Aetna aquired Coventry Health Care in 2013. For more information about Aetna, view Best Company's Aetna profile.
Coventry Health Care was founded in 1978 under the name of Group Health Plan of Greater St. Louis. What started out as a nonprofit headquartered in Bethesda, Maryland, has since grown to help millions of customers across the United States.
One of the best things about Coventry Health Care is that it serves customers in every state of the nation. Its plans are available to anyone regardless of location. Location actually becomes important in another regard. Residents in different states may see different insurance coverage options based on what Coventry offers in their area.
Coventry offers the whole range of plans. Its individual plans include low copayments for general medications and coverage for physicals and immunizations.
Coventry also offers group plans for employers, Medicare, and Medicaid, too. Medicaid plans include CHIP, Long-Term Care, Children in State Custody, Assistance for Needy Families, and other programs. Other plans offered here include HMOs, PPOs, HSAs.
Health Savings Accounts (HSAs) are available with High Deductible Health Plans. HSAs allow you to set aside pre-tax dollars to use for health care expenses.
HMOs and PPOs offer different care provider network coverage. PPOs cover in- and out-of-network providers at different rates. In-network providers are covered at higher rates than out-of-network ones.
HMO plans only offer insurance coverage for in-network care. As you evaluate plans understand what cost-sharing payments work for medical services. Consider these out-of-pocket expenses alongside the monthly premium payment to keep your plan membership.
Coventry goes beyond health insurance policy options to offer workers' compensation, fee-for-service plans for retired people, dental insurance, and vision insurance.
Through Coventry Dental, a subsidiary of Coventry Health Care, dental plans are available in 170,000 locations around the country. The coverage for these plans, of course, depends on individual health plans, though.
Vision insurance is available as well. This functions through EyeMed Vision Care and is accepted at LensCrafters, Pearle Vision, Target, JCPenney, and Sears. All Coventry members have this option, which offers discounts on glasses and Lasik if needed. The plan covers an eye exam as well, and members are expected to pay a copayment.
The online member portal for Coventry is called My Online Services. Even before becoming a member here, you can take a tour of this portal to see what resources it offers and whether it would be transparent and understandable enough for you. This portal offers tools to find a doctor, get an ID card, take a health assessment, chat with a nurse online, and understand more about your benefits. You can also view the status of a claim you've made and find a pharmacy.
Other member resources here include the Coventry Mobile app, which allows members to view a claim status, view or fax their ID card, find a doctor, and view your account balance-all from the convenience of a smartphone. Coventry has a member dedicated phone number as well.
One thing Coventry would help customers with would be providing a more accessible live chat tool-one that is more visible up front and easy to use in case customers or potential customers have questions that aren't answered on the website.
Coventry Health Care, like many other health insurance companies, provides a convenient way for you to search for a doctor or pharmacy in your plan's network and in your area. When using this tool, you narrow your search to the doctors you could use by specifying your state and the type of plan you are on (or would like to have).
Aside from this, the company has kept up technologically by providing a mobile app called Coventry Mobile. With this, you can check a claim status, find a doctor, and view various details of your account right on your phone. One thing you can't view on this app, however, is an explanation of your benefits, as this is only available on an actual computer right now.
Coventry offers many discounts for members as well. These include savings on a home fitness program, a gym membership, or a weight loss program. The member portal also offers a health assessment you can take and a place to set goals, track your health, and even benefit from a digital health coach. The Personal Health Assistant on the member portal helps with tasks like these and could provide the visual motivation to keep working toward your personal health goals.
Fitness products aren't the only discounted perks, though. You can also receive savings on spa care, vision care, chiropractic work, or massages.
If you're burdened by stress or want to quit smoking, the Personal Health Assistant and certain discounts can motivate you to overcome these challenges as well. Individuals health plans are given through CoventryOne and on this website you can get educated about healthcare and healthcare reform, compare different health plans to get the best price and more. In this way, members of Coventry Health Care stay informed and gain a stronger understanding of a changing industry.
thumb_downCoventry Health Care's has not received many reviews and ratings on Best Company, which makes it difficult to guage the customer experience. Unfortunately, most of Coventry Health Care's ratings are low.
Reviewers mention difficulty with claims, dissatisfaction with coverage, and bad experiences with customer service. These issues are concerning, especially since there are few positive experiences shared in Coventry reviews.
In some ways, the customer service resources are pretty limited at Coventry Health Care. The company doesn't offer a lot of information about its mission or philosophy on customer care, for one thing. You have to go out of your way to find very much information about the company as a whole too-such as its history, views on working with Aetna now, the way it wants customers to feel about its services, etc. These can be key factors to make customers feel more trust in a company, and Coventry is more transparent about member resources than the way it communicates with members.
Of course, customers can use the usual mediums to contact a representative at Coventry-phone, email, and mail. But it's hard to find a live chat tool if that's the way you prefer to ask questions.
In addition, Coventry provides an easy way to get a quote for an insurance plan you're interested in, and you can take a guided tour through the member portal (a major advantage, since this is the main tool you'd be using to manage your account). In these ways, Coventry has done a decent job overall of providing a few different means for customers to get a hold of someone and get more information. But the company would be even more helpful to customers if it made its website more detailed and offered a live chat tool for those who prefer it.
The mobile app here can do a lot of things, but what it can't do is show you an explanation of your benefits. You can only view these online on a computer as the app can't yet display these. If you're out and need access to these explanations, this is pretty inconvenient.
On the whole, Coventry Health Care has a high level of industry experience and a selection of health plans.
Members have lots of resources with Coventry Health Care, and the patient portal here is intuitive to use and full of tools to track finances and even health.
Although Coventry Health Care looks good on paper and has a limited number of reviews, it's concerning that most of its reviews on Best Company are negative. We recommend exploring other health insurance companies.
