844-WHY-MCARE
844-949-6227 (TTY:711)
Mon. - Sun., 8 a.m. to 8 p.m.

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 Member Services at 1-877-902-6784 (TTY 711). Monday - Sunday from 8 a.m. - 8 p.m. Our office is located at: 1 Campus Martius, Suite 700, Detroit MI 48226.


What kind of health plan is MeridianCare?


MeridianCare (HMO) is a Medicare Advantage Prescription Drug plan. MeridianCare is available to anyone who has Medicare Parts A, B and D and resides in the MeridianCare service area. For more information, please contact MeridianCare Member Services at 1-877-902-6784 (TTY 711), Monday - Sunday from 8 a.m. - 8 p.m.                     


How do I enroll?


There are various ways for eligible individuals to enroll in MeridianCare

. Visit our How to Enroll page to learn more.


Where can I find more details about my plan benefits, including drugs and provider list(s)?


The Evidence of Coverage (along with your enrollment form) is our contract with you. These documents contain important information that you will need to know, your rights along with our responsibilities to you.


More FAQs


Click here to visit our full list of FAQs!


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: 10/2/2018 3:24:55 PM