Appeals and grievances
If you are unhappy with your care, you can complain about:
You can also file an appeal if you don’t agree with a Molina decision to:
Filing a Grievance with Molina
If you have a complaint, please call Member Services first. We will try to resolve your problem over the phone. We can even send you a written response if you ask for one.
If we can’t correct your problem over the phone, you can use our formal Member Grievance Process. You must file a grievance within 60 days of the start of your issue.
You can file a grievance either by phone or in writing.
to:
Molina
Attn: Appeals & Grievances
P.O. Box 22816
Long Beach, CA 90801-9977
We will respond to all quality of care grievances in writing, regardless of how the grievance was filed.
For more information, see Chapter 9 of your EOC.
You can also submit a complaint through Medicare at https://www.Medicare.gov.
This section explains the processes for handling problems and concerns.
Plan features
Read your Member Handbook
Your handbook explains covered services, programs, rewards and how to use your benefits. Keep it handy when you need care.