Molina Healthcare

Get help with (3)

• Insurance claim deniedAppeal to your state Molina plan within 180 days of the denial notice, then ask for external review (Marketplace) or a State Fair Hearing (Medicaid).
• Billing errorCompare the bill with the EOB, call member services, then file a grievance.
• Surprise medical billCompare the bill with the EOB, tell Molina and the provider, then contact the CMS help desk.

Contacts (9)

Escalation path

Go up one step at a time. Keep the reference numbers and dates from each contact.

1. Customer service

   PhoneMolina Marketplace member services, Florida +1-888-560-5716
   FormMedicaid appeals, Molina Michigan

   Call the member services number on the back of the member ID card. Molina numbers differ by state and by Medicaid, Medicare or Marketplace plan.

2. Written complaint

   FormComplaints and appeals, Molina Marketplace Washington

   Internal grievance or appeal with the state plan, at the address on the denial notice.

3. State agency

   Your state’s insurance department. Find it in the list of state agencies (also as JSON: states/<code>.json, for example states/ny.json).

   External review for Marketplace plans; Medicaid members can ask for a State Fair Hearing.

4. Federal regulator

   RegulatorU.S. Department of Labor, Employee Benefits Security Administration +1-866-444-3272

   Employer self-funded (ERISA) plans.

5. Federal regulator

   RegulatorCMS No Surprises Help Desk +1-800-985-3059

   Surprise bills under the No Surprises Act.

Known blockers

Scam warnings

Verification notes

Molina Healthcare, Inc. serves Medicaid, Medicare and state Marketplace members through state plans. ConnectiCare (Connecticut) became part of Molina on February 1, 2025. Medicaid members have State Fair Hearing rights; Medicare members follow Medicare appeal rules.