Member Handbook

MEMBER HANDBOOK

MEMBER HANDBOOK


The Member Handbook, along with your enrollment form, serves as MeridianComplete’s contract with you. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. It will also explain our responsibilities to you, as well as outline the following details:

  • 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
  • What you pay
  • Your rights and responsibilities as a member of our plan

The Annual Notice of Changes (ANOC) is a brief summary of benefits and benefit changes that occurred from one year to the next. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page.

 2018 Annual Notice of Changes and Member Handbook

Aviso anual de cambios y Manual del miembro para 2018

 

2017 Annual Notice of Changes and Member Handbook

Aviso anual de cambios y Manual del miembro para 2017

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: 11/20/2017 2:43:27 PM