About Molina Healthcare Coverage in Southaven
Molina Healthcare operates 15 distinct plans in Southaven, MS, with a combined in-network roster of 30 doctors across 10 medical specialties. Among the five largest insurers we track in Southaven, Molina Healthcare ranks #6 by provider count, the leader is Aetna with 1,194 in-network doctors. Use this page to confirm a specific provider is in-network, understand which Molina Healthcare plans have the widest reach in Southaven, and compare coverage against other major insurers before scheduling care.
Molina Healthcare sells SNP, HMO plan types in Southaven. 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 2 ACA marketplace plans on healthcare.gov for Southaven 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 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 Southaven
Molina Healthcare organizes its Southaven 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 30-doctor network that offers plans of each type.
A high PPO share means most Molina Healthcare doctors in Southaven 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 Southaven.
Percentages don’t sum to 100% because most doctors participate in several plan types simultaneously.
Molina Healthcare Plans in Southaven
Molina Healthcare contracts with doctors at the network level in Southaven. 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.
Senior Whole Health Medicare Complete Care (HMO D-SNP)
SNP
19
Molina Healthcare Plus
16
Medicaid Managed Care (MMC)
16
Essential Plan
16
Child Health Plus (CHPlus)
16
Molina Medicare Choice Care (HMO)
HMO
5
Molina Medicare Complete Care (HMO D-SNP)
SNP
5
Molina Medicare Complete Care Plus (HMO D-SNP)
SNP
3
Medicaid
3
HealthChoice Illinois MLTSS
3
HealthChoice Illinois
3
Molina Marketplace
2
Molina Healthcare ACA Marketplace Plans Available in Southaven
2 Molina Healthcare plans sold on healthcare.gov for Southaven. 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.
Molina Gold Standard
Network: BEST Life and Health National Network
Molina Silver Standard
Network: BEST Life and Health National Network
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 Southaven network spans 10 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 Southaven, 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 Southaven 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 Southaven 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 Southaven
19 of 30 Molina Healthcare in-network providers (63%) offer telehealth visits in Southaven. 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 Southaven
Top Hospitals Serving Molina Healthcare Patients in Southaven
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.
White Plains Hospital Center
White Plains, NY
Morristown Medical Center
Morristown, NJ
Overlook Medical Center
Summit, NJ
Newton Medical Center
Newton, NJ
Baptist Memorial Hospital Desoto
Southaven, MS
Manchester Memorial Hospital
Manchester, CT
Coverage Compared in Southaven
Side-by-side provider counts for the five largest commercial and government insurers tracked in Southaven. 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 Southaven 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 Southaven 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-Southaven options are likely more plentiful.
Frequently Asked Questions
Common questions about Molina Healthcare coverage in Southaven
How do I find an Molina Healthcare in-network doctor in Southaven, MS?
Molina Healthcare has 30 in-network providers across 10 medical specialties in Southaven. 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 Southaven?
Molina Healthcare sells 2 distinct plan types in Southaven: SNP (27 doctors), HMO (5 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.
What Molina Healthcare ACA marketplace plans cover Southaven?
Molina Healthcare sells 2 consumer plans on healthcare.gov for Southaven, MS, including Molina Gold Standard, Molina Silver Standard. Available plan types are HMO. These plans appear on healthcare.gov during open enrollment (typically November to January) and through special enrollment periods after qualifying life events.
What metal tiers does Molina Healthcare offer in Southaven?
Molina Healthcare's ACA marketplace presence in Southaven spans 2 metal tiers: Gold (1), Silver (1). Metal tiers describe the cost-sharing balance, not provider quality. Bronze plans have the lowest monthly premiums but you pay more per visit. Silver plans are eligible for federal cost-sharing reductions if your income qualifies. Gold and Platinum plans cost more monthly but reduce out-of-pocket costs for specialist visits, hospital stays, and prescriptions.
Which hospitals in Southaven accept Molina Healthcare?
Hospitals where Molina Healthcare doctors most commonly practice in Southaven include WHITE PLAINS HOSPITAL CENTER, MORRISTOWN MEDICAL CENTER, OVERLOOK MEDICAL CENTER, NEWTON MEDICAL CENTER. 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 Southaven?
Molina Healthcare's Southaven network is largest in Neurology (19), Family Practice (2), Nurse Practitioner (2). 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 Southaven?
Molina Healthcare ranks #6 of 6 major insurers tracked in Southaven by provider count, with 30 doctors. Aetna leads at 1,194 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 Southaven.
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 Southaven 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. ACA marketplace plan data comes from the CMS Qualified Health Plan Public Use File for plan year 2026. Refresh cadence: monthly for provider data, annually for marketplace and Medicare plans.
Related healthcare resources
Patient resources for Southaven 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