About Molina Healthcare Coverage in Sparta
Molina Healthcare operates 6 distinct networks in Sparta, IL, with a combined in-network roster of 48 doctors across 21 medical specialties. Among the five largest insurers we track in Sparta, Molina Healthcare ranks #4 by provider count, the leader is Aetna with 80 in-network doctors. Use this page to confirm a specific provider is in-network, understand which Molina Healthcare networks have the widest reach in Sparta, and compare coverage against other major insurers before scheduling care.
Molina Healthcare publishes its Sparta directory at the network level rather than the consumer-plan level. The labels on each row below (for example HealthChoice Illinois MLTSS) are network identifiers, not the plan names printed on your member ID card. Your specific plan typically maps to one of these networks, but the mapping isn’t exposed in the federal filing. Match the doctor’s name first, then call the office with your member ID to confirm your plan is accepted.
Molina Healthcare is a Medicare Advantage carrier in Sparta with 1 plans available to seniors, listed below with star ratings and premiums. Molina Healthcare does not currently sell ACA marketplace plans in IL; 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.
Molina Healthcare Networks in Sparta
Molina Healthcare contracts with doctors at the network level in Sparta. Each network below is a contract; your specific plan (printed on your member ID) maps to one of them.
HealthChoice Illinois MLTSS
47
HealthChoice Illinois
47
Molina Medicare Complete Care Plus (HMO D-SNP)
SNP
45
Molina Marketplace
12
Passport Advantage (HMO D-SNP)
SNP
1
Passport Marketplace
1
Molina Healthcare Medicare Advantage Plans in Sparta
1 Molina Healthcare Medicare Advantage plan available to seniors in Sparta. 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 Sparta network spans 21 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 Sparta, 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 Sparta 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 Sparta 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 Sparta
1 of 48 Molina Healthcare in-network providers (2%) offer telehealth visits in Sparta. 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 Sparta
Top Hospitals Serving Molina Healthcare Patients in Sparta
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 Sparta
Side-by-side provider counts for the five largest commercial and government insurers tracked in Sparta. 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 Sparta 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 Sparta 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-Sparta options are likely more plentiful.
Frequently Asked Questions
Common questions about Molina Healthcare coverage in Sparta
How do I find an Molina Healthcare in-network doctor in Sparta, IL?
Molina Healthcare has 48 in-network providers across 21 medical specialties in Sparta. 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.
Does Molina Healthcare offer Medicare Advantage in Sparta?
Yes. Molina Healthcare offers 1 Medicare Advantage plan in Sparta for 2026, with plan types including HMO D-SNP. The average CMS star rating across these plans is 0.0 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.
Are there $0 premium Molina Healthcare Medicare Advantage plans in Sparta?
Yes. 1 of Molina Healthcare's 1 Medicare Advantage plans in Sparta 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 Sparta accept Molina Healthcare?
Hospitals where Molina Healthcare doctors most commonly practice in Sparta include SPARTA COMMUNITY HOSPITAL, HSHS ST ELIZABETH'S HOSPITAL, MEMORIAL HOSPITAL, MEMORIAL 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 Sparta?
Molina Healthcare's Sparta network is largest in Nurse Practitioner (11), Physician Assistant (7), Family Practice (7). 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 Sparta?
Molina Healthcare ranks #4 of 6 major insurers tracked in Sparta by provider count, with 48 doctors. Aetna leads at 80 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 Sparta.
Why don't I see specific Molina Healthcare plan names like Bronze or Silver?
Molina Healthcare files its Sparta provider directory at the network level rather than by consumer plan name. The labels above (such as HealthChoice Illinois MLTSS) are the network identifiers Molina Healthcare uses internally. Your specific plan, whether commercial group, Medicare, or Medicaid, maps to one of these networks but the federal filing format doesn't expose which plan goes with which network. To verify your exact plan covers a specific doctor, call the provider with your member ID handy.
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 Sparta 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 Sparta 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