Molina Healthcare

Information regarding accepted Molina Healthcare insurance plans.

Contact your health insurance plan for information on covered services before your appointment.

Molina Healthcare Insurance Plans

Healthy Options (HMO)
Can I select a Virginia Mason primary care provider with this insurance plan?

No

Does this plan require pre-approval to see a specialist?

Yes*

General Comments
  • May not select a Virginia Mason primary care provider (PCP).
  • * Virginia Mason is not contracted, but will accept Molina APPROVED referrals for specialty care. Unless emergency, patient will need to have an authorized referral(s) in place PRIOR to scheduling.
  • Note: Molina may advise they do not require their approval for consultations, however since VM is non-contracted with this program it is our policy to require Molina approved referrals for all services, including consultations.
  • Not accepting for psychiatry.
Molina Gold and Silver (HMO Exchange Programs)
Can I select a Virginia Mason primary care provider with this insurance plan?

No

Does this plan require pre-approval to see a specialist?

Yes

General Comments
  • May not select a Virginia Mason primary care provider.
  • * Virginia Mason is not contracted, but will accept non-Virginia Mason PCP initiated, insurance approved referrals for specialty care. If patient does not have an insurance authorized referral services will not be reimbursed. Unless emergency, patient should have authorized referral(s) in place PRIOR to scheduling.
  • Notification of hospital admission should be provide to Molina within 24 hours of the admission, or the next business day if weekend or holiday.
  • Not accepting for psychiatry.

 

Insurance Definitions