ComplaintsforMolina Healthcare of Ohio, Inc.

• Initial Complaint

  06/13/2023

  Complaint Type:

  Order Issues

  Status:

  Answered

  More info

  My wife and I had an insurance policy with Molina marketplace healthcare insurance. My wife had a heart procedure that required us to pay all of the deductible and all of the out-of-pocket expenses. All of her expenses for the remainder of the year were to be paid by Molina.

  On June 1, I started Medicare. Per instructions from the Marketplace, we enrolled in the policy together until the time I was to start Medicare, at which time my wife would remain on the policy for the rest of the year.

  Instead, what was done is that Molina terminated the policy and started my wife on a new one which would reset the deductible and out-of-pocket expenses. The "new" policy is the exact same policy we shared together, with the exact same name and coverage and the exact same member ID number.

  After multiple attempts to straighten out this matter, I have been told that nothing can be done. "This is just what happens." Despite multiple inquiries regarding how to proceed when one person begins Medicare and the other person does not, nothing was ever said about the other person having to restart the deductible and out-of-pocket expenses.

  Nothing was ever said about needing to have a new policy.

  In addition, as the "new" policy was being processed, my wife was without authorization from the pharmacy to fill her prescriptions and was told she did not have insurance.

  This unethical and immoral decision of Molina to handle things in this way is simply unacceptable.

  Business response

  08/10/2023

  June 22, 2023

  Better Business Bureau

  BBB Dispute Resolution Team

  1169 Dublin Rd

  Columbus, Ohio 43215

   

  Re: Complaint ID # ********: ***** *******

   

  Molina has contacted the consumer directly and are unable to share further detail in accordance with HIPAA.

   

  Sincerely,

  Molina Healthcare of Ohio, Inc.

  Customer response

  08/11/2023

  [If you do not say why you are rejecting the company's response, BBB must close your complaint.] 
  
  Complaint: ********
  
  I am rejecting this response because: Molina sent me a letter that did not address any of the issues of my complaint. They said absolutely nothing about resetting the deductible and out-of-pocket expenses even though we had already fulfilled them. They simply said they considered the case closed. Their heartless handling of our policy reveals their corruption and injustice and only served to prove my case. The issues are not one bit resolved. I called them to get an explanation about their response and the customer service person said he had no access to the letter they sent and was not able to help me. This company has to be the worst excuse for a legitimate business ever. Their weak response to the Better Business Bureau under the flimsy HIPAA blanket is totally unsatisfactory. Please alert the public about the dishonest practices of this company.
  
  Regards,
  
  ***** *******

• Initial Complaint

  10/06/2022

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  My mom (******** ******* is a client of Molina and has a pain pump that we get filled to get her pain meds to her. She has not had her pump filled in over 2 months and we have been going around in circles trying to get answers and nobody is helping. She has approval letters and her medicine is with the pharmacy which is who they keep transferring us to and the pharmacy keeps apologizing as they can't do anything. I am her son and her caregiver and right now I am on the verge of getting lawyers or news stations involved as she is 75 and should not have to spend her whole day trying to get answers. She goes to a neuro spine clinic and they had filled the pump before and said they would be glad to take care of it but you guys keep turning it down. They said home infusion is who is supposed to do it now. Nobody can get us answers with this issue either. I want this resolved ASAP and want answers as to why this company is so difficult to work with.

  Business response

  10/26/2022

   I am responding to the complaint initiated by ***** ******. Please find Molina's response attached. Due to HIPAA requirements, we will not disclose personal health information (PHI) in this public response. Molina's dedicated representative directly contacted the individual to resolve this concern and answer any questions. Thank you for the opportunity to address this issue.

   ***********

  Re: Compliant ID # ********: ******** ****** 

   Molina has contacted the consumer directly and are unable to share further detail in accordance with HIPAA. 

  Sincerely, 

   Molina Healthcare of Ohio, Inc. 

  
  

  
  

• Initial Complaint

  02/25/2022

  Complaint Type:

  Customer Service Issues

  Status:

  Resolved

  More info

  We keep receiving mail for ******* *******. He no longer lives at this address ***** ******** *** *********** ** *****) . This has been going on for almost 3 years now. We annotate his mail "Return to Sender - moved," yet they make no corrections and continue to send us his mail. We view this as a form of harassment as he no longer lives here and despite the return annotated mail Molina Healthcare refuses to fix it in their system. This is NOT our problem and it is NOT our responsibility to handle his mail. We want the receiving of his mail to stop immediately.

  Business response

  03/17/2022

  ******* ******* is currently not a Molina member. Molina did send marketing materials to Mr.******* at **** ******** **** *********** **** *****. Molina has removed Mr. ******* from receiving any further marketing materials.

  Sincerely,

  Molina Healthcare of Ohio, Inc.

*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. ↩