Which health insurance company is the best option for you and your family? Compare Molina and CareSource side by side.
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.
In 1989, CareSource was founded on the premise of providing quality health care coverage for Medicaid consumers. Today it offers one of the nation’s largest Medicaid managed care plans. CareSource also offers private health insurance plans on the Health Insurance Marketplace, including Medicare Advantage and MyCare Ohio plans. CareSource has more than 1.9 million members across five states. The company employs about 3,800 people and is considered a nonprofit organization.
Which health insurance company is better? We've made it easy to compare companies side by side. See how Molina and CareSource ranked among the industry ratings.
|Medicare Star Rating||3.5 stars (out of 5)||2.5 stars (out of 5)|
|NAIC Complaint Index||7.17%|
The Molina app allows users to find doctors, hospitals, and pharmacies, view claims, and pay your bill.
The CareSource app allows you to view your digital ID Card, find a doctor, file claims, make payments and more.
|Molina Mobile App|
|CareSource Mobile App|
Each state has its own marketplace. If you’re not sure where to begin, visit https://www.healthcare.gov/.
CareSource is available through the health insurance marketplace by 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/. Also, remember that CareSource only covers Ohio, Kentucky, Indiana Georgia and West Virginia.
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.
CareSource accepts claims in various formats, including paper and electronic claims. Reimbursement is based on the prevailing state Medicaid or Medicare fee schedule. With Marketplace Plans, you can make claims inquiries at (866) 286-9949 (Indiana), (855) 852-5558 (Kentucky), (937) 224-3300 (Ohio), (678) 214 7500, (Georgia) and (855) 202-1091 (West Virginia). Visit your app or www.caresource.com to find the right claim forms for the state in which you live.
Yes, Molina Healthcare offers plans in the marketplace for states in which they offer Medicaid health plans. You can find these plans at healthcare.gov or you can compare healthcare quotes with SmartFinancial.
If you cannot attend a fitness center or prefer to work out at home, you can enroll in the Molina FitnessCoach® Home Fitness Program for two exercise kits per calendar year. Kits may include a DVD, a booklet with general information and a “quick start” guide to help use the kit. Find out more by calling the member services agent at (855) 665-4623. These are your options:
Molina Medicare Complete Care (HMO D-SNP) is a 2020 Medicare Advantage Special Needs Plan by Molina Healthcare. This plan works beyond the original Medicare. This Medicare Part C which replaces Medicare Part A and Part B.
As a Molina Healthcare member, you will have an Over-the-Counter (OTC) benefit, which is a fixed amount to spend every quarter on any of the plan-approved OTC items, which are listed in a catalogue. You can order online at MolinaHealthcareOTC.com or mail a completed OTC Product Order Form. You can also call an OTC Advocate at (866) 420-4010.
Check out our full list of common questions about Molina.
CareSource’s focus is the underserved population. Most of their health plans have an income cap.
CareSource does offer government-subsidized plans and plans on the marketplace.
If you qualify for Medicare or Medicaid, you are eligible for CareSource. Your savings on their marketplace plans are also based on total household income. Government plans require that all incomes in the household be taken into consideration unless the person is not required to file federal taxes.
CareSource covers Ohio, Kentucky, Indiana Georgia and West Virginia.
Check out our full list of common questions about CareSource.
|Molina Contact Info|
|Address||200 Oceangate, Suite 100, Long Beach, CA 90802|
|Phone||1 (562) 435-3666|
|CareSource Contact Info|
|Address||230 N. Main St., Dayton, OH 45402|
|Phone||1 (937) 224-3300|
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