Members

Member Grievances and Appeals

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As a Molina Healthcare member, if you have a problem with your medical care or our services, you have the right to file a grievance or appeal.

You can file a grievance when you are unhappy with Molina Healthcare, your provider or your care. Some examples are:

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

You can file an appeal when you do not agree with Molina Healthcare’s decision to:

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

We want you to understand the grievance and appeal process. We can help you through each step.

HOW TO:


*You may request printed copies of all content posted on our website.

You may have to pay for services that are not covered. You may also have to pay for services from providers not part of our network. If the services were an emergency, you don’t have to pay. If you need help, call Member Services.