Health plan choices
| Plan links | Preferred Drug List (PDL) |
| Aetna Better Health Premier Plan | Aetna Better Health Premier Plan Preferr ... |
| Blue Cross Community MMAI | Blue Cross Community MMAI Preferred Drug ... |
| Humana Health Plan | Humana Health Plan Preferred Drug List ( ... |
| Meridian Complete | Meridian Complete Preferred Drug List (P ... |
What are the benefits of Medicaid?
5 rows · The Medicare-Medicaid Alignment Initiative (MMAI) is a statewide program for adults who are ...
What does qualifying individual Group 1 mean in Medicaid?
The Illinois Medicare -Medicaid Alignment Initiative (MMAI) is a demonstration designed to improve health care for dually eligible beneficiaries in Illinois. Jointly administered by the Centers for Medicare
Who are Medicaid providers?
pharmacists are often the first providers a participant encounters after joining a new plan, such as a Medicare Medicaid Alignment Initiative (MMAI) plan, and this is when participant confusion and system transaction issues are most likely to occur. We …
What is Medicaid choice counseling?
The MMAI is a groundbreaking joint effort to reform the way care is delivered to clients eligible for both Medicare and Medicaid Services (called “dual eligibles”). The MMAI demonstration project began providing coordinated care to Medicare-Medicaid enrollees in the Chicagoland area and Central Illinois beginning March 2014.
What does Mmai mean in insurance?
MEDICARE-MEDICAID ALIGNMENT INITIATIVEMEDICARE-MEDICAID ALIGNMENT INITIATIVE (MMAI)
Is Mmai better than Medicare?
MMAI plans should have more benefits, meaning they cover more services than traditional Medicare/Medicaid. However, they may not cover the same prescriptions that Medicare/Medicaid covered. In order to understand the coverage differences, you may contact any MMAI plan for details.
How do I opt out of Mmai?
If you do not want to be in the MMAI program, you can opt out (decide not to enroll) by calling us at 1-877-912-8880 (TTY: 1-866-565-8576). If you get long term care or home-based waiver services, you will still need to enroll in a Long Term Services and Supports (LTSS) health plan for those services only.
What does MMP stand for in Medicaid?
Medicare-Medicaid PlanMedicare-Medicaid Plan (MMP) Enrollment.
What is the income limit for Medicaid in Illinois 2022?
This may include medical care/treatment/supplies, nursing home services, in-home personal care, Medicare premiums, and prescription drugs. Effective April 2022 – March 2023, the medically needy income limit (MNIL) in IL is $1,133 / month for an individual and $1,526 / month for a couple.
What is health Choice Illinois?
HealthChoice Illinois is the statewide Medicaid managed care program. Most Medicaid customers are required to choose a primary care provider (PCP) and health plan. We can help you understand your plan choices, find providers and enroll.
Is Mmai a Medicare?
The Medicare-Medicaid Alignment Initiative (MMAI) is a statewide program for adults who are enrolled in both Medicare and Medicaid. When you enroll, you will choose a primary care provider (PCP) and health plan to cover all your healthcare. The number of plans available to you depends on the county in which you live.
How do I change my Illinois Medicaid plan?
An individual must call the Client Enrollment Broker Call Center at 1-877-912-8880 (TTY: 1-866-565-8576) or go online to the Enrollment Portal at www.enrollhfs.illinois.gov to get more information about their HealthChoice Illinois plan choices and to make a plan switch.
What is Humana Gold Plus integrated?
The Humana Gold Plus Integrated plan combines your Medicare and Medicaid services, PLUS it includes coverage for prescription drugs. Some advantages include: You get the coverage of original Medicare PLUS extra benefits like rides to medical appointments, and added vision, hearing, and dental coverage.
What is the difference between SNP and MMP?
A D SNP is commonly confused with a Medicare Advantage Medicare-Medicaid Plan (MMP). Unlike a D SNP, MMPs only serve full benefit dual (Medicare/Medicaid) eligible beneficiaries and some additional limitations may apply (such as state-specific requirements).
What is Texas MMP?
The Texas STAR+PLUS Medicare-Medicaid Plan (MMP), a collaborative program sponsored by the state of Texas and the Centers for Medicare & Medicaid Services (CMS), is available for consumers who are receiving both Medicare and full Medicaid services.
What is oh MMP?
Molina Dual Options MyCare Ohio Medicare-Medicaid Plan is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees.
What is MMAI insurance?
What is MMAI? The Medicare-Medicaid Alignment Initiative (MMAI) is an insurance program run by the state of Illinois that replaces Medicare Parts A, B & D primary insurance coverage AND Medicaid secondary insurance coverage. Coming soon, MMAI members will no longer carry two separate insurance cards. Instead, their coverage will be ...
When will Medicare be released in 2021?
For Immediate Release June 10, 2021. Changes are coming soon if you have Medicare and full Medicaid (no spenddown). There are five plans to choose from for your coverage. Most people over age 21 who have Medicare Part A & B as their primary coverage and Medicaid as their secondary coverage will now have one plan.
How to apply for MMAI in Illinois?
To apply for the MMAI, one must apply for IL Medicaid. This can be done via one’s local Department of Human Services’ Family Community Resource Center (FCRC). One can find their local office here. Alternatively, persons can call the Bureau of Customer Inquiry and Assistance at 1-800-843-6154 to locate one’s local office. A needs assessment will be completed as part of the application process to determine if the nursing home level of care need is met.
How long does it take to get medicaid?
The Medicaid application process can take up to 3 months, or even longer, from the beginning of the application process through the receipt of the determination letter indicating approval or denial. Generally, it takes one several weeks to complete the application and gather all of the supportive documentation. If the application is not properly completed, or required documentation is missing, the application process will be delayed even further. In most cases, it takes between 45 and 90 days for the Medicaid agency to review and approve or deny one’s application. Based on law, Medicaid offices have up to 45 days to complete this process (up to 90 days for disability applications). However, despite the law, applications are sometimes delayed even further.
What is an MCO in Illinois?
A MCO is essentially a private healthcare company. The MCO has a network of care providers and program participants receive services via these providers. Within several counties of Illinois, there are a few managed care plans from which to choose. The Medicare-Medicaid Alignment Initiative is a mandatory Medicaid program for persons who require ...
What counties are eligible for Medicare in Illinois?
At the time of this writing, one must reside in one of the following 21 counties: Champaign, Christian, Cook, DeWitt, DuPage, Ford, Kane, Kankakee, Knox, Lake, Logan, Macon, McLean, Menard, Peoria, Piatt, Sangamon, Stark, Tazewell, Vermilion, or Will. Please note that this program will be available statewide beginning July 1, 2021. Additional eligibility criteria are as follows, alternatively one can take a quick, non-binding IL Medicaid eligibility test here.
How long does it take for a medicaid application to be approved?
In most cases, it takes between 45 and 90 days for the Medicaid agency to review and approve or deny one’s application. Based on law, Medicaid offices have up to 45 days to complete this process (up to 90 days for disability applications). However, despite the law, applications are sometimes delayed even further.
What is the income limit for 2021?
In 2021, an applicant, regardless of marital status, can have a monthly income up to $1,073. When both spouses are applicants, the monthly income limit for the couple is $1,452.
What is the Medicare-Medicaid Alignment Initiative?
The Medicare-Medicaid Alignment Initiative is one of Illinois' managed care programs. This program is for seniors and persons with disabilities who have full Medicaid and Medicare benefits.
Why is the Medicare-Medicaid Alignment Initiative important for me?
The Medicare-Medicaid Alignment Initiative brings together all of your Medicare, Medicaid, and prescription drug benefits into one health plan. In the Medicare-Medicaid Alignment Initiative, you choose a health plan that is best for you.
Can I enroll in the Medicare-Medicaid Alignment Initiative?
Getting full Medicaid and Medicare benefits (Medicare Parts A and B and Medicaid without a spenddown),
How do I know which health plan is the right plan for me?
To choose the best health plan for you, you should think about your answers to these questions:
How do I enroll in the Medicare-Medicaid Alignment Initiative?
You can enroll in the Medicare-Medicaid Alignment Initiative at any time. To enroll in this program, call Illinois Client Enrollment Services at 1-877-912-8880 (TTY 1-866-565-8576). Call Monday to Friday, 8 a.m. to 7 p.m. The call is free!
What happens after I enroll in the Medicare-Medicaid Alignment Initiative?
Once you enroll in a Medicare-Medicaid Alignment Initiative health plan, you will get a health plan member handbook and a member ID card. Look for them in the mail. You will work with your health plan care coordinator to get the health care services you need. To learn more, call your health plan member services number.
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