Coventry Health and Life Insurance Company is a well-established insurance provider known for its commitment to offering a wide range of insurance products and services. It has gained a solid reputation for its customer-centric approach and a strong focus on providing quality coverage.
Coventry Health and Life Insurance Company, often called Coventry, is a part of Coventry Health Care, Inc. This parent company is a big player in the Fortune 500 list, and it operates various companies across the United States and Puerto Rico.
Coventry is well-known for its comprehensive health care offerings, and it’s one of the largest managed health care companies in the country.
Coventry’s health care plans are all about keeping you healthy and preventing health issues. They offer a wide range of health care products and services to make sure you stay well.
A Brief History of Coventry Health and Life Insurance Company
In 1968, the American Service Life Insurance Company started. Later, in 1987, Coventry Corporation acquired it and gave it the name Coventry Health and Life Insurance Company.
Then, in 1995, it merged with Principal Health Care and shifted its headquarters to Bethesda, Maryland.
During the 1990s and 2000s, Coventry expanded quickly by buying other health insurers like Group Health Plan, HealthCare USA, and WellPath. Then, in 2013, Aetna bought Coventry for a whopping $5.7 billion.
Contact Details
For any inquiries or to get in touch with Coventry Health and Life Insurance Company, you can reach them at:
| Company Details | |
|---|---|
| NAIC Number | 81973 |
| Phone Number | 212-598-8000 |
| Company Address | Attn: STAT Compliance, |
| PO Box 818048 | |
| Cleveland, OH 44181-8048 |
Services and Products Offered
Coventry Health and Life Insurance Company, or Coventry, provides various health insurance products and services, which include:
- Individual and Family Health Insurance: Coventry offers a range of plans like Preferred Provider Organization (PPO), Exclusive Provider Organization (EPO), and Health Maintenance Organization (HMO). These plans vary in coverage and cost, allowing you to pick the one that suits your needs and budget.
- Medicare Advantage Plans: Coventry also provides Medicare Advantage plans as an alternative to traditional Medicare. These plans come with benefits such as prescription drug coverage, dental and vision coverage, and fitness perks.
- Prescription Drug Plans: Coventry offers prescription drug plans to help you save on your medications. These plans have different coverage options, so you can choose the one that fits your needs.
- Dental and Vision Plans: Coventry offers dental and vision plans to support your oral and visual health. These plans come with various coverage options for your convenience.
Besides insurance plans, Coventry offers valuable services, including:
- Wellness Programs: Coventry’s wellness programs assist you in improving your health and cutting down on healthcare expenses. These programs offer resources like health assessments, personal health coaches, and online tools.
- Disease Management Programs: Coventry provides disease management programs to help you handle chronic conditions like diabetes, heart disease, and asthma. These programs offer support services such as medication management, education, and counseling.
- Care Coordination: Coventry’s care coordination services help you make the most of your healthcare. Care coordinators guide you through the healthcare system, schedule appointments, and ensure your care is well-organized.
Financial Details
Coventry Health and Life Insurance Company, also known as Coventry, provides a variety of health insurance plans. These plans come with different premium costs, payment options, and discounts.
Premium Costs
The cost of your Coventry health insurance plan depends on factors like your age, health, where you live, and the type of plan you choose. Generally, PPO plans are the most expensive, followed by EPO plans and HMO plans. Medicare Advantage and prescription drug plans also have varying prices.
Payment Options
Coventry offers various ways to pay for your health insurance plan, including monthly, quarterly, and annual payments. You can even have your premiums taken directly from your paycheck.
Discounts
Coventry provides several discounts on their health insurance plans:
- Group Discounts: Employers with 50 or more employees might qualify for a group discount on Coventry health insurance plans.
- Individual Discounts: Coventry offers discounts for individuals, including nonsmokers, those at a healthy weight, and those in wellness programs.
- Family Discounts: Families with two or more members enrolled in the same health insurance plan can get a discount.
Promotional Offers
Coventry occasionally has special promotions for their health insurance plans. This might include things like a free month of coverage or the first month’s premium being waived. To check if there are any current promotional offers, visit Coventry’s website or get in touch with a Coventry representative.
To get a precise cost estimate for a Coventry health insurance plan, you can use Coventry’s online quote tool or reach out to a Coventry representative.
Process of Filing Claims
To file a claim with Coventry Health and Life Insurance Company (Coventry), follow these steps:
 1: Gather Your Documentation To file a claim, collect the following documents:
- Your Coventry member ID card
- A copy of your medical bill
- A copy of your prescription drug receipt (if needed)
- Complete a claim form (download it from Coventry’s website).
 2: Submit Your Claim You can submit your claim in three ways:
- Online: Use Coventry’s member portal to submit your claim.
- By Mail: Send your claim form and documents to this address: Coventry Health and Life Insurance Company P.O. Box 14646 Lexington, KY 40512-4646
- By Fax: Send your claim form and documents to this fax number: 1-859-263-7139
 3: Follow Up on Your Claim After submitting your claim, you can:
- Check your claim status online via Coventry’s member portal.
- Contact Coventry customer service to inquire about your claim’s status.
Coventry will process your claim and provide a payment or explanation of benefits (EOB) within 30 days of receiving it. If you have questions about your claim, reach out to Coventry customer service.
Ratings, Reviews, Complaints, and Resolutions
Let’s take a look at Coventry Health and Life Insurance Company’s ratings, reviews, complaints, and resolutions:
Ratings
Customers have mixed feelings about Coventry. On the Better Business Bureau (BBB) website, the company has a 2.4/5 star rating. Around 48% of customers gave Coventry a positive rating. Additionally, the National Committee for Quality Assurance (NCQA) accredited Coventry and rated it at 3.5 out of 5 stars.
Reviews
Positive Reviews: Some customers praise Coventry for its affordable rates, a wide network of healthcare providers, and good customer service.
Negative Reviews: On the flip side, negative reviews often mention slow claims processing, difficulty in getting pre-authorization for medical services, and customer service issues.
Complaints
Common complaints about Coventry include:
- Slow claims processing
- Difficulty in getting pre-authorization for medical services
- Problems with customer service
- Denials of coverage
- Unexpected out-of-pocket costs
Resolutions
Coventry has a process for resolving customer complaints. You can file a complaint online, over the phone, or by mail. Within 30 days, Coventry will investigate your complaint and respond. If you’re not happy with the resolution, you can request a review by Coventry’s Executive Resolution Team.
Affiliations and Partnerships
Coventry Health and Life Insurance Company (Coventry) partners with various healthcare organizations to benefit its members and provide competitive rates. These affiliations and partnerships are essential for expanding the range of healthcare services and providers accessible to Coventry members. Here are some of the noteworthy connections:
- Aetna: Coventry is wholly owned by Aetna, one of the largest health insurance companies in the United States. This affiliation allows Coventry members to tap into Aetna’s extensive network of healthcare providers and services.
- National Committee for Quality Assurance (NCQA): Coventry holds accreditation from NCQA, a nonprofit organization that assesses the quality of healthcare organizations. This accreditation signifies Coventry’s commitment to high-quality services and customer satisfaction.
- Blue Cross Blue Shield Association: Coventry is a participating member of the Blue Cross Blue Shield Association, a national coalition of independent health insurance companies. This membership enables Coventry to grant its members access to Blue Cross Blue Shield’s nationwide network of healthcare providers.
- Healthcare Effectiveness Data and Information Set (HEDIS): Coventry takes part in the HEDIS quality improvement program, sponsored by NCQA. HEDIS utilizes standardized performance measures in healthcare to evaluate health plans and healthcare organizations.
- National Association of Managed Care Physicians (NAMCP): Coventry is a member of NAMCP, a professional organization for managed care physicians. NAMCP membership keeps Coventry updated on the latest trends in managed care and facilitates collaboration with other managed care physicians to enhance patient care quality.
Benefits of Joining Coventry Health and Life Insurance Company
Let’s explore the benefits of being a Coventry Health and Life Insurance Company member:
1. Wide Provider Network: Coventry boasts an extensive network of healthcare providers, which includes doctors, hospitals, and healthcare experts. This means Coventry members have many choices for their healthcare needs.
2. Affordable Rates: Coventry offers a range of health insurance plans at competitive rates. This makes Coventry an attractive option for individuals and families, regardless of their income.
3. Diverse Plan Options: Coventry provides various health insurance plans, such as PPOs, EPOs, HMOs, Medicare Advantage, and prescription drug plans. This flexibility allows Coventry members to select the plan that best suits their requirements and budget.
4. Emphasis on Wellness: Coventry is dedicated to keeping its members healthy and preventing chronic diseases. They offer wellness programs and preventive care services to support this goal.
5. Outstanding Customer Service: Coventry is committed to delivering top-notch customer service. Members can access support 24/7 through phone, online, or the Coventry mobile app.
1. How can I get a quote from Coventry Health and Life Insurance Company?
You can request a quote by visiting their website or contacting their customer service.
2. Can I change my insurance plan with Coventry?
Yes, Coventry Health and Life Insurance Company often allows policyholders to make plan changes.
3. Are there any discounts for bundling insurance products?
Coventry may offer discounts for bundling multiple insurance products.
4. How long does it take to process a claim with Coventry?
The processing time may vary, but Coventry is committed to prompt claim processing.
5. What do customers say about Coventry Health and Life Insurance Company?
Customer reviews suggest that Coventry is known for its reliable services and customer satisfaction.
Conclusion
Coventry Health and Life Insurance Company is a reputable insurance provider with a rich history, a wide range of insurance products, competitive premiums, and a strong commitment to customer satisfaction. If you’re in search of reliable insurance coverage, Coventry is worth considering.
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