Molina Healthcare was founded in 1980 by Dr. David Molina in Long Beach, California. Dr. Molina was an emergency room physician. He noticed that patients were coming to the emergency room for common illnesses such as flu because doctors would not accept Medi-Cal. He established a clinic with the goal of treating low-income patients.
The company is a family business, run by founder David Molina’s sons, Joseph Mario Molina and John C. Molina.
Today Molina Healthcare continues with its mission of helping Medicaid and Medicare members find appropriate healthcare services for their needs. Its Health Plan segment serves almost 2 million people.
Molina Healthcare is traded publicly on the New York Stock Exchange under the ticker symbol MOH, is a member of the S&P 600, is #393 in the Fortune 500, has 8,200 employees, and had $14.18 billion in revenue in 2015.
Molina Healthcare
Molina Healthcare was founded in 1980 by Dr. David Molina in Long Beach, California. Dr. Molina was an emergency room physician. He noticed that patients were coming to the emergency room for common illnesses such as flu because doctors would not accept Medi-Cal. He established a clinic with the goal of treating low-income patients.
The company is a family business, run by founder David Molina’s sons, Joseph Mario Molina and John C. Molina.
Today Molina Healthcare continues with its mission of helping Medicaid and Medicare members find appropriate healthcare services for their needs. Its Health Plan segment serves almost 2 million people.
History
Molina Healthcare is traded publicly on the New York Stock Exchange under the ticker symbol MOH, is a member of the S&P 600, is #393 in the Fortune 500, has 8,200 employees, and had $14.18 billion in revenue in 2015.
I am requesting information about your Risk Management investigation panel. Is it handled all in house or do you use outside companies? Do you use a TPA? Do you go out to bid with RFPs? We are very interested in joining your team. Please forward this inquiry to the appropriate department – human resources/risk management. Thank you!
We are an experienced investigation firm that has worked with many state and city agencies to provide expert private investigative services that cover the full spectrum of the insurance industry. A few of the agencies we have worked with include the Los Angeles Metropolitan Transportation Authority (METRO), California Highway Patrol, the Department of Veteran’s Affairs, the California Department of Corrections and Rehabilitation and State Fund Insurance. We are certified as a Small Business Enterprise, as well as a Disabled Veteran Owned Enterprise with the State of California.
We employ a full set of tools and strategies to deliver the best possible results on every case. We specialize in a variety of services, including surveillance, activity checks, work comp AOE/COE claims investigations, subrogation, complex death claims, premium fraud investigations, loss scene inspections, background checks, and more. In this way, we’ll obtain the evidence and witness statements needed for you to make informed decisions.
Please let me know what my next step would be! Thank you so much for your help.
Has Molina blocked and/or delayed your requests for Independent Reviews (IRO)s? They’ve blocked mine too.
I’m collecting reports from other Molina members. Please fill out the form here and I will see if there is anything we can do about this.
docs.google.com/forms/d/e/1FAIpQLScCLJ6opdckiqO2OraWKa_n7V5C0K9_pLKMcEfuNGIDjV4EUg/viewform
I was fired by Molina Health Care after a Supervisor Samantha S. lied about call reviews I received by incompetent reviewers who don’t know straight up from straight down, they refused to pay my unemployment based on a lie a call was transferred to me by another agent it was an Affordable Health Care Insurance call I
Was not licensed to answer those calls I originally came from a Medicaid/Medicare I approved clients for the State of Texas. I had to wait two years before I could speak out about this incident the Supervisor Ryan was hired by another company who hired all the Molina laid-off employee, he was recently fired due to being incompetent also. However, due to the fact I had family pictures on my desk, he had a problem with it I didn’t discriminate against
Gay or Transgender individual however I was called a Church Thug by my Supervisor which nothing happened to her. Due to her conscious, she resigned as Supervisor in the Houston Office. If she works in New Mexico as a Case Manager. She also lied to assist another employee in obtaining position not even qualified for due to her giving information job description of the duties assigned.
Your billing offices are erroneously sending back claims sent to you buy healthcare providers across the US including mine. At this point it seems malicious. I can not submit 3 claims at a time over the phone when I have several hundred which you refuse to pay.
Please reply if you received my complaint!!
Another complaint about your service in Texas. I have had nothing but problems since I signed up for this insurance, I guess you get what you pay for….I have been calling for 5 days straight an every single time I get a different answer and your reps always want more money, I paid $223.41 thru my Chase account since your payment page is under maintenance and it has not been posted and I also have restrictions on my account. I called again on 6/5 and the lady Jasmine said I needed to pay $49.18 to bring my account current, so I paid it and she said that someone would call me the next day about an escalation and as of today 6/7 no one has called. I took it upon my self to check again and not they are telling me I owe $195 ! I told the lady she was wrong and she switched me over to supervisor Connie Diaz and she said that yes, the $233.41 has not posted but that I could still go see the doctor, they would call in an all would be fine. I took time off from work to do just that and not to my surprise I was NOT able to see the doctor as the restrictions were not lifted bc the payment thru chase has not been posted. Why on earth would she tell me to go see the Doc. if she knows that with a restriction no one will see you. I called back again, this is the 3rd call today and Mellissa G filed a complaint against the supervisor bc she knows that when there is a restriction on the account it is up to the Doc. discretion if they see you or not….Oh! then the lady at East End Clinic in Houston called Molina and they told her that I had only made 2 payments all year of $452 (not exact) and that I should have paid $842 ( not exact) up to this point – which is totally wrong, she embarrassed me in front of all the people waiting in the lobby, so this is my point, no one give consistent or correct answers at your business. They all need more training on how to read the billing screen so that they can give correct and consistent answers to your clients. I so regret having chosen this insurance- and again, you get what you pay for!! This will always be true!!
Now Mellissa said that since I had already paid $223.41 plus $49.18 that my balance was $36 and odd change-? how and why? OMG here we go again, I just want to be able to pay my monthly premium of $112 and change…you guys are so inconsistent!!!!
Very Disappointed in Houston, Texas
Raquel Garcia
hi, i have been calling everyday from January til now which is May 6 2017 i still have not receive my Welcome info or my insurance cards everyday its something else i cant keep doing this.
hello, my id #is 0003806805, I had a problem with your customer service, first I send my payment on 12-27-2016 and payment been cash on 01-06-2017 but I can not use my member to buy medication until 01-17-2017 because some one did not remove restriction on my account, on 01-13-2017 I talked to a supervisor name Teresa about my concern and she said my account ready to use at the next day, but It did not until 01-17-2017, at the same day I have to talked customer service and request for a half payment refund and 3 days later there was a lady name Gloria called me and said she call from complain department and said that my refund will be in my account with in 7 to 10 days, I call back on 02-01-2017 and talked to a supervisor name Mirlinda and she said she will find out about my refund and will call me back herself in that same day or next day, I call back today 02-03-2017 and talk to supervisor name Julianna whose did not understand English very well and she said everything ok now why I still want her to submit my request for half payment refund and she also said even she request for my refund there will not be refund for me and she so sure for that, that so odd for me.
I don’t know how you provide customer service but to me when you said “your satisfaction are ours concern” please act like you mean it, I has been talked with 4 difference supervisors and my request still not get submit and the last one the one name Julianna she so rude and no customer service experience at all, please response to me that you submit my request ASAP.
Hola mi nombre es rafael orozco ramires ase como 2 meses me isieron unos rayos x y un ultasonido y el dia 12/29/16 able aber cuando me iban a dar los resultados y la persona k me atendio me dijo que fuera hoy 12/30/16 y cuando yege a la clinica de ontario no me quisieron atender que me tenian que aser una cita y no me es justo que uno dise que baya y la resepsionista no me quiera atender o me quiera poner una cita 7 dias mas cuando el dolor de mi onbro es cada dia mas fuerte
I am in New Mexico and you have endangered my son with your lack / failed to provide service. Call me ASAP 505-980-XXXXX
Molina has sent me a bill for a medical insurance plan that I’ve never applied for. So I thought is was simple mistake….
Boy was I surprised. The rep from Molina told me that they don’t make mistakes. Their useless customer service reps constantly putting me on hold and transfer me to extensions where nobody pick ups or disconnecting me. Its now been 3 1/2 hours of repeated phone call and disconnects. Since I’m on hold, I might as well use this time to write this.
This may not be the worst company that I’ve dealt with, but comes close. Molina Health care may be actively involved sending bogus / fraudulent invoices to for health insurance plans, or they may be otherwise involved victims of this bogus invoice. Either way, the company should be interested in solving problem, but they obviously don’t care. Molina Health Care has my personal information, yet I never gave it to them.
I’m still on hold as I write this. Nine different customer reps. 6 separate phone calls, and multiple disconnects. Countless hold times and none of reps cared.
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Follow up after 4+ hours – Finally, a very nice lady by the name of Perla took over ownership of the problem (atta girl Perla – and kudos to her superviso Oliver). It looks like it will be another week or more before someone contacts me to follow up on bill I don’t owe. Perla agreed that I did not apply for insurance, and I don’t owe the bill, but she has to send problem up to several other departments who will hopefully resolve this matter.
After multiple calls to Molina and a few government agencies, I found out that this may be the tip of a huge iceberg. I’ve started complaints / investigations with our state Insurance Commission and the Federal Trade Commission as to how Molina got my personal information and why they decided to enroll me in an insurance policy that I never applied for.
It is a ridiculous shame that the state of C California has not caught on to the malpractice techniques this plan practices. This is the second roommate that this health agency is killing right before my eyes. They have no compassion about any patients. They’re so called case coordinators get paid for doing nothing. God forbid that they should move from one desk to another to give a helping hand. Denise Martinez that is supposed to “see” to Raymond Bernier located in Apple Valley CA transitional health. Return a phone or come see to the patients actual condition and need. He is in desperate need of Hospice. The hell my roommate is going through right now I would only wish on Molina’s healthcare CEOs and all the administrative personnel and of course Denise . Bless your twisted greedy heart’s
Molina us about to get sued jopizarding my health by not picking me up for my appointments I really need a new insurance company that takes my health seriously. I have tons of health problems including having open heart surgery six months ago amputations of my left foot but no Molina don’t care. You can contact me at,313740XXXXX
Had the worse experience with Molina. First off employee Cache was very sarcastic and when I requested a supervisor she advised that none were available and that it takes 10 DAYS, TWO WEEKS to receive a call back. from experience Molina CA does not call back ever. I am trying to explain an issue and receive some answers but no one over there will even help. I spoke to a very nice lady at the corporate office named Carmen who tried to help but, if you are not familiar with hospice claims or contracts then there is no way to help. Please call me back.Otherwise this will have to be a case for the state.
Thanks.
Nearly every single time I have contacted Molina Healthcare, I was lied to by the Molina employees I spoke with. Whether it was getting my Member ID Card, or Member ID Number, (that took 2 months and then was mailed to me by the Grievance Dept.); or whether it was about getting a referral to see a doctor, (over a half dozen different people, including my so-called “Care-Coordinator”, told me that lie); or whether it was about changing my “care coordinator” to one who would return phone calls, or do what he said he would do; nearly all contact with Molina it is just one lie after another!
And Molina does NOT provide ANY method to file a complaint about any of this, either! As several people in “member services” have told me, there is “NO GRIEVANCE DEPARTMENT”! (Even though someone from the Grievance department sent me a letter, in which I was invited to call them with any questions! Just another Molina LIE!)
I can’t remember the representative I spoke to I really wish I did it took me three different time on hold and three different people who wouldn’t shut up and listen to what I needed done and tried telling me irrelevant stuff and to hang up and call again to reach a real gentlemen who listen to me understood my isssue and fixed it with no problems at all that man deserves a raise or some recognition I hate myself for not remembering his poor name
On 6/7/2016 at 10 something AM , I called Molina 866-472-4585
Patient information:
BARAHONA, ANA D , Date of Birth: 11/**/19**, Member #: 0001866848
Mailing Address: MIAMI , FL, 33126
I spoke w/ Shawn at Elgibility Dept Confirmation of call # 29487996.
I explain , that the patient had paid and i have i confirmation # FL239904-0616. But, still shows that the patient has a restriction. She looked the patient information, and said that the pt has a restriction, that she has to wait 48 hrs. or pay the visit. I told her that the patient was in need to see the Dr. or i would have to send to hospital.That on the restriction, it stated Member is in the second or third month of grace period. Authorizations will be determined on a medically necessary basis. Authorizations will only be valid until the last day of the grace period. This determination is based on medical necessity only and is not a guarantee of payment by Molina. Payment for services is subject to (1) Molina’s determination of a member’s eligibility and coverage at the time the services are provided and (2) the provisions contained in the Agreement and Individual Evidence of Coverage for Molina Marketplace. and still said she has to wait. Or call the market place, to remove the restriction. I strongly believe, that patient is in need of treatment. I told her that i wanted to speak with someone to authorize, and said that the patient has to wait, that no one there would authorize.
I would like a return call, or emaill.
305-266-XXXXX
Thanks