Molina Medicare Options Plus
If you are considered full dual eligible within the Medicare/Medicaid system there are some great Utah Medicare Advantage plans available that may be able to offer you some additional benefits over Medicaid by itself. Some of these benefits may include:
*Dental benefits
*Vision and eye wear benefits
*Transportation benefits (to and from the doctor)
* and many others
Let us give you a brief history behind Molina healthcare and how they started.
While working as an emergency room physician, Dr. C. David Molina saw a need to change how the healthcare system cared for people on a budget. Dr. Molina strongly believed that all patients should be cared for like family.
In 1980, he opened a community clinic where caring for patients was more important than their ability to pay. The legacy of Dr. Molina lives on through his family, who lead Molina Healthcare, a company that cares for more than 1.3 million members in 9 states.
Serving people with Medicare and Medicaid, Molina Healthcare remains true to Dr. Molina’s convictions: treating each person like a member of the family.
Since 2006, the company has offered services to Medicare beneficiaries. Today, Molina Medicare has multiple health plan options in nine states – including California, Florida, Michigan, New Mexico, Ohio, Texas, Utah, and Washington.
Our belief…
As a physician-led, family-founded health plan, we believe that each person should be cared for and treated like family. Providing service to our members is our highest priority. We offer high quality service and care at low to no costs.
Our goal…
To continuously deliver quality healthcare that exceeds member satisfaction through a variety of Medicare health plan options. We value what you say and make every effort to improve the service we provide to our members. The plan I was referring to above is known as:
Molina Medicare Options Plus (HMO)
Molina Medicare Options Plus (HMO) is a Medicare Advantage Prescription Drug Special Needs Plan for people with Medicare and full Medicaid. You are eligible for Molina Medicare Options Plus (HMO) if you:
- Are entitled to Medicare Part A
- Are enrolled in Medicare Part B
- Are entitled to full Medicaid
- Reside in the Molina Service area
Click here for Molina Options Plus (HMO) Summary of Benefits
When determining eligibility there are numerous ways to qualify for extra help, or the Low Income Subsidy (LIS)
If you qualify for extra help, Low Income Subsidy (LIS), to pay for your prescription drug costs, Medicare could also pay 75% or more of your Plan Premium, annual deductibles and co-insurance (if applicable). Additionally, those who qualify won’t have a coverage gap or a late enrollment penalty.
For 2012, in order to qualify your yearly income is limited to $16,245 for an individual or $21,855 for a married couple living together.
If your income and resources are slightly higher, you should still apply. You may still qualify if you meet one of the following conditions:
- You or your spouse support other family members who live with you.
- You or your spouse have earnings from work.
- You or your spouse live in Alaska or Hawaii.
Your resources are limited to $6,680 ($11,520 if married) for Full Low-Income Subsidy and $11,140 ($23,760 if married) for other low-income subsidies. This information is based on 2011 Federal Poverty Levels (FPL).
Most of these things can be confusing so we always suggest contacting us for more information. Molina offers three plan options along the Wasatch front depending on what level of LIS you qualify for.