Meridian Health Plan Provider Portal-2021

Meridian Health Plan is one of the leading government health insurance service companies situated in Illinois and Michigan. It was founded in 1997 and it’s

Headquarters located in Detroit, Michigan, United States of America. Meridian Health Plan is one of the several subsidiaries of WellCare Health Plans, Inc. Which is the parent or holding company.

Meridian Health provides government-based health plans such as Medicare, Medicaid, and the Health Insurance marketplace in three different states of the United States Michigan,  Illinois, and Ohio. Two types of plans are being followed by Meridian Health. One is Illinois plans and the other one is Michigan plans.

The Mission of Meridian Health is to provide quality health care at an affordable cost. And their vision is to be the leading government service organization based on quality, innovative technology, and service in the field of health care.

Is Meridian a Good Health Insurance Company?

Meridian Health Plan’s commitment is providing high-quality health care and customer service. It serves more than one million members through Medicaid, Medicare, and Health Insurance Marketplace in Illinois, Michigan, and Ohio. Meridian Health also operates its own pharmacy benefits management company, (PBM) known as MeridianRx.

According to National Committee for Quality Assurance, NCQA Medicaid Health Insurance Plan Ratings as of 2017 – 2018, Meridian Health Plan of Illinois, Inc. Is the highest estimated Medicaid plan in Illinois with a final rating of 4.0 out of 5.0. And according to NCQA Medicaid Health Insurance Plan (ratings of 2015-2016, 2016-2017, and 2017- 2018) Meridian Health Plan of Michigan, Inc. Was rated 4.0 out of 5.0.

How does Meridian Health Plan benefit its policyholders?

Meridian Health Plan’s main focus is on serving their member’s needs and a principal way of doing this is by expanding their access to quality policyholders.

In that mission, they recognize their policyholders as partners. Meridian Health Plan will be looking forward to all opportunities to make their policyholder’s experience with them better and to provide every benefit that this acquisition will bring up.

Contact Details of Meridian Health Plan:

You can call in :

-Meridian Health Plan of Illinois toll-free at Phone number: 866 606 3700

-Meridian Health Plan of Michigan toll-free at Phone number: 888 437 0606

Employment and Career in Meridian Health Plan

Meridian Health is family-owned and operated treating their employees, members, and providers like one of their own family members. They are dedicated to making a difference through quality, sophisticated technology, and satisfying everyone working with them.

Meridian Health currently employs around 5000 employees. If you are wishing a career in health and management roles then you can conveniently apply to Michigan Health Plan. It also provides remote jobs for performance delivery team managers and a value-based care clinical analyst.

However, before applying for Meridian Health Plan you should know the following things :

– Michigan Health Plan offers benefits for your work and a generous paid time off (that is paid holiday).

-Some jobs at Meridian Health Plan require you to travel.

-It posts listings for both onsite and offsite or remote jobs.

-It supports employee growth and even offers tuition reimbursement.

In case you are willing to lend yourself a job in Michigan Health Plan then the application method is the application tool available on the company website.

Funding programs offered by Meridian Health Plan.

Funding programs allow members of Meridian Health Plan to diversify their health care services. There are currently five programs offered by them. The programs are:

1) Persons with Disabilities

2) Persons with Brain Injuries (BI)

3) Persons with HIV or AIDs

4) Elderly Person

5) Supportive living facilities (SLF)

Plans of Meridian Health Plan

– Illinois Plans

  1. Medicaid Plans: Meridian Health and Meridian’s Managed Long Term Services and Support Program (MLTSS) are jointly formed under Medicaid plans and provide services through the HealthChoice Illinois Medicaid Programs.
  2. Medicare – Medicaid Plans: Medicare – Medicaid Plans (MMP) are for people eligible for both Medicare and Medicaid programs.

-Michigan Plans

Medicaid plans and Medicaid Expansion plans are jointly formed under Michigan plans and provide services through the State of Michigan Medicaid Program.

What are the services offered by Meridian Health Plan?

-Affinity Patient Coordination

Meridian Health collaborated with Affinity Patient Coordination in order to support pharmacist-driven care coordination that guides members in taking care of their medications.

-Complex Case Management Program

Meridian Health’s Complex Case Management Program guides members with their health care needs by providing them with the necessary tools to battle their chronic diseases and choose their appointments and various benefits.

-Flu Outreach Program

The Flu Outreach Program is an educational program used in spreading awareness and increasing accessibility to flu vaccination in order to move towards prevention and keeping members healthy.

-Opioids Program

The Opioids Program is a number of initiatives put forward to raise awareness to issues relating to opioids suggested through multiple pharmacies, providers at a high dosage.

-Rescue Inhaler Over-utilization Program

The Inhaler Over-utilization Program is both a member outreach program as well a prescriber outreach program. The former is conducted to provide guidance on proper inhaler usage and support for disease management and prevention. And the latter is conducted to encourage giving an extra inhaler to the member’s prescription when needed.

-Risk for Kidney Failure Program

The Risk for Kidney Failure Program provides educational guidance to people in order to provide resources to those who are at severe risk for developing the end-stage renal disease (ESRD)

-Meridian Smoking Cessation Program

The Meridian Smoking Cessation Program offers educational advice, a personal smoking terminating counselor, and coaching calls to help members stop smoking.

-Meridian Transition of Care Program

The Meridian Transition of Care Program directs to normalize the transition from hospital to home by providing support and educational advice for the family, members, and caregivers.

What is Meridian Health Medicare?

Medicare is the national health insurance program for younger people with disabilities, people with End-Stage Renal Disease, and people who are 65 or older.

What is Meridian Health Medicaid?

Medicaid is a joint national and state program that supports people with limited resources and income to pay off their medical bills. Each state of United States have different rules and regulation about eligibility and applying for Medicaid. To know more about their support you can check their official website.

Conclusion

Meridian Health is passionate innovators, leaders, and achievers working in making a difference in the lives of the members, providers, and the health care industry.

Meridian Health Plans acts in accordance with applicable Federal Civil Rights Laws and does not discriminate against its members on the basis of race, nation, color, nationality, origin, disability, or gender. Also, Meridian Health even does not treat people differently or exclude them because of race, nation, color, nationality, origin, disability, or gender.

Meridian Health Plans members are their reason for existence. They help those who are eligible for government-sponsored healthcare, live better, healthier, and fruitful lives.

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