Molina Healthcare Vs. Amerigroup: Which is Best-2021?

Molina Healthcare is a managed care company situated in Long Beach, California, United States. The company offers health insurance plans to people through federal programs like Medicaid and Medicare. Dr. C. David Molina founded Molina Healthcare in 1980. With a manpower of over 10,000 employees, Molina has managed to purchase almost all of the Affinity Health Plan assets for around $380 million.

Amerigroup is US-based health insurance and managed health care provider. It was founded in 1994 as the AMERICA Community Care, and in 1996, it took the present name. Amerigroup headquarter is situated in Virginia Beach, Virginia. Its main products are the publicly funded health care program management. It is the largest provider of health care for public programs in the United States.

Molina Healthcare

Molina Healthcare is also a Fortune 500 company that sells Medicaid and Medicare plans in most of the prime states. As of June 30, 2020, it served nearly 3.6 million members nationwide through locally operated health plans. The first Molina Clinic was opened in Wilmington, California, in 1980. The company also had clinics in Washington, New Mexico, Florida, and Utah. But unfortunately, Molina had to shut down several of the clinics later on.

Molina Healthcare Plans

Molina Healthcare offers four different types of healthcare plans. These are:

  • Medi-Cal
  • Medicare
  • Molina Dual Options Cal MediConnect Plan (Medicare-Medicaid Plan)
  • Covered California – Molina Marketplace

Here we will find out what each of the plans has to offer for the Molina members –

Medi-Cal

Molina Healthcare’s Medicaid plan is known as Medi-Cal.  The contract with state governments and provides a wide range of health care services to individuals and families. Molina offers Medicaid plans in California, Florida, Illinois, Michigan, Mississippi, Ohio, Puerto Rico, New Mexico, New York, South Carolina, Texas, Utah, Washington, and Wisconsin. Medi-Cal offers the following services –

  • Outpatient (ambulatory) services
  • Emergency services
  • Hospice and palliative care
  • Hospitalization
  • Maternity and newborn care
  • Prescription drugs
  • Rehabilitative and habilitative services and devices
  • Preventive and wellness services and chronic disease management
  • Laboratory services
  • Mental health services
  • Substance use disorder services
  • Pediatric services
  • Vision services
  • Non-emergency medical transportation (NEMT)
  • Nonmedical transportation (NMT)
  • Long-term services and support (LTSS)

Medicare

Molina Healthcare offers Medicare Advantage plans to help individuals cover the costs that Medicare Part A & B does not cover. These plans are comprehensive and provide access to a wide network of doctors, hospitals, and other health care providers. If you want to join a Medicare plan, you must be entitled to Medicare Part A and be enrolled in Medicare Part B and Medicaid. Molina offers Medicare plans in the following counties of California – Los Angeles, Riverside (partial), San Bernardino (partial), and San Diego.

Molina Medicare Complete Care (HMO SNP) offers the following benefits:

  • Dental coverage
  • Hearing exam, fitting + hearing aids
  • Eye exam and eyewear
  • Over-the-counter benefit
  • Fitness benefit
  • Transportation services
  • Meals
  • The 24-hour nurse advice line
  • Health education resources
  • A dedicated support team

Molina Dual Options Cal MediConnect Plan

Molina Healthcare offers Integrated Medicaid/Medicare (Duals) or Molina Dual Options Cal MediConnect Plan. This plan provides members with high-quality care that meets their requirements. Through this program, members get both the benefits of Medicaid and Medicare. The benefits include –

  • Nurse Advice Line
  • Medication Therapy Management
  • Health Management Programs
  • Long Term Services & Supports
  • Disability and Senior Access Services
  • Behavioral Health and Substance Abuse
  • Prescription Drugs
  • Non-Emergency Medical Transportation
  • Non-Medical Transportation
  • OTC Benefit
  • Preventive and Comprehensive Dental Services
  • Vision

Covered California– Molina Marketplace

Molina Healthcare offers Marketplace plans in some of the states where it provides Medicaid health plans. These plans help members to stay connected with their providers while they switch between Medicaid and the marketplace. Moreover, it also removes financial difficulties to better treatment and keeps the out-of-pocket expenses to a minimum. Molina Marketplace plans include:

  • Prescription drugs
  • Virtual care
  • Pediatric dental
  • Case management
  • Guidelines to keep you healthy
  • Health education programs
  • Nurse Advice Line

Amerigroup

Amerigroup listens to their members, providers, and partners to understand what they need. It has achieved success through developing strong relationships with all stakeholders to ensure they receive quality care and support. They pledge to simplify health care so that members get the necessary support they need. Amerigroup promotes a healthy lifestyle and effectively manages health care costs.

Amerigroup Plans

Amerigroup offers two types of healthcare plans – Medicaid and Medicare.

Medicaid

Medicaid is a state government-run program that provides coverage to people with low income or any kind of disability. Individuals who are pregnant, children, adults with disabilities may be eligible for this type of coverage. Medicaid covers expenses like doctor visits, hospital stays, pregnancy care, labs and x-rays, prescriptions, vision, dental care, etc. Below is a list of state-wise health care services:

Georgia

The following plans are available in Georgia –

  • Georgia Families Medicaid
  • Georgia Families PeachCare for Kids®
  • Planning for Healthy Babies®
  • Georgia Families 360°SM
  • Georgia Families 360°SM Stakeholder Information

Iowa

Iowa Medicaid offers the following plans –

  • IA Health Link
  • Hawki
  • Health & Wellness Plan

Maryland

Medicaid offers the following services in Maryland –

  • Doctor visits
  • Prescriptions
  • Dental
  • Vision

New Jersey

In New Jersey, you will get the following plans –

  • NJ Family Care
  • Managed Long Term Services and Supports (MLTSS)

Tennessee

Tennessee offers the following plans –

  • TennCare Medicaid
  • TennCare CHOICES
  • Employment and Community First CHOICES
  • CoverKids CHIP

Texas

Amerigroup offers the following plans in Texas –

  • STAR
  • CHIP
  • CHIP Perinate
  • STAR Kids
  • STAR+PLUS
  • STAR+PLUS MMP

Washington

Washington Medicaid offers the following –

  • Apple Health (Medicaid) + Behavioral Health
  • Behavioral Health Services Only (BHSO)

Medicare

Amerigroup offers Medicare Advantage Plans (Part C), which is called the Amerivantage. It is a great choice if you want to get coverage for more than hospital and doctor visits. You can also add Medicare Supplement plans if you want to get more coverage and pay almost nothing. An Amerivantage plan offers the following benefits –

  • Dental and vision coverage
  • Membership to SilverSneakers®, a nationwide fitness program for adults 65+
  • Coverage for hearing tests and hearing aids
  • Over-the-counter items such as pain relievers, cold medicine, and first-aid care
  • A limit on how much you will pay out-of-pocket each year
Does Molina Healthcare cover dental services?

Yes, Molina Healthcare covers dental services that include oral surgeons, X-rays, fillings, crowns, root canals, dentures, and extractions. Molina covers dental exams and one cleaning every six months as a value-added service.

Is Amerigroup a PPO or HMO?

Amerigroup is an HMO (Health Maintenance Organisation) plan with a Medicare contract from the State government program.

Molina Healthcare and Amerigroup both offer a wide range of healthcare plans across several states of the USA. These plans cover most of the expenses incurred by hospital stays and doctor visits. You will get these plans at an affordable price as well. For more information, you can visit www.molinahealthcare.com and www.amerigroup.com.

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