Thank you for choosing Molina Healthcare as your health plan.
This Member Service Guide is called your "Combined Evidence of Coverage and Disclosure Form" or your "EOC." This booklet tells you how you can get services through Molina. It also tells you your rights and responsibilities as a Molina member and how to contact Molina. Please read this booklet completely and carefully and keep it in a safe place where you can get to it quickly. If you have special health care needs, carefully read the sections that apply to you.
Molina Member Service Guide
10 Ways to Help Make the Most of Your Health Care Benefits
Summary of Recent Healthy Families Program Benefit Changes
Getting Started
- Answers to Your Questions
- Help for Non-English Speaking Molina Healthcare Members
- Welcome to Molina
Introduction
- Summary of Major Benefits and Coverage
- What Do I Do First?
- What is a Primary Care Doctor?
Accessing Care
- Choosing My Child's Doctor
- Changing My Child's Doctor
- How Do I Get Medical Services for My Child Under the Plan? (Choice of Physicians and Providers; Facilities)
- What is a Referral?
- Emergency & Urgent Care Services
- American with Disabilities Act
Benefits
- What is Covered Under My Child's Plan?
- What is Not Covered Under MY Child's Plan?
- Education & Information About Health & Disease
- Communication Services and Payment Possibilities
- When Will My Child's Molina Membership End? (Termination of Benefits)
- What are My Child's Rights & Responsibilities as a Molina Member?
Coordination of Services
- California Children's Services (CCS)
- County Mental Health Benefits for Serious Emotional Disturbance (SED) children
Services
- Molina Is Always Improving Services
- Member Participation Committee
- Your Healthcare Privacy
- What Do I Have to Pay For? (Prepayment Fees)
- How Does Molina Pay For My Child's Care?
- What if I Have a Complaint?
- Molina's Ombudsman Program
- Independent Medical Review
- Independent Medical Review for Denials of Experimental/Investigational Therapies
- Non-Discrimination
- Organ or Tissue Donation
- Definitions
- Service Area
- Out-of-Service Area
- Grow & Stay Healthy - Guidelines to Live By
- Health Education Services
- Motherhood Matters Program
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