Molina Healthcare Doctors in Boca Raton, FL

About Molina Healthcare Coverage in Boca Raton

Molina Healthcare operates 18 distinct plans in Boca Raton, FL, with a combined in-network roster of 56 doctors across 20 medical specialties. Among the five largest insurers we track in Boca Raton, Molina Healthcare ranks #6 by provider count, the leader is Medicare with 2,805 in-network doctors. Use this page to confirm a specific provider is in-network, understand which Molina Healthcare plans have the widest reach in Boca Raton, and compare coverage against other major insurers before scheduling care.

Molina Healthcare sells SNP, HMO plan types in Boca Raton. 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 also sells 22 ACA marketplace plans on healthcare.gov for Boca Raton residents, listed below with metal tiers (Bronze through Platinum) and plan types. Molina Healthcare does not currently offer Medicare Advantage in this area.

Data is sourced from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Marketplace plans come from the CMS Qualified Health Plan Public Use File. Last refreshed July 28, 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 Boca Raton

Molina Healthcare organizes its Boca Raton 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 56-doctor network that offers plans of each type.

A high PPO share means most Molina Healthcare doctors in Boca Raton 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 Boca Raton.

Percentages don’t sum to 100% because most doctors participate in several plan types simultaneously.

Molina Healthcare Plans in Boca Raton

Molina Healthcare contracts with doctors at the network level in Boca Raton. Each network below is a contract; your specific plan (printed on your member ID) maps to one of them. For consumer plan names, see the section below.

Molina Healthcare ACA Marketplace Plans Available in Boca Raton

22 Molina Healthcare plans sold on healthcare.gov for Boca Raton. These are the consumer plan names you’ll see during open enrollment, with metal tier (Bronze/Silver/Gold/Platinum) and plan type (PPO/HMO/EPO/POS).

Bronze plans have lower monthly premiums and higher out-of-pocket costs; Gold and Platinum have higher premiums but lower copays. Your plan choice affects which Molina Healthcare doctors above are in-network. the network labels above map to one or more of these plans.

Source: CMS Qualified Health Plan Public Use Files (PY 2026). ACA marketplace plans only. Does not include employer-group or Medicare plans.

Top Specialties Accepting Molina Healthcare

Molina Healthcare’s Boca Raton network spans 20 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 Boca Raton, 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 Boca Raton 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 Boca Raton 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 Boca Raton

16 of 56 Molina Healthcare in-network providers (29%) offer telehealth visits in Boca Raton. 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 Hospitals Serving Molina Healthcare Patients in Boca Raton

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.

Coverage Compared in Boca Raton

Side-by-side provider counts for the five largest commercial and government insurers tracked in Boca Raton. 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 Boca Raton 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 Boca Raton 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-Boca Raton options are likely more plentiful.

Frequently Asked Questions

Data freshness

Last verified July 28, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly