Contact

Call us at 1-877-902-6784 with any questions. You can also use our Live Chat for fast and friendly service (on the left side of the page).

Our office is located at:

1 Campus Martius – Suite 700

Detroit, Michigan 48226

Health Library

The Health Library is a free resource exclusively for Meridian members where you can get tips to help you manage your health.


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FAQS


 

You’ve got questions, we’ve got answers. If there’s a question you can’t find the answer to on our website, call

Member

Services at

877-902-6784
General

What kind of health plan is

Meridian Easy

?


Meridian Easy (HMO) is a Medicare Advantage Prescription Drug plan. Meridian Easy is available to anyone who has Medicare Parts A, B and D and resides in the Meridian Easy service area. For more information, please contact Meridian Easy Member Services at 877-902-6784 (TTY 711), Monday - Sunday from 8 a.m. - 8 p.m.

What is the phone number and hours of operation for

Meridian Easy

?


Call our

Member

Services Department with any questions or concerns, or to file a grievance (complaint), at

877-902-6784

 

You should call your Primary Care Provider (PCP) with any medical concerns that you have.


Am I eligible to enroll in

Meridian Easy

?


Meridian Easy is a Medicare Advantage Prescription Drug Plan. You can join Meridian Easy if you:
  • Live in the Meridian Easy service area, and;
  • Are entitled to Medicare Part A (hospital insurance) and enrolled in Medicare Part B (medical insurance) and continue to pay your Medicare Part B premium (and Medicare Part A if applicable).

Note: Individuals with ESRD (End-Stage Renal Disease) are not eligible to enroll unless currently a member of the health plan or other MA plan within the same organization, began dialysis while a member of the plan, or previous Medicare Advantage plan was terminated. If you have received a kidney transplant and no longer require a regular course of dialysis to maintain life, you are not medically determined to have ESRD.


How do I enroll?


There are various ways for eligible individuals to enroll in

Meridian Easy

To ensure this plan is right for you, we encourage you to read the Summary of Benefits (Resumen de Beneficios) prior to completing your enrollment request. You can enroll with

Meridian Easy

using the following options:

 

Online

Online enrollment is now available for our 2017 Medicare plans! Use our MeridianCare Online Enrollment App to enroll in a plan that fits your lifestyle.

 

If you choose not to enroll online, please explore our other 2017 enrollment options below.

 

By Mail or Fax

To enroll by mail or fax, please print and complete the Enrollment Form that is provided in the link below (please use the Enrollment Form Instructions for help with completing this form).

Member Enrollment Form Instructions

2017 Member Enrollment Form

Multi-Language Insert

Once you have completed the enrollment form, you can send it to

Meridian Easy

by:

 

 

Mail: 

MeridianCare

Medicare Enrollment Department

1 Campus Martius, Suite 700

Detroit, MI 48226

 

Fax:

313-465-1891

If you need help completing your application, have questions about the enrollment process, or would like a free enrollment kit mailed to you, please call our Member Services Department at

877-902-6784

 

Over the Phone
To enroll by phone, please contact us at

855-647-0075

 

 

Medicare beneficiaries may also enroll in

Meridian Easy

through the CMS Medicare Online Enrollment Center located at www.medicare.gov.

 

 

Paper copies of information on our website are available upon request.

 

Adobe Acrobat Reader is required to view the file(s) above. Download a free version.


How do I replace my Member ID card?


You can call our Member Services Department at

877-902-6784

Do you offer interpreter services for non-English speakers?


Yes, we offer interpreter services for over 140 different languages. For more information, call Member Services at

877-902-6784

 

Multi-Language Insert


What is a PCP?


A Primary Care Provider (PCP) is a person who practices medicine. A provider can be a doctor, a nurse practitioner, a physician assistant, or other health care professional.


How do I find a PCP in my area?


Use our Find a Doctor tool to locate a provider near you. You can also call our Member Services Department at

877-902-6784

How do I change my PCP?


Call Member Services at

877-902-6784

Do I need a referral or authorization to have services performed?


Some healthcare services require a "prior-authorization" before they are performed. Before you visit the doctor, these services need to be approved by

Meridian Easy

. Your PCP or specialist can inform you if you need a prior-authorization and will take care of submitting the necessary information to coordinate these services.


What if I need emergency care?


You do not need to contact

Meridian Easy

for approval before receiving emergency services. If your situation is urgent but not life threatening, you should call your Primary Care Provider's (PCP's) office or Meridian Complete at

877-902-6784

for help with finding an urgent care center.


What if I travel out of town and need health care services?


When you travel out of

Meridian Easy

's service area, you may go to an emergency room (ER) or go to an urgent care clinic. Make sure you tell the provider you are a

Meridian Easy

member and show them your

Meridian Easy

Member ID card.

Meridian Easy

will pay for your out-of-area emergency care, but routine care is not covered out of

Meridian Easy

's service area (even if it is provided in an ER).


Does Meridian cover dental services?


Meridian does cover some dental services.

 

For more information about dental coverage, please review your Evidence of Coverage.

 


Where can I find more details about my plan benefits?


The Evidence of Coverage (along with your enrollment form) is our contract with you. These documents contain important information that you will need to know, your rights along with our responsibilities to you.


What is this plan’s rating for overall quality and service? 


The Centers for Medicare & Medicaid Services (CMS) created the Medicare Star Quality Rating System to help consumers, their families, and caregivers compare Medicare health and prescription drug plans on overall quality and service and determine the highest quality plans in their area. You can find more information about the Medicare Star Quality Rating System and view MeridianCare’s latest Star Ratings by visiting our Health Plan Rating page.


PHARMACY

I need to fill a prescription. What should I take to the pharmacy?


Take your

Meridian Easy

Member ID Card to the pharmacy. You should also take personal identification, like a driver's license or state issued identification card, with your picture on it.

 

 

 

 

 


What is a Drug Formulary?


A formulary is a list of covered drugs selected by

Meridian Easy

in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program.

Meridian Easy

will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a

Meridian Easy

network pharmacy, and other plan rules are followed. For more information on how to fill your prescriptions, please review your Evidence of Coverage.


What is a Pharmacy Benefit Manager (PBM)?


A PBM is a business that works with insurance companies to fill member prescriptions. MeridianRx is the PBM for

MeridianRx also takes care of drug prior authorization (PA) requests.


What is Prior Authorization (PA)?


There may be times when your doctor prescribes a drug for you that is not approved in your plan. Your doctor can fill out a PA request form, giving facts about your medical history and why you need the drug. Note: We must approve the drug before you can fill the prescription.


What happens if the Prior Authorization (PA) is not approved?


Meridian and the MeridianRx Formulary Team may deny a drug request for medical reasons. If your doctor's PA request is not approved, you and your doctor will get a letter explaining why. The letter will also explain the appeal process if you and your doctor disagree with the denial.


What is a quantity limit (QL)?


For some drugs, there are limits to how much you can take safely. This limit is based on research from the drug maker and the FDA. The QL is the amount of drug that can be filled safely each month. If your doctor feels that you need more of a medication, he/she must fill out a PA request.


What is Step Therapy?


Sometimes more than one medication can be used to treat your condition. Step therapy means that one medication must be tried first before another medication can be tried. Your healthcare provider or pharmacist can explain which medication must be tried first.


I have a question about my drug. What is the MeridianRx phone number?


You can call MeridianRx toll-free at

877-440-0175.


PAY PLAN PREMIUM INFORMATION

How do I pay my plan premium?


You can pay online, through benefit check deductions, and by mail or phone. Please visit the How to Pay Plan Premium page for more information.


Can I pay for more than one month at a time?


Yes, you are able to pay whatever amount you would like. Any overpayments will be applied to future premium charges, or refunded when you are no longer enrolled on the plan.  


Can I set up automatic deduction or reoccurring payments?


Not at this time. Our payment options only allow for one time payments.


Where can I find my account information?


Your account number is located in the top right corner of your billing invoice.


What happens if I make a late payment?


There are no additional fees for a late payment. However, you may be disenrolled from our plan after a 90 day delinquency period. If this is the case, you will receive notice in the mail with a prospective disenrollment date. All balances must be paid in full before this prospective disenrollment date to remain enrolled on the plan.


MEDICARE DISCLAIMER

MeridianCare HMO is a Medicare Advantage organization with a Medicare contract. MeridianCare HMO SNP is a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid program. Enrollment in MeridianCare (HMO/HMO SNP) depends on contract renewal.

 

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium.

 

Meridian Easy members who are full-dual enrollees (enrolled with both Medicare and Medicaid) may have their Part B premiums paid for by a Medicare Savings Program offered through Medicaid.

 

Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.

 

The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

 

ATTENTION:  If you speak English, language assistance services, free of charge, are available to you.  Call  1-877-902-6784  (TTY: 711).

MeridianCare (HMO/HMO SNP) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. 

 

ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al  1-877-902-6784 (TTY: 711).

MeridianCare (HMO/HMO SNP) cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. 

 

ملحوظة:  إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.  اتصل برقم 1-877-902-6784 (رقم هاتف الصم والبكم: 711).

يلتزم MeridianCare (HMO/HMO SNP)  بقوانين الحقوق المدنية الفدرالية المعمول بها ولا يميز على أساس العرق أو اللون أو الأصل الوطني أو السن أو الإعاقة أو الجنس. 

 

注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電1-877-902-6784(TTY:711)。

MeridianCare (HMO/HMO SNP) 遵守適用的聯邦民權法律規定,不因種族、膚色、民族血統、年齡、殘障或性別而歧視任何人。 

 

UWAGA:  Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej.  Zadzwoń pod numer 1-877-902-6784 (TTY: 711).

MeridianCare (HMO) postępuje zgodnie z obowiązującymi federalnymi prawami obywatelskimi i nie dopuszcza się dyskryminacji ze względu na rasę, kolor skóry, pochodzenie, wiek, niepełnosprawność bądź płeć.  

 

This plan is available to anyone who has both Medicare and receives full Medicaid assistance from the State and who is qualified Medicare beneficiary.

 

Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.

 

Medicare beneficiaries may also enroll in MeridianCare through the CMS Medicare Online Enrollment Center located at  http://www.medicare.gov.

 

For certain kinds of drugs, you can use the plan’s network mail-order services. 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. Usually a mail-order pharmacy order will get to you in no more than 5 days. If you experience any problems receiving your mail order prescription, call Member Services at 877-902-6784 (TTY users should call 711). 

Page Last Modified: 12/19/2016 8:20:49 AM