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For more information contact the plan or read the Meridian Member Handbook. The right care for you. 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. It will also explain our responsibilities to you, as well as outline the following details: You will need Adobe Reader to open PDFs on this site. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. 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. 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. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 0000041209 00000 n 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. 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. For Members | Meridian 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. // Member Handbook | Meridian Health Plan of Illinois You can join our Start Smart for Your Baby program. For more information contact the plan or read the MeridianComplete Member Handbook. The benefit information is a brief summary, not a complete description of benefits. The call is free. You can get this document for free in other formats, such as large print, braille, or audio. Please turn on JavaScript and try again. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ PDF ILLINOIS MEMBER HANDBOOK - Meridian Illinois Managed Care Plans Copays for prescription drugs may vary based on the level of Extra Help you receive. startxref 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) We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! We need to be able to send you important information in the mail. [CDATA[ PDF here's your member handbook. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Just call Member Services with your new address. Your call will be returned within the next business day. 1-855-580-1689 (TTY 711) ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. This way, we can connect you with the right care. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Want a paper copy? 0000046966 00000 n The benefit information is a brief summary, not a complete description of benefits. 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. 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. 0 For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. You will need Adobe Reader to open PDFs on this site. 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. Download the Member Handbook (PDF). 0000002177 00000 n If your address changes, let us know. Providers - MeridianComplete Meridian will work with you to make sure you get all of the care you need, when you need it. All Rights Reserved. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation 2023 Monday-Friday, 8 a.m. to 8 p.m. CST Other pharmacies/physicians/providers are available in our network. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Meridian Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all %%EOF The Personal Wellness Assessment is a short form about you and your health journey. If you wish to stay on this website, please click Cancel. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. Open Enrollment 6. 0000047422 00000 n You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. Usually a mail-order pharmacy order will get to you in no more than 5 days. You can get this document for free in other formats, such as large print, braille, or audio. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. 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 IL Prior Authorization Fax Submission Forms - Inpatient (PDF), 2022 IL Prior Authorization Fax Submission Forms - Outpatient (PDF), 2020 MeridianComplete Authorization Lookup (PDF), Behavioral Health Discharge Transition of Care Form (PDF), HealthHelp and eviCore Provider Notification (PDF), Primary Care Provider Reassignment Form (PDF), Annual Care for Older Adults (COA) Form (PDF), Breast Cancer Screening Exclusion Form (PDF), Colorectal Cancer Screening Exclusion Form (PDF), Timely Submission of Encounter Data by Medicare-Medicaid Plans (MMPs) to CMS (PDF), Prohibition Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program (PDF), Part D Coverage Determination Request Form (PDF), Part D Redetermination Request Form (PDF), Hospice Information for Medicare Part D plans (PDF), 2021 IL Prior Authorization Fax Submission Forms - Inpatient (PDF), 2021 IL Prior Authorization Fax Submission Forms - Outpatient (PDF), Partnership for Quality (P4Q Program) (PDF), Language Assistance & Notice of Nondiscrimination. Documents and Forms - Meridian Medicare Medicaid Plan 0000025639 00000 n 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . 0000046386 00000 n 167 0 obj <> endobj Each link will open a new window and is either a PDF or a website. Find a doctor, explore coverage, review documents and much more. 0000001708 00000 n The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Material ID:H6080_WEBSITE_2023_Accepted_09282022. 0000021917 00000 n 0000046799 00000 n Want a paper copy? 0000002131 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. Its full of tips and resources for pregnant members and new parents. Monday-Friday, 8 a.m. to 5 p.m. CST Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. You are now able to view your health information from a third-party app on a mobile device or PC!