Molina Healthcare: Overview

Based in Long Beach California, Molina Healthcare offers Medicaid plans in 12 states and Puerto Rico.

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About Molina

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.

Molina Healthcare entered the Medicare market in 2006 and today it offers Medicare health plans in California, Florida, Idaho, Illinois, Michigan, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin.

In 2014, Molina began offering Marketplace plans in nine states where it offered Medicaid health plans. In August 2017, they shut down several clinics and announced that they would stop offering plans on the health insurance marketplaces in Utah, Wisconsin and Main beginning in 2018.

In Mary 2017, the Board of Directors removed Mario and John, citing poor financial performance as the reason. In October 2017, Joseph M. Zubretsky, former CFO of Aethna, was named president and CEO of Molina Healthcare.

Molina Healthcare offers Medicaid plans in California, Florida, Illinois, Michigan, New Mexico, New York, Ohio, Puerto Rico, South Carolina, Texas, Utah, Washington and Wisconsin.

Molina Facts & Ratings

Year Founded 1980
Medicare Star Rating 3.5 stars (out of 5)
BBB Rating F

Molina Mobile App Rating

iOS
     4.6 1.6K users
Android
     2.9 351 users

The Molina app allows users to find doctors, hospitals, and pharmacies, view claims, and pay your bill. 

Pros & Cons of Molina

  • Affordable coverage for underserved communities, like Medicaid and Medicare recipients.
  • Affordable marketplace plans for people who do not qualify for Medicaid or Medicare.
  • Popular mobile app makes it easy to stay on top of your account.
  • Molina Healthcare only offers Medicaid plans in California, Florida, Illinois, Michigan, New Mexico, New York, Ohio, Puerto Rico, South Carolina, Texas, Utah, Washington and Wisconsin.

Molina Enrollment Process

Molina offers plans through the health insurance marketplace. You can begin searching plans here or you can get several free health insurance quotes here.

Each state has their 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.

How to file a claim with Molina

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.

Common Questions about Kaiser Permanente

Is health insurance from Molina healthcare good?

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.

What are Molina’s dual options?

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.

Does Walgreens accept Molina’s insurance?

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.

Which dentists take Molina insurance?

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.

How to renew Molina Healthcare?

You need to renew your Medicaid eligibility and your child’s Medicaid eligibility with your local County Department of Social Services every 12 months. This is called Medicaid Redetermination. Your Medicaid does not automatically renew. If you miss the deadline you may lose benefits for a whole year. You can renew either by phone using the Medicaid Renewal Hotline in your state or your local County Department of Social Services (each state has a different name for this).

What is Molina’s healthcare coverage?

Molina Healthcare is a managed care company headquartered in Long Beach, Ca. The company provides health insurance to lower-income people through government programs like Medicaid and Medicare as well as the State Children’s Health Insurance Program (SCHIP) also called CHIP in some states.

Does Molina healthcare cover contacts?

Molina Healthcare covers one eye exam per year by a provider, ophthalmologist or optometrist. They also cover one pair of eyeglasses or lenses every two years. Prior approval is required for contact lenses.

Which states accept Molina Healthcare?

Molina Healthcare offers Medicaid plans in California, Florida, Illinois, Michigan, New Mexico, New York, Ohio, Puerto Rico, South Carolina, Texas, Utah, Washington and Wisconsin.

Is Molina Healthcare available in the Marketplace?

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 here.

How does the Molina FitnessCoach® Home Fitness Program work?

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 member services agent at (855) 665-4623.These are your options:

What is Molina Medicare Complete Care?

Molina Medicare Complete Care (HMO D-SNP) is a 2020 Medicare Advantage Special Needs Plan by Molina Healthcare. This plan works beyond original Medicare. This Medicare Part C which replaces Medicare Part A and Part B.

How does Molina Over-the-counter (OTC) Benefit work?

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.

Is Molina healthcare a PPO or HMO?

Molina Healthcare focuses on government-subsidized health care programs but sells HMO marketplace healthcare plans in the marketplace at different tiers, which are silver, bronze, gold and platinum. There is also a minimum coverage HMO, which is very low-cost but has little coverage.

Molina Contact Info

Address 200 Oceangate, Suite 100, Long Beach, CA 90802
Phone 1 (562) 435-3666
Website https://www.molinahealthcare.com/
Facebook https://www.facebook.com/groups/Molinaheathcare/
Youtube https://www.youtube.com/user/MolinaHealthcare
Twitter https://twitter.com/molinahealth
Linkedin https://www.linkedin.com/company/molina-healthcare/

Methodology

The information listed on this page is from our own in house research. It is accurate as of the article publish date. Visit the carrier website for additional information.

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