Am I Eligible to Enroll in MeridianComplete?

AM I ELIGIBLE TO ENROLL IN MERIDIANCOMPLETE?

AM I ELIGIBLE TO ENROLL IN MERIDIANCOMPLETE?


MeridianComplete is a Medicare-Medicaid Plan (MMP). MeridianComplete lets you use one plan and one card for health care, behavioral health care, home and community-based services, nursing home care and medications.

 

You are eligible for MeridianComplete if:

 

  • you live in our service area, and
  • you have both Medicare Part A and Medicare Part B, and
  • you are eligible for Medicaid, and
  • you are age 21 and older at the time of enrollment, and
  • you are enrolled in the Medicaid Aid to the Aged, Blind and Disabled category of assistance, and
  • if you meet all other Demonstration criteria and are in one of the following Medicaid 1915(c) waivers:

» Persons who are Elderly

» Persons with Disabilities

» Persons with HIV/AIDS

» Persons with Brain Injury

» Persons residing in Supportive Living Facilities

 

For other questions about MeridianComplete, please contact MeridianComplete Member Services at 1-855-580-1689 (TTY: 711), Monday - Sunday, 8 a.m. to 8 p.m.

 

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