Molina Healthcare is a managed care company that provides health insurance to individuals through government programs such as Medicaid and Medicare. Founded in 1980 by C. David Molina, an emergency room physician in Long Beach, California, the company has since expanded to offer health insurance in 15 states, including California, Florida, and Texas, as well as Puerto Rico. Molina Healthcare focuses on providing affordable coverage for underserved communities and offers plans with low premiums and low out-of-pocket costs. The company also operates its own clinics and provides healthcare directly to Medicaid members. While Molina receives low ratings from customers due to its narrow networks, it has been recognized for its financial performance and commitment to workplace flexibility.
Characteristics | Values |
---|---|
Type of Organization | Managed care company |
Founding | 1980 |
Founder | C. David Molina, an emergency room physician |
Headquarters | Long Beach, California |
Services | Health insurance |
Service Recipients | Individuals and families |
Service Areas | 12 states and Puerto Rico |
Service Type | Government-sponsored programs |
Examples | Medicare and Medicaid |
Founding Purpose | Serve low-income patients |
Current Leadership | J. Mario Molina, son of the founder |
Current Status | Public company |
Financial Status | Capable of continuing to pay healthcare expenses |
Ratings | 3.5 out of 5 stars |
What You'll Learn
Molina Healthcare is a managed care company
Molina Healthcare was founded in 1980 by C. David Molina, an emergency room physician in Long Beach, California. He established his first primary care clinic in Wilmington, California, with the goal of serving low-income patients, regardless of their ability to pay. The company has since expanded and opened additional clinics in various states.
Molina Healthcare is a Fortune 500 company and has been recognized for its corporate citizenship and workplace flexibility. The company's Medicaid plans have been ranked among the best by the National Committee for Quality Assurance.
Molina Healthcare contracts with state governments and serves as a health plan provider, offering a wide range of quality healthcare services to families and individuals. The company has participated in dual eligible demonstration projects in several states to manage the care of individuals eligible for both Medicare and Medicaid.
Marketplace Healthcare: Private Insurance Options Explained
You may want to see also
Molina offers Medicare Advantage plans
Molina Healthcare is a managed care company that provides health insurance to individuals through government programs such as Medicaid and Medicare. Founded in 1980 by C. David Molina, an emergency room physician, Molina Healthcare has since expanded across the United States. The company entered the Medicare market in 2006 and currently offers Medicare Advantage plans in several states.
Molina Healthcare offers Medicare Advantage plans, also known as Medicare health plans, to meet the needs of individuals with Medicare coverage. These plans provide comprehensive benefits and programs, including access to a large network of doctors, hospitals, and other healthcare providers, with little to no out-of-pocket costs. Molina's Medicare plans are designed to provide quality care at an affordable price, ensuring that members receive the best possible value for their healthcare expenses.
The specific benefits and programs offered by Molina Healthcare's Medicare Advantage plans may vary by state. However, some common features include prescription drug coverage, preventive care services, and coordinated care for chronic conditions. Additionally, Molina Healthcare's Medicare plans often include benefits that go beyond traditional Medicare, such as dental, vision, and hearing coverage, as well as fitness and wellness programs.
Molina's Medicare Advantage plans are available in select states across the country. As of 2024, these states include Arizona, California, Idaho, Illinois, Michigan, Nevada, Ohio, South Carolina, Texas, Utah, Virginia, Washington, and Wisconsin. The company continuously works to expand its reach and enhance its Medicare offerings to better serve its members.
Molina Healthcare's Medicare Advantage plans are designed to provide a seamless and integrated healthcare experience for individuals with Medicare coverage. By offering a wide range of benefits and programs, Molina aims to ensure that its members have access to the care they need, when they need it, without breaking the bank. With a focus on quality and affordability, Molina's Medicare Advantage plans offer a compelling option for those seeking comprehensive healthcare coverage.
Understanding Anti-Kickback Laws and Private Insurance: What's the Verdict?
You may want to see also
Molina offers plans for people transitioning from Medicaid to private insurance
Molina Healthcare, Inc. is a managed care company that provides health insurance to individuals through government programs such as Medicaid and Medicare. The company was founded in 1980 by C. David Molina, an emergency room physician in Long Beach, California. Molina Healthcare has since expanded to various states across the country, offering its services to nearly 5 million people.
Molina offers a range of health insurance plans, including Marketplace plans with low deductibles and low out-of-pocket costs. These plans are specifically designed for individuals transitioning from Medicaid to private insurance. This allows them to maintain their relationship with their previous Molina healthcare providers during the transition.
Molina's Marketplace plans are available in several states, including Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington, and Wisconsin. These plans provide comprehensive care and cost management for individuals and families.
Molina's plans for individuals transitioning from Medicaid to private insurance offer several benefits. Firstly, Molina's low premiums and low out-of-pocket costs make their plans affordable for those with limited financial resources. Additionally, Molina's managed care approach includes preventive care, aiming to help individuals avoid serious illnesses and the associated costs.
Molina's plans also provide access to a wide range of healthcare services, including independent physicians, physician groups, hospitals, pharmacies, and more. The company also operates its own clinics, providing direct healthcare services to Medicaid members. Their 24-hour nurse advice line offers additional support and peace of mind.
GEHA Private Insurance: What You Need to Know
You may want to see also
Molina offers plans for people eligible for both Medicare and Medicaid
Molina Healthcare is a managed care company that provides health insurance to individuals through government programs such as Medicaid and Medicare. The company was founded in 1980 by C. David Molina, an emergency room physician in Long Beach, California. Molina Healthcare has expanded across the United States and is now a Fortune 500 company.
Molina offers a range of health insurance plans, including plans for individuals who are eligible for both Medicare and Medicaid. These plans are known as Medicare-Medicaid plans (MMPs) or dual-eligible plans. This type of plan combines an individual's existing Medicaid and Medicare benefits into a single comprehensive plan, providing additional benefits and savings.
Molina's Medicare-Medicaid plans are designed to meet the unique needs of individuals who are eligible for both programs. These plans offer comprehensive benefits, including access to a large selection of doctors, hospitals, and other healthcare providers, often with little to no out-of-pocket cost. Molina's Medicare-Medicaid plans also include benefits such as prescription drug coverage, dental care, vision coverage, hearing exams and hearing aid coverage, and access to fitness centres.
Molina's Medicare-Medicaid plans are available in several states across the country, including Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington, and Wisconsin. The specific benefits and coverage may vary by location and eligibility.
Molina's Medicare-Medicaid plans aim to provide seamless and coordinated care for individuals who qualify for both programs. By combining Medicaid and Medicare benefits, individuals can access a wide range of healthcare services while also taking advantage of additional savings and benefits offered by Molina. This integrated approach to healthcare helps ensure that individuals receive high-quality care that meets their unique needs.
Strategies to Bypass Private Mortgage Insurance: A Guide
You may want to see also
Molina offers Medicare Complete Care plans
Molina Healthcare is a managed care company that provides health insurance to individuals through government programs such as Medicaid and Medicare. The company was founded in 1980 by C. David Molina, an emergency room physician who wanted to provide care to low-income patients who were being turned away by doctors who wouldn't accept Medi-Cal.
Molina Healthcare offers Medicare Advantage plans, also known as Part C, which combine Medicare Parts A, B, and D into a comprehensive plan. This means that individuals can get coverage for inpatient hospital care, skilled nursing facility care, long-term care hospitals, certain doctors' services, outpatient care, medical supplies, preventive services, and prescription drugs, all under one plan.
Molina's Medicare Complete Care plans offer a range of benefits, including:
- $0 copays
- Combining Medicaid and Medicare into one comprehensive plan with additional benefits
- A pre-funded debit card to cover over-the-counter items, transportation, and groceries
- Access to a personal team to help find care, maximize benefits, and connect with community resources
- Dental coverage for tooth pain and other dental care
- Vision coverage for eye exams and eyewear
- Hearing coverage for hearing exams and hearing aids
- Access to thousands of fitness centers and home fitness kits
Molina's Medicare plans are available in the following states: Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington, and Wisconsin.
Molina Healthcare is committed to providing quality care and has been recognized for its contributions, ranking 126th on the 2023 Fortune 500 list of the largest United States corporations by revenue.
The Viability of Banning Private Insurance: Pros, Cons, and More
You may want to see also
Frequently asked questions
No, Molina Healthcare is a managed care company that provides health insurance to individuals through government programs such as Medicaid and Medicare.
Molina Healthcare was founded in 1980 by C. David Molina, an emergency room physician in Long Beach, California. He started the company after witnessing patients being turned away because they were on Medi-Cal. His goal was to treat low-income patients, regardless of their ability to pay.
Molina Healthcare offers various insurance plans, including HMO, Medicare Advantage, and dual Medicare/Medicaid plans. They also provide prescription drug coverage and comprehensive care management.
To enroll in Molina Healthcare, you must have an income low enough to qualify for government assistance in your state. You can enroll through the health insurance marketplace or by contacting an independent, licensed insurance agent.