Molina Healthcare
3
CMS Star Rating
on NerdWallet
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The bottom line: Molina’s Medicare Advantage plans all have $0 premiums in 2025, but they get below-average star ratings from the Centers for Medicare & Medicaid Services (CMS). And while Molina is the ninth-largest provider of for-profit Medicare Advantage plans, it offers those plans in only 15 states. Jump to: Full Review
3
CMS Star Rating
on NerdWallet
M-F 8am-10pm EST, Sa-Su 9am-9pm EST
$0 premiums: All of Molina’s Medicare Advantage HMO plans have $0 premiums in 2025.
Part B premium reductions: Some plans refund part of your Medicare Part B premium.
Star ratings: Molina plans’ average overall star rating from CMS, weighted by enrollment, is 3 stars (the national average, weighted by enrollment, is 3.92 stars).
State availability: Molina offers Medicare Advantage plans in only 15 states.
3.82
CMS Star Rating
from UnitedHealthcare
4.27
CMS Star Rating
on NerdWallet
M-F 8am-10pm EST, Sa-Su 9am-9pm EST
3.63
CMS Star Rating
from Humana
3.93
CMS Star Rating
on NerdWallet
M-F 8am-10pm EST, Sa-Su 9am-9pm EST
» More options in our roundup of the best Medicare Advantage plans
3.82
CMS Star Rating
from UnitedHealthcare
3.63
CMS Star Rating
from Humana
» More options in our roundup of the best Medicare Advantage plans
Average star rating, weighted by enrollment: 3
Molina Medicare Advantage plans are rated below the industry average, receiving an average rating of 3 stars out of 5 from CMS for 2025, weighted by enrollment. For comparison, the average weighted star rating for plans from all providers is 3.92.
Of Molina members who are in plans with a Medicare star rating, none are in plans rated 4.0 or above for 2025.
CMS maintains its own star ratings, which rank each plan from best (5 stars) to worst (1 star). The agency bases these ratings on plans’ quality of care and measurements of customer satisfaction, and ratings may change from year to year.
You can find a plan’s rating with Medicare's plan finding tool.
All of Molina’s Medicare Advantage plans have $0 premiums in 2025. Even as a Medicare Advantage user, you’ll still be responsible for paying your Medicare Part B premium, which is $174.70 per month in 2024 ($185 in 2025), although some plans cover part or all of this cost.
Most people pay this standard Part B amount, but if your income is above a certain threshold, you'll pay the income-related monthly adjustment amount (IRMAA).
Requirements for copays, coinsurance and deductibles vary depending on your plan, location and the services you use. Other out-of-pocket costs to consider include:
Whether the plan covers any part of your monthly Medicare Part B premium.
The plan’s yearly deductibles and any other deductibles, such as a drug deductible.
Copayments and/or coinsurance for each visit or service. For instance, there may be a $10 copay for seeing your primary doctor and a $45 copay for seeing a specialist.
The plan’s in-network and out-of-network out-of-pocket maximums.
Whether your medical providers are in-network or out-of-network, or how often you may go out-of-network for care.
Whether you require extra benefits, and whether the plan charges for them.
To get a sense of costs, use Medicare’s plan-finding tool to compare information among available plans in your area. You can select by insurance carrier to see only Molina plans or compare across carriers.
There are two kinds of Molina Medicare Advantage plans, and all Molina Medicare Advantage plans include prescription drug coverage.
Plan offerings include the following types:
The National Committee for Quality Assurance rates health insurance plans on a 5-point scale (with 5 being best) based on quality of care, patient satisfaction and health plans’ efforts to keep improving.
In its September 2024 ratings, the NCQA scored Molina plans between 2.0 and 3.0 stars, with the majority receiving ratings of 2.5 stars.
Molina offers Medicare Advantage prescription drug plans in 15 states.
Molina is number nine among the largest for-profit Medicare Advantage companies, by enrollment, with about 156,000 Medicare beneficiaries.
Molina Healthcare was founded in 1980. The company’s headquarters are in Long Beach, California.
Molina’s health insurance offerings include Medicare, Medicaid and state health insurance marketplace plans.
Get more information below about some of the major Medicare Advantage providers. These insurers offer plans in most states. The plans you can choose from will depend on your ZIP code and county.
It’s important to do your research before selecting a Medicare Advantage plan for yourself. Here are some questions to consider asking:
What are the plan’s costs? Do you understand what the plan’s premium, deductibles, copays and/or coinsurance will be? Can you afford them?
Is your doctor in-network? If you have a preferred medical provider or providers, make sure they participate in the plan’s network.
Are your prescriptions covered? If you’re on medication, it’s crucial to understand how the plan covers it. What tier are your prescription drugs on, and are there any coverage rules that apply to them?
Is there dental coverage? Does the plan offer routine coverage for vision, dental and hearing needs?
Are there extras? Does the plan offer any extra benefits, such as fitness memberships, transportation benefits or meal delivery?
3
CMS Star Rating
Molina HMO plans all have $0 premiums, but they're available in only 15 states and have below-average star ratings.
M-F 8am-10pm EST, Sa-Su 9am-9pm EST
Speak to a licensed insurance agent on askchapter.org
on NerdWallet
States available
15 states
Members in high-rated plans
Low (49% or less)
Member experience
1.02 (Below average)
States available
15 states
Members in high-rated plans
Low (49% or less)
Member experience
1.02 (Below average)
Pros
Cons