On weekends and on state or federal holidays, you may be asked to leave a message. 2369 0 obj
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Youll tell us about any health conditions, recent hospital visits, medications, and more. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. This is not a complete list. It will help you get the care you need. Other pharmacies/physicians/providers are available in our network. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Call Member Services if youd like paper copies of any of these documents.
PDF 2021 Member Handbook - Meridian Medicare Medicaid Plan Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. 1-855-580-1689 (TTY 711) Other pharmacies/physicians/providers are available in our network. Want a paper copy? We want you to be happy with your healthcare services.
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The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. On weekends and on state or federal holidays, 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Your call will be returned within the next business day. View your Provider Manual, important plan information and more. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. 0000010510 00000 n
Su llamada ser devuelta dentro del siguiente da hbil. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 866-606-3700 . 0000002074 00000 n
See if you qualify, and explore the HealthChoice Illinois advantage. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+
We can connect you with support, services, and even rewards. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Meridian Member Services . A certificate of coverage (COC) tells you what to expect from your healthcare plan.
Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Meridian
This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 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! %%EOF
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. 0000046799 00000 n
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.
PDF <DATE> Program called HealthChoice Illinois . We have been working hard Download the Member Handbook (PDF). Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you.
Provider Manual | Meridian Health Plan of Illinois providerhelp.IL@mhplan.com. Monday-Friday, 8 a.m. to 8 p.m. CST The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Call 1-855-580-1689 (TTY: 711). 2500 0 obj
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Report an address update to HFS online. 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. The Health Library is a free resource exclusively for MeridianComplete members and providers. You will need Adobe Reader to open PDFs on this site. All Rights Reserved. 1-855-580-1689 (TTY 711) Your call will be returned within the next business day. 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. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Other pharmacies/physicians/providers are available in our network. 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)!
Providers - MeridianComplete Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 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. Call 1-855-580-1689 (TTY: 711). Making healthcare decisions can be tough--who to see for care, what to ask, when to go. endstream
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If your pregnancy is at high risk, we may call you. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. This handbook will help you understand your coverage. Want a paper copy? On weekends and on state or federal holidays, you may be asked to leave a message. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. 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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The call is free. When you go to file, youll want to write when and where the incident took place, and what happened. With HealthChoice Illinois, you have a health plan partner to turn to for help.
Catching a Breath Complex Case Management Flu Outreach Opioids 3. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area .
PDF ILLINOIS MEMBER HANDBOOK - Meridian Illinois Managed Care Plans Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will .
PDF Welcome to MeridianHealth Intro to Plan Click the link below to view or save a copy. We will send you a notice before we make a change that affects you. 2390 0 obj
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Provider Network 6 0000046386 00000 n
Your call will be returned within the next business day. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). For a more comprehensive description of the plan benefits, please refer to your Member Handbook. Each link will open a new window and is either a PDF or a website. 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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. Your call will be returned within the next business day. Learn more about how being a Meridian provider benefits you. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. You will need Adobe Reader to open PDFs on this site. Meridian will work with you to make sure you get all of the care you need, when you need it. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Understanding the ins and outs of your health plan can be difficult. 0000002131 00000 n
Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. On weekends and on state or federal holidays, you may be asked to leave a message. You can get this document in Spanish, or speak with someone about this information in other languages for free. The call is free. The benefit information is a brief summary, not a complete description of benefits. This way, we can connect you with the right care. The call is free. 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 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. HealthChoice Illinois is the smart way most Medicaid members get quality care.
HealthChoice Illinois | HFS 2023
You can get this document for free in other formats, such as large print, braille, or audio. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. For more information contact the plan or read the MeridianComplete Member Handbook. You will be able to work with one health plan for all of your health insurance needs. Download the Member Handbook(PDF). Please turn on JavaScript and try again. We need to be able to send you important information in the mail. The Personal Wellness Assessment is a short form about you and your health journey. Want a paper copy? 0000041209 00000 n
It will also explain our responsibilities to you, as well as outline the following details: 0000017969 00000 n
Find a doctor, explore coverage, review documents and much more. For example, we may not approve your providers request for a certain drug. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 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) Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. 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. Llame al.
Member Handbook | Meridian Complete of Illinois Your call will be returned within the next business day. La llamada es gratis. Limitations, copays, and restrictions may apply. 0000001708 00000 n
HFS sends paperwork in the mail that you need to renew your Medicaid coverage. 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. 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. We want you to be happy with the treatment and services you get from Meridian and our providers. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. If you wish to stay on this website, please click Cancel. Meridian
ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. It looks like your browser does not have JavaScript enabled. You are now able to view your health information from a third-party app on a mobile device or PC! The right care for you. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. 0000080946 00000 n
Other pharmacies/physicians/providers are available in our network. Looking for your plan home page or interested in becoming a member? 167 33
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. View our Frequently Asked Questions page. Download the free version of Adobe Reader. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Su llamada ser devuelta dentro del siguiente da hbil. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>>
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