In addition, Molina Healthcare may require a referral or pre-approval for residential treatment center admissions, inpatient admissions or outpatient detoxification programs before benefits apply. Referrals are available through your primary care provider – a Pine Tree Recovery specialist can help ensure that you receive the referrals, correct pre-approval permissions, and quick access to the care that you need. Our goal is to ensure that your health insurance is maximized to minimize your out of pocket costs.
To find out if you are a member of Molina Healthcare and what your benefits cover, you may contact us online
or call a Pine Tree Treatment Advisor at (888) 693-1751
. We’re here for you 24/7.
Will Molina Healthcare Cover the Entirety of My Treatment?
The specific limits of your coverage are dependent on your unique Molina Healthcare plan. Each plan will have a deductible, as well as a copayment amount, and these may vary widely according to your plan. Your deductible could be as low as $100 or upwards of $5,000 and is the amount you must pay out of pocket before your Molina Healthcare benefits are applicable. Copayment amounts are a one-time fee for any service or medication and can be as low as $5, or more than $500 for emergency visits.
If your Molina Healthcare plan is a marketplace plan, it holds the category name of bronze, silver or gold. Each of these categories have their own ranges for deductibles, copayments and coinsurance. Coinsurance is the amount your plan will cover after your deductible has been met. Typically, bronze level plans have high deductibles, and cover approximately 60% of total medical care costs, but offer the lowest monthly rates. On the opposite end of the spectrum, gold level plans have low deductibles, and typically cover up to 75% of medical care costs at higher monthly rates.