Molina Healthcare's Medicare Program

Molina Healthcare, Inc. is proud to announce it is now in the Medicare market. We have provided healthcare services to Medicaid beneficiaries for more than 25 years and are now expanding our commitment to serve those who are eligible for Medicare.

Molina Medicare Options Plus is the name of our Medicare product. The Molina Medicare Options Plus plan offers quality healthcare coverage and service, and embraces Molina Healthcare's longstanding mission to serve those who are the most in need.

Molina Medicare is licensed and approved by the federal government to allow members eligible for Medicare to enroll in our Medicare plan. We are approved to operate in the following states; California, Michigan, Nevada, New Mexico, Texas, Utah and Washington.

Molina Medicare Options Plus is a Special Needs Plan offered by Molina Healthcare, a health plan with a Medicare contract. All Medicare beneficiaries entitled to Medicare Part A and enrolled in Part B may apply. Members must reside in the Molina service area, must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third-party, and must receive all routine care from Molina plan providers. If you obtain routine care from out of plan providers, neither Medicare nor Molina will be responsible for the cost.

Molina’s Medicare Prescription Drug Benefit is only available to members of the plan and you must receive your drug benefit through Molina, not another organization. Molina’s contract with CMS is renewed annually and availability of coverage beyond the end of the current contract year is not guaranteed.

Molina Medicare Options Plus is an organization with a Medicare contract. This contract is renewed annually, and coverage beyond the end of the contract year is not guaranteed. If for any reason Molina Medicare is not renewed, withdraws from a service area or terminates its contract with the Centers for Medicare & Medicaid Services (CMS), your health care coverage will be impacted.

This means that you may have to make some decisions about your health care coverage and prescription drug coverage. When coverage with Molina Medicare ends, your Medicare prescription drug coverage ends too.

Some of your options available to you are:

• You can join another Medicare Advantage or other Medicare Health Plan, including a plan that offers prescription drug coverage;
• You can change to the Original Medicare Plan and join a Medicare Prescription Drug Plan;
• You can change to the Original Medicare Plan, buy a Medigap (Medicare Supplemental Insurance) Policy, and join a Medicare Prescription Drug Plan.

You may want to call 1-800-MEDICARE (1-800-633-4227) or visit www.medicare.gov for step-by-step help with your Medicare health care options. TTY users should call 1-877-486-2048, 24 hours a day/7days a week.

If you have any questions, please e-mail us or call Member Services at 1-888-665-1328 (Hours of Operation: Monday through Sunday 8:00 a.m. to 8:00 p.m.), (TTY/TDD 1-800-346-4128). (Hours of Operation: Monday through Sunday 8:00 a.m. to 8:00 p.m.) Medicare beneficiaries entitled to Medicare Part A and enrolled in Part B who qualify for Medicaid are eligible for Molina Medicare Options Plus. You must live in the Molina Medicare service area. You must continue to pay your Medicare Part B premium.

*Paper copies of information posted on our web site are available upon request.

* Description of Premiums *