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Summary of Benefits

The Summary of Benefits outlines your plan premium, benefits, copayments and coinsurance for the current calendar year.

Please click on the link below to find out about the plan benefits.

icon PDF 2018 Molina Medicare Options Plus (HMO SNP) Summary of Benefits

icon PDF 2017 Molina Medicare Options Plus (HMO SNP) Summary of Benefits

 

Directories

The Provider & Pharmacy Directory outlines your plan's network of Primary Care Physicians, Specialists, Hospitals, Skilled Nursing Facilities, Outpatient Facilities, Pharmacies and Supplemental Provider contacts.

Provider Online Directory Search

 

 If you would like to request a printed copy of this directory, please call Member Services or email us at CentralizedOps.Medicare@MolinaHealthcare.com.

Supplemental Dental Online search

Supplemental Vision Online search

 

You must receive your care from a network provider

In most cases, care you receive from an out-of-network provider (a provider who is not part of our plan’s network) will not be covered. Here are three exceptions:

  • The plan covers emergency care or urgently needed care that you get from an out-of-network provider. For more information about this, and to see what emergency or urgently needed care means, see the Evidence of Cover Chapter 3.
  • If you need medical care that Medicare requires our plan to cover and the providers in our network cannot provide this care, you can get this care from an out-of-network provider. In this case prior authorization is required. Please contact Member Services. If you obtain routine care from out-of-network providers without prior authorization, neither Medicare nor the Plan will be responsible for the costs. In this situation, we will cover these services as if you got the care from a network provider.
  • Kidney dialysis services that you get at a Medicare-certified dialysis facility when you are temporarily outside the plan’s service area.

 

How to get care from out-of-network providers

If you need medical care that Medicare requires our plan to cover and the providers in our Network cannot provide this care; you can get this care from an out-of-network provider. In this case a prior authorization is required. If you obtain routine care from out-of-network providers without prior authorization, neither Medicare nor the Plan will be responsible for the costs.

 

Over-the-Counter (OTC) Benefit

Your Plan includes a supplemental Part C OTC benefit. We have partnered with CVS/ caremark™ to offer you the health and wellness items you need most under this benefit. Ordering is easy.

Plan Materials

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*Printed copies of information posted on our website are available upon request.​​

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