Which health insurance company is the best option for you and your family? Compare Humana and Molina side by side.
In 2001, Humana partnered with Navigy to create an online web portal called availity.com, which enables physicians and health providers to conduct business with the two companies. Four years later Human partnered with Virgin Group, offering financial incentives to those with healthier lifestyles. In 2006, Humana launched RightSource, a nationwide pharmacy business. In March 2008, Fortune Magazine named Humana one of the top five “most admired healthcare companies in the U.S.
Humana (HUM) is the third-largest health insurance provider in the US. Their headquarters are in Louisville, Kentucky. Humana has over 13 million customers in the U.S and is 73rd in Fortune 500 rankings. Humana no longer offers individual medical insurance. However, you can shop rates on their website with partner carriers. Or, you can compare quotes with SmartFinancial.
Molina Healthcare was founded in 1980 by C. David Molina, an emergency room physician in Long Beach, CA. After seeing that patients were being turned away because the hospital would not accept Medi-Cal, he established his first primary care clinic in Wilmington, California in 1980. His goal was to treat the lowest-income patients. For 20 years, his son and fellow physician, J. Mario Molina, ran the company while he served as president and CEO. His younger son, John, was the CFO of Molina Healthcare. The two sons took over the company after their father’s death in 1996.
Which health insurance company is better? We've made it easy to compare companies side by side. See how Humana and Molina ranked among the industry ratings.
|Medicare Star Rating||3 stars (out of 5)||3.5 stars (out of 5)|
|NAIC Complaint Index||0.40% for individual health|
The MyHumana app allows users to find doctors, hospitals, and pharmacies, view claims, and pay your bill. They also offer an app called Humana Pharmacy which helps you to manage your prescriptions.
The Molina app allows users to find doctors, hospitals, and pharmacies, view claims, and pay your bill.
|Humana Mobile App|
|Molina Mobile App|
Molina offers plans through the health insurance marketplace. You can begin searching plans here or you can get several free health insurance quotes with SmartFinancial.
Each state has its own marketplace. If you’re not sure where to begin, visit https://www.healthcare.gov/. You can also schedule a personal appointment with a local Kaiser Permanente Medicare specialist: 1-866-973-4588.
To submit electronic claims, you or your billing agent need to use a third-party claims clearinghouse vendor, like Availity. For paper claims, you need to complete the right claim forms.
Paper claims and encounters submission addresses for Humana medical claims:
Humana Claims: P.O. Box 14601, Lexington, KY 40512-4601
HumanaDental® claims: P.O. Box 14611, Lexington, KY 40512-4611
Humana encounters: P.O. Box 14605, Lexington, KY 40512-4605
Claim overpayments: Humana, P.O. Box 931655, Atlanta, GA 31193-1655
HumanaOne® claim submissions: HumanaOne, P.O. Box 14635, Lexington, KY 40512-4633
To submit claims for reimbursement, contact member services at 1-888-898-7969. You can only inquire about 3 or fewer claims per call. You can also submit claim to: Molina Healthcare, P.O. Box 22668, Long Beach, CA 90801. You must make timely submissions of your claims or else you may forfeit your right to payment. For filing limits and instructions about electronic claims submissions with Molina Healthcare visit here.
Humana Insurance offers Medicare plans and group plans for employers. Currently, it is not offering individual & family plans (2020).
For Medicare plans, Humana offers Medicare coverage options outside Medicare Parts A and B, long-term care, dental care, vision care, some transportation services, prescription coverage, DME coverage, overage for deductibles for Medicare Part A and Part B and more. It offers Medicare Advantage and Medicare Supplement plans.
If you are eligible for Medicare you are eligible for Humana Insurance. If you are a citizen of the U.S or have been a legal resident for at least 5 years and are age 65 or older and you or your spouse worked for at least 10 years (or 40 quarters) n Medicare-covered employment.
New in 2020 is Humana’s Walmart Value Rx Plan, which is $13.20 a month and available in 47 states plus the District of Columbia. Redesigned for 2020, the Premier Rx Plan offers broader coverage for prescription drugs. The Humana Basic Rx Plan remains the same and is designed to keep copays between $0 and $1 after a deductible. The Humana Part D plan is the prescription drug plan.
Check out our full list of common questions about Humana.
While complaints are common on BBB, Molina offers a competitive managed care option for Medicaid and Medicare recipients. It is generally well regarded by the underserved and lower-income communities who use it.
Molina Dual Options is a health plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to members. This plan is also called Cal MediConnect in California.
As of January 1, 2017, Molina’s Medicaid pharmacy network no longer accepts Walgreens. Molina Medicare members, however, may continue using Walgreens. Walgreens does not participate in the Molina Marketplace pharmacy network.
Molina Healthcare covers dental services including oral surgery, x-rays, sealants, fillings, crowns (caps), root canals, dentures and extractions. It also covers a dental exam and one cleaning every six months. To find a provider, visit here and at the top of the page pick your state. At the bottom of the page you’ll be directed to an online provider directory.
Check out our full list of common questions about Molina.
|Humana Contact Info|
|Address||300 E. Randolph St. Chicago, IL 60601|
|Phone||1 (800) 654-7385|
|Molina Contact Info|
|Address||200 Oceangate, Suite 100, Long Beach, CA 90802|
|Phone||1 (562) 435-3666|
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