Molina Healthcare
Molina Silver Core Plus with Adult Vision
Plan ID32355IL0020002
Plan year2026Sold on Get Covered Illinois
Plan typeHMONo referral needed
Metal levelSilverNot HSA-eligible
Sold in5 countiesof 102 in Illinois
These are the plan's 2026 details. Illinois's 2027 plan details are not public yet, so prices, benefits or doctors may change for 2027. Check Get Covered Illinois before you enroll.
Deductible$6,000$12,000 family
Out-of-pocket max$8,990$17,980 family
Coinsurance40%after the deductible
Having a baby$8,900CMS example
Monthly premiums are not shown: they depend on age, county and income. NPI Profile does not sell insurance; Get Covered Illinois lists premiums and handles enrollment.
Doctor search is not available for this plan
Molina Healthcare does not send its provider directory to CMS, so we cannot show which doctors are in this plan's network. Call Molina Healthcare or the doctor's office.
What you pay with this plan
Which services this plan covers, from the plan files Get Covered Illinois sends to CMS. Those files do not include copays; the plan's Summary of Benefits and Coverage from Molina Healthcare or Get Covered Illinois lists them.
Doctor visits
- Primary care visit
- Covered
- Specialist visit
- Covered
- Nurse practitioner or PA visit
- Covered
- Preventive care and vaccines
- Covered
- Urgent care
- Covered
Prescription drugs
- Generic drugs
- Covered
- Preferred brand drugs
- Covered
- Non-preferred brand drugs
- Covered
- Specialty drugs
- Covered
Tests and imaging
- Lab work
- Covered
- X-rays
- Covered
- MRI, CT and PET scans
- Covered
Emergencies and hospital
- Emergency room
- Covered
- Ambulance
- Covered
- Hospital stay
- Covered
- Outpatient surgery (facility)
- Covered
Mental health
- Therapy and counseling visits
- Covered
- Inpatient mental health care
- Covered
Pregnancy
- Prenatal and postnatal care
- Covered
- Delivery and hospital stay
- Covered
Other care
- Physical and occupational therapy
- Covered
- Chiropractic careLimit: 25 visits a benefit period
- Covered
- Eye exam for childrenLimit: 1 exam a benefit period
- Covered
- Glasses for childrenLimit: 1 item a benefit period
- Covered
- Adult dental
- Not covered
$8,900Having a baby (CMS example)
$4,600Managing type 2 diabetes for a year
$2,000A simple fracture
Every service in the plan file (67)
| Service | You pay | Limits and notes |
|---|---|---|
| Abortion for Which Public Funding is Prohibited | Covered | |
| Accidental Dental | Covered | |
| Acupuncture | Not covered | |
| Allergy Testing | Covered | |
| Bariatric Surgery | Covered | |
| Basic Dental Care - Adult | Not covered | |
| Basic Dental Care - Child | Not covered | |
| Chemotherapy | Covered | |
| Chiropractic Care | Covered | 25 visits a benefit period |
| Cosmetic Surgery | Not covered | |
| Delivery and All Inpatient Services for Maternity Care | Covered | |
| Dental Check-Up for Children | Not covered | |
| Diabetes Education | Covered | |
| Dialysis | Covered | |
| Durable Medical Equipment | Covered | |
| Emergency Room Services | Covered | |
| Emergency Transportation/Ambulance | Covered | |
| Eye Glasses for Children | Covered | 1 item a benefit period |
| Generic Drugs | Covered | |
| Habilitation Services | Covered | |
| Hearing Aids | Covered | |
| Home Health Care Services | Covered | |
| Hospice Services | Covered | |
| Imaging (CT/PET Scans, MRIs) | Covered | |
| Infertility Treatment | Covered | |
| Infusion Therapy | Covered | |
| Inpatient Hospital Services (e.g., Hospital Stay) | Covered | |
| Inpatient Physician and Surgical Services | Covered | |
| Laboratory Outpatient and Professional Services | Covered | |
| Long-Term/Custodial Nursing Home Care | Not covered | |
| Major Dental Care - Adult | Not covered | |
| Major Dental Care - Child | Not covered | |
| Mental/Behavioral Health Inpatient Services | Covered | |
| Mental/Behavioral Health Outpatient Services | Covered | |
| Non-Preferred Brand Drugs | Covered | |
| Nutritional Counseling | Covered | |
| Orthodontia - Adult | Not covered | |
| Orthodontia - Child | Not covered | |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | Covered | |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | Covered | |
| Outpatient Rehabilitation Services | Covered | |
| Outpatient Surgery Physician/Surgical Services | Covered | |
| Preferred Brand Drugs | Covered | |
| Prenatal and Postnatal Care | Covered | |
| Preventive Care/Screening/Immunization | Covered | |
| Primary Care Visit to Treat an Injury or Illness | Covered | |
| Private-Duty Nursing | Covered | |
| Prosthetic Devices | Covered | |
| Radiation | Covered | |
| Reconstructive Surgery | Covered | |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | Covered | |
| Rehabilitative Speech Therapy | Covered | |
| Routine Dental Services (Adult) | Not covered | |
| Routine Eye Exam (Adult) | Covered | 1 exam a benefit period |
| Routine Eye Exam for Children | Covered | 1 exam a benefit period |
| Routine Foot Care | Not covered | |
| Skilled Nursing Facility | Covered | |
| Specialist Visit | Covered | |
| Specialty Drugs | Covered | |
| Substance Abuse Disorder Inpatient Services | Covered | |
| Substance Abuse Disorder Outpatient Services | Covered | |
| Transplant | Covered | |
| Treatment for Temporomandibular Joint Disorders | Covered | |
| Urgent Care Centers or Facilities | Covered | |
| Weight Loss Programs | Not covered | |
| Well Baby Visits and Care | Covered | |
| X-rays and Diagnostic Imaging | Covered |
How this plan works
HMO: You pick a primary care doctor in the network, and most specialists need a referral from them. Care outside the network is not covered, except emergencies.
- Referral for specialists
- Not required
- Coinsurance
- 40% after the deductible
- Works with an HSA
- No
- Network
- Molina Marketplace (ILN001)
- Sold in
- 5 Illinois countiesCook County, Dupage County, Kane County, Kendall County, Will County
Other Molina Healthcare plans on the same network
The same doctors and hospitals, with different costs.
| Plan | Metal | Deductible | Out-of-pocket max |
|---|---|---|---|
| Molina Core Gold 1640 HMO | Gold | $1,640 | $8,100 |
| Molina Gold Core 1640 Plus with Adult Vision HMO | Gold | $1,640 | $8,100 |
| Molina Gold Core 1640 Plus with Rx Copay and Adult Dental and Vision HMO | Gold | $1,640 | $8,100 |
| Molina Core Silver HMO | Silver | $6,000 | $8,990 |
| Molina Silver Core Plus with Rx Copay and Adult Dental and Vision HMO | Silver | $6,000 | $8,890 |
| Molina Silver Saver with Four Free PCP Visits HMO | Silver | $7,000 | $10,150 |
Questions about Molina Silver Core Plus with Adult Vision
What kind of plan is Molina Silver Core Plus with Adult Vision?
It is an HMO plan: you pick a primary care doctor in the network, and most specialists need a referral from them. Care outside the network is not covered, except emergencies. It is a Silver plan.
How much is a doctor visit with Molina Silver Core Plus with Adult Vision?
A primary care visit costs Covered. A specialist visit costs Covered. These are in-network costs for one person. "After deductible" means you pay the full cost until you reach the $6,000 deductible.
Where is Molina Silver Core Plus with Adult Vision sold?
It is sold to people who live in 5 Illinois counties, through Get Covered Illinois. The counties: Cook County, Dupage County, Kane County, Kendall County, Will County.
Why is there no monthly premium on this page?
Premiums depend on your age, county, household size and income, and most people get a subsidy, so a single price would mislead. Get Covered Illinois shows the price for your household.
About this data
NPI Profile is not an insurance company, agent or broker, and it does not sell insurance or enroll anyone in a plan. It is a free reference tool built on public files that CMS and insurers publish, to help you compare Marketplace plans and check whether your current or future doctor is in a plan's network. It is not affiliated with CMS, HealthCare.gov, any state exchange or any insurer. Confirm costs and networks with the insurer and the doctor's office, and enroll on Get Covered Illinois.
| Source | What it provides here | Source date |
|---|---|---|
| CMS public use files for Get Covered Illinois | This plan's costs, covered services, coverage examples and the counties where it is sold | Plan year 2026 |
| Molina Healthcare's provider directory | The doctors and facilities listed in this plan's network. Only providers with an address in Illinois are counted. | As of November 8, 2026 |
| NPPES NPI registry | Provider names, practice addresses and primary specialties | Matched November 8, 2026 |
- Costs are for the standard version of the plan, for one person, in network. People who qualify for cost-sharing reductions pay less. CMS does not publish copays for plans sold on Get Covered Illinois, so this page shows what is covered, without per-visit costs.
- Monthly premiums are not shown: they depend on age, county, household and income. Get Covered Illinois lists them for your household.
- Confirm costs in the plan documents and with the insurer, and confirm with the doctor's office that they take this plan.
