Appeals and grievances in Illinois

As a Molina Healthcare member, you have the right to file a complaint (grievance) if you have a problem with your medical care or our services. Some examples are:  

• The care you get from your provider  
• The time it takes to get an appointment or see a provider  
• The providers you can choose for care  

An appeal can be filed when you do not agree with our decision to:  

• Stop, change, suspend, reduce or deny a service  
• Deny payment for services provided  

To file an appeal or grievance, you can:  

• Call Molina Healthcare at (833) 644-1623 (TTY:711), Monday through Friday, 8 a.m. to 6 p.m. Central Time. We will try to help you over the phone.  
• Fill out the Member Grievance Form  and mail it to: Molina Healthcare, Attn: Member Appeals and Grievances, PO Box 182273, Chattanooga, TN 37422. You can also fax it to (855) 502-5128 or email it to: MHI.IL.Appeal@Molinahealthcare.com.  
• Log in to the My Molina Member Portal.

We will send you a letter acknowledging receipt of your appeal (within 3 business days) or grievance (within 10 calendar days). For appeals, we issue a formal response within 15 business days and within 60 calendar days for grievances. 

You can also call the Illinois Department of Insurance Office of Consumer Health Insurance at (877) 850-4740 for help at any time. 

For more information, check your member handbook or your agreement and evidence of coverage.  

Read your Member Handbook 

Your handbook explains covered services, programs, rewards and how to use your benefits. Keep it handy when you need care. Explore the member handbook.

Helpful resources 

Learn more about your plan and what it covers. 

• Benefits and services

• Drug coverage