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Frequently Asked Questions

MeridianComplete is a Medicare-Medicaid Plan (MMP) for beneficiaries eligible for both Medicaid and Medicare. MeridianComplete is Meridian’s partnership with the MI Health Link program. MI Health Link is a program that will allow you to get health care and services covered by Medicare and Medicaid. MI Health Link lets you use one plan and one card for health care, behavioral health care, home and community-based services, nursing home care and medications.

Call our MeridianComplete Member Services with any questions or concerns, or to file a grievance (complaint), at 1-855-323-4578 (TTY 711), Monday - Sunday from 8 a.m. - 8 p.m.

You should call your Primary Care Provider (PCP) with any medical concerns that you have.

MeridianComplete is a Medicare-Medicaid Plan (MMP).

You are eligible for MeridianComplete if you:

  • Live in our service area, and
  • Have Medicare Part A, Part B, and Part D, and
  • Are eligible for full Michigan Medicaid benefits, and
  • Are not enrolled in hospice, and
  • Are not enrolled in the MI Choice waiver program or the Program of All-inclusive Care for the Elderly (PACE). If you are enrolled in either of these programs, you need to disenroll before enrolling in the MI Health Link program through MeridianComplete.

For other questions about MeridianComplete, please contact MeridianComplete Member Services at 1-855-323-4578 (TTY 711), Monday - Sunday, 8 a.m. to 8 p.m.

The MeridianComplete contract with the Centers for Medicare & Medicaid Services (CMS) and the State of Michigan is renewed annually. Coverage beyond the end of the current contract year is not guaranteed.

You can enroll in MeridianComplete by contacting Michigan ENROLLS at 1-800-975-7630 (TTY 888-263-5897), Monday - Friday from 8 a.m. to 7 p.m.

If you have questions about enrollment or disenrollment in MI Health Link, please call Michigan ENROLLS toll-free at 1-800-975-7630. Persons with hearing and speech disabilities may call the TTY number at 1-888-263-5897. The office hours are Monday through Friday, 8 a.m. to 7 p.m.

For other questions about MeridianComplete, please contact MeridianComplete Member Services at 1-855-323-4578 (TTY 711), Monday - Friday from 8 a.m. - 8 p.m.

View the Multi-Language Insert

As a member of MeridianComplete, there are no premiums, deductibles, co-payments or coinsurance for covered medical services or prescription drugs.

If you have any questions or concerns about premiums and/or cost-sharing associated with enrollment in MeridianComplete, or you receive a bill for medical or prescription services, please call Member Services at 1-855-323-4578 (TTY 711), Monday - Friday from 8 a.m. - 8 p.m.

You can call our Member Services Department at 1-855-323-4578 (TTY 711), Monday - Friday from 8 a.m. - 8 p.m.

Yes, we offer interpreter services for over 140 different languages. For more information, call Member Services at 1-855-323-4578 (TTY 711), Monday - Friday from 8 a.m. - 8 p.m.

A Primary Care Provider (PCP) is a licensed physician, nurse practitioner, clinical nurse specialist or physician assistant, as allowed under state law, who provides and manages your health care services. This can also be called a Primary Care Physician.

Your primary care provider is the person you see first for most health problems. They make sure that you get the care you need to keep you healthy. They also may talk with other doctors and healthcare providers about your care and refer you to them.

Use our Provider Search tool to locate a provider near you. You can also call our Member Services Department at 1-877-902-6784 (TTY: 711), Monday - Sunday from 8 a.m. - 8 p.m.

Call Member Services at 1-855-323-4578 (TTY 711), Monday - Friday from 8 a.m. - 8 p.m.

Some healthcare services require a "prior-authorization" before they are performed. Before you visit the doctor, these services need to be approved by MeridianComplete. Your PCP or specialist can inform you if you need a prior-authorization and will take care of submitting the necessary information to coordinate these services.

Emergency care within the United States is a benefit covered by MeridianComplete.

You do not need to contact MeridianComplete for approval before receiving emergency services. If your situation is urgent but not life threatening, you should call your Primary Care Provider's (PCP's) office or MeridianComplete at 1-855-323-4578 (TTY 711), Monday - Sunday from 8 a.m. - 8 p.m. for help with finding an urgent care center.

When you travel out of MeridianComplete's service area, you may go to an emergency room (ER) or go to an urgent care clinic. Make sure you tell the provider you are a MeridianComplete member and show them your MeridianComplete Member ID card. MeridianComplete will pay for your out-of-area emergency care, but routine care is not covered out of MeridianComplete's service area (even if it is provided in an ER).

MeridianComplete does cover some dental services. Please review your Member Handbook for more information. For a list of in-network dental providers, please visit the †DentaQuest website: www.dentaquest.com.

†Other Pharmacies/Physicians/Providers are available in our network.

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