Member Materials and Forms

Here you can find important documents about your Molina Medicare plan.
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Pharmacy and Prescription Drugs

Prescription drugs covered through Molina Medicare can be found in the Drug List (Formulary).
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Quality

What you have to say about your care means a lot. Your feedback helps us give you quality care and service and find ways to grow and improve.
Learn More.National Coverage Determinations

Review the most recent updates on National Coverage Determinations
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Michigan Plan Rating | 2025 | 2026 |
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Molina Medicare Complete Care (HMO D-SNP) |
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Molina Medicare Complete Care Select (HMO D-SNP) |
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Molina Dual MI Coordinated Health (HMO D-SNP) - Macomb and Wayne |
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Molina Dual MI Coordinated Health (HMO D-SNP) - Barry, Berrien, Branch, Calhoun, Cass, Kalamazoo, and Van Buren |
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Medicare HIPAA Privacy Notice |