ComplaintsforMolina Healthcare Of Utah
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Complaint Details
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Initial Complaint
08/19/2022
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
Molina was great to work with at the beginning. They covered what they said they would and we had no issues. It wasn't until I updated my maiden name to my married name that things got complicated. This was in April of 2021 when the government marketplace had an open enrollment period because of Covid-19. My husband and I changed from the Core Bronze 4 plan to the Constant Care Silver 1250 + Vision plan and updated my last name from ******* to ********. We paid $187.52 every month for this new plan and always made our payments on time using the Molina app. We received a letter (see document attached - Molina 3) from Molina in August saying that our coverage had terminated on July 31, 2021. I called Molina because I knew we were up to date with payments. The representative assured me that everything looked fine in their system and suggested I call the Marketplace to see why they ended coverage. I called the Marketplace. The representative there told me everything was active and we should still have an active plan. Long story short, 5 long phone calls later, I finally figured out that Molina never terminated the Core Bronze 4 plan and our payments went to that old plan under the name ***** *******. Their system showed that we never paid for our new plan (Constant Care Silver 1250 + Vision) under the name ***** ********. I included the documents that show Molina contacting me in both the name ***** ******* and ***** ********. I was pregnant and stunned at the situation. What should I do? Our baby was due in October and Molina said that to have coverage, we had to pay for both plans. I contacted the Marketplace again. They did a 3-way call with Molina who promised everything would be resolved. However, it never was. In the end, I paid out-of-pocket to have my baby's birth because Molina said I wasn't covered. This is the opposite of what a government plan is designed to do. My request to Molina and to the Marketplace is to work together. Molina please resolve this.Initial Complaint
08/03/2022
- Complaint Type:
- Customer Service Issues
- Status:
- Unanswered
I contacted Molina Medicare by phone on 8/2/22 and spoke to a nurse to complete an assessment to be qualified for supplemental benefits. The nurse recommended that I speak to Interdisciplinary Care Team. The nurse transferred me to member services to ask for the Interdisciplinary Care Team. The call got disconnected while the nurse was transferring me. I called Molina Member Services and asked the representative to transfer me to Interdisciplinary Care Team; the representative transferred me to the wrong department. I disconnected the call and dialed again. This time I got another representative that told me she was not familiar with the Interdisciplinary Care Team. The representative was rude, interrupting while I as talking, and abruptly put me on hold. I called member services and spoke to another representative. I asked the representative to open a case and file a grievance.Business response
08/10/2022
Thank you for contacting Utah-DSNP. The Appeals and Grievances Unit has received your grievance. The following was included in the letter we sent you on August 4, 2022.
Here at Molina we take your concerns very seriously and appreciate your feedback. We strive continuously to improve the service that you receive as being part of the Molina family.
This is a description of our review of your concern:
We looked into your grievance and found you were looking for in-network Pharmacies. Please find the list below with pharmacies within 2 miles of your zip code.
Additionally, your complaint will be kept on file for tracking and trending purposes so that we may improve our customer service to better your experience with us.
Smiths Pharmacy
Kent's Pharmacy
Walmart PharmacyCustomer response
08/10/2022
Complaint: ********
I am rejecting this response because: my complaint does not mention a pharmacy issue. Please read the complaint carefully.
Sincerely,
*** ********Initial Complaint
09/09/2021
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
This is supposedly a medical insurance company yet no one in **** accepts this company. Whats the point of medical insurance when Im having to pay cash to be seen. This should be illegal.Business response
09/21/2021
Response: Molina Healthcare of Utah has more than ***** contracted providers within Salt Lake and **** Counties. In addition to a downloadable provider online directory, the Molina website includes a search application for finding doctors at https://molina.
sapphirethreesixtyfive.com//? . For example, a quick search for an optometrist in ************** indicates that there are 116 optometrists accepting new patients.ci=**-marketplace Members may switch insurance during open enrollment or a special enrollment period (SEP). For more information and to determine if you qualify for an SEP, you may want to contact Healthcare.gov at https://www.healthcare.gov/
have-coverage/ .On Thursday, September 16, 2021, a Molina Healthcare of Utah case manager contacted and spoke with the customer and offered assistance in finding the necessary providers and explained that she could email these to her right away. But the member declined, stating that November is right around the corner and that she will be switching plans.
-*****
Customer response
09/21/2021
Complaint: 15848429
I am rejecting this response because: it doesnt resolve anything. While they claim theres many providers most actually dont take this insurance. Further solidifying my original complaint. Thankfully open enrollment starts soon so I can pick a better more competent companya tip. Quit denying and deflecting many complaints are about the same issue JUST DO BETTER
Sincerely,
*************************************
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Customer Complaints Summary
4 total complaints in the last 3 years.
0 complaints closed in the last 12 months.