Contact

Call us at 1-877-902-6784 with any questions. You can also use our Live Chat for fast and friendly service (on the left side of the page).

Looking for information on one of our Medicare-Medicaid plan?

MeridianComplete Michigan Provider Page

MeridianComplete Illinois Provider Page

Prior Authorization Form

MeridianCare has created a universal form to improve efficiencies for the authorization process. The form is user friendly, and provides faster decision making and turnaround time.


SUBMIT A PRIOR AUTH

FAQS


 

New Medicare cards are coming! To help prevent identity theft, new Medicare cards will not include Social Security numbers. Instead, each person will get a new unique Medicare number. These new cards will be mailed between April 2018 – April 2019. For more information on the new Medicare cards, visit www.cms.gov/Medicare/New-Medicare-Card/Providers/Providers.html.

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

1-877-902-6784 (TTY 711), Monday - Sunday from 8 a.m. – 8 p.m.

Who do I call with billing or claims questions?


Visit our Billing and Payment page for more information. If you still have questions, please call

1-877-902-6784

and we will connect you with our Claims Department.


What are the advantages of becoming a MeridianCare Provider?


Learn more about what Meridian can do for you on our Why Meridian? page.


How can I join the MeridianCare Provider Network?


MeridianCare contracts with Primary Care Providers, Specialists, Hospitals, and Ancillary Providers. To become a contracted MeridianCare Provider, fill out our online form or call Provider Services at 1-877-902-6784. In order to ensure and maintain a high level of medical care, all providers are credentialed by MeridianCare.


Do PCPs need a referral to see a

MeridianCare

member not assigned to their panel?


Members choose an in-network PCP to provider them with care and should use this regularly. In the event that a member sees an in-network PCP that is not assigned to them they may be charged a specialist co-pay. It is always recommended to contact the plan to update your PCP if you are changing PCPs or to get a referral prior to seeing a provider that is not your primary.


Do Specialists need a referral to provide services to

MeridianCare

members in the office?


Members will need a referral from their PCP to see a specialist, except for the following: Audiologist (for routine hearing exams), Chiropractor, Dentist (for preventive dental services), Dermatologist, Gynecologist, Optometrist (for routine vision exams) and Podiatrist.


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


 

 

Please call MeridianCare Provider Services at 1-877-902-6784.


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: 1/9/2018 1:37:46 PM