Molina Healthcare of Wisconsin

I have made multiple calls to Molina since 11/15/21 about the accuracy of the deducible c& OOP calculator on my account. It take FIVE MINUTES just to get thru the menu, then when you finally talk to a CSR they cannot help, I have been disconnected on over 7 different calls, and NEVER get a callback. Additionally, there seems to a language barrier with the new CSR hires. They DO NOT understand my questions. TODAY I was on a call for ONE HR, SEVEN MIN...and it was the wrong person. I MISS BX/BS...and No One Ever misses them! HELP..

I signed up April 29th for May. I received an email May 5th from Molina requesting payment. I made the payment the same day. I kept a screenshot and have a payment reference number. It does not matter if you get a screen shot. Even though I have a 790 credit score and pay my bills I'm disrespected because Molina says I still owe and therefore not to be taken seriously at healthcare.gov. Molina's incorrect payment info affected my reputation and treatment at healthcare.gov. Can I sue for the embarrassment? Rich people do.

I've made numerous calls trying to find out why I wasn't getting a card with a subscriber number and was put on hold for over an hour. Have screenshot. I have been shunted to their 'Pay Us' department. I have been told I'd get a response in 48 and another in 72 hours, that is had been escalated (to nowhere apparently). I've reached a rep and immediately shunted to the survey. I've gotten frustrated and the Molina rep hung up on me because my mental disability is showing. They won't deal with me because they probably aren't trained to what? Solve payment problems when they steal from the poor? Call their IT department? I'm sure they've lost other payments. But why would they fix that?

I called my credit card company, the only ones that believe I made a payment, to cancel the May 5th payment. It will take 90 days. This mentally disabled person will go without insurance because Molina is too hard to work with. So I guess I wait until next year to have insurance when I'm eligible for medicare.

Now, I have finally gotten my subscriber number which was sent out June 14th. I have gotten a bill. They imply I only owe 1 month premium on the auto menu to get me to pay but I called and found out it will be applied to May. I'm sorry. You don't get to ask for double payments due to incompetence and evil that has no qualms about traumatizing the poor. I'm not going to give you any more money until they find my payment.

How bad do they want that 750 federal subsidy? Not bad enough to find the payment I guess.

Molina Healthcare of Wisconsin (Molina) appreciates the opportunity to respond to the Better BusinessBureau complaint ( [redacted] ) filed by MrScott [redacted] .Molina has conducted an internal review of the details of the complaint and information as provided byMr [redacted] .Molina received an add file from the Marketplace Exchange on November 9, This file listedMr [redacted] (only) as enrolled in a Silver plan with a monthly premium of $50.48, an APTC of $224and an effective date of January 1, 2016.Molina Member Services Call Center staff advised Mr [redacted] on multiple occasions as noted, April 12,(10:36am and 11:06am), May 12, (2:57pm) and on May 17, (8:34am) that in an effort tohave his children added as requested, Mr [redacted] must contact the Marketplace Exchange, and Molinadoes not determine eligibility.On May 24, Molina received a call from Mr [redacted] who stated that he has spoken with theExchange and they had him fill out a questionnaire to see if he qualifies to have his children added to hispolicy (due to a life changing event)After the application was reviewed Mr [redacted] was told by theExchange that the children do not qualify to be added to his Marketplace insurance and that they qualifyfor the Wisconsin State InsuranceMr [redacted] further reported that when he contacted the State andwas told his children do not qualify for insurance coverageMr [redacted] was again informed by Molinathat his children cannot be added through his policy without approval from the Marketplace Exchange.Mr [redacted] was provided with information for the Gap filler coverage since both the State andMarketplace have indicated that his children do not qualify for coverage.Additionally, a resolution correspondence detailing the above information with contact numbers wasforwarded to Mr [redacted] on May 24, 2016.If you have any questions regarding this letter, please feel free to contact us at ###-###-#### Ext [redacted]

Molina Healthcare of Wisconsin (Molina) appreciates the opportunity to respond to the Revdex.com complaint ( [redacted] ) filed by Mrand Mrs Steve and Doris ***.Molina has conducted an internal review of the details of the complaint and information as provided by the ***s Attached please find our response

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this does not resolve my complaint For your reference, details of the offer I reviewed appear below [To assist us in bringing this matter to a close, we would like to know your view on the matter.] I did not receive a voicemail detailing any of the information in the previous letterThe issue that I am having with molina is that for months they sent me invoices telling me NOT to pay and each month I owed $I followed the invoices that the company sent meI then received a bill for $600+Upon contacting molina they stated that they had a mistake and glitch on their endEven though they made a mistake and had a glitch I am now expected to pay the $600+ immediately even though it was a billing mistake on their endI even requested to do a payment plan with them and they refused and stated it must be paid within the grace period in full or I will lose coverage Regards, Christopher ***

Molina Healthcare of Wisconsin (Molina) appreciates the opportunity to respond to the requestfor additional information related to the Revdex.com complaint ( [redacted] ) filed byMrScott [redacted] .On May 24, Mr [redacted] contacted Molina about this complaintHe stated that he hasspoken with the Exchange several times and filled out a questionnaire on multiple occasions tosee if he qualifies to have his children added to his policy (life changing event)After eachquestionnaire was reviewed he was advised that the children do not qualify for coverage throughthe MarketPlace and that they qualify for the WI State insuranceHowever, when Mr [redacted] contacted the State, he was told his children do not qualify for Wisconsin Medicaid insurance.As Molina does not determine eligibility we are unable to make any determination related tocoverageMolina provided Mr [redacted] with information about the gap filler insuranceincluding the telephone number: ###-###-####Mr [redacted] was provided direct contactinformation of an Inquiry Research and Resolution Coordinator and told to contact our officewith any additional questions or concerns.Molina attempted to contact Mr [redacted] and we were unable to speak with him directly, avoicemail message with contact information was left related to this follrequest on June 6,In addition, a letter has been forwarded to Mr [redacted] which explains the process in whichMr [redacted] must follow in an effort to request a refundMolina must receive a retro-terminationfile from the Exchange in order to process and provide Mr [redacted] a refund.Mr [redacted] was directed to contact the Exchange to file a HICS case to begin the process ofretro-termination of his enrollment as requested.If you have any questions regarding this letter, please contact us at ###-###-#### Ext [redacted] .Sincerely,Kimberly [redacted] Kimberly [redacted]

Molina Healthcare of Wisconsin (Molina) appreciates the opportunity to respond to the Revdex.com complaint (11936735) This complaint as filed by MrTed [redacted] surrounding the termination of his Molina Silver policy and a refund request for $for a premium payment that was made on December 31, Molina has conducted an internal review of the details of this complaint and information as provided by MrTed [redacted] Please find attached our complete response to this complaint

Please advise if there are additional consumer concerns in which were not attached that you are requesting a response from Molina Healthcare of Wisconsin? No additional comments and/or concerns are attached?

Molina Healthcare of Wisconsin (Molina) appreciates the opportunity to respond to the Revdex.comcomplaint (11562276) filed by MsAnn [redacted] .Molina has conducted an internal review of the details of the complaint and information as provided by Ms[redacted] .Molina received an add file from the Marketplace Exchange for Ms [redacted] , her spouse and child onDecember 14, This file listed Ms [redacted] and her family enrolled in a Silver plan with a monthlypremium of $257.80, an APTC of $and an effective date of April 1, On November 25, 2014Molina received an add file from the Marketplace exchange showing Ms [redacted] , her spouse and childin a Silver plan with a monthly premium of $11.85, an APTC of $1,085.00, effective January 1, OnDecember 2, Molina received a termination file from the Marketplace exchange showing Ms [redacted] and her family retro-terminated as of January 1, due to Voluntary CancellationThat same day, Molinareceived an add file from the Exchange showing Ms [redacted] , her spouse and child in a Silver plan with amonthly premium of $19.35, an APTC of $1,078.00, effective January 1, 2015.Molina received an additional add file on October 30, showing Ms [redacted] , her spouse and childactive in a Silver plan, with a monthly premium of $244.93, an APTC of $1,effective January 1,On November 6, Molina received an termination file for Ms [redacted] and her family,effective January 1, due to Voluntary CancellationThat same day, Molina received an add file from theexchange showing Ms [redacted] , her spouse and child in a Silver plan with a monthly premium of$228.93, an APTC of $1,052.00, effective January 1, 2016.Ms [redacted] ’s Payment Summary:? 03/11/– Member paid $266.80? 03/11/– Member paid $266.80? 05/15/– Member paid $239.80? 05/21/– Member paid $275.80? 07/15/– Member paid $239.80? 08/15/– Member paid $257.80? 09/15/– Member paid $257.80? 10/17/– Member paid $257.80? 11/15/– Member paid $257.80? 01/17/– Member paid $38.70? 02/15/– Member paid $19.35? 03/24/– Member paid $19.35? 04/24/– Member paid $19.35? 05/27/– Member paid $19.35? 06/24/– Member paid $19.35? 07/23/– Member paid $19.35? 08/24/– Member paid $19.35? 09/23/– Member paid $19.35? 10/27/– Member paid $19.35? 11/23/– Member paid $19.35? 02/29/– Member paid $686.79? 04/06/– Member paid $228.93? 06/15/– Member paid $457.86? 07/15/– Member paid $228.93Ms [redacted] account is currently paid through July 31, 2016.Molina’s investigation confirmed that Ms [redacted] had set up auto pay for through the end of yearWith no open invoices for the beginning of 2016, Ms [redacted] ’s auto pay account was incorrectlycancelled due to a staff member’s error.On July 18, Ms [redacted] , her spouse and child’s account was updated to indicate no lapse in insurancecoverageMs [redacted] was verbally informed of this resolution on July 20, 2016.If you have any questions regarding this letter, please contact us at ###-###-####

[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID 11936735, and find that this resolution is satisfactory to me.
Regards,
Ted ***

Dear Ms***,Molina Healthcare of Wisconsin (Molina) appreciates the additional opportunity to provide additional information related to the Revdex.com complaint (***) filed by MrChristopher ***.On July 28, at 8:am, Molina’s Resolution Coordinator attempted to contact Mr*** at phone number ###-###-#### to advise of the resolution in his OCI complaint and the new premium total due. Since the coordinator was unable to reach Mr*** a voicemail message was left. After five additional attempts to contact Mr*** the attached resolution letter was forwarded to Mr***Please note that the attached correspondence was also utilized in a response as required based on an complaint filed with Office of the Commissioner of Insurance (OCI). Molina has apologized to Mr*** for the confusion regarding the incorrect invoices that he received beginning in September, In addition to the corrected July 25, invoice, below is a summary of the and amounts owed and amounts paid: For continuous coverage beginning on September 1, 2015, Mr*** owes a total of $for coverage through August 31, 2016: ($x months in = $10.28) + ($x months in = $556.08) = $ For continuous coverage beginning on September 1, 2015, Mr*** has paid in total $235.67: (Payments of $+ $+ $=$235.67) He has an outstanding balance of $for coverage through August 31, ($- $= $330.69) Mr*** paid for coverage through March 31, 2016, and was credited $for his April premium amount owed (with a balance of $for the month of April) Mr*** entered into a grace period beginning on July 1, and ending on September 30, Molina has explained to Mr*** that failure to bring his account current on or before September 30, will lead to termination of his coverage effective July 31,

Molina Healthcare of Wisconsin has attached a required response

Re: File No*** Dear MsHarris, Molina Healthcare of Wisconsin (Molina) appreciates the opportunity to respond to the Revdex.com complaint (***) filed by MsTamara ***Molina has conducted an internal review of the details of the complaint and information as provided
by Ms***March through July Ms*** total premium for the Molina Silver plan was $*** with an APTC amount of $***This left Ms*** with a monthly premium responsibility of $***We have referenced the account activity in the chart (listed below)Ms*** made two payments in 2015, one on February 26th for $and one on May 7th for $*** On July 28, Molina received an add file showing Ms*** had enrolled in the Molina Silver plan, effective August 1, and an APTC of $Her premium remained $*** which meant Ms*** was responsible for $Molina received premium payments from Ms*** on August 3, for $and on September 17, for $Molina did not receive a termination file from the Marketplace Exchange for Ms*** coverage in November As no file was received from the Marketplace Exchange, Ms*** was still responsible for paying premiums for November and DecemberMolina has no record of Ms*** contacting Molina to cancel her coverage in NovemberMs*** was instructed to contact to the Marketplace Exchange about retro-termination for November and December 2015. Enrollment for has been updated to show member active in a Silver plan with a monthly premium of $*** effective January 1, On April 30, Molina received an add file from the Marketplace Exchange showing Ms*** with a monthly premium of $***, an APTC of $*** and an effective date of May 1, Ms*** has made five premium payments in She currently has a credit of $*** which will be applied towards the June premiumMs*** was verbally informed of the above resolution on May 11, She reported being very satisfied with this outcomeThank you for bringing this complaint to our attentionIf you have any questions regarding this letter, please contact us at 1-888-999-2404. *** *** *** *** Compliance Director

Dear MsHarris,Molina Healthcare of Wisconsin (Molina) appreciates the opportunity to respond tot he Revdex.com complaint (***) filed by MsDebra ***Molina has conducted an internal review of the details of the complaint and information as provided by Ms.
***As a component of the review Molina noted from an IT perspective, Ms***’s *** ID was split into multiple segments covering multiple dates of services and Medicaid for a certain period of timeThis resulted in the pharmacy file sending two segments (primary and secondary) in errorMs***’s enrollment segment has been corrected. Moving forward the pharmacy file will only include the active *** segment and *** will be flagged as primaryPlease note that on July 27, Ms*** was verbally information that she could fill her prescriptions. Ms*** was further advised that the pharmacy will refund the money she paid out of pocket for her medications after her Molina Insurance is corrected in the system. Ms*** was assured that her account will be monitored to ensure she experiences no further/additional issues

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below
[To assist us in bringing this matter to a close, we would like to know your view on the matter.]
Regards,
Debra ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
[To assist us in bringing this matter to a close, we would like to know your view on the matter.] I did not receive a voicemail detailing any of the information in the previous letter. The issue that I am having with molina is that for months they sent me invoices telling me NOT to pay and each month I owed $0. I followed the invoices that the company sent me. I then received a bill for $600+. Upon contacting molina they stated that they had a mistake and glitch on their end. Even though they made a mistake and had a glitch I am now expected to pay the $600+ immediately even though it was a billing mistake on their end. I even requested to do a payment plan with them and they refused and stated it must be paid within the grace period in full or I will lose coverage. 
Regards,
Christopher [redacted]

Dear Ms. [redacted], Molina Healthcare of Wisconsin (Molina) appreciates the opportunity to respond to the Revdex.com complaint ([redacted]) filed by Mr. Christopher [redacted]. Molina has conducted an internal review of the details of the complaint and information as provided by Mr. Christopher...

[redacted].   Molina received an 834 add file from the Marketplace Exchange on March 24, 2015.  This file listed Mr. [redacted] enrolled in a Gold plan with a monthly premium of $230.53, an APTC of $70.00 and an effective date of April 1, 2015. On August 23, 2015 Molina received an 834 termination file from the Marketplace exchange showing a termination date of September 1, 2015 due to voluntary cancellation.  That same day, Molina received an add file from the exchange showing Mr. [redacted] in a Silver 100 plan with a monthly premium of $2.57 with an APTC of $234.96 and an effective date of September 1, 2015. On October 28, 2015 Molina received an add file showing Mr. [redacted] in a Silver 250 plan with a monthly premium of $242.51, no subsidy and an effective date of January 1, 2016.  On December 12, 2015 Molina received a termination file for Mr. [redacted] with a January 1, 2016 plan termination date.  That same day, Molina received an add file from the exchange showing Mr. [redacted] in a Silver 150 plan with a monthly premium of $69.51 with an APTC of $173.00 and an effective date of January 1, 2016.Please see the below detailed payment summary based on our findings; Mr. [redacted]’s Payment Summary: 031514 - $230.53042514 - $230.53070114 - $461.06082515 - $2.57090115 - $230.53100115 - $2.57 April premium amount due is $69.51 ($69.51 - $16.86 = $52.65) May, June, July and August premium amount due is $278.04  Total amount due as of July 28, 2016 is $330.69 ($52.65 + 278.04)   Please note that Molina has identified that there were issues surrounding Mr. [redacted]'s account, however these Invoices were corrected and Mr. [redacted]’s account now reflects the correct invoice amount. Molina has made several attempts to speak directly with Mr. [redacted]s to discuss but all attempts have failed, a voicemail message was left detailing the above outcome on Thursday, July 28, 2016.

Molina Healthcare of Wisconsin (Molina) appreciates the opportunity to respond to the Revdex.com complaint (11936735).  This complaint as filed by Mr. Ted [redacted] surrounding the termination of his Molina Silver 250 policy and a refund request for $389.00 for a premium payment that...

was made on December 31, 2016. Molina has conducted an internal review of the details of this complaint and information as provided by Mr. Ted [redacted]. Please find attached our complete response to this complaint.

Molina Healthcare of Wisconsin (Molina) appreciates the opportunity to respond to the Better BusinessBureau complaint ([redacted]) filed by Mr. Scott [redacted].Molina has conducted an internal review of the details of the complaint and information as provided byMr. [redacted].Molina received an 834 add file...

from the Marketplace Exchange on November 9, 2015. This file listedMr. [redacted] (only) as enrolled in a Silver 150 plan with a monthly premium of $50.48, an APTC of $224and an effective date of January 1, 2016.Molina Member Services Call Center staff advised Mr. [redacted] on multiple occasions as noted, April 12,2016 (10:36am and 11:06am), May 12, 2016 (2:57pm) and on May 17, 2016 (8:34am) that in an effort tohave his children added as requested, Mr. [redacted] must contact the Marketplace Exchange, and Molinadoes not determine eligibility.On May 24, 2016 Molina received a call from Mr. [redacted] who stated that he has spoken with theExchange and they had him fill out a questionnaire to see if he qualifies to have his children added to hispolicy (due to a life changing event). After the application was reviewed Mr. [redacted] was told by theExchange that the children do not qualify to be added to his Marketplace insurance and that they qualifyfor the Wisconsin State Insurance. Mr. [redacted] further reported that when he contacted the State andwas told his children do not qualify for insurance coverage. Mr. [redacted] was again informed by Molinathat his children cannot be added through his policy without approval from the Marketplace Exchange.Mr. [redacted] was provided with information for the Gap filler coverage since both the State andMarketplace have indicated that his children do not qualify for coverage.Additionally, a resolution correspondence detailing the above information with contact numbers wasforwarded to Mr. [redacted] on May 24, 2016.If you have any questions regarding this letter, please feel free to contact us at ###-###-#### Ext[redacted].

Molina Healthcare of Wisconsin (Molina) appreciates the opportunity to respond to the requestfor additional information related to the Revdex.com complaint ([redacted]) filed byMr. Scott [redacted].On May 24, 2016 Mr. [redacted] contacted Molina about this complaint. He stated that he hasspoken with the Exchange several times and filled out a questionnaire on multiple occasions tosee if he qualifies to have his children added to his policy (life changing event). After eachquestionnaire was reviewed he was advised that the children do not qualify for coverage throughthe MarketPlace and that they qualify for the WI State insurance. However, when Mr. [redacted]contacted the State, he was told his children do not qualify for Wisconsin Medicaid insurance.As Molina does not determine eligibility we are unable to make any determination related tocoverage. Molina provided Mr. [redacted] with information about the gap filler insuranceincluding the telephone number: ###-###-####. Mr. [redacted] was provided direct contactinformation of an Inquiry Research and Resolution Coordinator and told to contact our officewith any additional questions or concerns.Molina attempted to contact Mr. [redacted] and we were unable to speak with him directly, avoicemail message with contact information was left related to this follow-up request on June 6,2016. In addition, a letter has been forwarded to Mr. [redacted] which explains the process in whichMr. [redacted] must follow in an effort to request a refund. Molina must receive a retro-terminationfile from the Exchange in order to process and provide Mr. [redacted] a refund.Mr. [redacted] was directed to contact the Exchange to file a HICS case to begin the process ofretro-termination of his enrollment as requested.If you have any questions regarding this letter, please contact us at ###-###-#### Ext. [redacted].Sincerely,Kimberly [redacted]Kimberly [redacted]