Do you know about Molina Health Insurance and how they work?
As one of the top insurers in the United States, they offer great coverage and prices.
There are many different companies to choose from when it comes to getting health insurance and it can sometimes be too much.
That is why you must stay up to date with all the medical insurance companies like Molina Healthcare if you want the best coverage possible.
We’re here to help.
Our in-depth guide contains everything you need to know about Molina. From types of plans to pros and cons, benefits, and costs, you will leave knowing everything.
Key Takeaways
- Ranked No. 1 in customer satisfaction.
- Known for their affordable prices.
- Voted as “best for its provider network”.
- Is in Forbes’ list for the top health insurance companies in America.
There is a lot of information covered in this article so if you prefer, jump straight to whichever point interests you more. Let’s begin.
Table of Contents
Is Molina Healthcare part of Obamacare?
While they provide other health insurance (like Medicaid and Medicare) we will mainly focus on the marketplace plans they offer in this article.
Like many other companies, Molina Healthcare is part of Obamacare (Affordable Care Act). It was started in 1980 and joined the ACA when it opened in 2010. They are known for being one of the cheapest health insurance options in the marketplace.
It is ranked 14th in Forbes top health insurance companies in the U.S. with over 780,000 new enrollments a couple years ago. Also, it was recognized as one of the world’s best companies just last year. So, just know that you will be joined by many others if you do decide to go with Molina!
But… does that mean they are a good choice for you?
Does Molina have good insurance plans?
There are so many factors that go into what makes a “good” insurance plan that it is a tough answer. The majority think that yes, Molina is a good insurance plan because of its affordable prices and great coverage. But again, it depends on many factors.
For example, plans are based on your location, age, household size, and income. So, it is possible that Molina may not even be in your area (and that does not mean it is not good).
Furthermore, Molina is ranked #9 for customer satisfaction and overall ranking. It is also voted for “Best for its provider network” by Insure. So it is fair to say that they are good. But let’s dive in.
The Pros and Cons of Molina Health Insurance
Like every other health insurance company, Molina has its good and bad. While mostly viewed as positive it is important we see both sides to see if it is for you or not.
| PROS | CONS |
|---|---|
They offer one of the lowest premiums in the marketplace compared to others. | Coverage is only available in under 18 states. |
Good for low-income individuals and families with their Medicaid and CHIP coverage. | Limited coverage due to their network of only serving HMO plans. |
Ranked No.1 for their provider network. | Limited to government-sponsored programs. |
One of the leading companies in terms of customer satisfaction. |
As you can see it has its ups and downs. However, it has more pros than cons, so that is always a good thing! Overall, here at Cuspide, we give Molina a 3.5 out of 5 stars! Checkout where Molina ranks amongst the top health insurers.
Keep in mind that these are just the overall statistics of the company and may not be how you experience them. Do not base your buying off reviews.
It’s important to find out if it is for you by getting a quote. There is a possibility that it is not in your area, or that it happens to not be the plan that suits you and your family the best.
What type of insurance does Molina Healthcare offer?
When it comes to Molina you must know that they offer 3 types of health coverage (managed care plans). Molina offers Medicaid, Medicare, and health plans through the marketplace. They are all for different purposes, let’s see which one may be for you.
They also offer CHIP (Childrens Health Insurance Program) which is coverage for children and DSNP (Dual Special Needs Plans) which are specialized Medicare Advantage plans, but we will only focus on these 3 as they are the main players.
1. Molina Medicaid
They are well-known for their Medicaid plans, which provide coverage for low-income individuals and families. If Molina is in your state (more on this later), and you qualify for Medicaid, they are a great choice. Like some other types of coverage, you will get access to doctor visits, hospital care, emergencies, prescription drugs, and more.
2. Molina Medicare
One important coverage they have is Medicare Advantage plans, (Medicare Part C), which is like the original Medicare benefits. These plans include benefits like prescription drug coverage (Part D), vision, dental, and some programs to better your health. Out of the three this is the least one that you will probably pick from, but still an important product.
3. Molina Marketplace *
Molina Healthcare is part of the Obamacare/Affordable Care Act and offers many different plans (read about this later). These plans will offer many health benefits and the best part is that no matter what pre-existing conditions you have, you will never be denied coverage.
Molina marketplace plans come in different prices and coverage types. Depending on what you want from your plan will determine what kind of plan you go with.
So, what exactly will it cover and how does the coverage work? Let’s find out.
What does Molina health insurance cover?
Just like all the other health insurance companies, Molina Healthcare must provide the “10 Essential Health Benefits” to their members. What does that mean?
If you want health coverage through the marketplace you will get access to the following:
- Preventive care
- Emergencies
- Prescription drugs
- Maternity care
- Mental health services
- Pediatrics
- Laboratory services
- Rehabilitative services
- Hospitalization
- Ambulatory patient services
No matter what plan you choose, they will all be required to provide you with all those services. However, the difference comes in the plan itself.
Depending on which one you choose (whether it is Molina or not) it will cost you different for these services. Because they all have different deductibles, copays, out-of-pocket maximums, etc.
The Molina insurance group only sells HMO plans (Health Maintenance Organization) through the marketplace. These are the cheapest options out of the 4 types and will often be the “strictest” because of requiring a PCP to see a specialist.
So, what are your options and how do they differ?
List of Molina HMO plans
There are many plans for the Molina Marketplace, but we will try and cover the most popular ones. It will all depend on which state you are from. Here is a list of the Molina marketplace plans:
Constant Care Silver 5 250
Constant Care Silver 2 250
Constant Care Silver 1 250 + Vision
Confident Care Gold 1 + Vision
Minimum Coverage HMO
Bronze 60 HMO
Constant Care Silver 7 250
Core Care Bronze 4
Core Care Bronze 1
Constant Care Silver 4 250
Constant Care Silver 1 250
Confident Care Gold 1
Molina Silver 3 250
Molina Gold 3
Gold 80 HMO
Silver 70 HMO
There may be more out there with different names depending on your state but those are the most common plan names Molina has. All of these will have different types of coverages (copays, premiums, deductibles) and it all depends on many factors.
Now the question everyone will ask…is there a “best”? Which one is it?
What is the best Molina marketplace plan?
This is almost impossible to decide as it is based on so many factors. For most, the best Molina marketplace plan is the one that has an affordable price and provides good coverage. It’s simple.
The most popular are usually the Molina silver plans as they provide a “Cost-Sharing Reduction” which lowers your monthly premiums a little bit (assuming you qualify for a subsidy).
Usually, people who are shopping for a plan in the marketplace have 1 goal in mind and that is affordability. The plan must be “cheap”. Which leads us to the price…
How much does Molina health insurance cost?
The good news is that the Molina insurance group is one of the most affordable health insurance companies in the marketplace. Usually appearing as one of the first options for lower income applicants.
Based on the average U.S. income, you can expect to pay anywhere from $20-80 for Molina marketplace plan. This is just an average; you may pay more or less!
For a more accurate estimate, we suggest using our healthcare subsidy calculator tool that tells you how much tax credit you will get and your cost for a silver plan!
Enroll in a Molina marketplace plan with Cuspide
Aside from other companies, we are Molina Insurance Brokers as well! Contact us anytime at (305) 970-8583 and get the chance to compare all the plans in the marketplace at no cost to you. Cuspide will help you get an affordable plan, find doctors, make payments, and more!
People Usually Ask...
If you have a specific question not found in this article, give us a call at (305) 970-8583 and we will be able to help you!
What doctors accept Molina insurance?
To find out the Molina providers you need to go to their member portal through their website and look at doctors/hospitals that are in your area. Those who already have Molina have a couple of ways to find out which doctors/hospital accepts the insurance. You can find out by asking your doctor or facility directly, asking your insurance agent to assist you or going through the member portal with your account.
Does Molina healthcare cover dental procedures?
Dental coverage can vary depending on what you want done. Usually, Molina insurance does cover dental. Both the Medicaid and marketplace plan side will provide this. Depending on the plan, you may have to pay a little extra to have the dental addition.
And, since it is not a requirement, it could be possible that your area may not have plans with dental built into them. The best way to find out would be to get a quote from the marketplace to see what your options are.
Is Molina marketplace the same as Medicaid?
While they are part of the same company, no, Molina marketplace is not the same as Medicaid. They offer different health insurances and 2 of them include marketplace plans and Medicaid.
So, what is the difference?
Molina marketplace are the plans they offer through the health insurance marketplace (HealthCare.gov). They are HMO plans available through the ACA/Obamacare.
Their Medicaid is not a part of the marketplace and only available through them directly. This is like the ACA in terms of benefits but different with the requirements and for who it is for.
Does Molina healthcare cover vision?
Yes, Molina does offer vision as part of their marketplace plans. Not all the plans will have them, but a good amount do you just have to look for them. (Look back at our list to see).
Usually, it will include coverage for things like eye exams, prescription glasses, and other vision services. Think of it like small supplementary coverage included into the plans. Check on your “Summary of Benefits” document to see what exactly is covered.
Is Molina healthcare in my state?
Like other providers, it is possible that they are not in your area. As of 2024, Molina healthcare is in 18 states, offering both Medicaid and marketplace plans. Below is a graph of a map where they currently serve health insurance plans.
Note: If they are not in your area, there are other health insurance companies who will provide you with low-cost coverage!
Is Molina health insurance the plan for you?
So now that you know a little more about the Molina insurance group, are they for you? While it depends on the person (and it is kind of out of your control) we will give you an answer.
We will do it with a list because it is much more enjoyable and who doesn’t love lists. Here are 3 steps to take to find out if Molina healthcare is the right insurance for you.
1. Find out your needs or wants
No matter what company you are after, the first question you need to ask yourself is why do you need insurance? Some people NEED it because of frequent medical care or a certain condition. Others only want it for worst case scenarios. This will help you narrow the list down.
2. Compare all the plans available
Now, this whole article is based on just Molina, but there are many other companies out there with different plans. It is important to browse all the marketplace plans available because depending on your area, different companies will show up as the cheapest plan.
For some, it could be Molina, and for others, it could be another one. Get yourself a good insurance broker (like us) and let them compare all the plans for you to see which one is the best option.
3. Look at the providers in your area
If getting Molina is your main objective, your immediate step should be who in your area accepts the insurance. Some people have their go to doctors and care team that they want to get treated by. So, make sure that they accept Molina! Use their provider search or contact an agent.
Finishing up…
Now that you have read the ultimate guide to Molina Health Insurance, you are ready to make a buying decision for your health coverage.
Remember that they offer great coverage, are one of the cheapest options in the marketplace, and ranked No. 1 in overall customer satisfaction.
We recommend getting a quote so you can see all the available plans for yourself. And if Molina happens to be in your area, you are ready to act with your new knowledge!
For everything health insurance, Cuspide is here.
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