Molina Healthcare

I applied and was awarded a contract as a mental health provider with Molina Healthcare in December 2023. In September 2025, I submitted claims to this company for the mental health services provided to their customers with no response regarding a payment.

When I contacted them regarding my submitted claims, I was first told by the customer service representative that they had not received my claims via electronic billing, and she suggested that I use paper billing. After speaking with a supervisor, she found the claims and stated that they were rejected and Availity was the culprit in that they were supposed to mail me a rejection. I contacted Availity and was informed that everything was correct with my claims and they had not received a rejection from Molina Healthcare to notify me.

Thus, Molina Healthcare is an insurance company that is trying to scam me, as a provider for them, and not pay what is due to me for my services. I am totally disappointed in their unprofessionalism and lack of upholding their end of our contract!

What happened is a nightmare first off my policy was canceled January 31 for non payment of premium they said I owed. 79 cents which makes no sense I have never had a premium and if I did why just79 cents but OK I reapplied thru the market place and was told my insurance would resume February 1 well that didn't happen so I reapplied in February 2 times because molina says they don't have anything from the market place but when contact them they tell me I'm covered so I play the same game in Mar with the same results market place says I'm insured and have sent the proper forms some how molina knows I have been calling for the same issue since February 1 but still can't find my application and here it is April and the same thing absolutely mind boggling but according to molina now I had insurance but it was canceled in March that is a complete lie I have been paying for my scripts since February I have even been on 3way calls with market place and molina I'm beyond pissed no I would not wish this experience on anyone

So, after waiting three months for a card to be sent to me, the PCP that was assigned to me's phone number was wrong. Some oncologist office number.

So, I researched this PCP's real phone number and they yes are accepting new customers. but the next appointment is in THREE months! So, i call Molina, who tells me to call Medi-cal, who tells me to call Molina, who tells me to call the state ombudsman,. 16 phone calls later...

really??? this is how a health insurance company treats sick people. Insane. I had LA CARE last time I needed EDD, and they were awesome.

The problem is that Doctors quit using LA CARE For some reason and all moved to Molina. WHY???

Do not use Molina Healthcare as your provider. They do not provide any services. I had a skin deformity, and I tried to get an authorization to go to the doctor to check this out. The Doctor I requested was on the Washington Health Finder list when I chose Molina. But when I made the appointment, this Doctor was not on the list. So, I called Molina and asked for a list of the Doctors who I could see, all 3 are from UW medicine. I called to make an appointment August 7th. UW said I needed to get a referral, and I said I pay $1,100.00 a month not to have to get a referral. They said they require one. So, I called my primary physician and he sent them a referral. I called UW again, and asked to make an appointment. They said they hadn't reviewed by request and would call me when I could make an appointment, and after I make one they will make the appointment in about 6 months,

I did not want to wait that long, so I called the Dermatologist I had gone to for years and asked pay out of pocket to have this skin deformity looked at. It was a good idea to do so because it was cancer. The doctor had biopsied it, and it was cancer, and she removed the rest of the cancer. It is now November 25, 2024, the cancer was removed August 12, 2024. I am now waiting on hold with UW medicine, it has been 30 minutes, to find out about my appointment. This is wrong.

I since that time heard something tear in my arm when I picked up my dog. After weeks of the pain not going away I went to my primary care physician, and he said I had tennis elbow, and gave me a brace and said if the pain didn't go away in a month to contact him. It did not go away, so I saw him on November 22nd. He gave me a prescription for and ex-ray, and MRI. They authorized the Ex-Ray, but not the MRI. Ex-Rays do not show soft tissue, tendons, only bones. The radiology department where I had made the appointment for the MRI called and said they had to cancel the appointment since it was denied by Molina. So, I called Molina, they put me on hold, and then on hold again, this was over a half an hour on hold, only to tell that I could go through their appeal process which takes 45 days. *** Molina. I have signed up with another healthcare company for 2025, because Molina is a horrible company which provides no service whatsoever, they just steal your money and say whatever your doctor prescribes is not needed.

Do not sign up for Molina Healthcare!

As you read this, please keep in mind that the CEO of Molina Healthcare makes $22 million dollars a year. Customer service reps are a bunch of idiots.

They had me on the phone yesterday for an hour and never answered my question. First I asked a rep a very simple question. She said let me put you on hold why I find an answer for you. I was on hold for over 30 minutes listening to this loud, horrible music that sounded like funeral music.

I hung up and called back. I got another rep and told her what had happened. She said let me talk to that rep and see what she found out. I am on hold for another 20 minutes with the same blasting funeral music, (just what you want to hear when you are very sick.) And then, after the 20 minutes, without her coming back to answer I am hung up on.

I called back a third time, explained my situation to the rep, she put me on hold, I couldn't take that music anymore, and I hung up and never got an important question answered about if I would be covered for something. At any point during these conversations I was never angry or raised my voice. I did not give these reps any reason to be mad at me. I then called my doctor's office and asked them about my issue.

I got an answer in 30 seconds.

Also, Molina Healthcare of Washington State has a D- grade with the BBB. Please look at the three attachments, one is about Molina being fined for $600,000 by the State of Washington, the BBB report, and a website report Molina's CEOs yearly salary.

This is most ridiculous story, I came back from vaction two months later from November to late January. I got a notice I owe this company I said ok.

It was for 800 dollars. I pay for premium 128 a month for my new plan. I talked to their people for twenty hours first week of February. None of them helped me through it.

They first on call center third party blah blah, then said I was okay would not have to worry about it. They said it was from adjustments from years ago. I said ok... IT MADE NO SENSE in this case I did what I must filed on Market place against them.

Now the feds are looking at them because they told me it was from 2021 year the 800 bucks. I paid them what they did was put the balance on me because they were trying cover up fact under mis. Payments thats what one of the reps said. I also am still dealing with I get shadow calls from the company still false word that they will give me money back that they got it from a payment yet I already paid them years ago.

Insurance companies should get in trouble with these false and unethical behaviors. This company lost me as a human being and customer. Don't trust them and find a simple company that will pay for your stuff. It's very bad customer service along with not treating people with disabilities correctly.

They cover up alot of stuff but they never made an effort to fix it. I hope they get audited by feds.
I run Ethical organization called World Wide Love and Consulting LLC

Constant, CONSTANT blocking of medicines and treatments that my Doctors proscribed. I have a condition that makes it nearly impossible to function without my medication.

My Healthcare Professional didn't want me on immune-suppressants anymore, due to the side effects. I lost an entire year (2022) of work due to them refusing to cover the replacement medication.

The resulting damage seems to be permanent.
In addition, the lists of approved healthcare pros they provided were nearly impossible to navigate, due to most of the providers no longer being part of their network. (Their phone reps are decent, but harried.)
Some of the literature I received from them all but begs you to "understand" their position as a business.
Molina (and ALL health insurance companies), an individual suffering from ill health absolutely, positively does NOT care about your "bottom line."
They are hurting, sick, injured and need to heal.

I would rate them as zero if it was possible. This is the worst health insurance I've ever had in my life.

Every time you call you get transferred to somebody else, when the person picks up you have to restate everything that you just told the first agent. As soon as things get tricky or they don't have an answer for you suddenly the call drops and you do not receive a call back. You could speak to five different representatives in the member services and get a different answer every time. When you do speak to a supervisor it's a 50-50 chance that they can answer your question.

You would think improvements would be made by now. I don't want to call you to resolve this because there's not a damn thing that's going to be done.