Members

Member Complaints 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 a right to file a complaint or appeal. A complaint can be filed when you are unhappy with your care. Some examples are:

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

An appeal can be filed when you do not agree with Molina Healthcare’s decision to:

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

We want you to have access to the complaint process and can help you through each step.

HOW TO:



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.