Molina Medicare Advantage 2024-2025 Review

Molina offers $0-premium plans in 15 states, but its star ratings are below average.

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Written by Alex Rosenberg
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Edited by Holly Carey
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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

Molina Healthcare Medicare Advantage - Chapter

Molina Healthcare

3

CMS Star Rating

(855) 432-0512

TTY 711

Speak to a licensed insurance agent on askchapter.org
GET A QUOTE

on NerdWallet

We will connect you with Medicare companies based on the information you provide. They will help you find a plan that suits your needs. If you prefer to speak to a licensed insurance agent right away, please call the number listed below.

M-F 8am-10pm EST, Sa-Su 9am-9pm EST

Speak to a licensed insurance agent on askchapter.org
(855) 432-0512

TTY 711

Molina Medicare Advantage pros and cons

Pros

$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.

Cons

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.

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Aetna Medicare Advantage

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GET A QUOTE

on NerdWallet

We will connect you with Medicare companies based on the information you provide. They will help you find a plan that suits your needs. If you prefer to speak to a licensed insurance agent right away, please call the number listed below.

M-F 8am-10pm EST, Sa-Su 9am-9pm EST

Speak to a licensed insurance agent on askchapter.org
(855) 432-0512

TTY 711

Humana Medicare Advantage

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Cigna Medicare Advantage

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3.93

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(855) 432-0512

TTY 711

Speak to a licensed insurance agent on askchapter.org
GET A QUOTE

on NerdWallet

We will connect you with Medicare companies based on the information you provide. They will help you find a plan that suits your needs. If you prefer to speak to a licensed insurance agent right away, please call the number listed below.

M-F 8am-10pm EST, Sa-Su 9am-9pm EST

Speak to a licensed insurance agent on askchapter.org
(855) 432-0512

TTY 711

» More options in our roundup of the best Medicare Advantage plans

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Humana Medicare Advantage

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3.63

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TTY 711

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» More options in our roundup of the best Medicare Advantage plans

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Molina Medicare star ratings

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

Centers for Medicare & Medicaid Services. Fact Sheet - 2025 Medicare Advantage and Part D Star Ratings. Accessed Oct 21, 2024.
.

Of Molina members who are in plans with a Medicare star rating, none are in plans rated 4.0 or above for 2025

Centers for Medicare & Medicaid Services. 2025 Star Ratings Data Tables (ZIP). Accessed Oct 21, 2024.
.

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.

What does Molina Medicare Advantage cost?

All of Molina’s Medicare Advantage plans have $0 premiums in 2025

Centers for Medicare & Medicaid Services. CY2025 Landscape (202409.1). Accessed Oct 21, 2024.
. 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.

Molina Medicare Advantage plan types

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:

A health maintenance organization (HMO) generally requires that you use a specific network of doctors and hospitals. You may need a referral from your primary doctor to see a specialist, and out-of-network benefits are usually limited.

Special needs plans (SNPs) restrict membership to people with certain diseases or characteristics. The benefits, network and drug formularies are tailored to the needs of those members.

Molina offers Dual-Eligible SNPs for people who are entitled to Medicare and who also qualify for assistance from a state Medicaid program.

Molina third-party ratings

NCQA Score Range: 2.0 to 3.0 out of 5

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

NCQA. Health Plans. Accessed Oct 21, 2024.
.

Molina Medicare Advantage service area

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

.

About Molina

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.

Compare Medicare Advantage providers

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.

Find the right Medicare Advantage plan

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?

If you have additional questions about Medicare, visit Medicare.gov or call 800-MEDICARE (800-633-4227, TTY 877-486-2048).
Molina Healthcare Medicare Advantage - Chapter

Molina Healthcare

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.

(855) 432-0512 / TTY 711

M-F 8am-10pm EST, Sa-Su 9am-9pm EST

Speak to a licensed insurance agent on askchapter.org

GET A QUOTE

on NerdWallet

We will connect you with Medicare companies based on the information you provide. They will help you find a plan that suits your needs. If you prefer to speak to a licensed insurance agent right away, please call the number listed below.

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

  • All Medicare Advantage HMO plans have $0 premiums.
  • Some plans cover part of your Medicare Part B premium.

Cons

  • Below-average star ratings.
  • Available in only 15 states.

Medicare will have big changes in 2025. Compare Medicare Advantage plans