Members

Complaints & Appeals

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Member Complaint (Grievance) and Appeals

As a Molina Healthcare member, if you have a problem with your medical care or our services, you have a right to file a complaint (grievance) or appeal. Some examples are:

  • The care you get from your provider.
  • The time it takes to get an appointment or be seen by a provider.
  • The providers you can choose for care.

An appeal can be filed when you do not agree with Molina Healthcare’s decision to:

  • Stop, change, suspend, reduce or deny a service.
  • Deny payment for services provided.

Your Member Services Guide has the information you need to know about:


*You may request printed copies of all content posted on our website.

You may have to pay for services that are not covered. You may also have to pay for services from providers not part of our network. If the services were an emergency, you don’t have to pay. If you need help, call Member Services.