About Molina Healthcare Coverage in Sugar Grove
Molina Healthcare operates 4 distinct networks in Sugar Grove, IL, with a combined in-network roster of 64 doctors across 15 medical specialties. Among the five largest insurers we track in Sugar Grove, Molina Healthcare ranks #4 by provider count, the leader is Medicare with 83 in-network doctors. Use this page to confirm a specific provider is in-network, understand which Molina Healthcare networks have the widest reach in Sugar Grove, and compare coverage against other major insurers before scheduling care.
Molina Healthcare publishes its Sugar Grove directory at the network level rather than the consumer-plan level. The labels on each row below (for example HealthChoice Illinois) 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 Sugar Grove with 2 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 for Family Medicine Physicians in Sugar Grove
Network-level provider counts for family medicine physicians accepting Molina Healthcare in Sugar Grove. Each row is a network in Molina Healthcare’s federal filing. your specific plan maps to one of these.
HealthChoice Illinois
UNKNOWN
16
Molina Marketplace
UNKNOWN
16
Molina Medicare Complete Care Plus (HMO D-SNP)
SNP
16
HealthChoice Illinois MLTSS
UNKNOWN
16
Molina Healthcare Medicare Advantage Plans in Sugar Grove
2 Molina Healthcare Medicare Advantage plans available to seniors in Sugar Grove. 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.
Physician Experience in Molina Healthcare’s Sugar Grove 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 Sugar Grove 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 Sugar Grove
7 of 64 Molina Healthcare in-network providers (11%) offer telehealth visits in Sugar Grove. 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 Sugar Grove
Top Hospitals Serving Molina Healthcare Patients in Sugar Grove
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.
Copley Memorial Hospital
Aurora, IL
Northwestern Medicine Central Dupage Hospital
Winfield, IL
Rush University Medical Center
Chicago, IL
Northwestern Medicine Delnor Community Hospital
Geneva, IL
Edward Hospital
Naperville, IL
Northwestern Medicine Kishwaukee Hospital
Dekalb, IL
Coverage Compared in Sugar Grove
Side-by-side provider counts for the five largest commercial and government insurers tracked in Sugar Grove. 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 Sugar Grove 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 Sugar Grove 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-Sugar Grove options are likely more plentiful.
Frequently Asked Questions
Common questions about Molina Healthcare coverage in Sugar Grove
How do I find an Molina Healthcare in-network doctor in Sugar Grove, IL?
Molina Healthcare has 64 in-network providers across 15 medical specialties in Sugar Grove. 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 Sugar Grove?
Yes. Molina Healthcare offers 2 Medicare Advantage plans in Sugar Grove for 2026, with plan types including HMO, 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 Sugar Grove?
Yes. 2 of Molina Healthcare's 2 Medicare Advantage plans in Sugar Grove 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 Sugar Grove accept Molina Healthcare?
Hospitals where Molina Healthcare doctors most commonly practice in Sugar Grove include COPLEY MEMORIAL HOSPITAL, NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL, RUSH UNIVERSITY MEDICAL CENTER, NORTHWESTERN MEDICINE DELNOR COMMUNITY 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 Sugar Grove?
Molina Healthcare's Sugar Grove network is largest in Family Practice (16), Physician Assistant (12), Nurse Practitioner (10). 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 Sugar Grove?
Molina Healthcare ranks #4 of 6 major insurers tracked in Sugar Grove by provider count, with 64 doctors. Medicare leads at 83 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 Sugar Grove.
Why don't I see specific Molina Healthcare plan names like Bronze or Silver?
Molina Healthcare files its Sugar Grove provider directory at the network level rather than by consumer plan name. The labels above (such as HealthChoice Illinois) 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 Sugar Grove 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 Sugar Grove 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