Meridian Choice is Accredited by the NCQA, a private, non-profit organization dedicated to improving health care quality.

Contact

Call

Provider

Services at

855-323-4581 (TTY 711), Monday - Friday from 8 a.m. – 8 p.m.

with any questions. You can also use our Live Chat for fast and friendly service (on the left side of the page).

 

Or, you can always contact your Provider Network Development Representative.

Email support is available at Providerhelp.MI@mhplan.com

Health Library

The Health Library is a free resource exclusively for Meridian members and providers where you can get tips to help your patients manage their 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

Provider

Services at

855-323-4581 (TTY 711), Monday - Friday from 8 a.m. – 8 p.m.
General

What is the Health Insurance Marketplace?


The Health Insurance Marketplace (the Marketplace) was established as part of the Affordable Care Act (ACA) and Health Insurance Reform. The Marketplace is where individuals, families and businesses can shop for affordable insurance coverage to meet the requirements of the ACA. Individuals, families and small employers can compare, choose and buy affordable health plans. You only need to fill out one application to see your options and to enroll in a health plan. People are also directed to Medicaid, the government health insurance program, if they are eligible.


How much does MeridianChoice insurance cost?


Whether looking for an individual or a family, MeridianChoice has a plan that fits your patient’s needs and budget. Our unique plan options, unsurpassed quality care and personalized service to members make MeridianChoice the best CHOICE for your health. To see how much a MeridianChoice plan would cost, click here or call us at

855-323-4581

learn more about our benefits and pricing.


When can people enroll with MeridianChoice?


Members can start getting the best care possible from MeridianChoice as soon as January 1, 2016. Members should sign up for a MeridianChoice plan by December 15, 2015 to have health coverage at the beginning of the year.

 

Open enrollment for 2016 coverage starts November 1, 2015 and ends January 31, 2016. If members want coverage to start on January 1, 2016, they must enroll by December 15, 2016.  After the open enrollment period ends, members can only enroll in a MeridianChoice plan under special circumstances (qualifying events), like marriage, divorce, birth, loss of minimum essential coverage, a change in eligibility or your enrollment in another qualified health plan or an eligibility change for a premium tax credit.


When will health coverage begin?


Members can start getting the best care possible from MeridianChoice as soon as January 1, 2017. Members should sign up for a MeridianChoice plan by December 15, 2016 to have health coverage at the beginning of the year.

 

Open enrollment for 2017 coverage starts November 1, 2016 and ends January 31, 2017. If members want coverage to start on January 1, 2017, they must enroll by December 15, 2016.  After the open enrollment period ends, members can only enroll in a MeridianChoice plan under special circumstances (qualifying events), like marriage, divorce, birth, loss of minimum essential coverage, a change in eligibility or your enrollment in another qualified health plan or an eligibility change for a premium tax credit.


What are the 10 essential health benefits covered through Marketplace plans?


  1. Outpatient care (the kind you get without being admitted to a hospital)
  2. Emergency room care
  3. Hospital inpatient care
  4. Care before and after your baby is born
  5. Mental health and substance use disorder services, including behavioral health, counseling and psychotherapy
  6. Prescription drugs
  7. Rehabilitative and habilitative devices and services. These devices and services help you recover from injuries, disabilities or chronic conditions and help you gain or recover mental and/or physical skills. This includes physical and occupational therapy, speech-language pathology, psychiatric rehabilitation and more
  8. Lab tests
  9. Preventive and wellness services including counseling, screenings and vaccines to keep you healthy and help you manage a chronic disease
  10. Pediatric services, including dental care and vision care for kids

 

States and plans may have differences in other covered benefits. Visit www.healthcare.gov for more information.


How can I become a Meridian provider?


Please call Provider Services at

855-323-4581

.


How can I join the Meridian Provider Network?


In order to ensure and maintain a high level of medical care, all providers are credentialed by

MeridianChoice

.

 

Appropriate contracts and applications are provided, along with a questionnaire regarding office function, personnel and the potential capacity to service more enrollees. Both MeridianChoice and the State of Michigan require proof of licensure and appropriate malpractice insurance coverage. In the case of an agreement with a Physician Hospital Organization (PHO) or a Physician Organization (PO) that has already credentialed member providers, MeridianChoice will consider the option of delegating that responsibility to the PHO/PO.

 

To receive information on becoming a contracted Provider with MeridianChoice, please contact our Provider Services department at

855-323-4581

.


What are my contract options as a health care provider in the Meridian network?


Please call Provider Services at

855-323-4581

to discuss your contract options.


Who should I contact if I have general questions related to Meridian?


Please call Meridian Provider Services at

855-323-4581

.


Page Last Modified: 2/17/2017 3:19:37 PM