Provider Search

PROVIDER SEARCH

PROVIDER SEARCH

 


 

 Effective January 1, 2021, the online Provider Search tool for MeridianComplete has moved. You can find an up-to-date provider directory at https://findaprovider.ilmeridian.com

Provider and Pharmacy Directory Information


To find a Provider, select your state and plan below.

Beginning January 1, 2021, the Provider Search and any provider network updates for the following plans will be moved: MeridianComplete (Michigan), MeridianComplete (Illinois), and Ambetter from Meridian (formerly MeridianChoice).

If you are looking for MeridianComplete of Michigan providers in 2021, you can find an up-to-date provider directory at https://findaprovider.mimeridian.com
If you are looking for MeridianComplete of Illinois providers in 2021, you can find an up-to-date provider directory at https://findaprovider.ilmeridian.com
If you are looking for Ambetter from Meridian (formerly MeridianChoice) providers in 2021, you can find an up-to-date provider directory at https://guide.ambetterhealth.com/

Meridian Health Plan

Provider Search

Healthy Michigan Plan

Provider Search

Meridian Health Plan

Provider Search

Complete

Provider Search

Complete

Provider Search



FOR PROVIDERS
: Please notify MeridianComplete Provider Services with any updates or changes to the information listed by calling 1-855-580-1689, email providerupdates@mhplan.com, or fax to 313-309-8530.


 

 

MeridianComplete’s (Medicare-Medicaid Plan) Provider and Pharmacy Directory provides a list of the entire network of providers and pharmacies that you have access to as a member of our plan. In most cases, you must use in-network providers and pharmacies while you are a member of our plan. Please review your Member Handbook, or visit the Out-of-Network (OON) Coverage page to review MeridianComplete’s OON provider and pharmacy access rules.

 

You must go to your assigned Primary Care Provider (PCP). They will refer you to other providers you may need to see, such as a specialist. You can change your PCP at any time by calling Member Services at  1-855-580-1689 (TTY 711), Monday - Sunday, 8 a.m. to 8 p.m.

Member Services can help you find a PCP, specialist or other healthcare provider in your area as well as find a provider who speaks your preferred language.

 

You can view or download the most up-to-date version of the directory below. If you would like a Provider and Pharmacy Directory mailed to you, you can call Member Services, or email meridianmedicare@mhplan.com.


Need help? You can call Member Services at

1-855-580-1689 (TTY 711), Monday - Friday from 8 a.m. – 8 p.m.

 if you have any questions. 

MEDICARE DISCLAIMER

MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees.

 

You can get this document in Spanish, or speak with someone about this information in other languages for free. Call

1-855-580-1689 (TTY users should call 711)

,

Monday - Sunday, 8 a.m. to 8 p.m.

  The call is free.

 

Usted puede obtener gratuitamente este documento en español o hablar con alguien sobre esta información en otros idiomas. Llame al

1-855-580-1689

(los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita.

 

Limitations, copays, and restrictions may apply. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year

The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. We will send you a notice before we make a change that affects you.

 

Copays for prescription drugs may vary based on the level of Extra Help you receive. Please contact the plan for more details.

 

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

1-855-580-1689 (TTY users should call 711)

.

Page Last Modified: 4/5/2022 2:50:09 PM