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explore your Member Handbook and important forms.

get the most out of your health plan.

Understanding the ins and outs of your health plan can be difficult. On this page, you’ll learn more about your Member Handbook and some important forms that can help you understand your plan and get the care you need.

Call Member Services if you’d like paper copies of any of these documents.

Your Member Handbook

 

 

Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. It also explains how to find care and how to earn rewards.

Download the Member Handbook. Want a paper copy? Visit your Member Portal or call Member Services.


Your Personal Wellness Assessment form

 

The Personal Wellness Assessment is a short form about you and your health journey. You’ll tell us about any health conditions, recent hospital visits, medications, and more. This way, we can connect you with the right care.

There are a few ways to complete the form:

  • Call us at 866-606-3700
  • Submit through the Member Portal
  • Or if you receive the form by mail, complete it and send it back to us in the perpaid envelope

Your Notification of Pregnancy

 

We want you to have a safe, healthy, and happy pregnancy! Fill out the Member Notification of Pregnancy form to let us know if you are pregnant.

We can connect you with support, services, and even rewards. You can join our Start Smart for Your Baby® program. It’s full of tips and resources for pregnant members and new parents.

If your pregnancy is at high risk, we may call you. Keep in mind that everything you choose to share is confidential.

Complete the Member Notification of Pregnancy form in the Member Portal.

Your Address Update from

 

If your address changes, let us know. We need to be able to send you important information in the mail. Just call Member Services with your new address. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. Report an address update to HFS online.

Your Certificate of Coverage

 

A certificate of coverage (COC) tells you what to expect from your healthcare plan. It outlines services and benefits that are—and are not—covered. The COC lays out all the details so that you can stay on top of your coverage.

How to file appeals and grievances

 

We want you to be happy with the treatment and services you get from Meridian and our providers. If we fall short, you can file a grievance or appeal.

A grievance is a complaint about a provider or about the quality of care or services you received. When you go to file, you’ll want to write when and where the incident took place, and what happened.

An appeal is a way for you to ask for a review of our actions. For example, we may not approve your provider’s request for a certain drug. You can make an appeal if you disagree with our verdict.

You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. More information is in your Member Handbook.