All health plans will vary depending on the state of origination. In addition, each plan will have differing deductible, copayment and coinsurance amounts. Your deductible is the amount you must pay out of pocket before your insurance benefits apply. Once the deductible has been met, coinsurance amounts dictate which percentage of the remaining costs Molina will cover. A copayment is a one-time fee for any service or medication. Each of these amounts can be found through the Molina website, or by calling the number on the back of your membership card. You may also call us at any time for this same information, by speaking with a Guardian IOP Treatment Advisor.
Some Intensive Outpatient Program services may require pre-authorization by Molina Healthcare before benefits can be paid out. Routine services such as individual and family therapy or psychiatric medication management normally do not require pre-authorization. The details of your individualized treatment plan and the length of your time in the program will also contribute to costs that are unique to you. Molina will assign you a case manager to coordinate care across specialists and facilities as needed, and we will work closely with your assigned case manager to ensure your Molina Healthcare benefits are maximized.