Member Terms and Conditions

• Authorization for Single Payment

  I authorize a one-time payment of the amount due for my Molina Healthcare premium. This payment will be processed immediately or on the date I select. I understand this authorization applies only to a single transaction and does not authorize any future payments.

   

• Authorization for Recurring Payments

  If I choose to enroll in recurring payments, I authorize Molina Healthcare to charge the selected payment method on a recurring basis in the amount due, on or around the last business day of each month, until I cancel this authorization.
   
  I understand:
  I may cancel recurring payments at any time by logging into MyMolina portal or contacting Molina Member Services.
  Cancellations must be submitted at least 10 days before the next scheduled payment to take effect.
  Any changes to my premium amount will be communicated in advance, and I authorize Molina to adjust the recurring amount accordingly.

   

• General Terms (Applies to All Payments)

  I confirm that I am the authorized user of the payment method provided.
  I am responsible for ensuring sufficient funds are available at the time of payment.
  Molina Healthcare is not responsible for any errors, duplicate charges, or misuse of my payment information by a broker.
  If I suspect unauthorized activity or fraud, I will immediately contact Molina Member Services

   

• Privacy & Security Notice

  Brokers are prohibited from storing or retaining my payment information.
  Molina and its partners will securely process my payment in compliance with federal and state data protection laws.
  I should never provide my payment credentials directly to a broker or third party not authorized by Molina Healthcare.
   
  

I have read, understood, and agree to these Terms & Conditions. I authorize Molina Healthcare to process my payment as specified above.