Medically reviewed by Gabriela Asturias, MD on June 24, 2024Molina Healthcare covers more than 5 million people through Medicaid, Marketplace, and Medicare Advantage plans. Whether your card says Molina Medicaid, Molina Marketplace, or Molina Medicare Complete Care, every plan must include outpatient mental-health benefits. This guide will teach you how to find therapists that take Molina Healthcare, check your exact cost, and book an office or virtual visit.
Licensed Marriage and Family Therapist (LMFT)
5201 Great America Pkwy, Santa Clara, California 95054
Dog Fausto is a Licensed Marriage and Family Therapist (LMFT) in Santa Clara, California. They treat Self-Harm, Performance Anxiety, Obsessive-Compulsive Personality.
Mercy is a Licensed Marriage & Family Therapist in California .
Certified Addiction Counselor (CAC), Certified Clinical Social Worker (CSW), Certified Eating Disorder Specialist, Board Certified Behavior Analyst (BCBA), Audiologist, Certified Group Psychotherapist (CGP), Academy of Certified Social Workers License (ACSW), Advanced Practice Registered Nurse (APRN), Associate Marriage and Family Therapist, Certified Social Worker (CSW), Certified Trauma Professional, Community Resource, Counselor, Credentialed Sexual Abuse Youth Clinician (CSAYC), Diplomate in Clinical Social Work (DCSW), Education Specialist (EdS), Executive Function Coach, Hypnotherapist, Independent Substance Abuse Counselor, Licensed Addiction Counselor (LAC), Licensed Associate Counselor (LAC), Licensed Clinical Addictions Counselor (LCAC), Licensed Clinical Marriage and Family Therapist, Licensed Clinical Mental Health Counselor (LCMHC), Licensed Clinical Professional Counselor (LCPC), Licensed Clinical Social Worker (LCSW), Licensed Clinical Social Worker Associate, Licensed Graduate Social Worker, Licensed Independent Clinical Social Worker (LICSW), Licensed Marriage and Family Therapist (LMFT), Licensed Master Level Psychologist (LMLP), Licensed Master Social Worker (LMSW), Licensed Masters Addiction Counselor (LMAC), Licensed Mental Health Counselor (LMHC), Licensed Mental Health Practitioner (LMHP), Licensed Professional Clinical Counselor (LPCC)
632 Josh Way, Alpine, California 91901
Olena Preprod is a Certified Addiction Counselor (CAC) in Alpine, California. They treat Loneliness/Isolation, Financial Concerns, Chronic Illness/Pain.
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| Plan Type | In-Network Therapy & Psychiatry Cost* | Key Points |
|---|---|---|
| Medicaid (Apple Health, Medi-Cal, STAR, etc.) | $0 copay | Unlimited medically necessary visits |
| Marketplace Bronze/Silver/Gold | $20–$40 copay per visit (Gold example: $20 in TX) | One combined medical deductible; no mental-health visit limit |
| Medicare Advantage (HMO/PPO) | $0–$35 copay in office; many plans $0 virtual | Shares the Part B deductible if one exists |
| Dual Options (Medicare-Medicaid) | $0 | Plan pays both Medicare and Medicaid cost-shares |
*Always confirm your own Summary of Benefits or Medicaid handbook; Molina contracts vary by state.
Coverage fast facts
| Provider Type | Typical Role |
|---|---|
| Therapist / Counselor (LCSW, LMFT, LPC) | Talk therapy for anxiety, depression, life transitions |
| Psychologist (PhD, PsyD) | Psychological testing, trauma-focused or specialty modalities |
| Psychiatrist (MD/DO) | Diagnosis, medication management, complex cases |
Profile: Carlos, 42, lives in Houston and is covered by Molina Medicaid. He’s been feeling anxious and overwhelmed balancing work, family, and financial stress. After a tough week, he decides to look for a therapist.
Day 1: Searching for Care: Carlos visits MolinaHealthcare.com and navigates to: Find a Doctor → Behavioral Health Providers. He enters his ZIP code and insurance type (Medicaid) to filter results. He sees eight in-network therapists within 15 miles of his home. He filters for:
Three therapists remain, all accepting new Molina Medicaid patients.
Day 2: Booking the Appointment: Carlos calls the first therapist and confirms they accept Molina Medicaid and offer video visits. He books a Tuesday evening virtual session for later that week. Cost: $0 (Molina Medicaid covers therapy at no cost to members)
Day 10: Continuing Care: After several sessions, the therapist recommends Carlos speak to a psychiatrist about possible medication support.
Day 12: Psychiatry Appointment: Carlos calls Molina Member Services for help finding an in-network psychiatrist. They refer him to a local provider offering telepsychiatry appointments. He books a 30-minute video consultation for the next available slot. Cost: $0 (psychiatry is also fully covered under Molina Medicaid)
Helpful Tip for Molina Medicaid Members: If no therapist or psychiatrist has an appointment within 10 business days, call Molina Member Services and ask for a network adequacy exception. This allows you to see an outside provider at no cost if access is delayed.
| Feature | In-Network (recommended) | Out-of-Network (Marketplace PPO only) |
|---|---|---|
| Copay / Coinsurance | $0–$40 or 20 % after deductible | 40–60 % plus possible balance bill |
| Claims filing | Provider handles | You file |
| Pre-authorization | Rare | Often |
| Telehealth via Molina portals | Yes | No |
If you can’t book an in-network visit within 10 business days, request a network-adequacy exception. Molina can approve an outside clinician at in-network rates under mental-health parity rules.
| Platform | Services | Typical Cost | Who’s Eligible |
|---|---|---|---|
| Teladoc for Molina | Therapy & psychiatry video visits | $0 on most Medicaid/Marketplace plans | Medicaid, Marketplace |
| Molina Virtual Care (state portals) | Video or audio-only therapy | $0–$35 | Medicaid, Medicare Advantage |
| Self-guided tools | CBT modules, mindfulness videos | $0 | All members via Molina Wellness hub |
Telehealth sessions count toward deductibles and out-of-pocket maximums like office visits.
| Setting | Medicaid | Marketplace ** **(Gold TX example) | Medicare Advantage |
|---|---|---|---|
| In-office therapy (45 min) | $0 | $20 copay (Molina Healthcare) | $0–$35 copay |
| Network tele-therapy | $0 | $0 via Teladoc | Often $0 |
| Initial psychiatry eval | $0 | $20 copay | $0–$50 copay |
If it doesnt feel like the right fit, reopen the directory—switching counselors that take Molina is penalty-free.
If you're having trouble booking a timely mental health appointment, here's how to advocate for yourself and get faster access to care:
1. Keep a Log of Every Call
Write down:
This documentation is essential if you need to request an exception or file a grievance.
2. Contact Molina Care Management: Call the number on your Molina member ID card and ask to speak with a Behavioral Health Care Manager or Nurse Case Manager.They may be able to check for cancellations or help you find earlier availability across nearby ZIP codes.
3. Request a Network Adequacy Waiver: If no in-network provider is available within 10 business days, ask for a network adequacy exception. Under federal parity law, Molina is required to ensure timely access to behavioral health services. If needed, they must authorize an out-of-network provider at in-network cost.
4. File a Grievance Online: If delays continue, file a formal grievance through your Molina member portal or by calling Member Services. By law, Molina must respond within 30 calendar days.
Does Molina cover therapy? Yes. Outpatient therapy and medication-management visits are essential benefits in every Molina Medicaid, Marketplace, and Medicare Advantage plan. Cost ranges from $0 (Medicaid, many telehealth visits) to $35 (some MA office visits).
How do I find therapists that take Molina Healthcare near me? Log in → Find Care → Behavioral Health, enter your ZIP, and check the “Accepting patients” box.
What’s the difference between a Molina therapist and a Molina Healthcare psychologist? Therapists (LCSW, LMFT, LPC) focus on talk therapy. Psychologists (PhD/PsyD) can also conduct testing. Both are covered if in network.
Are Molina psychiatrists accepting new patients? Many are—especially via Teladoc. Use the directory’s telehealth filter and “Accepting patients” tag.
Will my virtual session count toward my deductible? Yes. Telehealth visits apply to the same deductible and out-of-pocket max as office visits.
Remember, recovery is possible. With early intervention, a supportive network, and the right professional care, you can overcome the challenges of Molina and build a fulfilling life. We are here to help you find care.
