ComplaintsforMolina Healthcare, Inc.

• 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.

• Initial Complaint

  11/29/2023

  Complaint Type:

  Service or Repair Issues

  Status:

  Resolved

  More info

  I was told that for filling out a risk assessment that I would get a $25 gift Card

  Business response

  12/18/2023

  This was escalated on December 8th and the gift cards are in the process of being mailed out, the member should see the gift cards in 30 days. 

  Customer response

  12/29/2023

   
  Complaint: 20920376
  
  I am rejecting this response because:
  I have been getting the same response since July and I still haven't received any card
  Sincerely,
  
  *************************

  Business response

  01/23/2024

  Confirmed the gift card incentive was mailed out on 01/15/2024 and it should be received by the member within **** days from that sent date. 

  Customer response

  01/24/2024

   
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.
  
  Sincerely,
  
  *************************

• Initial Complaint

  08/17/2023

  Complaint Type:

  Customer Service Issues

  Status:

  Unanswered

  More info

  I have called for over a year to try and get multiple things provided to me from my healthcare company- Molina- which is under Medicaid.I have directly asked for which providers can take this insurance, test me for ADHD, and is accepting new patients. I have been on hold for hours for them to give me numbers of mental health facilities that do not do one or all of the three simple things Ive asked from them. This is only one way they have failed me. For over a year straight. Id love to have a phone call to explain the other ways. I have paper documents pricing they do not do what they say they will. Happy to provide. This company is a scam and is causing me so much stress I feel like Im gonna have a heart attack. No one can do their job at this company. NO. ONE.

• Initial Complaint

  08/01/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I had an agreement with Molina Healthcare to pay $100.28 per month for medical insurance and I was late for a few days and now they want $300.00 per month which isn't something I can afford now.I have called them numerous times and they haven't responded.I feel as though they're not being fair because I have been paying monthly even if I were late a few days.The letter I received in the mail has the wrong member ID # so I would appreciate it very much if you can help me resolve this matter.I recently paid them through my credit card on 7-19-23 of $100.28 please help me thanks.

  Business response

  08/07/2023

  On behalf of Molina Healthcare of ********, *************** to the complaint initiated by the Member on 7/31/2023. Due to HIPAA requirements,we will not disclose personal health information (PHI) in this public response.Molina had a dedicated Representative directly contact the Member to resolve his concerns. Our attempts to contact **************** to assist him with his concerns were unsuccessful. A resolution letter was mailed to him.

• Initial Complaint

  06/08/2023

  Complaint Type:

  Product Issues

  Status:

  Unanswered

  More info

  I cancelled my Molina insurance on 5/31/23. They took my payment directly out of my checking account that day for junes payment. ( I understand that was a cross- over) I still have not received a refund. The real issue is I can not reach anyone to discuss this with. When I call ( over 10 times) their computer system is messed up when I finally reach a live person ( 3 times) I get hung up on. When I go on their site to send an email (3 times); the email wont send the message. As a side note: there has been absolutely no issue for the last few years from them taking my payment each month. Yes, Im angry about the $279.44 that Im owed. However, Im more disturbed/ angry that this is a medical healthcare provider and there appears to be NO way to reach anyone at their place of business can you help?

• Initial Complaint

  05/08/2023

  Complaint Type:

  Customer Service Issues

  Status:

  Resolved

  More info

  This is not really a health involve issues, but it has a lot to do with the my health supposedly OTC credit card that was given to me through my insurance company Molina Healthcare/my member ID#************, to purchase items online, over the phone or mail in. For the month of April 2023, con't to this month (May) 2023, I haven't been able to use the card. I'm in a nursing home and my sis (*******************/POA) makes the orders for me each month, and has been for over a year online. But for some reasons, we haven't been able to make and order and have phone NationsOTC.com/Molina for almost two months now and no one can tell us why we can't make an order. My sister goes online and enter the account, and it gives a large error message "We are unable to display your benefits a this time, Please check back later" We have checked back weekly and spoke with between 4-5 representatives and receive the same message over and over., that, they don't know why we can't access the account. If they can't tell us why, who can. And each time the Reps ****** they're writing up a ticket for someone to look into it, and that's all we hear. Then one of the Reps tells me and my sister, we can call in and make the order over the phone, which it ****** that in the booklet. Yet, when we did that, one of the Reps (and I have her name) stated that, we can't do that, because, because of the issue that's going on, yet they don't know what's going on. My sister and I feel that someone there has used/stole the balance/amount on my card, because the answers/explanations they're giving isn't making since and why over a month, no one there has given us a reason I can't use my benefit card. If it's no longer an item, then just say that and we'll stop trying to use it, but that's not the conversation, so obviously the card is still active, but were are the funds that suppose to be on the card?

  Business response

  09/19/2023

  Due to state and federal healthcare privacy laws, Molina Healthcare of *****, **** cannot confirm or deny that the subject individual is or was a Molina member. To the extent this complaint does involve a current or former Molina member, Molina will attempt to work directly with the individual to resolve any and all issues related to the complaint.

  Customer response

  09/20/2023

   
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me. I assumed this had already been resolved, because before we were able to, my sister (***************************) accidentially sign with *****,, as well as Humana not knowing what she was doing and totally forgot that she was signed with Molina, due to her Dementia/Alzheimer condition. I've been working on getting Humana contract canceled, as I have already gotten Aetna contract canceled/denied that they both obtain without my (POA) consent.
  
  Sincerely,
  
  ****************************/Sister/POA

• Initial Complaint

  05/01/2023

  Complaint Type:

  Delivery Issues

  Status:

  Answered

  More info

  I have filed one complaint here? Are you owned By Molina? A bevy of crooks. I am owed 2 ***** gift cards for a yearly health checkup.. They have been stringing me along for several months. Surely this is not the first report of these bushwhackers. I have little faith that you will even reply as is the norm. Have a great day

  Business response

  05/22/2023

  On behalf of Molina Healthcare of ********, *************** to the complaint initiated by the Member on 04/28/2023.Due to HIPAA requirements, we will not disclose personal health information (PHI)in this public response. Molina had a dedicate Representative directly contact the Member to resolve his concerns.  We made several attempts to contact ************ to assist him with his concerns. A resolution letter was mailed to him.

• Initial Complaint

  04/17/2023

  Complaint Type:

  Product Issues

  Status:

  Unresolved

  More info

  After receiving countless emails about Molinas HealthPerks $50 bonus for completing a wellness assessment as well as annual exam, I completed both requirements in December 2022. At the end of January, I had not received the bonus or any indication it was pending so I reached out to support via the MyMolina webpage. I was told that it takes 60 to process and reach back out then. At the end of February/60 days I reached out again and was told it is a 90 day process. At the start of this month/100 day ***** I reached out again and was told they are not the people to contact and I should log in to MyMolina for more information. I reminded the support person I am logged in to MyMolina and nothing is showing up. They said they could not assist any further and gave a general phone number for Molina Wellness that has gone straight to voicemail for weeks with no returned calls. I want the $50 bonus for completing the steps for 2022 as Molina instructed as well as confirmation that my recent completion of these steps for 2023 indicates I will be receiving an additional $50.

• Initial Complaint

  04/13/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I called 911 on 10/15/2022 because my gallstone to painful and I could breath at that time. The ambulance company *****-********* company provided service. Later I received billing notice from ***** *********. Total amount is $2,908.34, my insurance Molina paid $724.52, bill me $2,183.82, I received EOB from Molina insurance that I only need to pay my copay $30 dollars. But I keep receveing the billing with amount of $2,183.82. On Thursday, March 16, 2023, called Monlina HealthCare and ***** Ambulance to clarify the outstanding bill that required me to pay $2183.82. After three ways with ***** Ambulance and MonlinaCare conversation, it is confirmed that ***** Ambulance will fix the bill as $0 balance and will send the updated final invoice to the insured shortly. In the meantime, just disregard the invoice with the amount of $2183.82. I paid my $30 copay on 03/16/2023. Ref: Monlinacare - SFA22664047/Rep: ****** and ***** Ambulance - Kailee on 03/16/2023. However, I received a bill from **************************** said I owe $2,183.82. I called Credence, they told me as of today 04/12/2023 I owe them $2153.82, I told them I only need to pay $30 copay as of the insurance, they said they don't accept the insurance company's request, and they offer me to pay $1723.6 to solve the problem. The Credence is a collection company and they will lead to further action that would possibly be affecting and damaging my credit score history. I have Molina Marketplace Silver 94 HMO plan, that my copy for ambulance is $30. So, please solve the problem with ***************************** and please clear my record in the collection company. Thank you

  Business response

  04/13/2023

  Due to state and federal healthcare privacy laws, Molina Healthcare of *****, **** cannot confirm or deny that the subject individual is or was a Molina member. To the extent this complaint does involve a current or former Molina member, Molina will attempt to work directly with the individual to resolve any and all issues related to the complaint.

• Initial Complaint

  03/15/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  see Attached document

  Business response

  04/10/2023

  Molina Healthcare is in receipt of the attached mailing. We do acknowledge the 2nd attempt letter received 4/3/23, as we cannot locate the 1st attempt/original complaint. This complaint has been researched and resolved by a specialist from Molina Healthcare **** Appeals and Grievance Team. The specialists explained to the member that her claim was recouped due to the provider already receiving payment from Molina Healthcare previously. The member was advised that we sent an email to the Provider explaining the need to return the payment in order to reprocess the claim correctly and adjust all accounts. The provider sent the refund back to Molina Healthcare **** December 2022 but was not accepted by Molina Healthcare **** Upon recent outreach to ********************** for a check or tracking number, we were advised by Tridents representative that there was no record of this information. Tridents representative stated further investigation would need to be completed internally to verify if a new check had been resent to Molina to rectify account. 

*Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business. ↩