About Molina Healthcare Coverage in San Francisco
Molina Healthcare operates 18 distinct plans in San Francisco, CA, with a combined in-network roster of 175 doctors across 34 medical specialties. Among the five largest insurers we track in San Francisco, Molina Healthcare ranks #6 by provider count, the leader is Aetna with 10,154 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 Francisco, and compare coverage against other major insurers before scheduling care.
Molina Healthcare sells SNP, HMO plan types in San Francisco. 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.
This state runs its own marketplace exchange, which the federal plan catalog does not cover, so Molina Healthcare may offer individual marketplace plans in San Francisco that are not listed here. The commercial networks above are typically distributed through employer group plans, self-funded ERISA arrangements, and similar group products.
Data is sourced from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Last refreshed October 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 Francisco
Molina Healthcare organizes its San Francisco 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 175-doctor network that offers plans of each type.
A high PPO share means most Molina Healthcare doctors in San Francisco 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 Francisco.
Percentages don’t sum to 100% because most doctors participate in several plan types simultaneously.
Molina Healthcare Plans in San Francisco
Molina Healthcare contracts with doctors at the network level in San Francisco. 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
116
Molina Medicare Choice Care (HMO)
HMO
104
Child Health Plus (CHPlus)
20
Medicaid Managed Care (MMC)
20
Essential Plan
19
Molina Healthcare Plus
19
Molina Medicare Complete Care Plus (HMO D-SNP)
SNP
16
HealthChoice Illinois
13
HealthChoice Illinois MLTSS
13
Medicaid
9
Passport Marketplace
9
Senior Whole Health Medicare Complete Care (HMO D-SNP)
SNP
9
Top Specialties Accepting Molina Healthcare
Molina Healthcare’s San Francisco network spans 34 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 Francisco, 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 Francisco 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 Francisco 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 Francisco
18 of 175 Molina Healthcare in-network providers (10%) offer telehealth visits in San Francisco. 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 Francisco
Top Hospitals Serving Molina Healthcare Patients in San Francisco
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.
Ucsf Medical Center
San Francisco, CA
Ucsf Health St. Mary's Hospital
San Francisco, CA
Marinhealth Medical Center
Greenbrae, CA
Ucsf Health Saint Francis Hospital
San Francisco, CA
Zuckerberg San Francisco General Hosp & Trauma Ctr
San Francisco, CA
California Pacific Medical Center- Van Ness Campus
San Francisco, CA
Coverage Compared in San Francisco
Side-by-side provider counts for the five largest commercial and government insurers tracked in San Francisco. 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 Francisco 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 Francisco 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 Francisco options are likely more plentiful.
Frequently Asked Questions
Common questions about Molina Healthcare coverage in San Francisco
How do I find an Molina Healthcare in-network doctor in San Francisco, CA?
Molina Healthcare has 175 in-network providers across 34 medical specialties in San Francisco. This list is compiled from federally-mandated CMS Transparency in Coverage filings, last verified October 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 Francisco?
Molina Healthcare sells 2 distinct plan types in San Francisco: SNP (151 doctors), HMO (104 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.
Which hospitals in San Francisco accept Molina Healthcare?
Hospitals where Molina Healthcare doctors most commonly practice in San Francisco include UCSF MEDICAL CENTER, UCSF HEALTH ST. MARY'S HOSPITAL, MARINHEALTH MEDICAL CENTER, UCSF HEALTH SAINT FRANCIS 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 Francisco?
Molina Healthcare's San Francisco network is largest in Diagnostic Radiology (41), Clinical Social Worker (15), Pediatric Medicine (14). 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 Francisco?
Molina Healthcare ranks #6 of 6 major insurers tracked in San Francisco by provider count, with 175 doctors. Aetna leads at 10,154 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 Francisco.
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 October 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 October 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 Francisco provider list was last refreshed October 29, 2026. Doctor and network data come from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Refresh cadence: monthly for provider data, annually for marketplace and Medicare plans.
Related healthcare resources
Patient resources for San Francisco Molina Healthcare members.
Common health topics
Common medications
Common procedure costs
Data freshness
Last verified October 29, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly