Meridian Health Plan Provider Portal – Our Mission: To continuously improve the quality of care in under-resourced environments We: Family-owned and operated Treat our staff, members and providers as our own Drive to make a difference through quality, innovative technology and member and provider satisfaction Vision: State to be a leading organization in the health sector. To be the #1 health organization in our Meridian family based on quality, innovative technology and service, Meridian is the only international plan nationally rated 4 out of 5. all three Medicaid HMO products – Meridian Health Plan of Michigan, Meridian Health Plan of Illinois, Meridian Health Plan of Iowa* *According to NCQA’s 2015-2016 Medicaid Health Plan Evaluation
Provider Portal Submission – The Classic Method A popular online consent form can be found on our website under Provider Tools.
Meridian Health Plan Provider Portal
Meridian Care & Meridian Complete: Meridian Health Plan ATTN: Appeals Department P.O. Box 44260 Detroit, MI 48226 Meridian Health and Meridian Choice P.O. Box 44287 Detroit, MI 48244
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$35 if HbA1c control revised from <7% to <8% Chlamydia screening service billed by designated PCP. If the service was discovered through a health record review or billed by another provider, it was updated quarterly as a premium if billed by an antenatal or postpartum care provider. Divide between PCP. and Service Provider
Colon Cancer Screening – $20 Smoking Cessation Uncontrolled After Hospitalization Cervical Cancer Screening Prenatal and Postnatal Care
Cervical cancer screening $25 Prenatal and postpartum care $100-$200 split between PCP and in-network provider Chlamydia screening $25 Child/adolescent nutrition and exercise weight assessment and counseling $15 . 17), Nutrition Counseling, Exercise Counseling (all must be completed) $25 for 3-6 child visits Initiation and treatment of alcohol and other drug addiction $25 for each component of Comprehensive Diabetes Care .
Personal Grooming Products For Everyone
Have you received your COVID-19 vaccine yet? Explore our COVID-19 vaccine guide and learn about scheduling an appointment.
Learn how to protect yourself and your family from the flu. Learn about flu symptoms and the benefits of getting a flu shot.
We want you to feel the best. Therefore, we offer additional benefits and incentives to your plan. We offer free trips to the doctor and pharmacy, and if you prefer home care, we offer virtual care. It also provides great support for mothers and members with chronic conditions such as diabetes.
Earn bonus dollars just for taking care of yourself and your family! Learn more about Healthy Bonuses or visit the Membership Portal to see ways to earn.
Family Doctor Enjoys Serving The Community That Shaped Him
Get the care you need from a trusted service provider. We have an extensive network of primary care physicians, specialists, dentists, therapists, and more. Finding a provider near you is easy. Just use our provider search tool.
Want to know more about what care services are covered? Learn more in our membership guide. Remember, there are no co-pays or deductibles for covered services.
Meridian works with Affinity Patient Coordination to create pharmacist-led care coordination to help members manage their medications. In addition, members who take six or more medications can enroll in a drug bundle program to have their medications delivered directly to their home.
Meridian complies with federal civil rights laws and does not discriminate on the basis of race, national origin, age, disability, or sex.
Health Plan Renewal Information
NOTE: If you speak Spanish, language support is available for free. Call 1-866-606-3700 (TTY: 711). Find answers to common questions about Meridian treatment plans below. You’ll learn how to apply, what we cover, and the resources available to you. Don’t see what you’re looking for? Call 866-606-3700, Monday through Friday, 8:00 a.m. to 5:00 p.m. (TTY: 711).
Meridian Medicaid Plan is a Medicaid managed health plan in Illinois. We connect Medicaid beneficiaries with the care they need. Our plan is part of HealthChoice Illinois.
Are you eligible for Medicaid and Medicare? We have a plan for you! Learn more about Meridian Medicare-Medicaid plans.
A managed care plan is a type of health insurance plan. Managed care plans manage benefits for their members. It also has a network of doctors, pharmacies, etc. Plan members can visit these providers to get the care they need. Learn more.
Top 3 Reasons To See A Primary Care Physician
If you are enrolled in the Illinois Medicaid program, you can become a member of Meridian. You also need to be a part of HealthChoiceIllinois. Learn more.
To enroll in Meridian, call Illinois Customer Enrollment Services (ICES) at 877-912-8880. You can also register on the ICES website.
You will be asked to select a primary care provider (PCP) that is connected to our plan. Use our Provider Finder tool to find a PCP or see if your current PCP is in our network. Need help? Call Member Services.
All registered services are completely free. Meridian Medicaid Plan members never have to pay premiums, deductibles, or copays.
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A primary care provider (PCP) will provide and manage your care. You’ll go to your PCP first for most health problems. Your PCP will work with you to get the care you need to reach your health goals.
Use our provider search tool to find a provider that’s available to you. You can also call Member Services. We are happy to help you find a PCP that fits your needs.
If your PCP thinks you need a specialist, your PCP will work with you to choose a provider. Your PCP will then arrange for your professional care. No prior authorization is required for transfers to network providers. However, prior authorization is required for referrals to out-of-network specialists. Questions? Call Member Services.
We cover a wide range of dental services for both adults and children. Use our provider locator to find a dentist.
Meridian Michigan Pre Approval Pdf Form
With Meridian, you can earn rewards for taking care of your health. You can earn dollar rewards by going to your provider and doing things like health screenings. You can redeem these rewards with gift cards.
All Meridian members have access to our 24/7 nurse consultation. If you or your baby are not feeling well, our nurses will help you decide what to do next. They can help with sore throats, headaches, colds, flu, anxiety, COVID-19, and more. They can also answer questions about the medications you are taking.
Yes. Meridian Medicaid Plan includes free rides to help you get the care you need. We can pick you up, give you a bus ticket or refund your gas bill.
Just call 866-796-1165. We can help you schedule trips to providers, pharmacies, Family Case Management sites, WIC sites, and more. If you drive to an ambulance, contact us within a week and we will reimburse you for the gas bill.