After you enroll, Molina Dual Options will send you a Member Handbook and a Molina Dual Options Member ID card. The handbook has a lot of information about your benefits. As your new health plan, we will make sure your care continues and is not disrupted. Molina Dual Options will work with you and your doctors to make sure you get all the care you need.
If you have a scheduled treatment and just joined Molina Dual Options, call Member Services. Tell us about your treatment so we can work with you.
Continuing Care With Your Doctors
You may continue for a period of 180 calendar days to see your physician or receive services that were authorized before you joined Molina Dual Options. This transition time allows Molina time to attempt to contract with your provider if they are not in Molina’s network.
You still must call Molina Member Services before you receive the care. If you do not call us, you may not be able to receive the care or the claim may not be paid. For example, call Member Services if you have the following services already authorized or scheduled:
- Organ, bone marrow or hematopoietic stem cell transplant
- Third trimester prenatal (pregnancy) care, including delivery
- Inpatient/outpatient surgery
- Appointment with a primary or specialty provider
- Chemotherapy or radiation treatments
- Treatment following discharge from the hospital in the last 30 days
- Non-routine dental or vision care (for example: braces or surgery)
- Medical equipment
- Services you receive at home, including home health, therapies, and nursing
After 180 days, you may get your covered services from a provider who works with Molina Dual Options (these are called an “in network” provider). You may also continue to see your existing provider for covered services if they agree to work with Molina Dual Options.
Once you join Molina Dual Options, we will tell you if any of your current medications require prior authorization (PA) that did not require authorization before you joined Molina Dual Options.
Our website lists the medication(s) that require prior authorization. You may need to ask your prescribing provider's office to submit a prior authorization, you cannot get the medication(s) until your provider submits a request to Molina Dual Options and it is approved.
If you have any questions, you can call Member Services.