The bottom line: Most of Molina’s Medicare Advantage plans have $0 premiums in 2026, but they get below-average quality ratings from the Centers for Medicare & Medicaid Services (CMS). The company’s member experience scores are also low. Jump to: Full Review
Molina Medicare Advantage pros and cons
Pros
- Low premiums: 70% of Molina’s Medicare Advantage plans have $0 premiums in 2026. For plans with a premium, the average member pays $27.27 per month — cheaper than the market average.
Cons
- Government quality ratings: Molina plans’ average overall star rating from CMS, weighted by enrollment, is 3.22 stars, which is below the national average for all companies.
- Member satisfaction: Molina’s Medicare Advantage plans have an average member experience score of 2.22, weighted by enrollment, which is lower than most.
- State availability: Molina offers Medicare Advantage plans in only 20 states.
Compare against other providers
🔍 UnitedHealthcare Medicare Advantage
» More options in our roundup of the best Medicare Advantage plans
Compare against other providers
🔍 UnitedHealthcare Medicare Advantage
» More options in our roundup of the best Medicare Advantage plans
Our full review
45+ Medicare companies and brands analyzed by our team of experts.
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NerdWallet’s Medicare content, including articles, reviews and recommendations, is produced by a team of writers and editors who specialize in Medicare. Their work has appeared in The Associated Press, Washington Post, Nasdaq, MSN, MarketWatch, Yahoo! Finance and other national and regional media outlets. They have been cited in publications including Healthline, and appeared on NerdWallet's "Smart Money" podcast.
NerdWallet star rating for Molina Medicare Advantage
Molina Medicare Advantage plans earned 3.2 out of 5 stars for overall performance. NerdWallet’s ratings are determined by our editorial team. The scoring formula takes into account premiums, out-of-pocket costs, government quality ratings, customer complaints, disenrollment survey data, third party quality accreditation and more.
NerdWallet star ratings are different from CMS ratings for Medicare plans.
Our data-driven, consumer-first scoring rubric for Medicare Advantage plans includes crucial metrics like cost and a wider range of data sources for quality and customer satisfaction in addition to the information incorporated into CMS ratings.
Government quality ratings for Molina Medicare Advantage
Average CMS star rating, weighted by enrollment: 3.22
Molina Medicare Advantage plans are rated below the industry average, receiving an average rating of 3.22 out of 5 from CMS for 2026, weighted by enrollment. For comparison, the average weighted star rating for all companies is 4.02.
Of Molina members who are in plans with a Medicare star rating, 5% are in plans rated 4 or above for 2026.
CMS maintains its own database of star ratings, which rank each plan from best (5 stars) to worst (1 star). The agency bases these ratings on plans’ quality of care and measurements of customer satisfaction, and ratings may change from year to year.
All Medicare Advantage plans are evaluated on health plan measures, and Medicare Advantage plans that include prescription drug coverage are also evaluated on drug plan measures.
You can find a plan’s rating with Medicare's plan finding tool.
How much does Molina Medicare Advantage cost?
Premiums
About 70% of Molina Medicare Advantage plans have a $0 premium.
Molina plans with a monthly premium cost about $27.27 per month, on average, weighted by enrollment. With any Medicare Advantage plan, you’ll also be responsible for paying your Medicare Part B premium, which is at least $202.90 per month in 2026.
Most people pay this standard Part B amount, but if your income is above a certain threshold, you'll pay the income-related monthly adjustment amount (IRMAA).
Prescription drugs
About 98% of Molina Medicare Advantage plans include prescription drug coverage.
Here’s what you might pay for prescription drugs at some common price points.
Tier 1 (Preferred generics) 77.2% of Molina Medicare Advantage plans have $0 copays/coinsurance.
$1.19: Average out-of-pocket cost for a drug with a $15 retail price, among Molina plans with copays or coinsurance at Tier 1 (after deductible, if any).
Tier 2 (Most generics) 23% of Molina Medicare Advantage plans have $0 copays/coinsurance.
$8.94: Average out-of-pocket cost for a drug with a $50 retail price, among Molina plans with copays or coinsurance at Tier 2 (after deductible, if any).
Tier 3 (Preferred brands) 1.7% of Molina Medicare Advantage plans have $0 copays/coinsurance.
$40.90: Average out-of-pocket cost for a drug with a $200 retail price, among Molina plans with copays or coinsurance at Tier 3 (after deductible, if any).
Other out-of-pocket costs
Molina Medicare Advantage plans have an average maximum out-of-pocket (MOOP) spending cap of $7,546, weighted by enrollment. That’s higher than average among the companies NerdWallet reviews.
Requirements for copays, coinsurance and deductibles vary depending on your plan, location and the services you use. Other out-of-pocket costs to consider include:
Whether the plan covers any part of your monthly Medicare Part B premium.
The plan’s yearly deductibles and any other deductibles, such as a drug deductible.
Copayments and/or coinsurance for each visit or service. For instance, there may be a $10 copay for seeing your primary doctor and a $45 copay for seeing a specialist.
The plan’s in-network and out-of-network out-of-pocket maximums.
Whether your medical providers are in-network or out-of-network, or how often you may go out-of-network for care.
Whether you require extra benefits, and whether the plan charges for them.
To get a sense of costs, Medicare.gov and most other Medicare shopping tools can help you compare plans' premiums and out-of-pocket costs for certain services and prescription drugs in your location.
Why do people leave Molina Medicare Advantage plans?
CMS surveys people who voluntarily leave their Medicare plans about their reasons for leaving. Here’s the breakdown of problems people identified with their former Molina Medicare plans.
Problems getting covered care: 4% (All-company average: 11%).
Problems with doctor/hospital networks: 8% (All-company average: 17%).
Financial issues: 9% (All-company average: 17%).
Problems with prescription drug benefits: Data not available (All-company average: 3%).
Problems getting information from the plan: 6% (All-company average: 9%).
(Members can give more than one reason for leaving on the survey and might leave plans for other reasons, so the categories won’t add up to 100%.)
Molina Medicare Advantage plan types
There are two kinds of Molina Medicare Advantage plans, and all Molina Medicare Advantage plans include prescription drug coverage.
Plan offerings include the following types:
A health maintenance organization (HMO) generally requires that you use a specific network of doctors and hospitals. You may need a referral from your primary doctor to see a specialist, and out-of-network benefits are usually limited.
Special needs plans (SNPs) restrict membership to people with certain diseases or characteristics. The benefits, network and drug formularies are tailored to the needs of those members.
Molina offers Dual-Eligible SNPs for people who are entitled to Medicare and who also qualify for assistance from a state Medicaid program.
Molina third-party ratings
NCQA accreditation: 5.26% of plans
About 5.26% of Molina Medicare Advantage plans are NCQA accredited as of the most recent annual update in September 2025.
The National Committee for Quality Assurance (NCQA) evaluates health insurance plans based on clinical measures and customer experience survey results. To earn NCQA accreditation, plans need to meet standards related to quality, population health management, provider networks, member experience and more.
Molina Medicare Advantage service area
Molina offers Medicare Advantage plans in 20 states.
Molina is number nine among the largest for-profit Medicare Advantage companies, by enrollment. It covers over 230,000 Medicare Advantage members. The company gained about 17,000 new members from 2025 to 2026, according to healthcare analytics firm Chartis.
About Molina
Molina Healthcare was founded in 1980. The company’s headquarters are in Long Beach, California.
Molina’s health insurance offerings include Medicare, Medicaid and state health insurance marketplace plans.
Compare Medicare Advantage companies
Get more information below about some of the major Medicare Advantage insurance companies. These insurers offer plans in most states. The plans you can choose from will depend on your ZIP code and county.
Find the right Medicare Advantage plan
It’s important to do your research before selecting a Medicare Advantage plan for yourself. Here are some questions to consider asking:
What are the plan’s costs? Do you understand what the plan’s premium, deductibles, copays and/or coinsurance will be? Can you afford them?
Is your doctor in-network? If you have preferred medical providers, make sure they participate in the plan’s network.
Are your prescriptions covered? If you’re on medication, it’s crucial to understand how the plan covers it. What tier are your prescription drugs on, and are there any coverage rules that apply to them?
Is there dental coverage? Does the plan offer routine coverage for vision, dental and hearing needs?
Are there extras? Does the plan offer any extra benefits, such as fitness memberships, transportation benefits or meal delivery?
If you have additional questions about Medicare, visit Medicare.gov or call 800-MEDICARE (800-633-4227, TTY 877-486-2048).
- Most Molina Medicare Advantage plans have $0 premiums.
- Below-average government quality ratings.
- Subpar member experience scores.
- Available in only 20 states.
NerdWallet writers are subject matter authorities who use primary, trustworthy sources to inform their work, including peer-reviewed studies, government websites, academic research and interviews with industry experts. All content is fact-checked for accuracy, timeliness and relevance. You can learn more about NerdWallet's high standards for journalism by reading our editorial guidelines.
- 1.Centers for Medicare & Medicaid Services. 2026 Star Ratings Data Tables (ZIP). Accessed Apr 30, 2026.
- 2.NerdWallet analysis of CMS data. CY2026 Landscape 202603. Accessed Apr 30, 2026.
- 3.NerdWallet analysis of CMS data. Beneficiary Cost File. Accessed Apr 30, 2026.
- 4.NerdWallet analysis of CMS data. 2026 Star Ratings Data Table - Disenrollment Reasons (Oct 8 2025). Accessed Apr 30, 2026.
- 5.NCQA. Health Plans. Accessed Apr 30, 2026.
- 6.NerdWallet analysis of CMS data. Monthly Enrollment by Plan. Accessed Apr 30, 2026.
- 7.Chartis. Medicare Advantage Enrollment Depicts Industry at a Crossroads. Accessed Apr 30, 2026.
Medicare Advantage review methodology
NerdWallet’s Medicare Advantage ratings are based on premiums, out-of-pocket costs, prescription drug coverage, quality data from the Centers for Medicare & Medicaid Services, consumer experience and more. We calculate each health insurance company’s rating on a curved 5-point scale.
NerdWallet’s editorial team analyzed companies covering about 87% of all Medicare Advantage beneficiaries in the United States. We reviewed 25 Medicare Advantage brands, with some insurance companies having more than one brand under their umbrella. (For example, Blue Cross Blue Shield includes the brands Anthem and Highmark.)
The Medicare Advantage marketplace is concentrated among just a handful of companies. In many places, one company serves more than half of the market. At the national level, NerdWallet’s reviews include each of the 10 largest brands by enrollment.
At the state level, our research includes at least one major insurer in every state where Medicare Advantage plans are sold, and includes the top two insurers in 40 of those 49 states. (Alaska doesn't offer Medicare Advantage plans.) We also look at online search volume to identify regional and other notable players in the space.
These reviews are a guide, but we encourage you to shop around and compare several plans to find the best coverage and rate for you. NerdWallet does not receive compensation for any reviews. Read our editorial guidelines for additional information.
Compare Medicare Advantage plans
Insurance company | CMS star rating | States available | Members in high-rated plans | Member experience | Learn more | |
|---|---|---|---|---|---|---|
(855) 432-0512 / TTY 711 M-F 9AM-9PM, Sat 10AM-6PM ETSpeak to a licensed insurance agent on askchapter.orgon NerdWallet | 4.11 | 4.11/5 | 48 states and Washington, D.C. | Medium (50% to 84%) | 3.74 (Above average) | (855) 432-0512 / TTY 711 M-F 9AM-9PM, Sat 10AM-6PM ETSpeak to a licensed insurance agent on askchapter.orgon NerdWallet |
(855) 432-0512 / TTY 711 M-F 9AM-9PM, Sat 10AM-6PM ETSpeak to a licensed insurance agent on askchapter.orgon NerdWallet | 3.79 | 3.79/5 | 46 states and Washington, D.C. | Low (49% or less) | 3.82 (Above average) | (855) 432-0512 / TTY 711 M-F 9AM-9PM, Sat 10AM-6PM ETSpeak to a licensed insurance agent on askchapter.orgon NerdWallet |
(855) 432-0512 / TTY 711 M-F 9AM-9PM, Sat 10AM-6PM ETSpeak to a licensed insurance agent on http://askchapter.org on NerdWallet | 4.20 | 4.20/5 | 43 states and Washington, D.C. | Medium (50% to 84%) | 3.89 (Above average) | (855) 432-0512 / TTY 711 M-F 9AM-9PM, Sat 10AM-6PM ETSpeak to a licensed insurance agent on http://askchapter.org on NerdWallet |
(855) 432-0512 / TTY 711 M-F 9AM-9PM, Sat 10AM-6PM ETSpeak to a licensed insurance agent on askchapter.orgon NerdWallet | 3.76 | 3.76/5 | 29 states and Washington, D.C. | Medium (50% to 84%) | 3.96 (Above average) | (855) 432-0512 / TTY 711 M-F 9AM-9PM, Sat 10AM-6PM ETSpeak to a licensed insurance agent on askchapter.orgon NerdWallet |