window and is either a PDF or a website. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. With HealthChoice Illinois, you have a health plan partner to turn to for help. 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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). 0000151745 00000 n Meridian will work with you to make sure you get all of the care you need, when you need it. At the right time and place. This is not a complete list. Documents and Forms - Meridian Medicare Medicaid Plan On weekends and on state or federal holidays, you may be asked to leave a message. We also have an optional automatic mail-order delivery program under which we will automatically fill all new prescriptions your health care provider sends to us, as well as refills for prescriptions that have already been filled but are running out. 2369 0 obj <> endobj La llamada es gratis. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Call 1-855-580-1689 (TTY: 711). 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 <. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 0000000956 00000 n If we fall short, you can file a grievance or appeal. endstream endobj startxref 0000002041 00000 n 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. 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) HFS sends paperwork in the mail that you need to renew your Medicaid coverage. 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. All Rights Reserved. Monday-Friday, 8 a.m. to 8 p.m. CST Member Handbook | Meridian Complete of Illinois 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. Limitations, copays, and restrictions may apply. Find a doctor, explore coverage, review documents and much more. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! You will need Adobe Reader to open PDFs on this site. %%EOF Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Your call will be returned within the next business day. Your call will be returned within the next business day. 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.
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