Unraveling the Mystery: What is Molina Healthcare and How Does it Work?
Molina Healthcare is a relatively young company in the healthcare industry, incorporated in 1980 by Dr. C. David Molina. The company is a managed care organization that provides healthcare plans and related services to eligible individuals, concentrating on those who are low-income, struggling communities, or Medicaid eligible.
The goal of Molina Healthcare is to remove all barriers from affordable healthcare, minimize the individuals’ healthcare expenses, and provide them with access to quality healthcare services. Molina Healthcare operates through various partnerships with Medicaid agencies, Medicare, and health insurance marketplaces.
Molina Healthcare’s Health Plans
Molina Healthcare offers several types of health plans tailored to meet the unique healthcare needs of their clients. Such as Medicaid, Medicare Advantage, Medicare Part D, Health insurance Marketplace, Marketplace plans, CHIP, and Medicare-Medicaid (Dual Eligible) plans.
Medicaid plans cover eligible individuals in their respective State, for all medically necessary benefits under Federal guidelines. Medicaid expansion manages to eliminate the gap that exists in Colorado, Louisiana, and Utah, which extends the Medicaid threshold up to 138 percent of the poverty income level.
Molina Healthcare has designed its Medicare Advantage programs as a one-stop-shop. Program members can obtain drug coverage and Part B coverage through the company. The plans offer a variety of additional benefits, including dental and vision coverage, and even a gym membership, which can promote self-care among members.
Molina Healthcare’s Community Health Programs
Molina Healthcare understands that healthcare isn’t just the absence of illness; it involves creating a healthy community and promoting a healthy lifestyle. Molina Healthcare’s Community Solutions Program is designed to connect low-income individuals to resources that support their well-being and stability. Resources such as affordable housing, food, transportation, job placement, babysitting, and education. The program also serves to help young mothers get early and routine prenatal care to ensure better health outcomes for them and their infants.
Molina Healthcare’s Behavioral Healthcare Programs
Molina Healthcare considers the importance of mental health in healthcare. The company has designed behavioral health programs to provide coverage for inpatient and outpatient behavioral health services and substance abuse services for plan members. Molina Healthcare understands the link between mental health and physical health; thus, they ensure to integrate both services in their coverage.
Molina Healthcare’s Virtual Care
Molina Healthcare offers virtual care to eligible plan members through Molina Virtual Care, an online platform that allows plan members to access healthcare services, including video visits with healthcare professionals, nurse advice lines, and health coaching and wellness programs. The online platform offers virtual mental health counseling services tailored to different areas of mental health care tailored to individual needs.
Conclusion
Molina Healthcare has built and maintains a reputation for being an affordable healthcare provider that caters to individuals’ unique healthcare needs, including low-income, struggling communities, or Medicaid-eligible individuals. Molina Healthcare aims to eliminate barriers to affordable healthcare services by providing quality healthcare plans to eligible individuals and innovating healthcare services through their comprehensive virtual care online platform.
Molina Healthcare has several plans tailored to the different healthcare needs of its clients, including Medicaid, Medicare Advantage, and CHIP. The company also provides community health programs and behavioral health programs for plan members to support their overall well-being. Molina Virtual Care offers a range of online services that enable plan members to access healthcare services from home and improve their overall health outcomes.
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