Provider Search

PROVIDER SEARCH

PROVIDER SEARCH

 


 

Looking for a doctor, nurse practitioner (NP), physician's assistant (PA), or hospital that provides healthcare services in the plan’s network? This is the place to search our network of healthcare professionals.


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/

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The Provider & Pharmacy Directory outlines your plan's network of Primary Care Physicians, Specialists, Hospitals, Skilled Nursing Facilities, Outpatient Facilities, Pharmacies and Supplemental Provider contacts.

 

Please refer to the 2019 Provider and Pharmacy Directory below if you reside in one of the following counties:

  • Michigan: Genesee, Macomb, Oakland, Saginaw, Wayne

2019 Provider and Pharmacy Directory

 

Please refer to the 2019 Provider and Pharmacy Directory below if you reside in one of the following counties:

  • Michigan: Barry, Kalamazoo, Kent, Muskegon, Ottawa

2019 Provider and Pharmacy Directory

 

Please refer to the 2019 Provider and Pharmacy Directory below if you reside in one of the following counties:

  • Michigan: Livingston, Monroe, Washtenaw

2019 Provider and Pharmacy Directory

 

 

 



FOR PROVIDERS
: Please notify MeridianCare Provider Services with any updates or changes to the information listed by calling 1-877-902-6784, email providerupdates@mhplan.com, or fax to 313-309-8530.

 

 

MeridianCare’s (HMO/HMO SNP) 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 Evidence of Coverage, or visit the Out-of-Network (OON) Coverage page to review MeridianCare’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 1-877-902-6784 (TTY: 711), Monday - Sunday from 8 a.m. – 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.

 


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.

 

MeridianCare 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.

 

This information is available for free in other languages. Please call our customer service number at 877-902-6784 (TTY users should call 711), Monday – Sunday, 8 a.m. to 8 p.m.

Esta información es gratuita en otros idiomas. Por favor llame a nuestro número de atención al cliente en 877-902-6784 (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a. m. a 8 p. m. 

 

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

 

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 1-877-902-6784 (TTY users should call 711). 

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