meridian illinois member handbook
The call is free. 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) Catching a Breath Complex Case Management Flu Outreach Opioids It explains the medical, dental, vision, and pharmacy services that are covered by your plan. La llamada es gratis. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. Su llamada ser devuelta dentro del siguiente da hbil. All Rights Reserved. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . A grievance is a complaint about a provider or about the quality of care or services you received. 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. The benefit information is a brief summary, not a complete description of benefits. 0000000016 00000 n You can get this document in Spanish, or speak with someone about this information in other languages for free. Each link will open a new window and is either a PDF or a website. 0000046966 00000 n 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 Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. If you wish to stay on this website, please click Cancel. 2369 0 obj <> endobj Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. trailer The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. 2390 0 obj <>/Filter/FlateDecode/ID[]/Index[2369 132]/Info 2368 0 R/Length 109/Prev 879097/Root 2370 0 R/Size 2501/Type/XRef/W[1 2 1]>>stream hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ 0000080946 00000 n For other questions about Meridian, please contact Member Services at 1-855-580-1689 (TTY 711), Mondaythrough Friday from 8 a.m. to 8 p.m.On weekends and on state or federal holidays, you may be asked to leave a message. Click the link below to view or save a copy. 0000000956 00000 n Youll tell us about any health conditions, recent hospital visits, medications, and more. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 0000040678 00000 n Llame al. For more information contact the plan or read the Meridian Member Handbook. 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 Health Library is a free resource exclusively for MeridianComplete members and providers. If your pregnancy is at high risk, we may call you. 1-855-580-1689 (TTY 711) You can join our Start Smart for Your Baby program. Its full of tips and resources for pregnant members and new parents. We need to be able to send you important information in the mail. Download the Member Handbook (PDF). 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. 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. This is not a complete list. 0000021917 00000 n All Rights Reserved. This handbook will help you understand your coverage. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 0000002041 00000 n Usually a mail-order pharmacy order will get to you in no more than 5 days. 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. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. Your call will be returned within the next business day. This is not a complete list. 2023 h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. 1-855-580-1689 (TTY 711) For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. If you wish to stay on this website, please click Cancel. La llamada es gratis. Member ID Cards 5. Please review the various programs below. Check out the Interoperability page to learn more. The call is free. xref 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. The call is free. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. It will help you get the care you need. +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 You can get this document for free in other formats, such as large print, braille, or audio. 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! Keep in mind that everything you choose to share is confidential. Provider Network 6 Be sure to read your Meridian Member Handbook and keep it handy. 0000046799 00000 n It also explains how to find care and how to earn rewards. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. When you go to file, youll want to write when and where the incident took place, and what happened. Call Member Services if youd like paper copies of any of these documents. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. We want you to be happy with your healthcare services. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! It will also explain our responsibilities to you, as well as outline the following details: Moving? 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. 0000006553 00000 n 0000041209 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. 199 0 obj <>stream 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. 0000001708 00000 n 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 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 will need Adobe Reader to open PDFs on this site. Other pharmacies/physicians/providers are available in our network. Meridian covers all counties in Illinois. 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 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. It will also explain our responsibilities to you, as well as outline the following details: See if you qualify, and explore the HealthChoice Illinois advantage. 0000046576 00000 n 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. Language Assistance & Notice of Nondiscrimination. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. You will need Adobe Reader to open PDFs on this site. Learn more about how being a Meridian provider benefits you. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. It looks like your browser does not have JavaScript enabled. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. [CDATA[ 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. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. 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 Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. Report an address update to HFS online. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 If you wish to stay on this website, please click Cancel. At the right time and place. It also explains how to find care and how to earn rewards. Your call will be returned within the next business day. This is not a complete list. Call 1-855-580-1689 (TTY: 711). For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. Su llamada ser devuelta dentro del siguiente da hbil. Other pharmacies/physicians/providers are available in our network. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. 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. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan 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. It also explains how to find care and how to earn rewards. With HealthChoice Illinois, you have a health plan partner to turn to for help. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. Other pharmacies/physicians/providers are available in our network. With HealthChoice Illinois, you have a health plan partner to turn to for help. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! The COC lays out all the details so that you can stay on top of your coverage. On weekends and on state or federal holidays, you may be asked to leave a message. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. This is not a complete list. You can make an appeal if you disagree with our verdict. The call is free. Open Enrollment 6. 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.
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