Michigan Meridian Service Area and Products

WMHicAThWigEaDnO Meridian Service Area and Products

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MeridianHealth

Provides healthcare services to Medicaid and MIChild Program beneficiaries in all counties in Michigan's Lower Peninsula based on the State of Michigan Medicaid benefit guidelines.

Member Name: Member ID: Member Services: 888-437-0606

General Information | Benefits | Provider Network

Prescriptions: 866-984-6462 Mental Health: 888-222-8041 (Available 24 hours a day, 7 days a week)

RxBIN: 610241 RxPCN: HPMMCD

MeridianHealth - Healthy Michigan Plan

Part of Medicaid expansion, provides care to eligible Michigan residents who have an income at or below 133% of the federal poverty level.

MeridianChoice

A federal Health Insurance Marketplace Qualified Health Plan (QHP) that o ers individual and family Catastrophic, Bronze, Silver and Gold plans.

? Service area: Allegan, Barry, Berrien, Calhoun, Genesee, Hillsdale, Ingham*, Jackson, Kalamazoo, Kent, Lake*, Lapeer*, Macomb, Mason*, Mecosta, Monroe*, Montcalm, Muskegon, Newaygo, Oakland*, Oceana*, Ogemaw, Osceola*, Oscoda*, Ottawa, Roscommon*, Saint Joseph*, Sanilac*, Van Buren, Washtenaw*, Wayne

MeridianComplete (Medicare-Medicaid Plan)

Integrates managed care for individuals who are eligible for both Medicare and Medicaid under one plan under a demonstration program with CMS and the State of Michigan.

? Service area: Barry, Berrien, Branch, Calhoun, Cass, Kalamazoo, St. Joseph, Van Buren

MeridianCare Extra (HMO SNP) A Medicare Advantage Prescription Drug Dual Special Needs Plan (MAPD-SNP) for people who have both Medicare and Medicaid. This plan provides members with Part C (A and B) and Part D prescription drug benefits and includes additional benefits not covered by Original Medicare.

? Service area: Barry, Genesee, Kalamazoo, Kent, Livingston, Macomb, Monroe, Muskegon, Oakland, Ottawa, Saginaw, Washtenaw, Wayne, Ohio: Butler, Clermont, Fulton, Hamilton, Henry, Lucas, Wood

MeridianCare (HMO) Plans

MeridianCare Elite, MeridianCare Essential, and MeridianCare Enhanced are Medicare Advantage HMO Plans approved by Medicare and run by MeridianCare. MeridianCare's HMO plans provide members with Part A, B and Part D and include additional benefits not covered by Original Medicare.

? MeridianCare Elite service area: Genesee, Macomb, Oakland, Saginaw, Wayne ? MeridianCare Essential service area: Barry, Genesee, Kalamazoo, Kent, Livingston, Macomb, Monroe, Muskegon, Oakland, Ottawa, Saginaw, Washtenaw, Wayne, Ohio: Butler, Clermont, Fulton, Hamilton, Henry, Lucas, Wood ? MeridianCare Enhanced service area: Genesee, Macomb, Oakland, Saginaw, Wayne, Ohio: Clermont and Hamilton

MIChild

E ective Date: Member Name: Member ID: Meridian Member Services: 888-437-0606 MIChild Program Number: 888-988-6300

TTY: 888-263-5897

Dental: 800-482-8915 Behavioral Health: 888-222-8041 (Available 24 hours a day, 7 days a week)

RxBIN: 610241 RxPCN: HPMMCD Prescriptions: 866-984-6462

E ective Date: Member Name: Member ID: Member Services: 888-437-0606

HMP TTY Number: 800-649-3777

Dental: 855-898-1478 Behavioral Health: 888-222-8041 (Available 24 hours a day, 7 days a week)

RxBIN: 610241 RxPCN: HPMMCD Prescriptions: 866-984-6462

Member Name: Member ID: DOB:

Plan ID: MCHO MI E ective Date: Member Services: 855-537-9746

MCHO MI

RxBIN: 610241 RxPCN: MRXMIMCH Prescriptions: 855-323-4583

Member Name: Member ID:

Health Plan (80840): 7992708124 Beneficiary ID:

PCP Name: PCP Phone:

MEMBER CANNOT BE CHARGED

Copays: $0 H0480-001

RxBin: 610241 RxPCN: MHPMICOP

MeridianCare Extra (HMO SNP)

Member Name: Member ID: Health Plan (80840) 7992 708 124

Card Issued:

PCP: PCP Phone:

CMS#: H5475 PBP: 001 RxBIN: 610241 RxPCN: HPMMCR

Primary Care: $0 | Specialist: $0 | ER: $0 | Urgent Care: $0 Copays may change 1/1/2019

MeridianCare (HMO)

Member Name: Member ID: Health Plan (80840) 7992 708 124

Card Issued:

PCP: PCP Phone:

CMS#: H5475 PBP: RxBIN: 610241 RxPCN: HPMMCR

Primary Care: $0 | Specialist: $20 | ER: $100 | Urgent Care: $0 Copays may change 1/1/2019

PAGE 6

LWoHwEReErWPEeSEnRiVnEsula Meridian Service Area

Emmet Cheboygan

Presque Isle

Charlevoix

Antrim

Montmorency Alpena Otsego

Leelanau Grand

Benzie Traverse

Kalkaska

Crawford

Oscoda

Alcona

Iosco Manistee Wexford Missaukee Roscommon Ogemaw

Service Area

Plan Product MeridianHealth

Healthy Michigan Plan

MeridianChoice

MeridianComplete

MeridianCare Extra

MeridianCare Enhanced

MeridianCare Elite

MeridianCare Essential

Mason

Lake Osceola

Clare

Gladwin Arenac

Mecosta Oceana Newaygo

Isabella

Bay Midland

Muskegon

Montcalm

Gratiot

Saginaw

Huron

Tuscola

Sanilac

Kent Ottawa

Genesee Lapeer

St. Clair

Ionia

Clinton Shiawassee

Allegan

Macomb

Oakland

Barry

Eaton Ingham Livingston

Van Buren Kalamazoo Berrien Cass St. Joseph

Calhoun

Jackson

Washtenaw

Wayne

Branch Hillsdale

Lenawee

Monroe

*Partial Counties: Ingham, Lake, Lapeer, Mason, Monroe, Oakland, Oceana, Osceola, Oscoda, Roscommon, Saint Joseph, Sanilac and Washtenaw

MICHIGAN P A GFLEYPS736

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