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Our plan offers you the additional benefits you need and deserve.
As a Molina Dual Options member, your Medicare and Medicaid benefits will be coordinated so you get the most out of your plan!

Molina also offers a variety of other services under this plan! Such as:

Dental
You have an allowance on your MyChoice card each calendar year for all supplemental preventive and comprehensive dental services. You may use this card to pay at the dental provider of your choosing, offering you more flexibility in how you receive your dental care. 

• Dental exams
• X-rays
• Routine cleanings
• Fluoride
• Fillings
• Deep cleanings
• Crowns and bridges
• Extractions
• Root canals
• Dentures
• Anesthesia

Things to remember:

• The allowance is to be used for services not already covered by Original Medicare or Medicaid.
• Cosmetic services are not covered by the plan, and you may not use your MyChoice card to pay for it.
• You may be responsible for costs if you exceed your maximum annual allowance.

Over-the-Counter (OTC Benefit)
You have an allowance on your MyChoice card each quarter for non-prescription OTC health and wellness items like vitamins, sunscreen, pain relievers, bandages, and cough and cold medicine. This amount is combined with the Transportation quarterly allowance. 

You can use your MyChoice card:

• In Store: Through participating retail locations.
• Online: Visit NationsOTC.com/Molina
• By Phone: Call (877) 208-9243 (TTY: 711) to speak with a NationsOTC Member Experience Advisor, 24 hours a day, 7 days a week, 365 days a year.
• By Mail: Fill out and return the OTC Order Form in the OTC Product Catalog.

Things to remember:

• You can visit flex.molinahealthcare.com for information about your MyChoice card.

Transportation
You can get a ride to your health care appointments such as office visits, physical therapy, dialysis or to pick up prescriptions at your local pharmacy. If you have recurring appointments, these can be scheduled ahead of time. 

Transportation Reservation Number: (888) 616-4841
(TTY: 711), 24 hours a day, 7 days a week.

If you need to cancel your transportation services, please call 24 hours in advance of your appointment.

Things to remember:

• It is important to call 2 calendar days in advance of your appointment to schedule the transportation.
• If you need to cancel your transportation services, please call 24 hours in advance of your appointment.
• If you require special assistance such as wheelchair accessible, please mention that when making your appointment so the most appropriate transportation can be arranged.
• Only non-emergency ambulance transportation requires prior approval.
  
  

Vision
You have an allowance on your MyChoice card each calendar year for all supplemental eye exams and eyewear. You may use this card to pay at the vision provider of your choosing, offering you more flexibility in how you receive your vision care.  

• Routine eye exams
• Contact lenses
• Eyeglasses (lenses and frames)
• Eyeglass lenses and / or frames
• Upgrades (such as, tinted, U-V, polarized or photochromatic lenses)

Things to remember:

• This allowance is to be used for any services not covered by Original Medicare and/or Medicaid.
• You may be responsible for costs if you exceed your maximum annual allowance.

Healthy Actions Program

Molina Dual Options Medicare-Medicaid Plan wants to help you reach your best health! As a member of Molina Dual Options, you can receive rewards for completing healthy actions throughout the year. We want to help encourage you on your path to well-being!

All you must do is:

• Complete your healthy actions between 1/1/2024 - 12/31/2024
• Claim your rewards by 1/31/2025

WHAT ARE HEALTHY ACTIONS?

Healthy actions are preventive and wellness visits with your doctor. You and your doctor can discuss a personal care plan based on your health needs. Although routine care visits cannot prevent health problems, they can help detect illnesses before they become more serious.

WHICH HEALTHY ACTIONS CAN I COMPLETE?

The grid below shows a list of health screenings that are available for Molina Dual Options members. Talk with your doctor to determine which screenings are right for you.

WHO DO I COMPLETE MY HEALTHY ACTIONS WITH?

Call your doctor to schedule a visit. You can find a doctor online using the Find a Provider tool at MolinaHealthcare.com/Duals or your My Molina portal. You can also call the Health and Wellness Line at: (844) 485-1048, TTY: 711, Monday – Friday, 8 a.m. to 5 p.m., local time, for assistance.

HOW DO I CLAIM MY REWARD?

You can claim your reward by:

Mail – You will receive an attestation form to your mailing address which you can fill out and send back to us; no postage is required.

Phone – Call Health and Wellness Line at: (844) 485-1048, TTY:711, Monday – Friday, 8 a.m. to 5 p.m., local time.

THINGS TO KNOW ABOUT YOUR REWARDS

Your rewards will be loaded onto your MyChoice Card.

Use your earned rewards to buy healthy food and produce at the same stores that already take MyChoice.  

Find participating stores at Flex.MolinaHealthcare.com.  Visit your My Molina portal to get more information.

This incentive is for in-store use only. You cannot use this incentive online.

The rewards stay on your [Healthy You] card in the incentives purse as long as you are a Molina Dual Options member. Renewing members will have their incentives roll over into their new plan year. 

If you leave Molina Dual Options and you have incentives dollars left in your purse, you have the option to receive a CVS gift card. 

Watch a video at Molinaflexcard.com to learn more.

Rewards are awarded for healthy actions completed between January 1, 2025 – December 31, 2025. You can earn only one reward this year for each eligible completed screening.

Molina Dual Options reward program is subject to change without notice based on guidance from the Centers for Medicare and Medicaid services (CMS) and the state.

If you have questions or need help, please call the Health and Wellness line at (844) 485-1048, TTY: 711, Monday – Friday, 8 a.m. to 5 p.m., local time.

Information You Need

We want you to make the right health care choices. Your Summary of Benefits, Member Handbook, Provider and Pharmacy Directory, and other resources are available here. 

*Printed copies of information posted on our web site are available upon request. 

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