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Business Profile

Health Insurance

Molina HealthCare

This business is NOT BBB Accredited.

Find BBB Accredited Businesses in Health Insurance.

Complaints

This profile includes complaints for Molina HealthCare's headquarters and its corporate-owned locations. To view all corporate locations, see

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Molina HealthCare has 2 locations, listed below.

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    Customer Complaints Summary

    • 9 total complaints in the last 3 years.
    • 4 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:11/22/2024

      Type:Service or Repair Issues
      Status:
      Answered
      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.
      Beginning in April 2024 I have deligently been trying to get my daughter neuropsychological testing. Our primary insurance is blue shield of ca with Magellan being their mental health department. NO whatre does it state on my card that these two entities are separate! You would think their customer service would be on the same page but they are NOT. Magellan says one thing and Blue Shield says something else and in doing so keep denying my daughters single case agreement with every phone call made being a different reason and never on the same page with blue shield. I have been made to go in circles file appeals and requests that each take 30 day review and still as of today have received a whole new denial for a reason that was NEVER discussed in the multiple previous calls. It is disappointing frustrating and should be illegal that these games are played when children are in need and we are supposed to have a health plan that is a PPO and should cover these services. I can only pray our union leaves blue shield and Magellan and returns to ********** where we have NEVER had these issues before. I will not stop fighting until my daughters claim is paid at a reasonable rate!

      Business Response

      Date: 11/25/2024

      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

      Date:10/23/2024

      Type:Billing Issues
      Status:
      Answered
      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.
      The health insurance policy I have was purchased through *************** and a billing error occurred where Marketplace Exchange did not send an updated file with the correct premium payment amount that I was responsible for until 2 months afterwards. I paid the owed balance and am now being refused reinstatement, as they claim it is Marketplaces fault, claiming that they sent a termination (WHICH ISNT EVEN EFFECTIVE UNTIL 10/31/2024.) I have a blood test and an upcoming appointment that needs to be covered and Im sick of dealing with people who cant understand basic things.

      Business Response

      Date: 10/24/2024

      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 Answer

      Date: 10/24/2024

      I am rejecting this response because:   

      I am unable to view the message/reply from the business.

      Business Response

      Date: 10/28/2024

      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 Answer

      Date: 10/28/2024

      I am rejecting this response because:   

      A HIPPA Record Disclosure Form was signed by me so that Molina Healthcare of MI may disclose my records to the BBB. Molina Healthcare of MI has NOT attempted to contact me directly as they claim. Further attempts by Molina Healthcare of MI to stonewall the complaints investigation, or continued refusal to render the services that in which I have paid for to the end of the month, will result in legal action against Molina Healthcare of MI. This is the last and final warning to Molina Healthcare of MI.

      Business Response

      Date: 11/01/2024

      On behalf of Molina Healthcare of ********, I am responding to the complaint initiated by the Member on 10/24/2024. Due to ***** requirements,we will not disclose personal health information (PHI) in this public response.Molina Healthcare of assigned a dedicated Representative to directly contact the Member to resolve his concerns. A Resolution Letter was mailed to the Member on 11/1/2024.

    • Initial Complaint

      Date:09/10/2024

      Type:Customer Service Issues
      Status:
      Answered
      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 called Molina Healthcare weekly. Every time I call I am hung up on weekly. Secondly, the rep *** was not willing to get a supervisor on the line. He did not place me on hold. He kept telling me a supervisor was in a meeting. The claim had no check number only paid date for two months ago. He tells me to contact Echo which is not correct. The customer service is horrible every time I call and they are never iwlling to assist. I called on 09/10/2024 ref# SFA51417255

      Business Response

      Date: 09/11/2024

      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

      Date:05/06/2024

      Type:Service or Repair Issues
      Status:
      Answered
      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.
      In 2024 I asked Molina for basic case co-ordination services which they were unable to do correctly- I am still without needed services.

      Business Response

      Date: 05/08/2024

      This has been sent to wrong state, this goes to **********, not Texas.  

       

      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

      Business Response

      Date: 05/08/2024

      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.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 Answer

      Date: 05/10/2024

      Molina made so much effort to protect their own self image(?) at the expense of helping clients with effective service.

       

    • Initial Complaint

      Date:02/03/2024

      Type:Billing Issues
      Status:
      Answered
      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.
      Fraudulent "welcome package to new member," when I made NO changes to my disabled sister's medical coverage choice. I ******** appointed Conservator to my disabled sister. Only I can make a change to her coverage. I would NEVER sign up for Molina Healthcare...NEVER.

      Business Response

      Date: 02/05/2024

      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 Answer

      Date: 02/05/2024

      I am rejecting this response because:     Molina Healthcare is lying.  And their response has nothing to do with privacy, but it is rather camouflage to hide their deceit.  Molina Healthcare has NEVER been a provider to either myself or my disabled sister.  Molina Healthcare is NOT even an option on list of options provided to us by the Sate of **********.  In 2012 I changed my disabled sister's *****Cal health insurance coverage from ** CARE to ******************** Solutions (*****Cal) -- and we've remained with Health Net since.  Molina Healthcare has NEVER serviced either one of us.  They are fraudulently sending Phishing packages to seniors, and disabled one at that -- to trick them to follow the instructions to enroll them without the individuals realizing they are being DUPED. 

      Let me REPEAT, Molina Healthcare is NOT even an option listed on the ******************* correspondence I received recently in which our choice (Health Net) is confirmed.

      Molina Healthcare has been fined for ignoring member complaints...high six-figure fines for illegal/improper and duplicitous behavior.

      Molina Healthcare needs to OWN UP and CEASE MAILING PHISHING PACKAGES UNLESS SOMEONE REQUESTS THEIR MATERIALS.

      I am a Concerned Citizen, Concerned Family of Senior Disabled person being fraudulently sought by Molina Healthcare.  Their reputation precedes them. 

      ****************************, Conservator for *****************************

      Business Response

      Date: 02/05/2024

      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 Answer

      Date: 02/05/2024

      I am rejecting this response because:   

      It is very clear that Molina Healthcare is hiding behind a false claim that the complainant or family member were once "members."  This is patently FALSE and only intended to hide their dishonest and fraudulent actions.  They have a history of bad behavior.   The ******************* has already fined Molina healthcare with very significant fines for very BAD behavior.    This is nothing new... 

      Molina Healthcare's ability to do business in ********** should be revoked for the benefit of all Californians. 

      I hope BBB will take this issue seriously and take further action.

      ****************************, Conservator for ******************************

    • Initial Complaint

      Date:12/08/2023

      Type:Billing Issues
      Status:
      Answered
      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.
      With date 11/16/2023 I went to appointment Doctor *********************** Hematology of U Health in the Doctor ****** paid 60 dollars my copay In my plan of Molina ************* Silver **** no there deductible for visit to specialty my plan explain that I have for PCP copay 30 dollars and Specialty 60 dollars Molina insurance is responsible of the other parts The Thursday spoke with C.S of Molina where I explain the problem, she let me know that issue would be solution and that Molina will covered the other parts but today Friday I received A bill under my responsible for 46 dollars.Molina insurance not cover the difference

      Business Response

      Date: 12/11/2023

      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

      Date:09/14/2023

      Type:Billing Issues
      Status:
      Answered
      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 called Molina exchange three weeks ago to update my address. Molina changed my policy and did not update me of my change in amount because they sent the notification letter to the wrong address. This violated my hIPPA right to informed billing. I called them several times and they just kept sending me in circles with the market place. They did not resolve anything and did not refund my money. There is no one to talk to. Everyone just keeps blaming eachother. There is an automated line that never gets answered. I cancelled my membership today and want all my money back. They ripped me off and this is very unethical to charge someone who was paying $63.00 a month and all of the sudden have me pay ****** and draft if from my account. The problem is that they never notified me. This should be illegal and they should be shut down!

      Business Response

      Date: 09/14/2023

      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 Answer

      Date: 09/14/2023

      I am rejecting this response because:   They are using intimidation tactics at this point. The called me but refuse to take responsibility for the change in pricing. They blame the market place yet they are the ones responsible in making sure I get the best price and notify me in time. My ***************** ****%. They do not even have my right address on file even when I asked them repeatedly to change it and have called year after year. They continue to send responses to the wrong address. 

      Business Response

      Date: 09/14/2023

      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 Answer

      Date: 09/14/2023

      I would like Molina to speak to the market place, the their billing department and to the agent that filed my insurance contract. I want them to listen to their recordings and they will find fault in the rush that the agent processed my insurance. They do not need me to continue to call the marketplace. They need to give me their response from ***************** in writing and send it to my physical address. I do not want a person calling me telling me that they can NOT do something about the issue. Their technicians have not been putting notes in my log whenever I called about address changes, concerns, and billing issues. 

      Customer Answer

      Date: 09/20/2023

      I am rejecting this response because:   

      I would like Molina to speak to the market place, the their billing department and to the agent that filed my insurance contract. I want them to listen to their recordings and they will find fault in the rush that the agent processed my insurance. They do not need me to continue to call the marketplace. They need to give me their response from ***************** in writing and send it to my physical address. I do not want a person calling me telling me that they can NOT do something about the issue. Their technicians have not been putting notes in my log whenever I called about address changes, concerns, and billing issues. 

    • Initial Complaint

      Date:04/24/2023

      Type:Product Issues
      Status:
      Answered
      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.
      This my second time filling complaint with Molina health insurance they will not send me my rewards card it's been going on almost a year!

      Business Response

      Date: 04/26/2023

      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

      Date:02/20/2023

      Type:Customer Service Issues
      Status:
      Answered
      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.
      We have been trying to find a oral surgeon for my 20yr old autistic son to get his wisdom teeth removed. This Molina healthcare co. Keeps giving us list to call and nobody will help my son in pain. Now his teeth are getting messed up because the teeth are erupting thru. Now my son is being a grouchy bear and None will help him. 3092679942

      Business Response

      Date: 03/23/2023

      Business Response /* (1000, 5, 2023/02/21) */ Due to state and federal healthcare privacy laws, Molina Healthcare of Texas, Inc. 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.

    Molina HealthCare is NOT a BBB Accredited Business.

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