2021 Molina Coverage

Molina is a California-based health insurance plan provider, offering Marketplace plans and Medicare and Medicaid plans. The company currently covers more than 11 million people in the United States. 

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Molina Operating States

Molina currently offers Marketplace plans in 11 U.S. states: California, Florida, Michigan, Mississippi, New Mexico, Ohio, South Carolina, Texas, Utah, Washington, and Wisconsin. Molina sells Medicaid plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Ohio, New Mexico, New York, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. 

Molina Health Insurance Overview

Does Molina Cover Acupuncture

Molina covers acupuncture, but only for pain management of migraine headaches and/or lower back pain. Acupuncture must be deemed medically necessary for this pain management by a doctor or physician.  (Source)

Does Molina Cover Chiropractic Treatment

Molina covers chiropractic treatment, including diagnostic X-rays and adjustments of the spine to correct alignment. For Molina members aged 20 and younger, prior authorization is not required for the first 30 chiropractic visits in a 12-month period, but is required after 30 visits. For Molina members aged 21 and older, prior authorization is not required for the first 15 visits in a 12-month period. Chiropractic treatment must be determined to be medically necessary for coverage to apply. (Source)

Does Molina Cover Allergy Testing

Allergy testing is covered by Molina, if such testing is deemed medically necessary by the plan member’s primary care physician. (Source)

Does Molina Cover Abortions

Molina only covers abortions in instances where it is necessary to save the mother’s life, or in reported cases of rape or incest. Medicaid plans also offer some coverage for abortion. (Source)

Does Molina Cover Gender Reassignment Surgery

Molina covers gender reassignment surgery when it is determined to be a medically necessary procedure for treating gender dysphoria. Other criteria, including age-based criteria and consistent documentation of gender dysphoria, must also be met. (Source)

Does Molina Cover Birth Control

Molina covers birth control when prescribed by a physician but does not cover over-the-counter medication. Birth control covered by Molina is listed alongside all prescription medication covered by the insurer. If a pharmacist provides birth control, Molina members may be able to submit a refund request. (Source)

Does Molina Cover Breast Reduction Surgery

Breast reduction surgery is covered when it is deemed medically necessary as a result of medical complications. (Source)

Does Molina Cover Infertility Treatments

Molina does not cover infertility testing and treatment. However, treatments of underlying infertility causes may be covered. (Source)

Does Molina Cover STD Testing

Molina covers STD and HIV screening, testing, and counselling. (Source)

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Molina Mental Health Insurance Overview

Does Molina Cover Mental Health

Molina covers outpatient mental health services with licensed mental health specialists. In addition, Molina covers annual depression screenings for youth ages 12-18 and depression screenings for mothers and caregivers of children up to six months old. In addition, a number of medications to treat mental health issues, including depression, anxiety, and other mood disorders, are covered by Molina. (Source)

Does Molina Cover Therapy

Yes, Molina covers therapy. (Source)

Molina Dental Insurance Overview

Does Molina Cover Dental

Molina does not provide dental insurance. However, Molina members who are covered by Medicaid plans may have access to some dental coverage. (Source)

Does Molina Cover Braces

Molina’s Medicaid plans offer some coverage for braces with prior authorization. (Source)

Does Molina Cover Braces for Adults

Molina’s Medicaid plans offer some coverage for braces, including braces for adults, with prior authorization. (Source)

Does Molina Cover Dental Surgery

Some of Molina’s Medicaid plans offer dental surgery coverage, though this coverage may be affected by age limitations. (Source)

Does Molina Cover Wisdom Teeth Removal

Some of Molina’s Medicaid plans offer coverage for extractions, including wisdom teeth removal. (Source)

Does Molina Cover Dental Implants

Molina’s Medicaid plans may cover some forms of dental implants. (Source)

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Molina Vision Insurance Overview

Does Molina Cover LASIK

Molina does not cover LASIK surgery. (Source)

Does Molina Cover Cataract Surgery

Some Medicare plans provided by Molina may cover cataract surgery. 

Molina Prescription Drug Insurance Overview

Does Molina Cover Hearing Aids

Molina’s Medicare plans cover hearing aids. In order to be covered, hearing aids and associated services, such as repairs and replacement, must be deemed medically necessary. Prior approval is required. (Source)

Does Molina Cover Blood Pressure Monitors

Molina has launched a pilot program offering coverage for take-home blood pressure monitors. Members must visit a Molina office to acquire a covered blood pressure monitor. (Source)

Does Molina Cover Cialis

When prescribed by a physician, Molina covers Cialis to cover medically diagnosed erectile dysfunction or benign prostatic hyperplasia. (Source)

Does Molina Cover Chantix

Molina covers Chantix for smoking cessation when the member has a contraindication or failure with a trial of an over-the-counter nicotine replacement product, such as a nicotine patch or nicotine gum. The member must also have relapsed after a successful attempt at smoking cessation and must be enrolled in a behavioural smoking cessation program if such a program exists. (Source)

Does Molina Cover the Shingles Vaccine

Yes, Molina covers the shingles vaccine. (Source)

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