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Coverage & benefitsReviewed July 2026

What are the options for virtual care with Molina healthcare?

Short answer

Insurance question

Molina Healthcare covers telehealth and virtual care for many services, including primary care visits, behavioral health counseling, and some specialty consultations. Coverage and cost-sharing for virtual visits vary by your specific Molina plan and state. Check your member portal or call member services to find Molina-approved telehealth providers.

This is an independent research summary, not official coverage information. Your plan is the final word.

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Key facts

  • Federal Medicaid rules allow states to cover telehealth for a wide range of services, and most states have made expanded coverage permanent.

    Medicaid.gov โ€” Telehealth

  • ACA Marketplace plans are required to cover mental health services at parity with medical benefits, including via telehealth.

    HealthCare.gov

  • Molina Healthcare offers telehealth access for Medicaid and Marketplace members across its states of operation.

    Molina Healthcare

The full answer

Here's the nuance

A one-liner rarely tells the whole story. This is the honest detail behind the short answer above.

Molina Healthcare has expanded its telehealth coverage significantly in recent years, in line with federal Medicaid flexibilities and ACA plan requirements. Members can typically access virtual care for a range of services: routine primary care visits, prescription refills, behavioral and mental health counseling, substance use disorder support, and some specialty consultations.

Molina partners with telehealth networks to provide virtual visits to its members. Depending on your state and plan, you may be able to access telehealth through Molina's member portal, through a vendor network Molina has contracted with, or through your own primary care provider via a virtual visit option they offer. Behavioral health telehealth has been particularly expanded, with many Molina Medicaid plans covering video and phone-based mental health therapy.

For Medicaid managed care members, states have broad discretion to define telehealth coverage. Most states now allow telehealth for a wide range of covered services, and many have made pandemic-era telehealth flexibilities permanent. Cost-sharing for telehealth under Medicaid is generally low or absent. For Marketplace members, telehealth cost-sharing varies by plan tier โ€” check your Summary of Benefits.

Not all services are available via telehealth โ€” procedures, imaging, and lab tests still require in-person visits. To find your telehealth options, log into your Molina member account or call the member services number on your ID card. Ask specifically which telehealth vendors are in-network for your plan.

What to keep in mind

The key points

The handful of things that decide the answer โ€” skim these if you only read one section.

1

Primary care and behavioral health are commonly available via telehealth

Most Molina plans cover virtual visits for routine primary care, mental health therapy, medication management, and substance use counseling. Availability varies by state and plan.

2

Medicaid telehealth flexibilities are broadly available

Federal and state Medicaid rules now allow telehealth for many services. Most states have made expanded telehealth coverage permanent following the policy changes made during the pandemic.

3

Cost-sharing for telehealth is often low or zero for Medicaid members

Many Molina Medicaid plans have no or very low copays for telehealth visits, though this depends on the state. Marketplace members should check their plan's Summary of Benefits.

4

Use Molina-approved telehealth vendors to stay in-network

To ensure your telehealth visit is covered, use providers and platforms that are in Molina's network. Using an unapproved telehealth platform may result in a denied claim.

5

Some services still require in-person care

Telehealth cannot replace everything. Lab tests, imaging, physical exams, and procedures require an in-person visit. Your provider can help determine what can be handled virtually.

Confirm before you rely on this

Coverage varies by plan โ€” this is not official

Coverage rules, benefit tiers, and medical-necessity criteria change often and differ by plan type, state, employer, and your specific policy. This page is a general, independent research summary โ€” it is not official information from any insurer, not a benefits determination, and not financial or insurance advice.

Verify your exact coverage by calling the member number on your insurance card or checking your plan documents before you rely on any answer here.

โ“Frequently Asked Questions

Log into your Molina member portal online or through the Molina app to find telehealth options available in your plan. You can also call member services to ask which telehealth platforms are in-network. Some Molina plans allow you to request a telehealth visit directly through your primary care provider's patient portal. Always confirm the visit will be covered before scheduling.

Yes, in most cases. Behavioral and mental health telehealth โ€” including video therapy, psychiatric medication management, and substance use counseling โ€” is covered by most Molina Medicaid and Marketplace plans. Federal parity laws require mental health coverage to be no more restrictive than medical coverage. Check your plan documents or call member services to confirm your specific benefits.

Many Molina Medicaid plans do cover audio-only phone visits, which is important for members without reliable internet or video capability. Coverage of audio-only telehealth varies by state and service type. Video visits are more broadly covered. Check your state's Molina plan documents or call member services to confirm whether phone-only visits are covered for the type of care you need.

It depends on whether that app is in Molina's contracted telehealth network for your plan and state. Some Molina plans partner with specific telehealth vendors; others allow broader access. Using an out-of-network telehealth platform may result in a denied claim. Log into your Molina member portal or call member services to find out which telehealth platforms are approved for your plan.

Reviewed by

Curex Editorial TeamReviewed for accuracy

Last reviewed July 2026

Your plan has the final say

The surest way to know what's covered is to ask the source. Call the member number on your insurance card or sign in to your plan portal, and have the service or medication name ready โ€” a quick call beats guessing.

This page is independent research, not a benefits determination โ€” your insurer's answer is the one that counts.

This content is for general informational purposes only. It is not official coverage information, a benefits determination, or financial or insurance advice. Coverage rules, benefit tiers, and medical-necessity criteria change often and vary by plan, state, and effective date โ€” always verify your specific benefits directly with your insurer before making any decision.