FAQs - Meridian

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have a question? we're here to help!

Find answers to some common questions about the Meridian Medicaid Plan below. You’ll learn about how to apply, what we cover, and resources that are available to you. Don’t see what you’re looking for? Just give us a call: 866-606-3700, Monday through Friday, 8 a.m. to 5 p.m. (TTY: 711).

Quick Jump:

• About the plan

• About our coverage and benefits

• About the support we offer our members

 

About the plan

What is the Meridian Medicaid Plan?

The Meridian Medicaid Plan is a Medicaid managed care health plan in Illinois. We connect Medicaid beneficiaries to the care that they need. Our plan is part of HealthChoice Illinois.

Are you eligible for both Medicaid and Medicare? We have a plan for you! Learn more about the Meridian Medicare-Medicaid Plan.

What is a managed care plan?

A managed care plan is a type of health insurance plan. A managed care plan coordinates benefits for its members. It also has a network of doctors, pharmacies, and more. Plan members can go to these providers to get the care they need. Learn more.

Am I eligible for the Meridian Medicaid Plan?

You can become a Meridian member if you are enrolled in the Illinois Medicaid program. You also need to be a part of HealthChoice Illinois. Learn more.

How do I enroll?

To join Meridian, please call the Illinois Client Enrollment Services (ICES) at 877-912-8880. You can also enroll on the ICES website.

You will be asked to choose a primary care provider (PCP) who is in-network with our plan. Use our Provider Finder tool to find a PCP or to see if your current PCP is in-network with us. Need help? Call Member Services.

How do I contact Meridian?

You can reach Meridian Member Services at 866-606-3700 (TTY 711). We are available Monday through Friday, 8 a.m. to 5 p.m.

About our coverage and benefits

How much does it cost to get care with the Meridian Medicaid Plan?

All covered services are completely free. Meridian Medicaid Plan members never have to pay a premium, deductible, or copay.

Why do I need a PCP?

A primary care provider (PCP) will provide and manage your care. You will go to your PCP first for most health problems. Your PCP will work with you to make sure you get the care you need to reach your health goals.

A PCP can be a licensed physician, nurse practitioner, clinical nurse specialist, or physician assistant.

How do I find a PCP near me?

Use our Provider Search tool to find a provider in your area. You can also call Member Services. We’re happy to help you find a PCP who meets your needs.

How do I change my PCP?

You can change your PCP on our Member Portal. You can also call Member Services.

Do I need a referral to see a specialist?

If your PCP thinks you need a specialist, your PCP will work with you to choose a provider. Your PCP will then arrange your specialty care. Referrals to in-network providers do not need prior authorization. However, referrals to out-ofnetwork specialists do need prior authorization. Questions? Call Member Services.

Is dental care covered?

We cover many dental services for adults and children. To find a dentist, use our Provider Finder tool.

Check your Member Handbook for more information on covered services. Questions? Call Member Services.

Is eye care covered?

Yes. We cover routine eye care and vision services for adults and children.

Check your Member Handbook for more information on covered services. Questions? Call Member Services.

Are chiropractic services covered?

We cover chiropractic services for members. Prior authorization may be needed.

Check your Member Handbook for more information on covered services. Questions? Call Member Services.

What pharmacy services are covered?

See pharmacy information.

What behavioral health services are covered?

We cover mental health and substance misuse services. Call Member Services to learn more.

About the support we offer our members

How can I earn rewards with Meridian?

With Meridian, you can get rewarded for taking care of your health. When you do things like visit your provider and complete health screenings, you can earn reward dollars. You can redeem these rewards for gift cards.

To learn more, visit our Healthy Rewards page.

I have a question about my health. How can I speak with a nurse?

All Meridian members have access to our 24/7 Nurse Advice Line. When you or your child are not feeling well, our nurses can help you decide what to do next. They can help with sore throats, headaches, colds, anxiety, COVID-19, and more. They can also answer questions about medications you may be taking.

Call 866-606-3700 to speak with a nurse anytime.

Does Meridian help with transportation?

Yes. The 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 pay you back for gas.

Just call 866-796-1165. We’ll help you schedule your trip to your provider, pharmacy, Family Case Management site, WIC site, and more. If you go by car to the ER, just call us within seven days and we’ll reimburse you for gas.

How can I get a replacement member ID card?

Call Member Services. We can send you a new card.

Do you offer interpreter services for non-English speakers?

Yes. We offer free interpreter services in more than 140 languages. To learn more, call Member Services.

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