Molina Healthcare
1.0
3.9
Overall Score
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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 Their network list is either severely outdated or carelessly maintained.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.
3 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!
3 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
Janneth San Diego, CA
If I could give Molina zero stars I would. I visit the ER room on March 2019 and I’m barely getting an invoice after 8 moths. The emergency visit was $327 and Molina ONLY paid $67.29 that’s ridiculous! Unfortunately I had to pay the rest. What’s the point of having insurance if they don’t even cover half. Each month I make monthly payments to Molina to get coverage, but what coverage their refusing to pay more than $67. It would have been better off not to have insurance because at least I wouldn’t have to pay close to $200 each month for premium. Where’s the money I have been paying every month? If I add up the monthly premium for the year it’s close to $2,400. So please do yourself a favor and stay away from Molina. They are very happy to receive your monthly premiums and when you need them they don’t care about you.
4 years ago
R Dallas, TX
Molina is a complete scam. There are NO doctors that accept it! I can't believe this company is in business. It is apparently funded by the ACA, but NONE of the DOCTORS listed on their website or in any of their literature actually accept their insurance. They should be investigated for fraud, but then again the entire Obamacare system is fraudulent and a complete failiure. It is only designed to extort money from the american people via the tax code and hand it over to "Healthcare" companies that Doctors do not accept! Molina Collects a monthly premium and provide no service! Criminal! This is organized crime!
4 years ago
Tao Santa Fe, NM
I talked to Molina reps BEFORE I chose the company & they blatantly lied about the doctors on their list. Primary care doctor was rude & treated me like one of the "cheap" patients because I was using Molina. The PCP gave me a referral for a Gastroenterologist- no gastroenterologist's in the state of New Mexico will take Molina, NOT ONE. 3 of the offices told me they informed Molina that they would no longer accept their plans & Molina has refused to remove from their website the list of doctors & clinics that dropped them. Government (our taxes) paid Molina around $6000 for my plan - I got to have a $314 doctor visit & referrals that I cannot use & paid that doctor $35 co-pay. AVOID!!
4 years ago
chey Olympia, WA
I wish there was a zero star rating. Molina automatically rejects every claim. 99% of the doctor do not work with Molina. I wanted to see an allergist and got denied because Molina said they would not work with that doctor even though that Dr takes our Molina Marketplace insurance. Every prescription I have ever tried to fill gets automatically denied. I have spent more time getting the run around and less time getting my health issue resolved. NOBODY takes this insurance and if there somebody out there they are an hour or more away from where I live in Olympia WA. We pay $1,500 per month for this insurance that really is not an insurance at all . I have been forced to pay cash for all my doctors visits because I don't have time to deal with the constant denials. Changing insurances next year. I don't normally leave reviews places but I wanted to warn anyone considering this fraudulent insurance company.
4 years ago
MB Waukesha, WI
I have had Molina 3 different times. They were the most affordable plan on my limited income. However, I always had the problem of trying to find any doctors or services that would accept my insurance plan because doc find is extremely outdated. This time is the worst though. I sent in two claims for a podiatrist and a PT. Both times they told me they were out of network and no payment. That was not the case. They told me that my PT wasn't being paid because his certification expired. That was not the case. Still working on $500 bill for one podiatrist visit. Also fired a complaint on podiatrist because visit was a nightmare! He was terrible. When I called previously , they have no record of any of my calls. I'm glad I'm retired because I've spent a lot of time on just two visits. So, the insurance is fine, as long as you never have to use it!
4 years ago
J Dallas, TX
I spent over an hour on the phone trying to find a provider that actually takes their insurance. They list they provided is completely inaccurate (the doctors listed don't accept the insurance, they're no longer working there, the phone numbers are wrong, doctors names are listed multiple times, etc.). I was on page 5 before I found someone, and that's after extending my search to doctors that are an hour away. There's a link at the bottom of the provider search page to take their "Provider Online Directory Survey," but surprise surprise the link doesn't work. Every doctor's office I spoke to said they have filled out the paperwork and asked Molina to take them off their system, but they still get calls daily from frustrated people like me that are desperately searching for a doctor.
5 years ago
FEHUNT
Chose a PCP on the list on their website in January. Tried to make an appt in April to get established - this provider is not a contracted provider - Molina "let them go". On the phone back and forth with provider and Molina - finally doc himself called me to say he called the number he has through his dealings with Molina -- and he is NOT a provider. Started calling in order of distance - severall others were also "fired" or let go - or they chose not to do business with Molina - or they were urgent care providers, surgeons, pediatricians, etc.
I finally found a PCP provider on PAGE 22!!!!! (10 per page!!!!) who is a contracted provider in network that I can make an appt with. But when you change your primary you have to wait till the 1st of the following month (or 2 months if it you change PCP after the 25th) to be able to see that provider even though the one I chose according to their website and verbal "yes he is a provider" from the 800 number was not true and I would have had to pay out of pocket - HORRIBLE, AWFUL INSURANCE COMPANY - the absolute worst company I have ever dealt with. I am a 60-year-old and have dealt with many insurance companies over the years. CHOOSE SOMEONE ELSE - STAY AWAY
5 years ago
Marge Seattle, WA
I hate this company. Everything they do is designed to make sure that they pay for nothing. I had a doctor covered by Molina so I had to sign up for it. It's expensive. They cover nothing--they denied extended PT, in spite of documented medical need. They denied a CT scan recommended by my doctor. Really, if I get run over by a truck, they might cover a little bit, but probably only a little. Walgreens won't fill prescriptions by Molina. My doctor's mammograms aren't covered--have to go many miles away for one Molina has bargained with down to the bare bones. Hate, hate, hate and despise. It's not like I'm not paying a ton for the privilege of maybe being covered when the truck hits me. I'm paying almost $900 a month for crap coverage. I can't wait for the year to end to get another company.
5 years ago
Dee Houston, TX
If I could give them a -10,000,000,000,000 for their rating I would. I pay all this money each month through marketplace insurance only to spend hours, days and weeks that have gone by and I still can't find a doctor who accepts it. Customer service is rude, unprofessional, and insensitive and does not care. Their provider list is a joke and extremely outdated. I'm am almost in tears. I have had this insurance for 3 months and still cannot find a doctor. The doctor assigned to me by default was arrested in December 2018. This is the most horrible insurance company I've ever had. All I feel like I can do is just try to pray for good health and that nothing happens. I cannot believe that this is a company! Literally every doctor I have called on their PROVIDER list says that they do not accept Molina Marketplace. HORRIBLE-DO NOT GET THIS INSURANCE, you're better off applying for SNAP benefits and getting Medicaid!
5 years ago
Cheryl Cohran
My Mom was there for a couple of months. She was also covered by hospice during her stay. Not much interaction with Molina nurses and CNAs. Hospice took care of her. Having to deal with office personnel was our biggest obstacle and still is! Molina never applied for Medicaid but said theywere in the process. Then we mentioned transferring her to another facility closer to our family and they said THAT facility would have to apply for Medicaid. In the end, I had to apply with a form Molina gave me, hand delivered it to DEFACS in Thomaston and Molina gave me the wrong forms to fill out! I had to sit in DEFACS office and fill out the correct form and the personnel at DEFACS are asking me why am I filling out the forms. Molina should have already done that! Got Medicaid going and my Mom was approved instantly! I had to private pay each month until Medicaid was approved and that was a chunk. Do you think I have been reimbursed yet? I have been given the biggest runaround! Very unprofessional people employed there. One excuse after another. Finally turned it over to an attorney yesterday. The hospice was Sacred Journey, spoke with them today and the woman was laughing in my face! "We don't want you wasting your money on an attorney this is our process". So, so, so many processes. The woman at Sacred Journey wouldn't even let me talk. I finally had to ask her to be quiet so I could talk. Molina and Sacred Journey are a joke as far as their business offices are concerned!!
5 years ago
S. R. Katy, TX
I had Molina health care in 2018, through the Obamacare market place. I would have to say this is the worst insurance company I have ever had in terms of coverages and available doctors in their network. It's clear there is a limited amount of providers to see because 90% of them refuse to deal with Molina healthcare. Doctors tell me it is so hard to get their money for the services they provide that they would rather not deal with them. Also, they want to tell the provider what treatment you should have instead of letting your doctor prescribe your treatment. I have Ulcerative colitis and in 2018 I had a major flare up and nearly had to be hospitalized. Molina put up such a fight over my healthcare costs, I became so stressed out therefore, exacerbating my condition. This year 2019, I opted to go for a higher cost premium insurance company rather than go through that mess ever again.
5 years ago
ekin sky Cypress, TX
Refuse to pay in-network coverage for out-of-network ambulance service during medical emergency after months of appeal. What's the point of insurance if you don't even pay for emergency ambulance. Garbage company. Zero stars. Please avoid at all cost.
9 months ago
Adriana Genung Boca Raton, FL
DO NOT ENROLL IN THIS INSURANCE!!!!! IT HAS A HIGH DEDUCTIBLE , ALL THEIR PROVIDERS LISTED IN THEIR HANDBOOK WHEN YOU MAKE THE APPT THEY DO NOT ACCEPT THE INSURANCE EVEN THOUGH THE PROVIDER IS ON THEIR WEBSITE!!!! I SPENT 3 AND A HALF HOURS LOOKING UP A PARTICIPAT PROVIDER LISTED IN THEIR WEBSITE AND THEY DONT TAKE THIS INSURANCE.
10 months ago
NY Med Huntington Station, NY
From a provider/s point of view, Molina is the worst of the Medicaid heath insurances.
It requires prior authorization for all services, including office visits.
Not worth spending so much time to secure(maybe) a meager compensation.
We, like most of the providers in the area that inherited Molina from Affinity, have stopped accepting Molina. We suggest all patients look elsewhere for competent insurance.
1 year ago
Julie Pita Canton, MI
If I could give zero stars I would. They have the WORST customer service ever!!!!! The call quality is horrible and you can constatntly hear roosters crowing in the background - I asked and yes, there are chickens!!!! They constantly hang up or loose connection. Every time calling is a minimum of 1 hour - providing the same info over and over again and never getting assistance. I can hardly wait to drop them!!!!
1 year ago
Joanne Igyarto San Bernardino, CA
This is the worst health insurance and member services! They assigned a doctor to me that is two hours away. I did not find out until I finally got through to someone at that facility that was the case. When I contacted Molina to advise them of their "mistake" I am advised that a change in doctor won't take effect until the first of June. I am out of medications now! When I "expressed" my dissatisfaction with their incompetency, I was hung up on. Now I have to pay out of pocket to see a doctor outside of their plan in order to get medication refills. I am so irate at this poor service!
1 year ago
Mike Crain Woodlawn, IL
I was switched to this automatically because Illinois is doing a Medicare and Medicaid alignment program that allegedly makes my healthcare easier. Turns out nowhere in this part of the state accepts any MMAI program despite all their websites show practically every doctor as in their network. I haven't been to mist doctors I need to go to for months thanks to all this.
1 year ago
Siobhan Fitzgerald Seattle, WA
If I could give zero stars, I would. I paid for one month of medical coverage with Molina. It's been almost 3 weeks and no insurance card. Not without my efforts. I've been trying to call. Somehow it never works. If I get through, the call ends, or they pass me along to someone else and then I'm eventually hung up on. I still don't have a member ID number and therefore cannot use my insurance. Which I paid for and signed up for. Glad I'll never need to use them again. Hoping I can still somehow get through to someone and get help finding my information.
2 years ago
Evan Devine Cleveland, OH
If I could rate -5 stars I would. Constantly charged more than I was told, 3x what I expected just to see my primary care doctor. Constantly had problems getting my insulin, still to this day have problems getting meds. They don't fill the right amount, everything gets prior auth'd even if you've been on the medication for years. I went through benzo withdrawal because of this garbage company.
2 years ago
Coco Miami, FL
Avoid them at all costs! Their website shows a bunch of providers which don't actually accept the insurance. I think this is a scam so that they can be part of the Government Marketplace. It works fine as long as you don't get sick. I recently had to go to an urgent care facility which they list on their website as in-network and now they claim that the facility is not and declined payment. SCAMMERS
2 years ago
Meleah Nunn Ann Arbor, MI
Molina Marketplace is terrible. Their website is not up to date. Their payment summary is not updated either. They terminated my insurance prematurely saying I owed money I didn’t owe. They then sent me a refund for some money I sent except for $113 that they say I owed that I didn’t. I contacted them multiple times before that. Their customer service is terrible. Despite the stressful situation, I’m glad I have a new and better health insurance now.
2 years ago
Bob Columbia, SC
Horrible coverage. It actually covers NOTHING I have submitted. For example, my doctor had me do a sleep study for sleep apnea. Molina not only didnt cover my sleep study, but wrote me a letter saying although I have sleep apnea I don't qualify for coverage for a machine!!!! This coverage is the worst you can possibly get and NOTHING is covered. Get anything else... literally anything.
2 years ago
jonesaw Houston, TX
Molina is a pathetic excuse for an insurance company. They cannot properly bill customers. It took them 2 months to get me info to be able to log in to get an insurance card. They excel at transferring your calls and putting you on hold for hours on end. They claim Memorial Hermann (is in network) in Houston, TX but almost none of the doctors at MH are in network. Do yourself a favor and pay the extra $20/month and use someone like BCBS or Etna.
3 years ago
Mike Baldwinsville, NY
As a physician, I am routinely frustrated by Molina's unwillingness to approve appropriate procedures. They routinely deny things that all other insurance companies will cover. We are often forced to do peer-to-peer reviews with someone who is not connected to patient care, which is time consuming and insulting. Have had to threaten legal intervention to get things done. Stay away!!
3 years ago
Say No To Molina Medina, OH
Horrible horrible insurance. If I could give them a zero I would. They do not care if you are in terrible pain they will deny a procedure even after they tell your dr its a covered procedure and your case worker also tells you the procedure you need is covered.
Don't depend on this company to care about you or your loved ones. If you hear the words Molina Healthcare run!!!! Medicare and Medicaid should be ashamed to be associated with this company.
3 years ago
jody albright Seattle, WA
Molina does everything it can to not approve tests and treatment for mental health issues, dementia, and potential Alzheimers. We have been struggling to understand the issues with a brain that has shut down in a few lobes and Molina will not approve the required tests and procedures to adequately assess the issues and define a treatment plan for the near and far future. It is such a sad, sad situation.
3 years ago
Micaela Castanon Olympia, WA
Forget about Molina's promise to give you to cover prenatal care, they won't even cover an ultrasound and will go on to label it a radiology service! Also they won't cover immunizations without a doctors note... who does that for something everyone needs? AND they make you wait a month before letting you change doctors, even if you call and find out your current doctor was mislabeled by them, and isn't seeing any new adult patients. ugggg.
4 years ago
Toby Dattoma Seattle, WA
My experienceMolina Insurance has been a total disaster. First, the staff there can't answer simple questions, and are also very dishonest. Molina failed me on getting enrolled, overbilled me, and lied to me over and over again. It takes at least 30 mins on hold to speak to someone, and once they're on the phone, they just tell a bunch of lies. Molina does not deserve even one star.
4 years ago
IHateMolina Carrollton, TX
Scam. The coverage was terrible, limited on everything. Canceled in October 2018, but they kept charging me without sending me a notice. Come January 2019, finally got a bill for past months.... I called these people and canceled, even got a conformation. Now it's 2020 and have to file the month of January, and guess what. it lowered the amount I'm getting back on my income taxes. DO NOT GET THIS INSURANCE.
4 years ago
S Blancas Houston, TX
WORTHLESS and deserve zero stars. I could never find a provider to fill my 84 year old mother’s diabetic shoe prescription and hearing aides. Every time I called, I would get different instructions which never worked to get what my mother needed. Additionally, they could not refer her to a dentist because they had none on their network. After more than a year of trying to get services without any success, I changed her to another insurance. I would NOT recommend Molina Health Plan to anyone!
4 years ago
David Smith MD Mt. Pleasant, SC
I pay over $2400 a month for a Molina health policy for my family. None our doctors are covered, and none of our drugs are covered. Even with Prior Authorizations they refused coverage. Even a $17 cholesterol medication was denied. Unbelievable. On top of that every call to customer service means you are going to spend an hour on hold at a minimum. I can not warn you enough.
4 years ago
Pam K Charleston, SC
Update on yesterday's post: No, she didn't call me back before her shift ended. No, she didn't call the pharmacy.
Another 2 hour phone call today that I insisted on talking with a supervisor. He said I would receive a phone call by the end of business tomorrow! Ya right. I won't hold my breath. I asked him if I was going to get a refund for the at least 11 days that I have not been able to use the service that I paid for. He said, "NO"
I will update if I actually receive resolution tomorrow.
4 years ago
RANDY E Adams Saluda, SC
We took out Molina is was a lot cheaper. Bad mistake deductible was higher than quoted. Call to try get RX filled on the phone and half hour. I was past around. They couldn't get to South Carolina PHARMACY. Call back some problem. Only been with Molina 5 DAYS to long. We will not be keep this Insurance. Very UNHAPPY. Randy A. From South Carolina.
4 years ago
David Mt. Pleasant, SC
My policy hasn’t even taken effect yet and I’m regretting my decision. Molina accidentally debited monthly payment twice. I’ve spent 5-6 hours on the phone (hold mostly) and have been told the money will be returned. It’s been 3 weeks, and not a dome has been returned yet. Missing $700 from my checking account makes it very difficult to pay my bills.
4 years ago
Richard Clapp jr Marysville, OH
This company has a VERY strong urge to play doctor by forcing inappropriate drug trials on it's clients with their fail first and loves to mess with established drug regimens. Been on several for 3 yrs, everything in balance. Molina blundered in like a bull in a China shop. Took months to straighten out the mess Molina made and two urgent Care visits. They are not doctors, but sure think they are! Avoid.
4 years ago
K Johnson Vancouver, WA
This company is a nightmare to deal with. I have spent hours on the phone trying to get a straight answer about what they will pay, based on my plan, for a minor surgical procedure. I have gotten misinformation and conflicting information, and outright lies. At over $1,000 per month for healthcare premiums, there is absolutely no excuse for this amount of complete incompetence !!!
4 years ago
Rebecca L Mantei Spokane, WA
The only issue I have is that Molina needs to change their vision coverage provider. VSP is terrible. What good is it to have the exam covered once a year and not the lenses/frames. I am now stuck wearing a pair of glasses that are 4 years old until after the first of the year. I am completely embarrassed because I did not know and it is not explained in the coverage handbook that the lenses & frames coverage is every other year. Not impressed.
5 years ago
RWig Albuquerque, NM
DO NOT GET MOLINA!!!! I had Molina for almost a year until I could not handle it anymore. The options for providers is little to none. Even to fill a prescription was a hassle due to them not being in contract with hardly any pharmacy's.. The worst part is the customer service, AWFUL. They are rude and not helpful what-so-ever. Even cancelling my coverage was a pain... They give you the run around for everything and never have answers. Very little options are in network for Molina, I do not recommend.
5 years ago
Melinda Diamond Houston, TX
Horrible Insurance Provider. I feel I should have received a full refunds. They provide you a provider list. You have to call for 2-4 hours to only hear over and over. We don't take this insurance, but they were on the provider list. Terrible. Everyone needs to run. It was horrible. When you are sick, paying that type of money on a monthly basis, and you can't find a doctor. Terrible.
5 years ago
Rebecca Pellerito Camden, SC
Every single month they deny a medication that has been pre authorized.It tooks 2 months for them to finally authorize the 8 pills. That was last month. Apparenty the authorization we waited so long for was only good for 14 days.
1 year ago
Glenda Vermilion, OH
I was diagnosed with brain aneurysm. Currently unable to find doctor or hospital to do the procedure to fix this. Doctors and hospitals in my area where the needed surgery is performed will not accept Molina Marketplace health insurance. It has been 10 days since diagnosed. Still searching !
1 year ago
Nicole Marie New York, NY
Ever since Molina bought out Affinity Health Plan it has been a horrible experience. They are denying everything and sending me bills from 2021. Avoid them at all costs. The most stressful insurance company ever! I miss the old Affinity Health NYC.
2 years ago
Stephan Krasner Portland, OR
Molina is a complete scam. They charge you for service but deny every claim and intentionally lead you down a path that leaves you with the entire bill. They have no customer service number. They won't even provide you with a general doctor. Every doctor they refer you to is not actually in network.
2 years ago
Pierre Schmidt Chicago, IL
STAY AWAY FROM MOLINA HEALTHCARE
Could not wait any longer for prior authorization for medication to be processed. Company refused to reimburse me later if I paid the pharmacy out of pocket.
In light of the above, it is clear that Molina puts itself first and the patient last.
2 years ago
