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Molina Health Insurance Company

The Molina Health Insurance Company has been providing services to policyholders for more than 25 years. Molina specializes in providing health care insurance products at no or low cost to its customers. More than a million people trust Molina Health Insurance Company for their needs.

Is the Molina Health Insurance Company the right choice for your health insurance needs? Read on to get some more information about Molina Health Insurance and find out for yourself. Keep in mind that no one insurance company is best for everyone so it can certainly pay off to be an informed consumer and shop around.

Read through this Molina Health Insurance review, check out the reviews of Molina Insurance left by customers at the bottom of this page, and then be sure and request insurance quotes from top health insurance providers by using the free tool on the side of this page.

Molina Insurance: History & Awards

The company has been in business since 1980. It was founded by Dr. C. David Molina, who worked as an emergency room physician. Through his work, he realized that low-income people were being underserved by the medical community. Dr. Molina established a clinic in Long Beach, CA where he provided medical services to patients with no consideration of whether they had the means to pay or not.

Molina Health Insurance offers its services to people living in 10 states. In 1980, the company opened three primary health care clinics. Molina went through the process to obtain an HMO license in 1985 for the state of California. In September of 2008, Molina began offering health insurance services to Florida residents.

Molina Health Insurance was recognized as one of the Top 15 managed care companies in the United States by InterStudy, which is a national managed care research organization. The company was also included in the top 1000 corporations operating in the United States.

Molina Health Plans

Molina Health Insurance has negotiated contracts with state governments to provide coverage for health care services to individuals and families who qualify for funded programs, including the State Children’s Health Insurance Program (SCHIP) and Medicaid. The company provides coverage to low-income families and people who are living with disabilities through state Medicaid programs. The SCHIP program provides coverage to families who aren’t able to afford private coverage, but who don’t qualify for Medicaid because their family income is too high.

The Molina Medicare Options Plus plan is offered to people who have Medicaid and Medicare coverage. It offers a similar level of benefits. Some customers may not have any out of pocket expenses at all, while these expenses are kept low for others. People who choose this type of coverage can get their medical care from a large network of doctors and hospitals.

Molina Medicare Options is a plan offering the same level of benefits as the Medicare Plus plan, with few or no out of pocket costs. This plan is designed for people who need to stick to their budget but who want to get comprehensive coverage. Molina Medicare Options also has a large network of doctors and hospitals to serve its customers’ health care needs.

Molina HMO Basics

A Health Maintenance Organization (HMO) is a type of health insurance plan where plan members designate one doctor as their primary care physician. They visit this doctor for their health care needs and if they need to see a specialist, the plan member needs to get a referral first. Some medical procedures must be approved by the HMO before the plan member can go ahead and have it performed.

Part of signing up with an HMO is agreeing to get medical care from the plan’s network of providers. Prospective HMO members should ask to see a list of network providers before signing up. Many plans do have a large number of providers who have agreed to participate.

The advantage to health care providers of agreeing to participate in an HMO is that they have a large pool of potential patients brought to them by the insurance company. In return for access to large numbers of patients, the health care providers agree to provide their services at a discounted rate. The lower rates are passed on to plan members, which makes an HMO plan a more economical choice than a Preferred Provider Network plan.

People who are mainly concerned with saving money on the cost of their health insurance plan may choose to sign up for an HMO plan. However, the downside is that some services provided by health care providers, except for emergency care, may not be covered under the plan at all. Having to wait to get approval before having certain medical procedures performed is stressful and may lead to deterioration in the patient’s condition.

Before choosing to sign up for an HMO plan, such as the ones offered by Molina, it’s important to make sure that you understand all the policy provisions. Be sure to review the terms and conditions carefully so that you understand exactly what you are getting before you commit to it.

Compare Molina Health Insurance Quotes

Now that you know about the types of coverage offered by the Molina Health Insurance Company, why don’t you get a quote for your own insurance coverage? Compare your Molina health insurance quotes with quotes from many top health care insurance companies to find the plan that is best for you. The free insurance tool one the side of this page can help. Click on it to find out about your options right now!

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58 reviews

  • Larry DuPree /
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    I HAVE STAGE 3 C.O.P.D, MY DOCTOR.HAD HIS LICENSES SUSPENDED TO PRACTICE BECAUSE HE IS JUST A PILL DOCTOR GOT A NEW P.C.P. AND CAN NOT GET ANY KIND OF CARE APPROVED FROM MOLINA. I CAN ONLY SEE MY P.C.P.I HAVE NEEDED TO BE PUT ON OXYGEN 8 MONTH AGO AND CAN NOT GET IT APPROVED ITS TIME TO PUT A GUN TO MY HEAD AND PULL THE TRIGGER.

    MOLINA JUST WANTS MONEY WHEN YOU CALL FOR HELP ALL YOU GET IS A MEXICAN WHO DOES NOT SPEAK ENGLISH AND WHEN YOU DO FIND SOMEONE YOU CAN SPEAK TO ALL YOU GET IS LIES.I USE THE EMERGENCY ROOM FOR ALL MY CARE It THE ONLY WAY TO SEE A DOCTOR WHEN YOU HAVE MOLINA LAST YEAR WENT TO THE E.R 19 TIMES FOR ALBUTEROL INHALERS SO I COULD BREATHE.

    STAY AS FAR AWAY FROM MOLINA AS YOU CAN

  • Larry DuPree /
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    if you want to live stay away from Molina. they will not approve any care so use the emergency room for your doctor visits I would love to see the E.R. bills I have run up in the last few years and will keep using the E.R. until Molina approves for me to see a Doctor.

  • James Teasdale /
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    Molina Marketplace is not healthcare. Molina Marketplace is intended to meet minimum legal requirements. Molina Marketplace is intended for people with no health history. Molina Marketplace is intended for people with no urgent need for medicines. Molina Marketplace is intended for people with no urgent need for service.

    If you choose Molina Marketplace should expect “completely” starting over with all aspects of your current condition. If you choose Molina Marketplace should expect delays and changes to any or all of current medications. If you choose Molina Marketplace should expect delays because of changes to information online or in the books and paperwork they send you.

    If you choose Molina Marketplace should expect delays because you may need to change doctors they recommend to you. If you choose Molina Marketplace should expect delays in service because somehow everyone in Customer Support is “new” and your problem will be the first time Customer Support has ever heard of such a thing.

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    Molina is the worst company I have ever dealt with. They won’t approve anything. Molina has refused to pay for each and every medication I need (4 of them so far). I need a medication and they say it’s too expensive and that I should take their recommended medication, which I am deathly allergic to, but they won’t believe reports saying so from, not one but, two doctors!

    Molina says I have to try the crappy med that almost killed me once, EVEN THOUGH IT ALMOST KILLED ME!!! Yeah, I’m not going to take their advice for anything. So now, I am without the medication I need and my heart is having troubles because of it, but what do they care.

    All they know is that they are saving money and we are paying them!

  • James Teasdale /
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    If you need insurance bad, molina marketplace Wisconsin is as bad as insurance gets.
    Molina operates like they are running a scam. I don’t know how they legally get away with what they do (don’t do).
    If I could afford an attorney I would get one.

    When my wife and I signed up with molina they took control of our medicines away from your doctor.
    It didn’t matter if we were taking the medicines for 5 or 10 years.
    Molina can and will stop prescriptions at any time, for “review”, and it was always on the day we were supposed to get the medicine.

    Reviews take 14 days or longer, all that time with no medicine… Our doctor filled out multiple copies of paperwork, it was all denied.

    When I pay for our medicines myself, molina won’t re-embers me for prescriptions under “review”.

    After molina completed it’s “review” I was required to change my medicine to something else (there is nothing else!!!)

    Several of our medicines are in molina’s medicine guidebook as a top torn payment. But when we ordered them molina denied them, they are medicines Molina won’t prescribe.

    Molina may be the minimum requirement for Obama care. Molina is an awful as an insurance company.
    And never, for one second, consider molina as health care.

    Molina is after government money first, your health is not so important, it is only considered if it is cheap enough.

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    Where do I begin…Molina Healthcare is one of the worst insurance companies I have ever dealt with.

    I had an appendectomy back in July 2017 and went through all the proper channels to get pre-authorization for the surgery. I was led to believe that because it was life-threatening and my primary doctor approved and recommended the surgery, I would only have to pay for the cost of the doctor visit. In my policy, it even says that I am only responsible for a $500 deductible because I was admitted into the ER. Boy was I surprised when I got a bill for $6,800. I had even paid a copay amount of $75 at the hospital and that was not reflected on my out-of-pocket maximum. So they were charging me both my copay AND the $6,800 maximum. I was being charged above what my maximum amount is.

    I called Molina healthcare to petition the charges for improper billing, violating the policy and overcharging, and it was like talking to customer service representatives that have never read an EOB before. They were extremely incompetent and unresponsive. Molina literally doesn’t give a s*** about its customers. I kept getting responses like “We don’t know anything about the bills, you’d have to talk to a claims adjuster” “No, you can’t talk to a claims adjuster, because they only speak to hospitals” most appalling was when a SUPERVISOR blatantly said “if you’re not happy, then we can charge you 100% for the entire hospital stay” WTF?
    who is training people over at Molina?

    After spending nearly 3 hours making phone calls, and waiting 30 days for a response to my grievance on the bill, I was denied. Although it was true I only had to pay the $500 deductible for my hospital services, they separate the hospital services into 2 parts:
    1. the pre-surgery care
    2.surgery and post-surgery care. Although in the first part I only owed $500, the second part of my treatment was not waived and I would be responsible for 100% of all expenses. If you are not admitted into the ER, then you are responsible for 100% of the charges in Part 1. Basically, regardless if you are admitted to the ER or not, you are billed for 100% of the services for visiting a hospital.

    The insurance company doesn’t give a ***. If that wasn’t bad enough, they also can’t provide a proper EOB to save their lives. I had 15 line items on my bill, and the insurance company waived line items 2-15. The first line item was for Room and Board and the charge FROM THE HOSPITAL was $3,490.

    However, in the “Disallowed Amount” column Molina put -$8,988.68. A negative reduction. That means the cost of the Room & Board went from $3,490 to $12,478.68 because of Molina Healthcare. I called customer service representatives again to complain and explain how messed up this is and they didn’t give a ***.
    They didn’t see anything wrong with it. Assuming everything else at Molina Healthcare had worked properly, my bill should have been $3,490. Instead, I need to pay my full out-of-pocket maximum of $6,800. That’s ***.
    *** you Molina Healthcare. It’s a good thing you aren’t actually managing hospitals because you’d rather watch your patients die then care for them.

    Your customer service representatives also need better training. I hope someone disrupts this industry soon because it is appalling to think companies like Molina Healthcare can send *** bills like this and still stay in business.

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    Molina healthcare only wants money. They don’t care about healthcare they deny anything and everything they can. 90% of my local physicians will not take Molina. So, it is true that you have to go thru ER to see a doctor.

    Then they want you to pay for visits.

    Worst insurance ever, if you are enrolling through healthcare.gov stay away from Molina

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    Molina is a scam. When going through Healthcare.Gov you can see a list of doctors who take the insurance. Once you are in and enrollment is over, you can’t choose any of the doctors. The only place we can find that takes it is a 2 & 1/2 hour drive away. Who wants to drive a 5 hour round trip when you are sick.

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