Coventry Health Care Insurance Review & Complaints

Coventry Health Care Insurance includes individual and group health plans as well as Medicare Supplements and worker's comp. Coventry Health Care Insurance rates vary significantly by the type of plan, the level of coverage, the deductibles and co-pays, and the location. Coventry Health Care Insurance Company is a subsidiary of Aetna Healthcare.

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Eric Stauffer is a former insurance agent and banker turned consumer advocate. His priority is to help educate individuals and families about the different types of insurance they need, and assist them in finding the best place to get it.

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Leslie Kasperowicz holds a BA in Social Sciences from the University of Winnipeg. She spent several years as a Farmers Insurance CSR, gaining a solid understanding of insurance products including home, life, auto, and commercial and working directly with insurance customers to understand their needs. She has since used that knowledge in her more than ten years as a writer, largely in the insuranc...

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Reviewed by Leslie Kasperowicz
Farmers CSR for 4 Years

UPDATED: Apr 28, 2021

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Conventry Health Care

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The Highlights

  • Coventry Health Care Insurance offers a variety of plans, products, and services, including individual plans and group plans.
  • The company is a subsidiary of Aetna Healthcare.
  • Coventry Health Care Insurance has an A+ with the Better Business Bureau.

Over almost three decades in business, Coventry Health Care Insurance has grown quickly to be a strong force in the health insurance industry. For individuals and groups, Coventry offers a wide range of health insurance products and services, including individual health plans, group health plans, Medicare, and more.

Coventry Health Care Insurance rates can vary depending on a number of factors, including the type of coverage and the amount you purchase. Additionally, the company has an A+ rating from the Better Business Bureau, but there are several complaints against the company.

Everything you need to know about Coventry Health Care Insurance can be found in our Coventry Insurance review. Read on for more Coventry Insurance reviews, then compare rates using our comparison tool.

What should you know about Coventry health care insurance?

Coventry Health Care Insurance was founded in 1986 as Coventry Corporation, Inc. The Coventry Health Care Insurance health insurance company moved quickly to acquire a long list of other health care companies, and changed to the current name in 1998, setting up headquarters in Bethesda, Maryland that same year. In 2013, Coventry became a subsidiary of Aetna Healthcare. Another popular Aetna subsidiary is Cofinity. Cofinity health insurance reviews are difficult to find online.

Coventry offers health care products in most states, although not all products are available in each location, and they can differ even by county within a covered state. They provide both individual and family plans as well as group plans, including both managed care and PPO plans, and also work with Medicare and Medicaid plans in some states.

Coventry’s website has a member services portal that allows members of health plans to review claims and benefits, access health care tools, and search for providers, among other online services.

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What insurance products are offered by Coventry Health Care Insurance?

Health care products from Coventry cover a wide variety of individual and group needs. Affordable Coventry Health Care Insurance health insurance can be found, depending on your needs.

Can you get CoventryOne individual plans?

Individual and family plan benefits through CoventryOne are available in 27 states, although in some of those states the plans are actually written through Coventry’s parent company, Aetna. Plans direct from Coventry can be purchased in Arkansas, Florida, Georgia, Illinois, Kansas, Louisiana, Missouri, and Utah. Availability and type of plan vary by state and county. Additionally, specific individual health insurance coverage Coventry One reviews are hard to find. The same goes for Coventry One customer reviews.

Contact Coventry customer service for information on CoventryOne insurance doctors, CoventryOne customer reviews, Coventry Health Insurance reviews, Coventry Health Insurance quotes, and more.

Plans meet the requirements set out by the Affordable Care Act and are available at varying levels of coverage and with a wide range of premiums, co-pays, and deductibles. More information on the Affordable Care Act can be found on Healthcare.gov.

What about group health plans?

Coventry’s group plans allow businesses to create a benefits package and offer options to their employees for their health care needs. They offer HMO, PPO, and POS plans as well as HSA and FSA products. As with the individual plans, availability varies by state and in some cases, plans are offered by Aetna.

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Do Coventry health benefits include Medicare?

Coventry offers Medicare Advantage health care benefits and Prescription Drug Services plans at a national level and across 20 states. For information on Medicare supplemental coverage, check out the chart below.

Medicare Supplement Plan Comparison

CoveragePlan APlan BPlan CPlan DPlan FPlan GPlan KPlan LPlan MPlan N
Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used upYesYesYesYesYesYesYesYesYesYes
Part B coinsurance or copaymentYesYesYesYesYesYes50%75%YesYes
Blood (first 3 pints)YesYesYesYesYesYes50%75%YesYes
Part A hospice care coinsurance or copaymentNoYesYesYesYesYes50%75%YesYes
Skilled nursing facility care coinsuranceNoNoYesYesYesYes50%75%YesYes
Part A deductibleNoYesYesYesYesYes50%75%50%Yes
Part B deductibleNoNoYesNoYesNoNoNoNoNo
Part B excess chargeNoNoNoNoYesYesNoNoNoNo
Foreign travel exchange (up to plan limits)NoNo80%80%80%80%NoNo80%80%
Out-of-pocket limit in 2020N/AN/AN/AN/AN/AN/A$5,880$2,940N/AN/A
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Coverage type and options vary by state and county, but options include HMO, PPO, and POS plans.

Does it offer Medicaid affordable health plans?

Coventry currently offers Medicaid plans in nine states, some of which are serviced by Aetna or other subsidiaries. Medicaid plans are available in Florida, Kentucky, Missouri, Michigan, Nebraska, Pennsylvania, Virginia, and West Virginia.

What about worker’s compensation?

Providing one of the most necessary basics of business insurance needs, Coventry’s Worker’s Comp plans include claims management systems to help provide fast services while keeping costs down.

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Can you get behavioral health services?

Through MHNet, Coventry offers a comprehensive plan for managing and treating behavioral and mental health concerns, including depression, mood disorders, eating disorders, and addictions.

Unusual for a health care company of this size, Coventry does not offer add-on coverage such as dental or vision plans, although these may be available through affiliated companies and through the parent company, Aetna.

What are Coventry health care insurance providers and networks?

Coventry has a wide range of plans, each with access to a different level of provider network. Networks depend on which of the Coventry companies, either subsidiaries or parent company Aetna, the plan is written through, as well as whether it is a PPO or HMO type plan.

First Health provides PPO network services for many Coventry plans, which gives members access to a large range of providers, hospitals, and services. As with all health plans, larger provider networks are generally available at the higher premium levels, while HMO plans have more limited networks and a lower premium.

For First Health Coventry PPO reviews, First health PPO network review, Aetna Coventry reviews, or other First health Coventry reviews in your area, contact your local office or do a quick internet search.

What are Coventry health care rates?

Prices and premiums from Coventry vary greatly by the type of plan, the level of coverage, the deductibles and co-pays, and of course the location. As a growing health insurance company now owned by a very large company, Coventry is likely to be able to offer competitive rates.

Quoting is available for both Coventry and plans through Aetna online, although for some products consumers should contact the company by phone for Coventry Health Care Insurance health insurance quotes. When looking to buy Coventry Health Care Insurance health insurance, it is best to speak with a representative.

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How can you file claims for Coventry Health care insurance?

Claims submission for Coventry Health plans depends on what type of plan you have and what state the plan is in. There are different claim procedures and contact information for claims through the First Health network, for Medicare claims, and for plans written through subsidiaries or through Aetna.

Claims are handled through healthcare providers, but Coventry offers online access to statements of benefits and claims information. This allows members to track their health care costs and out-of-pocket spending over time. For Coventry Health Care reviews and complaints, read on.

How are Coventry Health care insurance consumer research and complaints?

Although Coventry is not Better Business Bureau (BBB) accredited, it carries an A+ rating from the BBB based on their multi-factor system. In the last three years, there have been 317 complaints listed, 27 of which have been closed in the past 12 months. A large majority of the complaints concern Coventry’s product and service, 230 of them to be exact. Next in line, 73 complaints, are in regards to billing and collection. Aetna/Coventry reviews are fairly mixed online.

There are also a large number of complaints filed against Coventry on websites such as PissedConsumer.com, resulting in a one-star rating overall. Most complaints seem to revolve around issues with billing and customer service. There are also numerous complaints regarding items that were not covered as expected, although it is difficult to say whether the complaints are valid without further knowledge of the consumer’s health care plan.

You could also lookup reviews specific to your area. For example, doing a simple internet search along the lines of “Coventry Health Care Illinois reviews” or “Coventry Health Care Florida reviews.” Coventry Healthcare of Florida reviews show the company received 1.5 out of 5 stars on Google. Reviews of specific plans aren’t easily found online, so you might have trouble finding CoventryOne reviews, First Health Insurance reviews, First Health Network Insurance reviews, First Health Network reviews, First Health Coventry Insurance reviews, and First Health PPO reviews.

Additionally, Coventry Health Care Insurance’s financial ratings aren’t currently available.

What is the bottom line on Coventry Health Care, Inc.?

So, is Coventry good insurance? With the acquisition by Aetna, Coventry is certainly well backed financially and is likely to remain a stable insurance company for a long time to come. They have a very good range of products, it is disappointing to see that there is no option to add vision or dental plans to their health care plans, although the website does state that some Coventry Medicare Plans might offer some coverage.

Our Coventry Health Care Insurance Review provided information on their health insurance products and reviews. For Coventry Health Care Insurance health insurance rates, you will need to contact the company. To find rates from other top companies, use our comparison tool.

References: 

  1. https://www.healthcare.gov/where-can-i-read-the-affordable-care-act/

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