About Molina Healthcare Coverage in San Diego
Molina Healthcare operates 19 distinct plans in San Diego, CA, with a combined in-network roster of 3,991 doctors across 89 medical specialties. Among the five largest insurers we track in San Diego, Molina Healthcare ranks #5 by provider count, the leader is Aetna with 11,958 in-network doctors. Use this page to confirm a specific provider is in-network, understand which Molina Healthcare plans have the widest reach in San Diego, and compare coverage against other major insurers before scheduling care.
Molina Healthcare sells SNP, HMO plan types in San Diego. A PPO (Preferred Provider Organization) lets you see any provider without a referral; out-of-network care is covered but you pay a higher share. An HMO (Health Maintenance Organization) requires you to pick a primary-care doctor and get referrals for most specialist care, usually in exchange for lower premiums. An EPO (Exclusive Provider Organization) is in-network only, like an HMO, but skips the referral requirement. A POS (Point of Service) plan blends HMO-style in-network with PPO-style out-of-network options. Your plan name is on your member ID card.
Molina Healthcare is a Medicare Advantage carrier in San Diego with 7 plans available to seniors, listed below with star ratings and premiums. Molina Healthcare does not currently sell ACA marketplace plans in CA; commercial coverage shown above comes through employer groups.
Data is sourced from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Medicare Advantage plans come from the CMS MA Landscape File. Last refreshed May 29, 2026. Networks change between filings, so even when a doctor appears here we recommend calling their office with your member ID to confirm current network status before your visit.
Plan Type Mix in San Diego
Molina Healthcare organizes its San Diego network into several plan types, each with different rules about which doctors you can see and what referrals you need. The bars below show the unique-provider share of the 3,991-doctor network that offers plans of each type.
A high PPO share means most Molina Healthcare doctors in San Diego accept the insurer’s broader preferred-provider plans. these give you maximum choice and don’t require referrals to specialists. A high HMO share signals a tighter gatekeeper model: lower premiums but you usually need your primary-care doctor to refer you before a specialist will bill. EPO and POS bars sit between those two on both flexibility and cost.
Because individual doctors typically participate in multiple Molina Healthcare plan types at once, these percentages don’t sum to 100%. the same provider can appear as both PPO and OAP coverage. What the chart tells you is which plan categories have meaningful depth in San Diego.
Percentages don’t sum to 100% because most doctors participate in several plan types simultaneously.
Molina Healthcare Plans in San Diego
Molina Healthcare contracts with doctors at the network level in San Diego. Each network below is a contract; your specific plan (printed on your member ID) maps to one of them.
Molina Medicare Complete Care (HMO D-SNP)
SNP
3,942
Molina Medicare Choice Care (HMO)
HMO
3,885
Molina Medicare Complete Care Plus (HMO D-SNP)
SNP
25
HealthChoice Illinois MLTSS
14
HealthChoice Illinois
14
Molina Medicare Complete Care Select (HMO D-SNP)
SNP
13
Passport Marketplace
12
Molina Marketplace
11
Molina Healthcare Plus
10
Medicaid Managed Care (MMC)
10
Essential Plan
10
Child Health Plus (CHPlus)
10
Molina Healthcare Medicare Advantage Plans in San Diego
7 Molina Healthcare Medicare Advantage plans available to seniors in San Diego. Each plan combines Medicare Parts A, B and usually D (prescription drugs) into one product, with star ratings and monthly premiums shown.
Star ratings (1-5) reflect overall plan quality measured by CMS. a 4-star plan generally indicates above-average member experience and care coordination. Premiums shown are the monthly cost on top of the standard Medicare Part B premium.
Source: CMS Medicare Advantage Landscape File. Star ratings reflect overall plan performance per CMS quality measures. Premiums shown are monthly Part C+D consolidated.
Top Specialties Accepting Molina Healthcare
Molina Healthcare’s San Diego network spans 89 distinct medical specialties. The mix reflects where the insurer has negotiated the deepest physician contracts. primary-care specialties and behavioral health tend to dominate, with surgical and sub-specialty networks typically narrower.
Click any specialty below to see a filtered list of just those in-network providers in San Diego, including ratings, locations, years of experience, and contact information. For specialties with fewer than 10 in-network providers, you’ll likely want to check nearby cities too. the section further down on this page has your geographic options.
Physician Experience in Molina Healthcare’s San Diego Network
Years since medical school graduation is a reasonable proxy for experience, though it doesn’t capture fellowship training, subspecialty certifications, or years spent in specific clinical settings. For Molina Healthcare’s San Diego network the breakdown below gives a quick sense of whether you’re picking from a predominantly early-career roster or one weighted toward veteran practitioners.
A network heavy on early-career doctors (0–5 years) often means lower wait times for new patients and exposure to the latest training, while veteran providers (30+ years) typically bring deeper pattern recognition for unusual presentations. A balanced distribution. roughly one-quarter in each bucket. is a healthy signal that the insurer has depth at every career stage, not just new graduates filling out its directory.
Telehealth Coverage in San Diego
847 of 3,991 Molina Healthcare in-network providers (21%) offer telehealth visits in San Diego. Video appointments are typically covered for follow-ups, medication refills and adjustments, mental-health sessions, dermatology triage, and low-acuity primary care.
Availability and reimbursement still vary by state regulation and specific plan. Psychiatry, behavioral-health, and primary-care telehealth is near-universal at this point; procedural specialties (cardiology, orthopedics) typically offer video visits for pre-op consults and post-op follow-up but not initial diagnostic visits. Call the office with your Molina Healthcare member ID to confirm your plan covers the visit type you need.
Top specialties offering telehealth in San Diego
Top Hospitals Serving Molina Healthcare Patients in San Diego
Hospitals with the most Molina Healthcare-network physicians practicing there. Large affiliation counts indicate that Molina Healthcare has a durable relationship with the facility, which typically means smoother prior-authorizations for admissions, lab work, and follow-up care coordinated under one roof.
Hospital coverage is a separate contract from physician coverage. your Molina Healthcare plan may cover a doctor who admits at Hospital X but classify the hospital itself as out-of-network, leaving you with a surprise facility bill. Before scheduling anything inpatient or procedural, call both the doctor’s office and the hospital billing line with your member ID to confirm both sides are in-network for the specific plan you hold.
Uc San Diego Health Hillcrest - Hillcrest Med Ctr
San Diego, CA
Sharp Memorial Hospital
San Diego, CA
Grossmont Hospital
La Mesa, CA
Scripps Mercy Hospital
San Diego, CA
Sharp Coronado Hospital And Hlthcr Ctr
Coronado, CA
El Centro Regional Medical Center
El Centro, CA
Coverage Compared in San Diego
Side-by-side provider counts for the five largest commercial and government insurers tracked in San Diego. These numbers show raw network breadth. they don’t adjust for quality, specialty mix, or your specific plan’s tier structure, but they’re a useful first filter when choosing a carrier at open enrollment.
If Molina Healthcare’s provider count looks limited for your needs, the alternatives below may fit better. Click any row to open that insurer’s San Diego provider list with the same filters, plan breakdown, and hospital affiliations that you’re seeing here.
Nearby Cities with Molina Healthcare Coverage
Cities closest to San Diego where Molina Healthcare has an in-network provider base of meaningful size. Useful if you’re willing to drive a short distance for a hard-to-find specialist, have two offices to choose between, or are planning a move inside the region.
The mileage figures are straight-line distances computed from average practice-address coordinates, not drive-time. Counts reflect each nearby city’s Molina Healthcare network size. a small count doesn’t mean no coverage, just that your in-San Diego options are likely more plentiful.
Frequently Asked Questions
Common questions about Molina Healthcare coverage in San Diego
How do I find an Molina Healthcare in-network doctor in San Diego, CA?
Molina Healthcare has 3,991 in-network providers across 89 medical specialties in San Diego. This list is compiled from federally-mandated CMS Transparency in Coverage filings, last verified May 29, 2026. Filter by specialty, plan type, gender, telehealth or experience above to narrow your search, then click any provider for full credentials and contact details. Always confirm coverage with your specific plan before scheduling.
What Molina Healthcare plan types are available in San Diego?
Molina Healthcare sells 2 distinct plan types in San Diego: SNP (3,969 doctors), HMO (3,885 doctors). PPO plans give you the broadest provider choice without referrals; HMO plans require a primary-care referral but typically have lower premiums; EPO plans skip the referral but stay in-network only; POS plans blend HMO in-network rules with PPO out-of-network options. Choose by reading what's printed on your member ID card and matching it to one of the rows in the Plans section above.
Does Molina Healthcare offer Medicare Advantage in San Diego?
Yes. Molina Healthcare offers 7 Medicare Advantage plans in San Diego for 2026, with plan types including HMO, HMO C-SNP, HMO D-SNP. The average CMS star rating across these plans is 3.0 of 5. Medicare Advantage (Part C) bundles Parts A and B with usually Part D prescription drug coverage, often adding dental, vision, and wellness benefits. Enrollment is open during the annual election period each fall.
What's the highest-rated Molina Healthcare Medicare Advantage plan in San Diego?
Central Health Classic Care Plan I (HMO) (HMO) holds Molina Healthcare's top CMS star rating in San Diego at 3.0 of 5, with a $0 monthly premium. Star ratings reflect overall plan quality based on member experience, customer service, drug pricing, and clinical care measures. Plans rated 4 or higher generally indicate above-average performance.
Are there $0 premium Molina Healthcare Medicare Advantage plans in San Diego?
Yes. 6 of Molina Healthcare's 7 Medicare Advantage plans in San Diego carry a $0 monthly premium for 2026. Note that $0 premium plans still require you to pay the standard Medicare Part B premium each month, plus copays and deductibles when you use care. Compare each plan's MOOP (maximum out-of-pocket) limit to understand worst-case annual cost.
Which hospitals in San Diego accept Molina Healthcare?
Hospitals where Molina Healthcare doctors most commonly practice in San Diego include UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR, SHARP MEMORIAL HOSPITAL, GROSSMONT HOSPITAL, SCRIPPS MERCY HOSPITAL. This is inferred from physician affiliations rather than direct insurer-hospital contracts, so confirm hospital network status separately with both your Molina Healthcare plan and the hospital's billing department before scheduling any inpatient or surgical procedure. Even when a doctor is in-network, the hospital where they admit may not be.
Which medical specialties have the most Molina Healthcare providers in San Diego?
Molina Healthcare's San Diego network is largest in Anesthesiology (352), Pediatric Medicine (323), Internal Medicine (203). Primary care, behavioral health, and physical therapy tend to dominate insurer networks because high patient volumes drive deeper provider contracts. Surgical sub-specialties typically have narrower networks. Click any specialty in the section above to see a filtered list of those in-network providers.
How does Molina Healthcare compare to other insurers in San Diego?
Molina Healthcare ranks #5 of 6 major insurers tracked in San Diego by provider count, with 3,991 doctors. Aetna leads at 11,958 providers. Larger network size means more provider choice but doesn't guarantee that your specific doctor is in-network with any insurer. The Coverage Compared section above shows side-by-side counts for the top five carriers in San Diego.
How do I verify a doctor is in-network with Molina Healthcare?
Three steps: first match the doctor's name against this list, second call the provider's office with your member ID to confirm they currently accept your specific Molina Healthcare plan, and third check Molina Healthcare's own member portal for the most authoritative real-time status. Networks change between monthly federal filings; our data was last refreshed May 29, 2026.
What if my doctor isn't listed here?
This list reflects Molina Healthcare's submitted network data as of the last federal filing on May 29, 2026. Doctors join and leave networks between filings, so a current in-network provider may be missing if they joined recently. Call the doctor's office to ask whether they currently accept Molina Healthcare, then check Molina Healthcare's own member portal for confirmation.
When was this Molina Healthcare data last updated?
The Molina Healthcare San Diego provider list was last refreshed May 29, 2026. Doctor and network data come from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Medicare Advantage plans come from the CMS MA Landscape File. Refresh cadence: monthly for provider data, annually for marketplace and Medicare plans.
Related healthcare resources
Patient resources for San Diego Molina Healthcare members.
Common health topics
Common medications
Common procedure costs
Data freshness
Last verified May 29, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly