Molina Medicare Advantage Resources

Here are forms and resources to manage your Molina Medicare Complete Care dental benefits from Delta Dental of Iowa. 

• Claim form - downloadable reimbursement form if you saw an out-of-network dentist.
• Grievance and appeals process - describes the process to go through if you are not happy about any part of your Molina Medicare Complete Care plan. 
• Personal representative form - complete to appoint and authorize to release protected health information.