Appeals
If you receive a denial letter and do not like the choice we made, you can file an appeal. An appeal is a request to review an action or denial. An action is any denial that is:
Limited
...
If you have a complaint, you can call or write to Member Services at:
Molina Healthcare of New York, Inc.
Attention: Member Services Department
2900 Exterior Street
Suite 202
Bronx, New York 10463
(...
Puede presentar una queja si Molina Healthcare deniega, suspende, termina o reduce un servicio solicitado. Esto se denomina determinación adversa de beneficios.
Usted tiene 60 días desde la fec...
Grievance Process
You can file a grievance with Molina Healthcare. If you are not happy with the health plan, this is called a grievance. You can also file a grievance if you are not happy with one o...
Proceso de presentación de quejas
Puede presentar un reclamo ante Molina Healthcare. Si no está satisfecho con el plan de salud, esto se llama una queja. También puede presentar un reclamo si no está...
Appeal Process
You can file an appeal if Molina Healthcare denied, suspended, terminated, or reduced a requested service. This is called an adverse benefit determination.
You have 60 ...
Prior authorizations and actions
Certain medications and services may need approval from Senior Whole Health of New York before they’re covered. This is called a prior authorization. Prior authorizat...
As a Molina Medicare member, you have certain rights and responsibilities. Molina
Medicare has listed them below. They help you to know what to expect from your health
care. They can also help you to...
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Here is information on some key benefits you can get through your Molina Medicare plan. We care about your health and
wa...
If you are unhappy with an appeal decision that was made not in your favor, you or Authorized Representative can ask for a State Fair Hearing. You can ask for a State Fair Hearing within ninety (90) c...
