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, 7:00 a.m. to 5:30 p.m. (TTY: 711).
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.
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.
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.
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.
All covered services are completely free. Meridian Medicaid Plan members never have to pay a premium, deductible, or copay.
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.
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.
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.
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.
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.
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.