Molina Healthcare
1.4
4.3
Overall Score
Author: Kaitlyn Short
LAST UPDATED: May 23rd, 2024
Molina Healthcare stands out among health insurance companies because of its focus. From the beginning Molina Healthcare has been a dedicated healthcare provider for underserved populations, low-income families, and those receiving government assistance. Its goal is to provide quality, affordable care to its patients.
Molina has grown from serving communities in California to serving communities in 14 states and Puerto Rico.
While Molina Healthcare has a great mission, it hasn't received many positive reviews on BestCompany.com. As you consider buying a Molina Healthcare plan, keep reviewer concerns in mind.
View Molina Healthcare Reviews
Molina Healthcare was founded in 1980 by Dr. C. David Molina. He wanted to create a place where underserved individuals and families could receive affordable, quality health care services instead of going to the emergency room for general health care services.
The Good
- Health Plans
- Dedicated Service
- Additional Support
Health Plans
Molina Healthcare offers several kinds of health insurance plans, including Marketplace plans, Medicare, Medicaid services, and integrated plans for those who are eligible.
One unique feature of Molina Healthcare's Medicaid health plans is their flexibility. If your Medicaid eligibility changes, Molina Healthcare's plans make the transition from Medicaid to Affordable Care Act plans easier.
As you transition from being Medicaid members to buying plans from the Health Insurance Marketplace, these Medicaid plans help with the change. They allow you to keep your regular health care providers and medical clinics while keeping medical expenses low.
Molina Healthcare's primary Medicare health plan is a Medicare Advantage plan. Molina Healthcare also offers dual plans or integrated Medicaid and Medicare plans. These plans help meet specific needs of some Molina Healthcare members.
The cost and benefits of its health care plans varies depending on the plan selected. Some plans may require prior authorization or referrals for some medical services, like specialist visits.
For more detailed information about coverage and cost (premiums, deductible, copays, and out-of-pocket limit), interested people should contact Molina Healthcare directly.
Dedicated Service
Molina Healthcare employees are dedicated to providing friendly and quality service. The Molina Healthcare website offers helpful enrollment and member information in seven languages.
The company’s website is very informative with FAQ sections, more information on health plan offerings, and links to useful resources.
Each physician in Molina Healthcare’s network is committed to treating their patients like family and providing quality care.
Additional Support
Molina Healthcare has a Broker Support Unit that assists people as they enroll in health insurance. The company also offers a member portal called My Molina where members can set-up payments, print or request ID cards, and change their doctor.
It is easy to reach Molina Healthcare offices via phone calls. The website provides a list of phone numbers specific to the regional offices. Some of these phone numbers are toll free.
Molina Healthcare operates independent health clinics in several of the states it operates in. At a health clinic, a patient can receive general health care services, including maternal care, shots, and primary care. Molina Healthcare clinics also have bilingual healthcare providers that can provide assistance to English language learners.
The Bad
- Negative Customer Reviews
- Limited Availability
Negative Customer Reviews
Unfortunately, Molina Healthcare has recieved mostly negative reivews on BestCompany.com. Although Molina Healthcare has fewer reviews than other health insurers listed on BestCompany.com and negative reviews are common for the industry, Molina's negative reviews are concerning.
Reviewers mention difficulty with finding in-network providers, billing, and getting services covered.
Limited Availability
Molina Healthcare is available in California, Florida, Idaho, Illinois, Michigan, Mississippi, New Mexico, New York, Ohio, Puerto Rico, South Carolina, Texas, Utah, Washington, and Wisconsin. If you do not live in these states, Molina Healthcare may not be an option for you. Available plans may also vary state to state.
Molina Healthcare is dedicated to serving people who qualify for Medicaid and Medicare, people who are uninsured, and those who may not speak English. If you are not interested in a Marketplace plan or do not qualify for government assistance, Molina Healthcare may not be available to you.
The Bottom Line
Molina Healthcare is different from other health insurers because of its dedication to providing quality services and creating comfortable environments for its customers. It also provides health care information on the company's website in seven languages. Molina also operates health clinics with bilingual staff, doctors, and primary care physicians that provide accessible health care to patients.
Molina Healthcare focuses on offering Medicaid and Medicare Advantage insurance plans. It stands out for offering plans specifically for people transitioning between Medicaid and Marketplace health plans.
Although Molina has good offerings, its negative reviews on BestCompany.com are concerning. Keep these reviews in mind as you learn more about what Molina Healthcare offers in your area.
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Orlando Mesquite, TX
I'm surprised to see negative reviews. It's one of the best insurance's out there. They are renovating my entire bathroom to make it handicap accessible. Their also paying for my walker.my bathroom renovation and walker was 0 cost( Free) not to mention their is never a copay at DR visits,it's free(and I go to a specialist) my medications are always free. Not to mention their customer service is outstanding,your talking to a reviewer. I'm so happy with Molina.don't let the Negative reviews ( change your mind) it's A very good insurance. about the lady who came to my house Stacey T to update, she was so nice and very good at customer service ( my mom , sister and I was very happy )***** I give them 5 star Ratings.
5 years ago
Skeeter Nelson Sidney, OH
I am in Ohio and I am very happy with Molina especially their medicare support. They provide a debit card that covers $500 for glasses, $3000 for dental care, $300 OTC a quarter as well as $170 for transportation to medical appointments. Molina also provides hearing aids and batteries. I have no idea why people are criticizing this company. It is a very good choice. I know this to be true as I have this. I have not been paid to provide this review.
2 years ago
SB McComb, MS
Found myself without insurance after 40 years of coverage by my husband's employer. Covid ended that quickly and without warning. I was scrambling. Also, husband forced into early retirement. He had hoped to work a few more years. Jobs around our rural area pretty scare. So far, Molina has paid their contracted portion without any problem. I am giving 4 stars because I have a large claim in appeals. Molina says it didn't get PA, but doctor and hospital say they have the PA and they are in the process of appealing. Hopefully it will work out. I think it will. Anyway, here I have plenty of doctors in network. Haven't used prescription benefit because (thankfully) my rx's are generic. Hope this helps those who are looking for insurance.
3 years ago
CB ,
I have a rare disease so I am one of those people that use their health coverage continuously. I have a lengthy and complex medical history. However, in the past years, in South Texas- Laredo - it has worked pretty decently. They do require PAs for a lot of stuff, but for the most part if you have the records and follow the steps it covers it.
I have had some trouble getting 1 or 2 medicines approved, one of which was brand name and there was a generic available. However, I went through the complaint process and eventually got it approved. Usually PAs get approved for a whole year and that is pretty useful. Once I reach my out of pocket they pick up everything.
They cover all my medicines and one out of the formulary - for the PA my doctors had to submit letters, chart, etc. to get it approved. I need specialty meds and they take care of them as long as a PA is submitted.
I have had multiple ER and Urgent Care stints and I also have had hospital admissions and my coverage has been overall great.
Their customer service is also pretty good. The customer service reps are helpful. They will call you back if they said they would...
I am only giving them 4 stars because they do require a lot of PAs, but overall for the coverage I need it has been good.
4 years ago
Eddie Rios Ogden, UT
Molina Healthcare was a perfect example of what private insurance coverage should be. They were economical and yet they provided full services and full coverage. I was grateful for their coverage and professional handling of my healthcare coverage. Most organization are cumbersome, Molina was the opposite. A great example of service and caring.
4 years ago
Brian Auburn, WA
I’m shocked at all the negative reviews. My experience has been incredibly smooth and painless with Molina. I’ve had no problems getting services that I need, easy to get referrals and medications are always approved with VERY low to zero costs. Compared to Cigna that I had before, Molina is pretty awesome. Many services are approved no questions asked.
Customer service has always been pretty good to me, no long holds over the phone.
4 years ago
Leigh Maxie
If it were possible to leave no star at all then I wouldn't. I'm 62 and disabled. I came to Molina January of 2023 and from that day until this, Molina has been nothing but a problem and a huge disappointment. There plans are made up of lies. I convinced that one of the prerequisites of having a job with Molina is that you lie easily, and provide the worse customer service possible. Be very careful in your dealings with this company. I've actually been forced to retain an attorney and go after this company for fraud and theft. Anyone participating in the OTC program for over the counter items and food, watch your balances especially around the end of the month. Molina will take back your remaining balance around the 28 or 29th. The don't wait until the 1st of the new month or quarter. Items in which their app clearly states the otc card covers, you find are not at the cashier. This company needs to be investigated and audited. They definitely need a hefty lawsuit thrown their way. My advice, DO NOT SIGN UP WITH MOLINA.
7 months ago
Hawazin Al-Fahdawe
I fractured my foot and was referred by UCSD East campus emergency department to a clinic for follow-up and potential surgery. The phone system has been frustrating, as it's difficult to reach anyone until reaching a point of frustration. When I called the Emergency Department again, they advised me to get a referral from my primary doctor. Even after following their instructions, I encountered the same issue. The earliest appointment with my primary doctor is April 4th, which means it will be a month after the initial injury to get the referral. I was then advised to contact my insurance company, but encountered similar challenges. I emphasized the urgency of my situation, as the first 48 hours are critical for proper healing. I feel frustrated by the bureaucracy and lack of patient care in our healthcare system. If there are any complications with my foot healing, I am considering legal action against all involved parties.
8 months ago
Anna Miller Vancouver, WA
I actually have had a great experience with Molina. I have the cascade gold plan, and they quickly approved my disc replacement surgery. They covered the entire cost of the surgery. I pay my premium monthly on their website with no issues. I am nervous going forward with them because of all the negative reviews but for now, I'm very happy!
3 years ago
Flavio Albuquerque, NM
I Had Molina Heathcare. Since Year 1995 it Was Great. And I Had To Switch To Bluecross Blueshield. Because Molina Heathcare. Is Discontinuing Tomorrow. January 1, 2019. Thanks To Molina. That Paid My Prescription. And My Doctor Appointments.
5 years ago
Divine Spark San Diego, CA
Molina Healthcare doesn't deserve a "1". They are bottom of the barrel healthcare
and don't care AT ALL about the insured. They have changed patient information without my permission and this is fraud. This was done in order to deny services for something that would have improved my quality of life tremendously. Instead, after
3-4 months of fighting them for it, I settled for the same cheap, ineffective walker I
already have. At this point, I didn't care anymore, they were killing me. Day after day the same fight, filing complaint after complaint with the same result. This is the saddest,
crappiest, most deplorable company EVER! Good luck finding a PCP that accepts Molina Healthcare except for a clinic with bottom of the barrel ratings like Molina. There is nothing personable, caring or decent about this company. I CANNOT warn you enough to choose a different insurance. Their perks don't even come close to being worth the aggravation and let downs. Hard to believe a company like this exists, let alone gets away with scandalous acts they do. I am a customer.
9 months ago
Mike C. ,
The best thing to say about their marketplace plans is that they are the least expensive options. However, that is largely because they are basically catastrophic health plans that are being sold as comprehensive ones. Deductibles are at maximum allowed levels, at Bronze level and not much better at higher grades, It is extremely difficult to use the coverage due to the small number of doctors and facilities taking the plan, a fact which is hard to determine due to the way the system forces you to search for physicians. Instead of telling you who is in network, you have to ask about each doctor you are interested in and have them tell you one by one, assuming the results are accurate or up to date. As others have noted, they frequently are not. This is difficult to do under the best circumstances and My Molina web interface works so erratically but it is never the best of circumstances. In my experience I found that 60-80% or more of the time every request failed due to "an unexpected error." Not surprisingly the payment system was more reliable, but even there I periodically had problems getting the system to let me pay my bill.
The pharmacy benefits are questionable, with frequent gaps where therapeutically non-equivalent drugs were treated as equivalent in order to minimize formulary. I found that I usually got a better price using a free prescription discount card than using my pharmacy benefits. In addition, Molina would try to demand preauthorization for medications that they did not cover, for which they paid not one cent towards. In other words demanding control over whether you got medication you had to pay full price, for which they covered nothing.
i can't comment on frequent denials of care because it was so hard to use it and network was so limited, I never was able to get to the point of having them deny care, only trying to control my medications.
I have already dumped them for a more expensive plan that at least has a reasonable network.
3 years ago
Angela Seattle, WA
Terrible. I had Regence and Premera previously. Molina is so much worse than either. Molina requires "physician's approval" or "physician's authorization" (PA) before filling any of the prescriptions I had on an ongoing basis from previous year. Neither Premera or Regence did that. That PA process took time, delaying me getting one prescription in particular so I'm almost out. But now, Molina says I can't get it filled at my regular neighborhood pharmacy, they've deemed it a 'specialty drug' so I have to get it from CVS Specialty. It's going to take a week for this to get set up and delivered, so I'll be without the meds for a week!! Trying to talk to Molina about this, I just get this pushback, "We can't fill that thru your regular pharmacy," like it's a law or a regulation, rather than a stupid rule they set up to save themselves money. They don't care I'll be out of the meds for a week. They just care about their bottom line. (With both Premera and Regence, I had no trouble getting this drug from two different pharmacies, drug stores I chose, not the insurance company!!) I followed the advice of my broker choosing Molina this year. I should've looked at online reviews and talked to my local pharmacy, who told me (after I'd already started attempting to use Molina) that they've seen the hassles their customers using Molina have had.
It's only mid Feb but I want out NOW. Molina's given me such run-around for getting this one simple prescription filled. What's going to happen when I have a bigger claim?
5 years ago
Sam Alhadeff Seattle, WA
STAY AWAY from Molina Healthcare! I have been waiting for surgery for a complete AC Joint Separation (I am literally in pain 24 hours a day 7 days a week) and I was told by my surgeon (at Swedish Hospital) that Molina will not reimburse them 100% for my surgery and therefore my surgery has been canceled. Molina...you MUST understand that your money saving actions actually affect REAL PEOPLE!! I've asked the question several times...WHY will you not cover my surgery!?!?!
10 months ago
Frank Sturniolo
Worst Customer service ever. I called Molina 6 times trying to find a provider to get a CPAP machine. I asked for companies that sold CPAP with Molina insurance. I got a total of ten locations and all ten never heard of Molina. Also the list included surgeons, dentist, vision care. Everything but a medical supply company. Plus one rep said to me “what’s a CPAP machine “ I asked to talk to a supervisor and they said they would call me in 15 minutes they never called. Since it open season now for Medicare I have already changed. Don’t let the sales rep fool you about benefits and doctors they just want to get you to sign up. I have only be a member with them since June 1st.
1 year ago
Jim Kinsella Sidney, OH
Skeeter Nelson Sidney, OH
I am in Ohio and I am very happy with Molina especially their medicare support. They provide a debit card that covers $500 for glasses, $3000 for dental care, $300 OTC a quarter as well as $170 for transportation to medical appointments. Molina also provides hearing aids and batteries. I have no idea why people are criticizing this company. It is a very good choice. I know this to be true as I have this. I have not been paid to provide this review.
Update for 2024:
Molina is taking away the debit card and all dental benefits and OTC benefits for 2024 as well as reducing eye glass benefits. I switched to a different company for 2024. I don't know why anyone would stay with Molina.
1 year ago
Samantha Wilson Rockford, MI
I would rate them as zero if it was possible. This is the worst health insurance I've ever had in my life. Every time you call you get transferred to somebody else, when the person picks up you have to restate everything that you just told the first agent. As soon as things get tricky or they don't have an answer for you suddenly the call drops and you do not receive a call back. You could speak to five different representatives in the member services and get a different answer every time. When you do speak to a supervisor it's a 50-50 chance that they can answer your question. You would think improvements would be made by now. I don't want to call you to resolve this because there's not a damn thing that's going to be done.
1 year ago
Rhogue
Save yourself the aggravation; Avoid This Company. The majority of "service providers" aren't interested in servicing Molina customers. The few specialists that are willing to take the insurance generally have long wait lists. And, in my case, visiting specialists typically involves a 4-hr round trip...no clue why no service is available 30 min away where other insurance companies have providers. Oh...wait..."Molina" IS the clue. Then there's *customer care* - I've had a couple of very sharp agents, but most seem to have comprehension issues. Never mind that the account is rife with technical issues that no one has the ability to remedy; I cannot even access parts of the account so find myself further inconvenience for having to frequently call for help and answers. I read about the phone "harrassment" - it's TRUE! They pounded my phone to have a video conference 'wellness check with a nurse.' and they're pretty aggressive about it, like you have not choice. These reps are not health care workers, they are in sales / appointment setting. I spent 25 yrs in sales and recognize the manipulations. What made me certain is that I'd seen my Dr. just a few weeks before calls started. I wondered "Why?" some stranger wants to assess my health via video conference? It's because they're collecting biometric infos: face/voice. Read the fine print. This was my first year on Medicare and the experience with Molina leaves a disgusting taste in my mouth. It's Oct 4. Just 11 more days and I'm escaping!!!! Y'all don't go there!! Seriously. DON'T!
1 year ago
Gmail Lev
shame on me for not researching Molina before signing up through my states online marketplace (Silver level plan that cost me $800/month for single person coverage). had i looked into them on various review sites, i never would have chosen them. have had nothing but problems since day one. too many problems to list them all here but my latest Molina nightmare is regarding a knee injury that did not improve after 5 weeks. visited my Dr who ordered an X-ray that showed nothing (and cost me $95 out of pocket against a $140 total so Molina paid only 1/3rd !). my Dr then ordered an MRI as we both more or less knew it was muscle or tendon related. Molina declined the MRI and recommended "exercise" instead??. i appealed the decision and made clear i had been in pain for almost 2 months at that point. without knowing what was wrong, how could they recommend exercise/physical therapy first?? so some doctor who's never seen me is overriding my primary care doctors advise/recommendation?. they obviously don't care if the injury worsens with "exercise" as long as they don't have to pay out for anything. Physical therapy will cost me alot out of pocket while Molina will pay near nothing and stalls a true diagnosis/MRI for 6-8 weeks or more.
my appeal was again denied with the same recommendation for PT. they just don't care and refuse to do the right thing. i am now working with the States Attorney and have filed a complaint. waiting to see what if anything happens
i honestly had no idea health insurance could be this bad. again, shame on me for not knowing better and doing my research. if you're reading these reviews and haven't signed up yet, run away!. Molina will gobble up your premiums and provide nothing in return. you have been warned.
1 year ago Edited October 5, 2023
Kevin Las Vegas, NV
Do not fall for the trap. Do not sign up for Molina, and if you were given Molina as a default health plan by the State Medicaid office, you should try everything to get out and sign up for any other health plan.
Molina is created solely to take advantage of the Medicaid expansion, they work with State Medicaid office to suck the Medicaid funds. They don't have customer service whatsoever because the customers are the under privileged people, who get free coverage by Medicaid, but mostly have no knowledge of using their health plan, not to mention how to fight against the health plan provider. They don't even have a phone line, their website claims they will respond email in one business day, but in fact they never respond.
DO NOT use Molina.
1 year ago
Doctor B
Speaking as a physician, I regard Molina as the WORST insurer I have ever dealt with. They deny coverage for almost everything, then they make it IMPOSSIBLE to appeal. I'm not exaggerating. I recently prescribed a medication for a patient. It is a standard drug & was prescribed for an FDA-approved indication. Not only did they deny coverage, but when I tried to obtain Prior Authorization, I submitted a request form on-line 3 separate times, & then I called their toll-free numbers no fewer than 8 times. Each time, the person I spoke to (after a long hold) told me that they couldn't help me, but that they'd transfer me to someone who could help, & then they disconnected my call. Obviously, no one in this company cares about patients. My advice to anyone who cares: Do NOT get insurance from Molina; if you do, you'll be sorry.
1 year ago Edited January 25, 2023
Diane Morales Shreveport, LA
The overall plan was ok, but Beware!! My insurance was 74.32 taken out every month. then it wasn't available anymore, when it came time to re-enroll. Called and was quoted new insurance for 311.96. I denied the new insurance and told them I would look for insurance elsewhere. The following month they took out 1128.96 for insurance I never authorized. After spending a couple of days trying to speak to someone who could help because all I was getting was put on hold or hung up on. I now had to go to my bank to do an unauthorized fraud claim. So beware when it comes for enrollment time because apparently if you don'tstay on it your going to find yourself with insurance you did not authorize.
1 year ago
Connor McCue Mountlake Terrace, WA
I pay for health care. I get neither care or health. My heart scan was 700 without insurance or 1000 with Molina with no option to pay cash because Molina wants their profit. I was on the phone with them for 8 hours over 3 days. I would sue if I had the money. If I paid for a pizza and it never showed up or cost more than they said it did, I would dispute the charge and get my money back. Unfortunately I cannot do this with Molina because they are a multi million dollar company and have better lawyers than I do. This company is a complete scam and I pray to the Lord that they will have to give all of the money back to everyone they stole it from by saying they were here to help and in reality just looted the pockets of the people that went to them for help.
2 years ago Edited May 3, 2022
Kathy Schnell Coeur d'Alene, ID
If I could give it a 1/2 star I would. I had a Melanoma on my neck that needed urgent attention from a Dermatologist. There is only ONE in the entire North Idaho that will take this insurance. After I told the receptionist that I needed a biopsy ASAP per my doctor. She said great! We should be able to get you in by the 15th of September. It was March 11th that I called. The other dermatologist offices told me that it was too bad I didn't have Medicare or Medicaid because then I could get in. I told them I have both through Molina and they told me that was too bad. I then said I would pay out of pocket just to get it done to which I was told, sorry but because you have Medicare and Medicaid, we are not able to take cash from you. I then called my case manager and did not hear back except for her to tell me that she had passed my case on to someone else. Neither one of them called me back until March 29th after I sent an email stating that I wanted out of their insurance and wanted to go back to what I had before. The first year was okay but this year (2022) changed so much. The difference was like night and day. I do NOT recommend this insurance. You also cannot get through the 800 number to get help. I literally was on the phone for 2 hours and 23 minutes before I got someone to answer. The other times were over an hour and a half before I just hung up. Good luck with this insurance. I hope you have better luck than I did.
2 years ago
Stephanie Suffolk, VA
Horrendous customer service. Would leave zero stars if possible. My son has Molina coverage through a Medicaid waiver in VA so we technically do not pay for this coverage as we do with our primary insurance. Appeals for increased hours after receiving reductions in personal care attendant hours went completely ignored despite meeting the submission timelines. No acknowledgment at all from Molina of even receiving my appeal letters despite delivery confirmation from the postal service. We were completely blown off. Our care coordinator from Molina is extremely hard to connect with and has not responded to questions I have emailed her. And the icing on the cake was when our son’s service facilitator/non-Molina case manager attempted to contact them to discuss our reduction in personal care attendant hours they essentially accused us of committing fraud (but provided no proof) by claiming that we submitted to be reimbursed for care hours when our son “should have been in school”. They don’t realize that: 1) our son does not attend school full time, and 2) our son does get sick and stay home from school periodically. Without providing us specific proof or these dates in question, we have no idea what they are talking about - and if it was an issue why would they not reach out to us
to question us? Cannot wait for open enrollment period to switch from Molina. Would not recommend them to anyone under any circumstances.
2 years ago
BN Nordland, WA
Nightmare to work with them. As a provider, they botched my contracting process, leaving me with over 15 unpaid patient visits because my biller could not get in touch with a real person to verify my credentialing. They claimed they would retroactively cover those visits, and did not, leaving me out thousands of dollars. For some reason the credentialing that was begun in November '21 will not be complete until May '22.
The most incompetent people in the world work here. This is the reason why providers do not accept their coverage. They pay next to nothing, deny services constantly, and lie to you on the phone (when you actually get through to a real human). Stay far away. I regret accepting their coverage, and would give them 0 stars if I could. If you are a provider, consider asking your patients to switch to a different Medicaid group. They're all a dream compared to Molina.
2 years ago
Wing So Vista, CA
This is the worst health insurance company I have come across. They can't even process the most basic claims. I and the provider had to file grievances for the most basic and routine preventive services and screening. I can't imagine they would pay the claims if I have a medical issue. Luckily I was still in the open enrollment period so I immediately switched to another health plan which was slightly more expensive. Molina is the cheapest insurance on the marketplace but the savings are not worth the stress of filing grievances for every claim and the worries that claims would not be paid if I have a medical issue. Despite paying more than $1,000 every month, I felt uninsured with Molina.
2 years ago
Marie Stirk Providence, UT
Easily the worst experience I have ever had with health insurance, and I once had to negotiate with three different health insurance companies at once for a relative who had a stroke in a foreign country.
Issue 1) This is partly on me, but what I thought I signed up for and what I actually signed up for were two different things. Namely, the long list of things they said they covered only kicks in AFTER the entire deductible is paid. As in, I have to spend $6,000 before Molina contributes a single cent. I thought I signed up for a bronze plan, but this is basically a catastrophic package. I found this out after a long phone call with their support, where the person on the other end finally told me this. I told her I was literally sitting in front of my plan paperwork, which said things would be covered. She directed me to a single sentence on a single paragraph that was buried and I somehow missed, even though I thought I had read the entire document before signing up. Lesson learned, I guess. But I have zero trust in this company now.
Issue 2) Their website is so, so broken. I had to spend three hours on the phone when I first started with Molina just to get my login to work. When I wanted to change my doctor from the default doctor they apparently randomly assigned as my primary care doctor, I couldn't do so. I had to call them to get that changed.
Issue 3) I moved to a new house. I have tried to change my address countless times, and the entire Make Changes button is just nonfunctional. I have called Molina once a month for the past five months trying to get them to change my address. Every time, they promise me that it will be updated. It still hasn't. They are still mailing things to my old address. Fortunately I set up mail forwarding with the post office before I moved, or I would not receive anything from them, but that solution only lasts about a year. (Which won't be a problem, because I am dropping Molina.)
Issue 4) It's 2021. How does this company not offer paperless billing. That would certainly help with the address issue listed above.
I genuinely would have preferred to not have health insurance at all. I would have paid just as much and not wasted nearly as much time.
3 years ago
Steven Baker Sammamish, WA
Molina healthcare is somewhere on the spectrum of criminal enterprise and the world's worst, most inept and incompetent administration of a public facing scam to defraud customers. Their customer service is non-existent, and they can't track their own auto pay system- as my credit card was charged monthly, but Molina doesn't credit your account for months, then charge "reinstatement fees" for payments they received, but do not credit, for months. I switched to Blue Cross, that has managed my account in a timely and professional manner.
DO NOT contract with Molina for health insurance! I can not stress that enough- you will receive NO insurance, and they will destroy your credit and never acknowledge any communications, especially after your account is closed. I have not had Molina insurance coverage since November of 2020, but every time I try to reconcile my account, cancel my account, or ask for help, Molina sends another round of bills and keeps adding to a monthly total for an account that doesn't exist.
3 years ago
Amy Wilson Edmonds, WA
My boyfriend unfortunately has this insurance provider and watching him have to deal with this company has been absolutely painful. At the beginning of June, my boyfriend received notice from Molina that he needed to pay his premium for April or else have his insurance terminated. However, he had paid April and had received an email confirmation receipt from Molina for said payment, as well as verified in his bank statement that the payment had been withdrawn. He didn't receive ANY communication from Molina until June that there was an issue with the payment.
He has called Molina FIVE TIMES in an effort to resolve this issue. That has been FIVE TIMES of calling in, waiting on hold for more than an hour on the main line in order to be redirected to the billing department and waiting on hold for them, because there is no direct line for billing. FIVE TIMES of being told his issue would be escalated, only to find out it wasn't; I very much doubt they understand what escalations are OR NOTES for that matter. FIVE TIMES he has had to recount his issue to the rep because they had no clue what he was talking about. Reps would require him to take steps he ALREADY DID with previous reps (ex: asking for proof of payment when this had already been provided to a previous rep). Thank goodness my boyfriend has taken his own detailed notes during this whole ordeal because I'm very doubtful Molina provides its customer service department with a system of call tracking other than good ole'pencil and paper. He's been told he would receive a call back or some kind of communication in '3-5 business days' on several occasions and this NEVER HAPPENS. He was told to email his proof of payment to processing to resolve the issue. He kept having to do this and the reps kept verifying he had the correct email. Then today he insisted on speaking with a supervisor and it turned out the the email that the reps had been saying was the correct email was ACTUALLY A DEFUNCT EMAIL.
So now we know that there is not only a garbage customer tracking system, no customer follow up, and no escalation process, but that there is also no communication between the floor and management. In general there is absolutely NO REGARD FOR THE CUSTOMER EXPERIENCE.
Unless you yearn to experience a company that is the embodiment of a brain shattering migraine, I suggest passing on Molina for your health insurance needs.
3 years ago
Monica A Albuquerque, NM
I don't usually don't leave reviews on things like this, but I feel the need to now. I was signed up for a Molina plan through what I thought was the exchange, because the woman said explicitly she is with the marketplace as an ACA agent. I learned of a medical issue that needs monitored ASAP, so I was a little flustered and panicked when I did this. I explained our precarious situation having just moved and being unemployed since the pandemic started, and she put in my info to be the bare minimum to get me a "free" plan covered by a tax credit. I thought it seemed off and I told her so, but she said it was fine. The whole process took like 10 minutes, which I also thought was a bit off. No confirmation email, no forms to e-sign. She didn't leave me her contact information. Gave me a customer service # to call for my member ID, which spoke in spanish for 3 minutes before hanging up. Other numbers listed online routed to that same one that led nowhere. I finally got a human being from some other random number and she said even with my SSN she couldn't find my information. And all the while I was reading these reviews thinking, "holy crap I want nothing to do with this company."
So then I call the marketplace number back and was connected to another agent who said NONE of what I explained was correct. She did nothing correctly. So I got signed up to BCBS, and it was actually a legitimate process. Come today, 7/2/21, I noticed a refund from BCBS which usually means they canceled the premium and plan. Called my agent, who escalated it to someone higher up. I got a call from both of them to explain the entire situation, and learned that this other person went into the system with her credentials to JUST NOW send the Molina plan through. After a week. She switched my plan from BCBS back to Molina without my authorization, no contact with me whatsoever, using my SSN. Most likely she is getting commission from Molina to sign people up for "free" plans, while lying about all of their income and household information. She broke several laws during this whole process, so a fraud claim was filed and an investigation opened.
Moral of the story, heed the warning of all these horrible reviews. Absolutely appalling. Avoid Molina at all costs.
3 years ago
Sickandtired La Quinta, CA
Molina seems to go out of their way to prevent care. Creating disputes between provider and patient where there are none, constantly providing incorrect information resulting in prevention of timely treatment. This has been the most miserable two years of my life, and Molina has made every step of recovering my health absolute hell.
Tonight in excruciating pain, no urgent care that accepts Molina, and one ER with a four hour wait time. No call back from their 2pm call nurse in the past 12 hours of waiting. Thanks Molina, another night of hell thanks to you, not providing what you claim to do.
3 years ago
Kim San Jose, CA
When you go on their website, various parts don't work. When you call them you are on hold forever only to be told they will transfer you to the correct department to hold again forever. I could not understand any of the 4 customer representatives that I spoke with. I spent over 2.5 hours on hold with various representatives. One representative hung up on me. Customer service is horrible. I pay $1846 per month for this service. If I had another choice I would not use Molina. They had my doctors on this plan and that is the only reason I use them. I pay over $22,000 per year for this insurance. This is through the health exchange which was suppose to be affordable. It is not.
3 years ago
Yolanda Arlington, TX
I have tired for over a month to get in touch with someone on the phone, I've started calling at 8:00 am and still get put on hold that's only having to go in circle with there automative system and having to repeat over and over because It's continues to repeat I didn't understand that (very frustrating). I've had to change PCP twice since I pick on out go to make an appointment and they notify me that they are not taking Molina. The PCP book is completely wrong and outdated cause the address are even wrong for the providers. I was able to get in touch with 1 person back in February and that person was not even knowledgeable enough to know what a mammogram was, so had had to do the research to find a facility that took Molina Insurance, I'm doing all the leg work in trying to located, call and confirm if a PCP is accepting Molina, this is something that they should have updated. And Billing is unreal I have my bank statements showing I've made Jan, Feb March, April, and Now May payments but if you go to the website billing it's showing I have a past due balance, trying to get ahold of them for this issue is like pulling teeth.
3 years ago
Theresa Demaree El Paso, TX
I have never experienced such despicable service in my life. The website does not function nor do any of the customer service numbers.
I have paid my premiums. However when I access the website it does not show payment received even though they have my money!!!
This is a crime!!!
I cannot get a hold of anyone via phone. I have been on hold for over 90 minutes. One and a half hours.
Molina Healthcare, Inc. has a market capitalization of US$9.3b, and total annual CEO compensation was reported as US$18m for the year to December 2019. Notably, that's an increase of 18% over the year before.
One would think that anyone earning 18 million dollars a year could provide adequate services to their customers!!!!
3 years ago
Karen Powell Houston, TX
New cardiologist ordered a heart monitor for me on March 31st 2021. His office only uses one made by Medilynx, which is out of network. Dr. Mark C. office staff, in San Antonio Texas, has been telling me for one month now to call Molina and tell them I need it, to make payment plans with Medilynx, and to call medi-lynx and apply for an Indigent program to get the monitor for free. I found out medi-lynx was out of network from a medi-lynx representative that called Molina. The doctor's office staff has never bothered to contact Molina Marketplace to see if the monitor would be approved since it's the only one they use in that office. I have IVCD and I am dizzy, extremely tired, and cannot be on my feet for more than about 15 minutes. I have contacted Molina customer service numerous times and been disconnected. I have asked for a supervisor and the customer service representative put me back on hold like if I had just called in. I finally reached a customer rep last week that was on the phone with me for 1 and 1/2 hours trying to help me find a list of heart monitors approved by Molina Marketplace. She could not find one. I have left bad reviews on the regional office website here in San Antonio. They give a blanket response to everyone with the same wording to email them for expedited service. I have not heard back from them since January so I'm not expecting to hear back from them about any heart monitors from the message I sent them the other day. I also was supposed to get a case manager starting January 1st of this year and I have not heard back from them about getting one. One of their numbers listed online actually reaches Molina in California. That lady was supposed to send a message to Molina in Texas to contact me. How sad is that? I get weaker every day and I'm unable to work. I actually feel like I could die or end up in the hospital without ever getting any help from Molina. This is the end of April. I don't know what to do anymore.
3 years ago
Moo Hattiesburg, MS
I live in Mississippi and unfortunately for my area Molina for healthcare is all that is offered. I applied for healthcare and dental at the very beginning of April. Here it is April 23rd and I haven't received anything from Molina and and my status still shows initial enrollment. My dental is through another company and I have already received my card and status showing active. I tried calling Molina and it is horrible. Their automated service is a nightmare and can't assist me. I finally was able to be put in queue to speak to a representative. I waited on the phone for 20mins and it just hung up on me. I can not get in contact with anyone to check on my health insurance.
3 years ago
Glo Perez Wylie, TX
I have been at this all morning trying to find a Doctor for my 96 year old mother I called them to e-mail me a list of Doctors because her doctor of many years no longer takes Molina its like i have circled all this list and called and called NoOnE wants anything to do with Molina! The List is Bogus Numbers ,Or the number isn't correct and i got chewed out from a dr office for calling i told them its not my fault i said you need to call molina and get off this list! Then she did give me advice and said just look at the name and then Google the Dr to get correct number and information,This is ridiculous I'm capable of doing this but what about the elderly like my Mom? Shame if they are going out of business but please update your list !!! The Founder needs to stand up for his Company or do a review himself of the list that is given to us and see how many dr's he get's that take Molina... My Mother is at her witts end and doesn't have a dr at this age! She has tried to stay with Molina but she is asking me to check out other insurances because of this ridiculous list!
3 years ago
Janeen Heller Watertown, WI
I had a change in my husband's income in February. I had to try and fix it for and entire month and got hung yup on 4 times before I finally talked to someone who spent some time with me and stayed on the line with me. Then when he finally did get into a three way they gave me a bunch of bologna about how the billing was supposed to be which was incorrect. They KNOW VERY WELL. I don't have the money or time to fight it as I've seen from the reviews they do it all the time. Guess what? It's a hard NO next year Molina. and I plan to tell as many people as possible to stay away from you like the 10 plaques of Egypt and you are no better than scammers from India with business degrees. Congrats! Karma will get you in the long run as you STEAL from people who can't afford it and can't prove it...If only I could leave negatives on these numbers.
3 years ago Edited September 14, 2021
crg323 Fort Lauderdale, FL
Molina Healthcare has nothing to offer except bad customer service. Trying to contact them through their website is a waste of time, and you will be put on hold for 30 minutes or more if you call the customer service number. My husband and I received our Molina health cards in the mail with the correct plan details for 2021. Then I saw on their website that my husband's plan was not active but mine was. Of course, this made no sense because my husband is the primary subscriber. After numerous attempts to contact Molina about the discrepancy, we confirmed with Healthcare.gov that our my plan was indeed active for 2021. Only to be told at the doctor's office that our plan was cancelled. Well, that was the end of that! Even if this was a simple technical error, I should not have to struggle to get basic information from a healthcare company. We were insured by Molina for 2020 and never used the plan. Now that we want to use the insurance Molina Healthcare is missing in action. This company needs to be investigated.
3 years ago
Brittany Nelson Green Bay, WI
There is a reason this company has such low reviews. I signed up in December and made my initial payment on December 11th. The money came out of my account that day but when I look at my account on their website it shows the payment was divided into two. There is a random $23 of my payment “pending” because of this when I attempt to use my insurance they are telling providers my account is not active and denying coverage. Funny though they still have me on auto pay and are taking monthly payment even though I’m apparently not an active member. This insurance company is a scam. They take your money and don’t pay out for services. Good luck getting ahold of a real person. You’ll sit on hold for hours trying to correct an issue on their part just to have the representatives hang up on you once you do get though before you can even finish explaining your situation. I’m currently on hold for the second time today after being hung up on.
3 years ago
SpencerAndy Riverside, CA
Molina is the absolute worst.
They assigned me a random doctor for my PPO, I could change it until my health care coverage took effect on 1/1/2021. Of course, they were closed until 1/4/2021. I called
Molina at 3:30 pm PST today to switch providers because their online system is unable find the provider when I attempt to change it (Yet, it finds the provider when I do a provider search). After waiting for 20 minutes and finally speaking with an inept customer service representative that was unable to do the switch, I called back and had to wait for 30 minutes. The customer service representative told me she had to get a supervisor to make the change, which took another 20 minutes. In total it took me 90 minutes to change my provider and now it’s after 5:00 pm PST and my provider is closed. I have to wait ANOTHER day just to try to make an appointment with my provider. I have never dealt with a company that was so inept with bad business processes. If you have a choice of health care insurance companies, DO NOT choose Molina!
3 years ago
Nicholas Sharpe Houston, TX
They issued us ID cards with a doctor who is not in the program. Let that sink in a moment. That would have been forgivable except, the "Find a Doctor" section of their web page doesn't work. The clinic two miles from us is a participant in the program. But it does not show up. The other doctor in the clinic we were originally assigned to still accepts this insurance, he does not show up either. The one time the "Find a Doctor" system did work it gave us options that were at least 25 miles away.
Effectively we are unable to use the system because we cannot get an ID with a primary doctor.
We can not even use the Teledoc system because they forgot to add us to the list.
We spent HOURS on the phone and were unable to talk to anyone. Twice the Molina Healthcare, endless voicemail system just hung up on us.
No customer service
A nonfunctioning website
No available doctors
Molina is a total waste of money.
One star is too high. This company is in the -4 catagory
3 years ago
mijhsan Fairfield, OH
Phone support is friendly and capable, but chronically understaffed. Wait times typically are in the 10s of minutes. This was the case before Covid. Billing is chaotic. I received multiple bills over time that were erroneous. Once, the amounts on a statement sent to me made no mathematical sense. I had to wait 40 minutes on the phone to hear them say I could ignore it. I'm looking at a bill now that says I owe money I paid 30 days ago. I'm on hold right now after hearing that I actually am owed money by Molina.
3 years ago
allison ,
The worst experience I've ever had to just find a primary care physician. Their network list is either severely outdated or carelessly maintained. The first hurdle was getting accurate results based on proximity to my home address. Search results initially showed doctors 20 min+ away as the closest, but when I entered a different address down the street, I could see doctors that were less than 5 minutes away. I finally chose a doctor that Molina listed as an in-network General Practitioner, but when I called the phone number provided on Molina's site, it was a Pediatric office that didn't see any adult patients and had no record of that doctor's name. I called Molina to switch my Primary Care Physician which they were helpful in doing, but now I'm trying to make an appointment with that doctor and the number leads to a telehealth company that is saying my doctor isn't in network. I am on a wild goose chase to find out if any of these doctors on the website A. exist, B. are practicing at the address on Molina's site, and C. have a working phone number so that I can even contact them. Maybe it's partly a reflection of a convoluted healthcare system in America, but I've never had this much difficulty finding a doctor with any other health insurance providers.
4 years ago
David C. Wick Franksville, WI
The worst insurance company I've ever had!
Lied at time of signing stating that all my doctors were in network.
When I actually went to my primary physician they told me that they dont take Molina!
After a month of calling and eventually filing a grievance, they admitted that they gave me misinformation at time of signing. Initially refused to give me any documentation of their misinformation until I threatened legal action.
Now it is past the timeframe and I cannot change insurance company to one that accepts my primary physician!
They continually deny procedures even though my previous insurance carrier approved the same procedures several times.
Basically, I cant go to my doctors and even if I go to theirs they deny all procedures!
Worthless!
4 years ago
Dr. Pepper Man Blue Mountain, MS
Absolute garbage insurance. I recently switched insurance carriers the first of the year without thoroughly researching it first and now I am really regretting my decision. I should have stayed with my previous insurance but was trying to go the cheaper route which it turns out is costing me a fortune. Molina insurance company denies almost everything! It's as if that's their company motto. I have yet to receive an invoice for which they have paid more than 10% of the bill, and I have stacks of bills to prove it. If you are considering Molina, I strongly urge you to reconsider. If not I can guarantee you will regret it
4 years ago
Michelle Rios Ogden, UT
Molina Healthcare disappointed us. We paid a significant amount of money for a policy to protect our family. We were told certain doctors were definitely in network to later find out that they were not. We will not be choosing Molina again or recommending them to others.
4 years ago
Scuba Dan Laurelville, OH
Terrible customer service, switched plans in November so that the new plan would start in Jan. Figured it would be a flawless switch over. WRONG! Spent numerous hours on the phone trying to figure our why in the middle of January I'm still getting bills for my old plan amount. Very frustrating. When I call they say one thing and when I get a bill I see something else. The phone tree system is beyond terrible. It will take about 10 minutes if you're lucky to get to speak with a live person. Don't trust their online payment or logging onto their system, it will be hacked and all your personal data with be stolen. Every Plan I've had through the market place has been hacked and I've received free credit reporting for the last several years, I just got another free year due to another settlement with BCBS. Molina is just like the others, a for profit money grab which leaves the consumers with no recourse and not even a reach around.
4 years ago
TOM KLEIN Milwaukee, WI
You reply does not work. Your login does not work, your password reset does not work, your live customer service cannot reset things. Therefore I can't register a complaint makes you feel proud, I saw filed complaints with several other wonderful agencies online detailing the two hours of a nightmare which you have created be proud. All I wanted was to check if my account had been paid and if I was set up for automatic renewal. I was so foolish to believe that this could be done. I feel so sorry for your customer service having to deal with the computer mess you people have made but I bet you saved money. What I like about the Internet is there are several other sites that do work I've been using eBay and Amazon for decades without this level of problems. I will be reposting this on as many websites as I can find you give it is free advertising
4 years ago
