About Molina Healthcare Coverage in Woodmere
Molina Healthcare operates 6 distinct networks in Woodmere, NY, with a combined in-network roster of 23 doctors across 12 medical specialties. Among the five largest insurers we track in Woodmere, Molina Healthcare ranks #6 by provider count, the leader is Medicare with 124 in-network doctors. Use this page to confirm a specific provider is in-network, understand which Molina Healthcare networks have the widest reach in Woodmere, and compare coverage against other major insurers before scheduling care.
Molina Healthcare publishes its Woodmere directory at the network level rather than the consumer-plan level. The labels on each row below (for example Medicaid Managed Care (MMC)) 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.
Data is sourced from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Last refreshed June 30, 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 Woodmere
Molina Healthcare contracts with doctors at the network level in Woodmere. Each network below is a contract; your specific plan (printed on your member ID) maps to one of them.
Medicaid Managed Care (MMC)
21
Child Health Plus (CHPlus)
20
Essential Plan
20
Molina Healthcare Plus
19
Senior Whole Health Medicare Complete Care (HMO D-SNP)
SNP
7
SWH of NY MLTC
1
Top Specialties Accepting Molina Healthcare
Molina Healthcare’s Woodmere network spans 12 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 Woodmere, 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 Woodmere 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 Woodmere 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 Woodmere
2 of 23 Molina Healthcare in-network providers (9%) offer telehealth visits in Woodmere. 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 Woodmere
Top Hospitals Serving Molina Healthcare Patients in Woodmere
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.
St John's Episcopal Hospital At South Shore
Far Rockaway, NY
Adventhealth Carrollwood
Tampa, FL
Marion Communtiy Hospital
Ocala, FL
Adventhealth Ocala
Ocala, FL
Jamaica Hospital Medical Center
Jamaica, NY
Flushing Hospital Medical Center
Flushing, NY
Coverage Compared in Woodmere
Side-by-side provider counts for the five largest commercial and government insurers tracked in Woodmere. 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 Woodmere 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 Woodmere 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-Woodmere options are likely more plentiful.
Frequently Asked Questions
Common questions about Molina Healthcare coverage in Woodmere
How do I find an Molina Healthcare in-network doctor in Woodmere, NY?
Molina Healthcare has 23 in-network providers across 12 medical specialties in Woodmere. This list is compiled from federally-mandated CMS Transparency in Coverage filings, last verified June 30, 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.
Which hospitals in Woodmere accept Molina Healthcare?
Hospitals where Molina Healthcare doctors most commonly practice in Woodmere include ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE, AdventHealth Carrollwood, MARION COMMUNTIY HOSPITAL, ADVENTHEALTH OCALA. 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 Woodmere?
Molina Healthcare's Woodmere network is largest in Pediatric Medicine (7), Dermatology (4), Neurology (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 Woodmere?
Molina Healthcare ranks #6 of 6 major insurers tracked in Woodmere by provider count, with 23 doctors. Medicare leads at 124 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 Woodmere.
Why don't I see specific Molina Healthcare plan names like Bronze or Silver?
Molina Healthcare files its Woodmere provider directory at the network level rather than by consumer plan name. The labels above (such as Medicaid Managed Care (MMC)) 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 June 30, 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 June 30, 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 Woodmere provider list was last refreshed June 30, 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 Woodmere Molina Healthcare members.
Common health topics
Common medications
Common procedure costs
Data freshness
Last verified June 30, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly