ComplaintsforMolina Healthcare, Inc.
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Complaint Details
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Initial Complaint
12/20/2021
- Complaint Type:
- Product Issues
- Status:
- Resolved
I've been trying to receive my refund from ****** since early November. I notified their billing department once I realized my overpayment amounts. Since my initial phone call, it's been a frustrating process of numerous follow-up phone calls on the status of my refund, countless apologies from customer service, and no resolution to my requests. I've been told that it was in review, then it had to approve before being processed back to my debit card. On my phone call of Monday, December 13, I was told I would see my refund (which is a little over 7500 dollars, not an insignificant amount) in 3-5 business days. Today is the 5th business day. No one should have to jump through this many hoops to receive a refund. ****** continued to take my payment without anyone alerting me to my overpayment. In this day and age, with the technology available, this should be no more than 7-10 business days to process and return my overpayment to me in the worst-case scenario. Today I received a phone call from the Corporate Headquarters in Long Beach CA Corporate in my response to my Member Services email asking for help to immediately process my refund. The voice mail asked me to call back into their phone system to receive help so Member Services just dropped me right back into the phone queue which I've now waited on hold for over 75 minutes and a process that I started nearly 5 weeks ago which I'm no closer to receiving my refund. At best, it's unethical to withhold my refund, at worst, this is a deliberate corporate tactic designed to not pay out refunds.Business response
01/11/2022
Consumer Response /* (2000, 9, 2022/01/07) */ I received my refund today. It still shouldn't have took 2 months for this to be resolved. If I wouldn't have found their Director of Customer Service on LinkedIn and reached out to him directly, I'm sure no action would have been taken. Regards, *****************Initial Complaint
12/10/2021
- Complaint Type:
- Customer Service Issues
- Status:
- Unanswered
I had Affinity through NY State & recently changed over to ****** - for several weeks having issues contacting their service. I can't log in, they keep having me re-set my password and then don't accept it. I've tried calling customer service and am just on hold indefinitely. I can't make contact in order to see my account, access doctors, etc. I'm so desperate that I went to NY State of Health to CHANGE my insurance and the only reason I didn't is because that website is down.Initial Complaint
11/09/2021
- Complaint Type:
- Customer Service Issues
- Status:
- Unanswered
11/9/21 - molina healthcare (new york city) purchased affinity healthcare. - i want to my physical therapist for a session to find that molina had refused the claim though i am only 1/2 way through the appointments. - my PT was unable to treat me because molina said they will not authorize this already approved claim. - i now owe my physical therapist's office for the entirety of the sessions because molina refuses to pay for services rendered while it was still affinity. - molina sent me a member card with the incorrect phone number for member services. - it took me 30 minutes to find a correct number online, and after speaking to a real human, i waited 2 hours and 28 minutes before i was disconnected. -there is no way to reach them.Initial Complaint
10/20/2021
- Complaint Type:
- Service or Repair Issues
- Status:
- Resolved
When I moved to Kissimmee Fl in mid July, 2021 I needed to get a new health insurance because Molina Healthcare(XXX-XXX-XXXX) isn't available in my new area. Beginning Aug 17, I started calling Healthcare.gov(XXX-XXX-XXXX) & Molina to help me get my membership & autopayment canceled; my coverage ended on Aug 31. Before autopayment got canceled, a payment of $84.55 for September (my new Oscar coverage started Sept. 1) was taken. I have called Molina & Healthcare Market Place numerous times since then to get my payment back. They did cancel autopayment, but apparently my file is still pending so I can't get my money back. The last call I made to them, we did a 3-way call that each blamed the other. The Market says they sent my paperwork to Molina, & Molina says they never received the documents & asked the Market resend to which they said they cant' do that. Also, Molina's grievance Dept. ( ******* at XXX-XXX-XXXX) started helping, but they no longer respond to my calls. Can you help?Business response
12/01/2021
Consumer Response /* (2000, 13, 2021/11/29) */ I finally received the notice of membership cancellation & the refund from Molina Health that I had coming.Initial Complaint
09/20/2021
- Complaint Type:
- Product Issues
- Status:
- Resolved
In May I signed up for ****** health insurance through the Washington Health Plan finder and payed my premium of $544.68 for that month. At the end of the month I tried to use my insurance to refill a prescription and was told that I *did not* have insurance with ****** even though I paid my premium and was sent a health insurance card. I promptly "cancelled" my coverage with ****** and singed up with Kaiser (as of 6/1/2021). At that time I was also told by the representative at the WA Health Plan funded that I NEVER had coverage with ****** despite my paying a $544.68 premium. Currently, I do not have ****** insurance, I have a negative balance on my account in the amount of $544.68 with ******, and for the past month my request for a refund has been "in process". I have called 4+ times to check the status and each time I am told that someone will call me back within 3-5 business days and I have yet to receive that call.Business response
10/22/2021
Consumer Response /* (2000, 13, 2021/10/22) */ This issue has been resolved
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Customer Complaints Summary
86 total complaints in the last 3 years.
63 complaints closed in the last 12 months.