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Business Profile

Medical Business Administration

Molina Healthcare, Inc.

This business is NOT BBB Accredited.

Find BBB Accredited Businesses in Medical Business Administration.

Complaints

Customer Complaints Summary

  • 76 total complaints in the last 3 years.
  • 20 complaints closed in the last 12 months.

If you've experienced an issue

Submit a Complaint

The complaint text that is displayed might not represent all complaints filed with BBB. 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.

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Complaint status

Complaint type

  • Initial Complaint

    Date:03/18/2024

    Type:Service or Repair Issues
    Status:
    UnansweredMore info

    Complaint statuses

    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    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

    Date:02/29/2024

    Type:Product Issues
    Status:
    UnansweredMore info

    Complaint statuses

    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    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

    Date:02/05/2024

    Type:Service or Repair Issues
    Status:
    UnansweredMore info

    Complaint statuses

    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    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

    Date:01/26/2024

    Type:Billing Issues
    Status:
    UnansweredMore info

    Complaint statuses

    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    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

    Date:01/26/2024

    Type:Service or Repair Issues
    Status:
    AnsweredMore info

    Complaint statuses

    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    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

    Date: 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

    Date:12/14/2023

    Type:Product Issues
    Status:
    UnansweredMore info

    Complaint statuses

    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    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

    Date:11/29/2023

    Type:Service or Repair Issues
    Status:
    ResolvedMore info

    Complaint statuses

    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    I was told that for filling out a risk assessment that I would get a $25 gift Card

    Business Response

    Date: 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 Answer

    Date: 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

    Date: 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 Answer

    Date: 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

    Date:08/17/2023

    Type:Customer Service Issues
    Status:
    UnansweredMore info

    Complaint statuses

    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    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

    Date:08/01/2023

    Type:Billing Issues
    Status:
    AnsweredMore info

    Complaint statuses

    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    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

    Date: 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

    Date:06/08/2023

    Type:Product Issues
    Status:
    UnansweredMore info

    Complaint statuses

    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    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?

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