Appeals and grievances in South Carolina

As a Molina Healthcare member, you have the right to share concerns about your care or our services. This is called a grievance.

For example, you can file a grievance if you have concerns about:

• The care you get from your provider
• How long it takes to get an appointment or see a provider
• Which providers you can choose

You can file an appeal when you do not agree with our decision to:

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

You have several ways to file an appeal or grievance:

• Call Molina Healthcare at (855) 885-3176 (TTY:711), Monday through Friday, 8 a.m. to 6 p.m. local time. We will try to help you over the phone.
• Fill out the Member Grievance Form and mail it to: Molina Healthcare of South Carolina, Inc., Attn: Grievance and Appeals Unit, PO Box 182273, Chattanooga, TN 37422. Or fax it to (866) 713-1891.
• Log in to the My Molina member portal

We will send you a letter acknowledging receipt of your appeal or grievance within five calendar days and issue a formal response within 30 calendar days.

You can also call the South Carolina Department of Insurance (SCDOI) at (803) 737-6180 or (800) 768-3467 for help at any time.

For more information, read 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