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Is Molina Healthcare a PPO or HMO?

Author

Christopher Snyder

Updated on March 12, 2026

Is Molina Healthcare a PPO or HMO?

Molina is a Fortune 500 company and has been named to the “100 Best Corporate Citizens” list by Business Ethics magazine. The National Committee for Quality Assurance ranked Molina's Medicaid plans among the best. Like many insurance companies, Molina's product offerings include HMO plans.

Similarly one may ask, is Molina an HMO or PPO?

Molina Medicare Choice Care (HMO)

Furthermore, what type of insurance is Molina Healthcare? Molina Health Plans

Medicaid Molina Healthcare contracts with state governments and serves as a health plan, providing a wide range of quality health care services to families and individuals who qualify for government-sponsored programs, including Medicaid and the State Children's Health Insurance Program (SCHIP).

Similarly one may ask, is Molina Healthcare a PPO?

Molina Healthcare offers all eligible employees three medical plan options to choose from. All use Blue Cross Blue Shield, a nationwide Preferred Provider Organization (PPO) network. While each plan covers most of the same services, your out-of-pocket expenses vary with each plan.

Is Molina Healthcare good insurance?

While complaints are common on BBB, Molina offers a competitive managed care option for Medicaid and Medicare recipients. It is generally well regarded by the underserved and lower-income communities who use it.

How do you qualify for Molina?

Eligibility
  1. Be a resident of the State of Illinois.
  2. Be a citizen of the United States or a legally admitted alien.
  3. Have a DON score of 29 points or more.
  4. Have less than $17,500 in assets or $35,000 family assets for a child under the age of 18.

How many employees does Molina Healthcare have?

Molina Healthcare
Traded asNYSE: MOH S&P 400 component
Net incomeUS$-512 million (2017)
Total assetsUS$8.471 billion (2017)
Total equityUS$1.337 billion (2017)
Number of employees~11,000 (2019)

Does Molina Healthcare cover urgent care?

Emergent and urgent care services are covered by Molina Healthcare without an authorization. This includes non-contracted providers outside of Molina Healthcare's service area. Members may call the Nurse Advise Line anytime they are experiencing symptoms or need health care information.

Who is the CEO of Molina Healthcare?

Joseph M. Zubretsky

Is Molina Healthcare the same as Medicaid?

Molina Health Plans

Medicaid Molina Healthcare contracts with state governments and serves as a health plan, providing a wide range of quality health care services to families and individuals who qualify for government-sponsored programs, including Medicaid and the State Children's Health Insurance Program (SCHIP).

How much does Molina Healthcare Cost?

Your message has been sent.
Molina Minimum Coverage HMOMolina Bronze 60 HMO
Learn MoreLearn More
OOPM, Individual$7,900$7,550
OOPM, Family$15,800$15,100
Emergency/Urgent Services

Who started Molina Healthcare?

C. David Molina

Which is better Molina or United Healthcare?

See how UnitedHealthcare and Molina ranked among the industry ratings.

What is UnitedHealthcare and Molina Insurance Rating?

ComparisonUnitedHealthcareMolina
Medicare Star Rating4.5 stars (out of 5)3.5 stars (out of 5)
BBB RatingA+F

How do I cancel my Molina Healthcare Online?

Here's what to do. Go to the health insurance marketplace where you bought the plan and sign into your account. If you bought it through HealthCare.gov, log into “My Account,” go to “My Plans and Programs,” and select “End/Terminate All Coverage.”

Does Kaiser accept Molina Healthcare?

Kaiser Permanente participates in Washington Apple Health through Molina Healthcare of Washington, a Medicaid Managed Care Organization (MCO). Many of our Kaiser Permanente providers accept patients with Washington Apple Health coverage through Molina Healthcare of Washington.

How do I renew my Molina Healthcare?

There are 4 ways to renew your benefits:
  1. By Phone: You can call the Medicaid Renewals Hotline or your local CDJFS.
  2. By Mail: Complete the form you received in the mail and send it to your local CDJFS.
  3. In Person: Visit your local CDJFS.
  4. Online: Go to

Is YourCare Medicaid?

You may qualify for YourCare Option (Medicaid Managed Care) if you: Are under age 65. Are eligible for Medicaid.

What does a healthcare company do?

What Is the Healthcare Sector? The healthcare sector consists of businesses that provide medical services, manufacture medical equipment or drugs, provide medical insurance, or otherwise facilitate the provision of healthcare to patients.

Is Molina Medi Cal?

Molina Healthcare Medi-Cal provides quality health care for your family. Find out more about your health plan, what's covered and the many programs we offer.

How do you pronounce Molina?

Here are 4 tips that should help you perfect your pronunciation of 'molina':
  1. Break 'molina' down into sounds: [MUH] + [LEE] + [NUH] - say it out loud and exaggerate the sounds until you can consistently produce them.
  2. Record yourself saying 'molina' in full sentences, then watch yourself and listen.

Does Molina have a copay?

Copayment: A specific dollar amount members must pay when they receive Covered Services. Copayments are listed in the Molina Healthcare Benefits and Coverage Guide. Some Covered Services do not have a Copayment, and may apply a Deductible or Coinsurance.

Does Molina require a referral to see a specialist?

Referral Required: Molina Healthcare is a primary care plan and requires a written or verbal referral from the Primary Care Provider (PCP) to specialist offices prior to sending the Member for specialist care. Please Note: Authorization requests should be submitted by the PCP or Specialist ordering the service.

Does Molina cover prescriptions?

Prescription medications are covered when: They are ordered by your provider or another doctor treating you or your child and the drug is listed on the Molina Healthcare Drug List (Formulary). The Drug Formulary is Molina Healthcare's list of approved drugs that doctors can order for you.

What does Molina Healthcare cover?

Molina Healthcare covers dental services, including oral surgeons, X-rays, sealants, fillings, crowns (caps), root canals, dentures and extractions (pulling). Molina Healthcare covers dental exams every six months.

What is HMO insurance mean?

Health Maintenance Organization

Is Molina Healthcare non profit?

Molina Healthcare continues to be among the national leaders in Medicaid health plan quality accreditation. Our goal is for all Molina health plans to become accredited by the National Committee for Quality Assurance (NCQA), an independent, not-for profit organization dedicated to improving the quality of health care.

What is Molina Healthcare of Ohio?

Molina Healthcare of Ohio covers families, children up to age 19, pregnant women, adults age 65 and older, individuals who are blind or disabled, and adult extension enrollees at any age who are eligible for Ohio Medicaid. Learn more.

When was Molina Healthcare founded?

1980, Long Beach, California, United States

Does Molina cover glasses?

Molina Healthcare covers one pair of eye glasses (frames and lenses) every two years. Members 21 years of age and older are limited to replacement eyeglasses when medically necessary.

Does Molina Healthcare cover out of state?

Out-of-state Medical/Transplant

Prior approval is required for all out-of-state services. To be reimbursed for nonemergency medical services, prior authorization must be obtained from Molina Healthcare TPA.

Does Molina cover MRI?

Covered benefit Selected diagnostic services (including CT scans, MRIs, MRAs, PET Scans, and SPECT) require PA. Durable Medical Equipment (DME) Covered benefit Some durable medical equipment items require PA. Covered benefit PA is not required.

Does Walgreens accept Molina insurance?

Walgreens does not participate with Molina Marketplace pharmacy network. Q. Molina Healthcare has transitioned to a new pharmacy network.

How is Molina Healthcare rated?

For 2019, Molina Healthcare of California received the following Overall Star Rating from Medicare. 5 stars - excellent 4 stars - above average 3 stars - average 2 stars - below average 1 star - poor Learn more about our plan and how we are different from other plans at

How good is Kaiser Permanente?

Fitch Ratings has given Kaiser Permanente Health Insurance Company an “A+” rating. Standard & Poor's rates Kaiser with an “A+” rating as well. Kaiser also scores well in the area of customer service. Insure.com gives the company an 83.64% customer satisfaction rating.

Is Molina Healthcare nationwide?

Molina Healthcare, Inc., a FORTUNE 500 company, provides managed health care services under the Medicaid and Medicare programs and through the state insurance marketplaces. Through its locally operated health plans, Molina Healthcare served approximately 3.6 million members nationwide as of June 30, 2020.