We use cookies on our website. Cookies are used to improve the use of our website and analytic purposes. By using our website, you consent to our use of cookies in accordance with our Privacy Policy. Read More I agree

Molinalogo

Marketplace Benefit Interpretation Policies

For Codification, please click here (for Marketplace only)

For Clinical Policies, please click here (all LOBs)

For PA Lookup Tool, please click here

Abortions Pregnancy Termination

Acquired Brain Injury Services

Allergy Testing and Injections

Ambulance Transportation

Attention Deficit Hyperactivity Disorder

Autism Spectrum Disorder

Bariatric Surgery

Biofeedback and Neurofeedback

Cardiac Pacemakers and Defibrillators

Cardiac Rehabilitation Services

Clinical Trials

Cognitive Rehabilitation

Complementary Alternative Medicine

Continuity of Care and Transition of Care

Download Continuity of Care and Transition of Care

Cosmetic, Reconstructive or Plastic Surgery

Dental Care and Oral Surgery

Diabetic Management Services

Diagnostic and Radiology Services

Dialysis Services

Durable Medical Equipment, Prosthetics and Medical Supplies

Emergency and Urgent Services

Experimental and Investigational Services

Family Planning

Foot Care and Podiatry Services

Genetic Testing and Therapy

Hearing Services

Home Health Care

Home Infusion Therapy

Hospice Services

Immunizations and Vaccinations

Infertility and In Vitro Fertilization

Inpatient Hospital Services

Maternity and Newborn Care

Medications and Off Label Drugs

Member Initiated Second Opinion

Outpatient Hospital Services

Pain Management

Parenteral, Enteral and Oral Nutritional Therapy

Physician Services

Post Mastectomy Surgery

Preventive Care Services

Rehabilitation and Habilitation Services

Residential Care

Services and Complications Related to Non-Covered Services

Services While Confined or Incarcerated

Sexual Dysfunction

Skilled Nursing Facility and Care

Sleep Study (Not Home-Based)

Substance Abuse

Telemedicine, Telehealth Services and Virtual Visits

Transplantation Services

Vision Care and Services

Wheelchairs and Accessories