Your right to use advance directives (such as a living will or a power of attorney)
You have the right to ask someone such as a family member or friend to help you with decisions about your health car...
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 (grievance) or appeal. Some examp...
Making a plan before you go see your provider can help you make the most of your visit whether you are seeing a new doctor or a doctor you've seen for years. The following tips can help make it easier...
الخطوة 1:
اكتشف ما إذا كان بإمكانك الحصول علي مزايا Medi-Cal. (يمكن أن يخبرك "عامل المقاطعة المختص بالأهلية").
الخطوة 2:
إذا كان بإمكانك الحصول علي مزايا Medi-Cal، قم بملء نموذج تسجيل.
يمك...
Step 1:
Find out if you can get Medi-Cal benefits. (Your “county eligibility worker” can tell you.)
Step 2:
If you can get Medi-Cal benefits, you fill out an enrollment form.
You can get a...
Шаг 1.
Узнайте, можете ли вы воспользоваться льготами Medi-Cal. (Ваш окружной работник по вопросам правомочности может подтвердить это.)
Шаг 2.
Если вы можете пользоваться льготами Medi-Cal, з...
The following benefits are only available to Silver Plan Members Emergency Medical TransportationWe cover Emergency transportation (ambulance), or ambulance transport services provided through the “91...
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 (grievance) or appeal. Some examples are:
The care you get from...
Forms
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Forms
Forms
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Forms
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Please click on a form below to view a PDF printable version.
The files below are in PDF format ()
Claims
Provider Dispute Resolution Request Form
Prior Authorizations
Behavioral Health Prior Au...
