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  • member service guide

2009/2010 Member Service Guide - Medi-Cal Members

Thank you for choosing Molina Healthcare as your health plan.

This Member Service Guide is called your "Combined Evidence of Coverage and Disclosure Form" or your "EOC." This booklet tells you how you can get services through Molina. It also tells you your rights and responsibilities as a Molina member and how to contact Molina. Please read this booklet completely and carefully and keep it in a safe place where you can get to it quickly. If you have special health care needs, carefully read the sections that apply to you.

Molina Member Service Guide

icon PDF 10 Ways to Help Make the Most of Your Health Care Benefits

icon PDF Getting Started

Included in this section:
  • Welcome To Molina Healthcare
  • Help for Non-English Speaking Molina Healthcare Members
  • Your Privacy

icon PDF Introduction

Included in this section:
  • Thank you for choosing Molina
  • Eligibility & Enrollment
  • Summary of Major Benefits and Coverage
  • What Do I Do First?
  • What Is a Primary Care Doctor?

icon PDF Accessing Care

Included in this section:
  • Choosing Your Doctor
  • Changing My Doctor
  • How Do I Get Medical Services Through Molina Healthcare?
  • What is a Prior Authorization? 
  • Emergency & Urgent Care Services
  • Pregnancy
  • Moral Objectiions
  • Advance Directives

icon PDF Benefits

Included in this section:
  • What Is Covered Under My Plan?
  • Family Planning
  • What Is Not Covered?
  • What May Not Be Covered?
  • When Will My Molina Membership End?
  • What Are My Rights and Responsibilities As a Molina Healthcare Member?

icon PDF Services

Included in this section:
  • Molina Healthcare is Always Improving Services
  • Member Participation Committee
  • Your Healthcare Privacy
  • New Technology
  • What Do I Have to Pay For?
  • How Does Molina Healthcare Pay For My Care?
  • Education & Information About Health & Disease
  • Interpretive Services
  • Molina Healthcare's Ombudsman Program
  • What If I Have a Complaint?
  • Complaints?
  • Independent Medical Review
  • Independent Medical Review for Denials of Experimental/Investigational Therapies
  • Americans With Disabilities Act
  • Non-Discrimination
  • Organ or Tissue Donation

icon PDF Others

Included in this section:
  • Definitions
  • SDIR
  • CAIR
  • Shots for Tots
  • Health Education Services
  • Motherhood Matterssm - A Program For Pregnant Women
  • Quick Reference Guide

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