About Molina Healthcare Coverage in Montgomery
Molina Healthcare operates 11 distinct networks in Montgomery, OH, with a combined in-network roster of 68 doctors across 17 medical specialties. Among the five largest insurers we track in Montgomery, Molina Healthcare ranks #6 by provider count, the leader is Medicare with 795 in-network doctors. Use this page to confirm a specific provider is in-network, understand which Molina Healthcare networks have the widest reach in Montgomery, and compare coverage against other major insurers before scheduling care.
Molina Healthcare publishes its Montgomery directory at the network level rather than the consumer-plan level. The labels on each row below (for example Passport Marketplace) 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 also sells 22 ACA marketplace plans on healthcare.gov for Montgomery 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.
Molina Healthcare Networks in Montgomery
Molina Healthcare contracts with doctors at the network level in Montgomery. 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.
Passport Marketplace
42
Medicaid
25
Passport Advantage (HMO D-SNP)
SNP
16
Molina Medicare Complete Care Plus (HMO D-SNP)
SNP
2
Molina Medicare Complete Care Select (HMO D-SNP)
SNP
2
Molina Medicare Choice Care (HMO)
HMO
1
Molina Medicare Complete Care (HMO D-SNP)
SNP
1
HealthChoice Illinois
1
HealthChoice Illinois MLTSS
1
Molina Healthcare
1
Molina Marketplace
1
Molina Healthcare ACA Marketplace Plans Available in Montgomery
22 Molina Healthcare plans sold on healthcare.gov for Montgomery. 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 Core 1640
Network: HRI Dental
Molina Gold Core 1640 Plus with Adult Dental and Vision
Network: HRI Dental
Molina Gold Core 1640 Plus with Adult Vision
Network: HRI Dental
Molina Gold Enhanced 895
Network: HRI Dental
Molina Gold Enhanced 895 Plus with Adult Dental and Vision
Network: HRI Dental
Molina Gold Enhanced 895 Plus with Adult Vision
Network: HRI Dental
Molina Gold Smart Heart Health
Network: HRI Dental
Molina Gold Standard
Network: HRI Dental
Molina Silver Core
Network: HRI Dental
Molina Silver Core Plus with Adult Dental and Vision
Network: HRI Dental
Molina Silver Core Plus with Adult Vision
Network: HRI Dental
Molina Silver Saver with Four Free PCP Visits
Network: HRI Dental
Molina Silver Smart Heart Health
Network: HRI Dental
Molina Silver Standard
Network: HRI Dental
Molina Bronze Enhanced 3500
Network: HRI Dental
Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision
Network: HRI Dental
Molina Bronze Enhanced 3500 Plus with Adult Vision
Network: HRI Dental
Molina Bronze Saver 7000
Network: HRI Dental
Molina Bronze Saver 7000 Plus with Adult Dental and Vision
Network: HRI Dental
Molina Bronze Saver 7000 Plus with Adult Vision
Network: HRI Dental
Molina Bronze Smart Heart Health
Network: HRI Dental
Molina Bronze Standard
Network: HRI Dental
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 Montgomery network spans 17 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 Montgomery, 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 Montgomery 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 Montgomery 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 Montgomery
1 of 68 Molina Healthcare in-network providers (1%) offer telehealth visits in Montgomery. 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 Montgomery
Top Hospitals Serving Molina Healthcare Patients in Montgomery
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 Montgomery
Side-by-side provider counts for the five largest commercial and government insurers tracked in Montgomery. 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 Montgomery 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 Montgomery 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-Montgomery options are likely more plentiful.
Frequently Asked Questions
Common questions about Molina Healthcare coverage in Montgomery
How do I find an Molina Healthcare in-network doctor in Montgomery, OH?
Molina Healthcare has 68 in-network providers across 17 medical specialties in Montgomery. 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 ACA marketplace plans cover Montgomery?
Molina Healthcare sells 22 consumer plans on healthcare.gov for Montgomery, OH, including Molina Bronze Enhanced 3500, Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision, Molina Bronze Enhanced 3500 Plus with Adult Vision and 19 others. 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 Montgomery?
Molina Healthcare's ACA marketplace presence in Montgomery spans 3 metal tiers: Expanded Bronze (8), Gold (8), Silver (6). 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 Montgomery accept Molina Healthcare?
Hospitals where Molina Healthcare doctors most commonly practice in Montgomery include GOOD SAMARITAN HOSPITAL, BETHESDA NORTH, MCCULLOUGH-HYDE MEMORIAL HOSPITAL, CHRIST 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 Montgomery?
Molina Healthcare's Montgomery network is largest in Anesthesiology (19), Diagnostic Radiology (15), Nurse Practitioner (6). 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 Montgomery?
Molina Healthcare ranks #6 of 6 major insurers tracked in Montgomery by provider count, with 68 doctors. Medicare leads at 795 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 Montgomery.
Why don't I see specific Molina Healthcare plan names like Bronze or Silver?
Molina Healthcare files its Montgomery provider directory at the network level rather than by consumer plan name. The labels above (such as Passport Marketplace) 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 Montgomery 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 Montgomery 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