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)! Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. The call is free. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 0000001774 00000 n You can get this document in Spanish, or speak with someone about this information in other languages for free. The benefit information is a brief summary, not a complete description of benefits. trailer Open Enrollment 6. 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. Meridian is for people eligible for both Medicaid and Medicare. 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. Call Member Services if youd like paper copies of any of these documents. Material ID:H6080_WEBSITE_2023_Accepted_09282022. HealthChoice Illinois | HFS Meridian Medicare Medicaid Plan You can join our Start Smart for Your Baby program. All Rights Reserved. Llame al. 0000046386 00000 n Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. 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 Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 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. Download the Member Handbook (PDF). 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. Su llamada ser devuelta dentro del siguiente da hbil. Meridian Member Services . You will be able to work with one health plan for all of your health insurance needs. See if you qualify, and explore the HealthChoice Illinois advantage. It also explains how to find care and how to earn rewards. 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. 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. 2023 You are now able to view your health information from a third-party app on a mobile device or PC! Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 0000002177 00000 n Understanding the ins and outs of your health plan can be difficult. Download the Member Handbook(PDF). 0000046576 00000 n We want you to be happy with the treatment and services you get from Meridian and our providers. The right care for you. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. View your Provider Manual, important plan information and more. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. This is not a complete list. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Each link will open a new window and is either a PDF or a website. Learn more about how being a Meridian provider benefits you. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. xref Your call will be returned within the next business day. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. The handbook will explain your rights, benefits, and responsibilities as a member of 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. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. The benefit information is a brief summary, not a complete description of benefits. 0000080946 00000 n Please turn on JavaScript and try again. Want a paper copy? Monday-Friday, 8 a.m. to 5 p.m. CST You will need Adobe Reader to open PDFs on this site. Your call will be returned within the next business day. Youll tell us about any health conditions, recent hospital visits, medications, and more. Member Handbooks and Forms window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); Each link will open a new window and is either a PDF or a website. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. When you go to file, youll want to write when and where the incident took place, and what happened. 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), Monday through 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. 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 Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 167 0 obj <> endobj The call is free. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. If you wish to stay on this website, please click Cancel. 167 33 On weekends and on state or federal holidays, you may be asked to leave a message. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. Member Handbook | Meridian Complete of Illinois Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). You can get this document for free in other formats, such as large print, braille, or audio. Call 1-855-580-1689 (TTY: 711). Please visit our new website to see up to date information about your plan. 0000046799 00000 n Be sure to read your Meridian Member Handbook and keep it handy. 0000046966 00000 n Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. If your address changes, let us know. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! Monday-Friday, 8 a.m. to 8 p.m. CST Please review the various programs below. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. 0 Material ID:H6080_WEBSITE_2023_Accepted_09282022. 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. 199 0 obj <>stream Su llamada ser devuelta dentro del siguiente da hbil. 1-855-580-1689 (TTY 711) The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. Click the link below to view or save a copy. La llamada es gratis. Su llamada ser devuelta dentro del siguiente da hbil. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. Your handbook is full of important information about your health care and Meridian. %%EOF Meridian A grievance is a complaint about a provider or about the quality of care or services you received. La llamada es gratis. 0000001708 00000 n With HealthChoice Illinois, you have a health plan partner to turn to for help. 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. 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 <. Other pharmacies/physicians/providers are available in our network. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" Check out the Interoperability page to learn more. Copyright 2023 Meridian All Rights Reserved. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. View our Frequently Asked Questions page. 0000002074 00000 n Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. Provider Manual | Meridian Health Plan of Illinois 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. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). It explains the medical, dental, vision, and pharmacy services that are covered by your plan. For example, we may not approve your providers request for a certain drug. 0000047422 00000 n You will need Adobe Reader to open PDFs on this site. The Health Library is a free resource exclusively for MeridianComplete members and providers. 0000040678 00000 n member.ILmeridian.com. Each link will open a new window and is either a PDF or a website. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 0000072727 00000 n Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Meridian will work with you to make sure you get all of the care you need, when you need it. 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.
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