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MOLINA FINAL EXAM fully solved & updated (100- accuracy)
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MOLINA FINAL EXAM fully solved & updated (100- accuracy)
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Utah Molina MedicareOptions Plus (HMO
SNP) Summary of
Benefits and Contact
info 2025-2026 fully
solved & updated
(100- accuracy)
Molina Medicare Options Plus (HMO SNP) members contact - answer
Member Services (888) 665-1328. They can call us 7 days a week from
8:00 a.m. to 8:00 p.m. Mountain Time.
You must receive your care from a network provider. Only three
exceptions: - answer 1. The plan covers emergency care or urgently
needed care that you get from an out-of-network provider. For more
information about this, and to see what emergency or urgently needed
care means, see the Evidence of Coverage Chapter 3.
2. If you need medical care that Medicare requires our plan to cover and
the providers in our network cannot provide this care, you can get this
care from an out-of-network provider. In this care prior authorization is
required. Please contact Member Services. If you obtain routine care from
out-of-network providers without prior authorization, neither Medicare nor
the Plan will be responsible for the costs. In this situation, we will cover
these services as if you got the care from a network provider.
, 3. Kidney dialysis services that you get at a Medicare-certified dialysis
facility when you are temporarily outside the plan's service area.
How to get care from out-of-network providers - answer If you need
medical care that Medicare requires our plan to cover and the providers in
our Network cannot provider this care; you can get this care from an out-
of-network provider. In this case a prior authorization is required. If you
obtain routine from out-of-network providers without prior authorization,
neither Medicare nor the Plan will be responsible for the costs.
You have choices about how to get your Medicare benefits - answer 1. One
choice is to get your Medicare benefits through Original Medicare (fee-for-
service Medicare). Original Medicare is run directly by the Federal
government.
2. Another choice is to get your Medicare benefits by joining a Medicare
health plan (such as Molina Medicare Options Plus (HMO SNP) ).
Tips for comparing your Medicare choices - answer 1. If you want to
compare our plan with other Medicare health plans, ask the other plans
for their Summary of Benefits booklets. Or, use the Medicare Plan Finder
on http://www.medicare.gov.
2. If you want to know more about the coverage and costs of Original
Medicare, look in your current "Medicare & You" handbook.
Which Utah Counties are serviced? - answer Box Elder, Cache, Davis, Iron,
Salt Lake, Tooele, Utah, Washington, and Weber
Who can join? - answer To join Molina Medicare Options Plus (HMO SNP),
you must be entitled to Medicare Part A, be enrolled in Medicare Part B
and Medicaid by Utah Department of Health: Division of Medicaid & Health
Financing, and live in our service area.
Which doctors, hospitals, and pharmacies can I use? - answer Molina
Medicare Options Plus (HMO SNP) has a network of doctors, hospitals,
pharmacies, and other providers. If you use the providers that are not in
our network, the plan may not pay for these services.
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