ComplaintsforMolina Healthcare, Inc.

• Initial Complaint

  05/01/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Unanswered

  More info

  Im 50 year old female who on SSI Disability for severe depression and severe anxiety. I also have a long list of mental and physical debilitating issues, ones important here are my agoraphobia issues, and my great difficulty dealing with the phone. I need to be in care of ************* but continue to be denied due to ******************************** & their failure to communicate. Im absolutely terrified I could list my disability benefits over this, absolutely essential to my survival in life (Im dead without them)This insurance and tele-psychiatry issue began on January 1st, 2024 when my health insurance automatically switched over to Molina Healthcare ( under HealthNet, but not HealthNet directly)This is when my access to seeing a regular psychiatrist through telemedicine ( which is only way Ive ever in my adult years). I keep running in circles between TeleDoc and Molina Healthcare each telling me to contact the other on repeat. I'm beyond my capacity to deal to pursue this further by myself I need tele-psychiatry. Thats my only way of seeing psychiatrist.I have agoraphobia issues. I havent left my apartment since November 2023, not even once this year The only way Ive been able to get psychiatric care is through Telemedicine ( that has been my only access for much needed treatment. To go in person to someone is undoable for **** have confirmed with Molina that I DO indeed have TeleDoc covered under my under my plan I then learned it would be available to me after April 15th, but I still do not have access. To blame is ********************************* Please help me resolve this already.please HELP I attached the email/online conversations with Molina Healthcare, ************ primary Physician ************ for my evidence, along with proof of insurance and TeleDoc conversations ( I unfortunately do not have transcripts of phone calls I somehow managed to make.Thanks in advance for your help ************************ Please EMAIL only (not phone) due to disability

• Initial Complaint

  04/23/2024

  Complaint Type:

  Product Issues

  Status:

  Unanswered

  More info

  Sent coverage I did not request. Please cancel this!

• Initial Complaint

  03/26/2024

  Complaint Type:

  Order Issues

  Status:

  Answered

  More info

  I am A provider for Molina healthcare. They believe they overpaid me for services from A patient I provided health care services to. however I provided evidence they specifically requested showing I was paid properly. They continue to try and recoup funds from me.

  Business response

  04/11/2024

  Hello.

  We are confirming receipt of this complaint. However, we do not have sufficient information to complete this complaint. We will reach out to the provider to receive additional information. 

  Customer response

  04/11/2024

   
  Complaint: 21490460
  
  I am rejecting this response because:
  
  Sincerely,
  
  ****************

• Initial Complaint

  03/20/2024

  Complaint Type:

  Sales and Advertising Issues

  Status:

  Unanswered

  More info

  Somehow, Molina put the wrong *** address on my healthcare card all these years I have always had Regal Medical group all the phone calls and the *** name is still not changed. I just got out of the hospital was in there one month and need to see several specialist for follow up, but my doctor cannot authorize it until the *** name is changed back to Regal Call member member services seven times and they have yet not fix the problem.

• Initial Complaint

  03/18/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Unanswered

  More info

  I asked him to drop this plan because I did not fill out the paperwork to get this plan but they refused to drop it they told me that I had to fax in information saying that I could have to get this plan dropped and they keep giving me a hassle about this plan because of every time I go to the doctor the doctor says that they don't take this plan and I have no paperwork except with they mailed me and I called them ***** people and I asked them to drop the plan and they gave me to run around all day and every time I go to the doctor they tell me that I don't have a plan and I asked him to give me my old plan back and they refuse to and they told me I had to go and call the people and I already had my paperwork in my pocket saying that I had already called and they just blocking me from getting my paperwork done because I have arap red white and blue and blue and white and they saying that I have more ****** I do not have ******* as a plan because I never did no paperwork for it

• Initial Complaint

  02/29/2024

  Complaint Type:

  Product Issues

  Status:

  Unanswered

  More info

  Molina healthcare fraudulently continues to use my social security number and medical id without my consent or knowledge. I live in *******, *************, not California Molina Healthcare will not disenroll me from their healthcare system in **********, medical for the ******************* was discontinued 12/31/23. I do not qualify for medical care in ********** because I am not a resident. Yet as of 2/3/24 molina mailed me a welcome package forhealth net thru medical. This is after I received a letter from them in January stating that I don't qualify for medical coverage because I'm not a resident in **********. I will include documentation, molina is digital tired of going back and forth with them. Stop using my personal information aganist my will

• Initial Complaint

  02/05/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Unanswered

  More info

  I ******** submitting this formal complaint against Molina Healthcare (HCBS) Waiver Program. The situation that has occurred started on 12/23. I ******** had spoken with a case coordinator which her name is ****. M she was informing me of a home assessment that needed to be done, I informed her that I couldn't because I had a cold, and that could do a viedo conference call, or I could give them a doctors patient information to be fax over, in turn she said that she would talk to her supervisor and she did, and her supervisor name is Edtrineise P and the supervisor refused to have a viedo conference, and knowing that the ***************** has provision set forth for special cases that might arise. The next I know that was canceled from the program on 1/08/2024, I was in the Moms meal Program, it wasn't to expire 01/2024/ Alloy snow removal wasn't to expire 03/2024. The case that Molina was stating that I refused a face to face, that was only because I was sick with a cold and I didn't want to transmit germs . I have went to the appeal action no resolution I have been removed from the program. I feel that is a violation of my right of be able to prove a safe environment. I'm a senior and I was treated unjust. I would greatly appreciate and investigation on this matter, and I also have document to prove what I say is true.Greatly appreciate

• Initial Complaint

  01/26/2024

  Complaint Type:

  Billing Issues

  Status:

  Unanswered

  More info

  To whom it may concern:This company is trying to bill me for coverage that was not approved by me. I had been enrolled in previous years but when I updated my information through Covered **********, I told them I wouldn't need the policy next year. This was done through a phone call because there were other issues with my account and while solving them, the information was updated. I would no longer qualify for assistance from the state because my employer could now provide me with insurance. I specifically said that I would not renew the policy because I have my own through work now. Molina insurance has not been used in a long time. Come ******** Molina autorenewed the policy. (That should be illegal.) I did not renew it. I did not pick a plan. They are billing me for that amount. I figured it was a misunderstanding. I contacted Covered ********** and let them know again that I had no interest in renewing this policy. They tell me, we can cancel it and it should be considered non-effective. This was at the beginning of this month. I'm still getting a bill. Molina Healthcare says that it was cancelled in January so I am liable for the bill. I've been on the phone all morning with both of them. Nothing against their representatives, they were fairly nice, but they both pointed their fingers at each other and solved nothing. I was told by one of the supervisors at Molina that it should have been a retro-termination because I'm not using the policy and have no intention of using the policy. When I spoke to the Covered California agent, she pointed the finger back to them. That they need to approve it because their system doesn't allow for that. I just want this to stop. I don't have the funds to be paying for coverage I didn't approve of and don't need. I already have coverage from another company. Why would I renew a new policy? It doesn't make sense. They know they didn't provide coverage and they shouldn't be billing me.

• Initial Complaint

  01/26/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  I have been on my medication without denial for years. Molina refused to pay for my mental health medication causing me mental health and financial hardship they are very aware of. This has caused me undue harm. I have attached the letter as I have a hard time as Molina is aware of due to my adhd. I want this fixed and resolved now. I also 100% had my mri of tomb jaw pre authorized and I cant afford to pay for it. This is putting me in ***** way as I could lose the ONLY place I can go to for URGENTLY needed medical care through diagnostics as my health issues caused me to have bills everywhere else I cant pay. This is all causing me undue harm for no reason and Molina has a case manager for me because I have a hard time making appointments but they ******* me with this.

  Business response

  01/31/2024

  Good afternoon *****************************, 

  Thank you for notifying us of the issues you have been experiencing. We have created appeal cases for the denied MRI (case# MEM-*******) and the denied medication (case# MEM-*******). Please know, a specialist from our Appeals and Grievances unit will be reaching out to you with a resolution within 30 days.

  We are sorry for the trouble you may have gone through and hope you will be happy with future care and services. 

  As always, we value your membership and are committed to providing you with quality health care. If you have any questions or concerns, please call our ************************** at ************** (TTY ************* 711) from 8:00 a.m. to 6:00 p.m., PST Monday through Friday. We are committed to treating you with respect and getting you the help, you need.
  

  ****** Appeals & Grievances
  Molina Healthcare

   

• Initial Complaint

  12/14/2023

  Complaint Type:

  Product Issues

  Status:

  Unanswered

  More info

  To whom it may concern, I canceled my health insurance with Covered ********** and Molina Healthcare on November 15, 2023. I never received a confirmation # from Molina Healthcare or covered ********** for my cancellation. On December 7, 2023, I received and email stating that I had a past due amount of $953.40. I called the billing and payments for Molina Healthcare and they said that I was past due on the amount listed above. I told them that I had cancelled and they told me to call covered ********** to confirm, I called Covered ********** and they confirmed with me that it was cancelled, and they sent the cancellation to Molina. I was on the phone for about 2hrs going back and forth with covered ********** and Molina healthcare. My issue is that Molina healthcare insists that I owe that money and their customer service people are very rude on the phone. I would like to get an email or letter stating that I do not owe that money.

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