Service Area

MeridianComplete is currently available to eligible Medicare and Medicaid beneficiaries in these counties:

Counties Included in Service Area:

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 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

Meridian consistently meets the state performance requirements for timely claims payment

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

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