A letter sent to Molina today:
anuary 9, 2015
Molina Healthcare of Michigan, Inc.
Customer Support Center
880 West Long Lake Road, Suite 600
Troy, MI 48098
To whom it may concern:
I purchased the Molina Gold Marketplace plan through healthcare.gov in October ’14. My member ID is [redacted]. I have the following complaints to report regarding services rendered by Molina Healthcare of Michigan, Inc.:
1. The benefits listed in my plan documentation state that I have a 20% coinsurance charge for [treatment] for providers within Molina’s network - this is misleading, as I have found no providers have contracted with Molina or are in-network for [this treatment], and every hospital and facility I have called have either stated they do not accept my insurance or have tried to contact Molina and been given the runaround.
2.The Primary Care Physician listed on my ID card, [redacted], does not actually accept Molina in any form, and I learned this after having seen him for an appointment.
3. Since Jan 2nd '15 I have called the Molina of Michigan Member Services line at (888) 560-4087 seven times to determine eligibility for coverage. The customer care representative I spoke with via the Molina of Michigan member services line, Penny, (phone extension 155447) has given me inaccurate information multiple times. Penny has told me the following:
3.1. That I was eligible for coverage for services at [redacted] when I am actually not - I spoke with 3 representatives at [redacted] who told me I am ineligible.
3.2.That a list of providers within my network would be emailed to me, as the Molina website is inaccurate in terms of which providers are within Molina's network. This information has not been sent to me, although it has been requested 3 times and I was told it would be emailed to me.
4. I never received a permanent ID card in the mail, and have been using a temporary paper ID since November 1st, although I have requested the card several times and was told it would be sent to me.
This company has dealt nothing but lies to me and I am requesting a refund for services rendered. I am requesting compensation in the amount of $2,000 for the bills I have paid to Molina thus far, for medical bills for services not covered by my plan (although I was told they were), and for my time and hardship spent dealing with this company (approximately 3 hours of phone time dealing with the customer service department).
If this letter remains unanswered after 30 days I will be doing the following:
-Reporting Molina to the State of Michigan for insurance fraud.
-Speaking to my attorney regarding litigation against Molina.
-Reporting Molina to the Better Business Bureau.
Reason of review: Not as described.
Monetary Loss: $2000.
Preferred solution: Full refund.
I didn't like: Customer service, Price, Website.