Our Provider Network Development Representatives visit their dedicated primary care offices at least once a month—rain, sleet or snow
Calls are answered by a live person
We pay co-pays so you don’t have to deal with the hassle
We’re one of the fastest growing groups of health plans in the country
We now serve over 850,000 members and 50,000 providers in Michigan, Illinois and Ohio
We operate an open network in each state, allowing all providers the opportunity to participate if they choose, provided they meet the credentialing standards established by NCQA, URAC and CMS
We’re highly rated … and keep getting better
Meridian Health Plan of Michigan, Inc. and Meridian Health Plan of Illinois, Inc. were both rated 4 out of 5, according to NCQA's Medicaid Health Insurance Plan Ratings 2017-2018. In addition to being rated 4 out of 5 across all Medicaid plans, NCQA has awarded Meridian Health Plan of Michigan, Inc. and Meridian Health Plan of Illinois, Inc. an Accreditation status of Commendable for service and clinical quality that meet NCQA's rigorous requirements for consumer protection and quality improvement
Meridian consistently meets the state performance requirements for timely claims payment
We save your patients money at the pharmacy
Meridian operates its own pharmacy benefit management (PBM) company called MeridianRx. Together, Meridian and MeridianRx work as an interdisciplinary team that draws on knowledge and expertise across the care spectrum while relying on integrative technology. This ensures comprehensive care for our members by our providers and pharmacies
We make disease prevention a priority (and reward you for it)
Meridian’s outreach specialists complete a Health Risk Assessment (HRA) for every member within 90 days of enrollment
Meridian’s Disease Management (DM) Program is designed to educate and support members in optimal management of their conditions before they worsen
Meridian’s Complex Case Management (CCM) program helps you avoid unnecessary hospitalizations of members who have multiple medical issues
Meridian offers a quality bonus program for PCPs who provide preventive care that helps keep members from needing hospital care and generous incentives based on HEDIS® measures ranging between $5 and $200 per service
