Become a Member

Call us with your questions

Or let us contact you.

* Invalid Name. Max Length=35,special characters allowed ,'-.
* Invalid Name. Max Length=35,special characters allowed ,'-.
* Invalid phone format
* Please enter a valid Zip code
Please enter a valid email address
Please select captcha
Please enter all the mandatory fields for the form to be submitted
Disclaimer -

This is a solicitation for insurance and an agent may contact you.

By submitting my information via this form, I consent to having Molina Healthcare collect my personal information. I understand and agree that my information will be used and shared in accordance with Molina Healthcare's Privacy Policy and Terms of Use.

After Enrolling

Thank you for choosing Molina Healthcare

You have applied to join the Molina family. Here is what happens next.

  • Our Enrollment Department will review your Enrollment Form and send you a letter acknowledging receipt of your Enrollment Form.
  • Once your enrollment is accepted by CMS, we will send you a Member Welcome Kit, which will contain your Member ID Card and a confirmation of enrollment letter.

 

What you can do now

  • As a new member, you have Member Rights and Responsibilities. Read them today.
  • Visit Members to learn more about the many programs and services we offer you and your family.
  • Learn more about My Molina. It is our member portal where you can manage your health care online.
  • Check out Staying Healthy for information and tips on how to keep you and your family well.
  • If you need help with medical benefits, call our Member Services Department.
  • If you need assistance with any formulary-related issue or simply have questions about drug coverage in general, please call our Pharmacy Call Center.