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)! It also explains how to find care and how to earn rewards. 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. For more information contact the plan or read the Meridian Member Handbook. Don't forget to call your local HFS oce and Meridian Member Services with your new address. 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. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. On weekends and on state or federal holidays, you may be asked to leave a message. Su llamada ser devuelta dentro del siguiente da hbil. The benefit information is a brief summary, not a complete description of benefits. 199 0 obj <>stream 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. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Open Enrollment 6. On weekends and on state or federal holidays, 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" Call 1-855-580-1689 (TTY: 711). The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. You will need Adobe Reader to open PDFs on this site. Meridian is for people eligible for both Medicaid and Medicare. Member Handbook | Meridian Health Plan of Illinois HFS sends paperwork in the mail that you need to renew your Medicaid coverage. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. MeridianHealth is now Meridian! At the right time and place. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). 0000001774 00000 n Please review the various programs below. The call is free. 0000072727 00000 n 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . 0000010510 00000 n You can also visit the Illinois Client Enrollment Services website. Catching a Breath Complex Case Management Flu Outreach Opioids // . The benefit information is a brief summary, not a complete description of benefits. 2369 0 obj <> endobj A grievance is a complaint about a provider or about the quality of care or services you received. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. Meridian It will also explain our responsibilities to you, as well as outline the following details: For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. 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 window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); 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 outlines services and benefits that areand are notcovered. Moving? Call Member Services if youd like paper copies of any of these documents. Each link will open a new window and is either a PDF or a website. 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. The benefit information is a brief summary, not a complete description of benefits. 2023 Call 1-855-580-1689 (TTY: 711). A certificate of coverage (COC) tells you what to expect from your healthcare plan. 3. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation For a more comprehensive description of the plan benefits, please refer to your Member Handbook. 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. It will help you get the care you need. You can get this document for free in other formats, such as large print, braille, or audio. 0000002041 00000 n HealthChoice Illinois is the smart way most Medicaid members get quality care. For certain kinds of drugs, you can use the plans network mail-order services. If you wish to stay on this website, please click Cancel. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. You will need Adobe Reader to open PDFs on this site. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Your call will be returned within the next business day. You will need Adobe Reader to open PDFs on this site. 1-855-580-1689 (TTY 711) Material ID:H6080_WEBSITE_2023_Accepted_09282022. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. This handbook will help you understand your coverage. We want you to be happy with the treatment and services you get from Meridian and our providers. The Personal Wellness Assessment is a short form about you and your health journey. PDF Welcome to MeridianHealth Intro to Plan You will need Adobe Reader to open PDFs on this site. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. PDF <DATE> Program called HealthChoice Illinois . We have been working hard For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. 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. 866-606-3700 . 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. 0000046966 00000 n The Health Library is a free resource exclusively for MeridianComplete members and providers. Su llamada ser devuelta dentro del siguiente da hbil. Documents and Forms - Meridian Medicare Medicaid Plan 0000001708 00000 n The call is free. Member Handbooks and Forms Please contact the plan for more details. Download the Member Handbook (PDF). Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. We can connect you with support, services, and even rewards. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to 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. 0000041585 00000 n Llame al. If you wish to stay on this website, please click Cancel. 0000014634 00000 n If we fall short, you can file a grievance or appeal. Your call will be returned within the next business day. If your address changes, let us know. 2023 Su llamada ser devuelta dentro del siguiente da hbil. 0000002131 00000 n See if you qualify, and explore the HealthChoice Illinois advantage. 0 1-855-580-1689 (TTY 711) An appeal is a way for you to ask for a review of our actions. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. If you wish to stay on this website, please click Cancel. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). %%EOF 0000000016 00000 n On weekends and on state or federal holidays, you may be asked to leave a message. If your pregnancy is at high risk, we may call you. 0000040481 00000 n You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Download the Member Handbook(PDF). You will need Adobe Reader to open PDFs on this site. Be sure to read your Meridian Member Handbook and keep it handy. 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 List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. 167 33 Copyright 2023 Meridian All Rights Reserved. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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. 0000041668 00000 n Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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. 0000068680 00000 n Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Report an address update to HFS online. Keep in mind that everything you choose to share is confidential. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. With HealthChoice Illinois, you have a health plan partner to turn to for help. Youll tell us about any health conditions, recent hospital visits, medications, and more. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. 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.
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