Medicare Blog

what is coventry medicare

by Ms. Queenie Hills Published 2 years ago Updated 1 year ago
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Coventry Medicare Now part of Aetna

Aetna

Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid insuranc…

, Coventry Health Care

Coventry Health Care

Coventry Health Care, Inc. is a diversified national insurer in the United States. Based in North Bethesda, Maryland, Coventry operates health plans, insurance companies, network rental and workers’ compensation services companies. Coventry provides a full range of risk and fee-bas…

, Inc. is a national managed health care company that operates Medicare and Medicaid

Medicaid

Medicaid in the United States is a federal and state program that helps with medical costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, including nursing home care and personal care services. The Health Insurance As…

programs, group and individual health insurance, workers’compensation solutions, and network rental services.

Full Answer

What Medicare plans does Coventry offer?

Coventry Health Care An Aetna company, Coventry Health Care offers Medicare beneficiaries with other types of Medicare coverage. Coventry’s coverage includes Medicare Advantage plans and stand-alone Medicare Prescription Drug Plans (Part D). Coventry Medicare coverage Coventry Health Care Medicare National Network Find Coventry Medicare plans B

Is Coventry a good health insurance?

Coventry Medicare About Request Quote Coventry Health Care is a diversified nationally managed health care company based in Bethesda, Maryland, dedicated to delivering high-quality health care solutions at an affordable price.

Is Coventry a Medicare Advantage plan?

Jan 06, 2022 · Coventry is one of the larger nationwide companies that offers Medicare plans, and it was purchased by Aetna in a $5.7 billion deal in 2012. Now, the company is known as Aetna Coventry. The move was made by Aetna to specifically “help it expand further into government-backed programs like Medicare and Medicaid,” according to The New York Times.

What is Coventry Health Insurance?

Sep 10, 2018 · If you are enrolled in certain types of Coventry Medicare plans -- such as Coventry Medicare Advantage Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), or Coventry Medicare Part D Prescription Drug Plans, you may need... Read more Do Coventry Medicare Plans Cover Routine Vision? Last Updated : 10/20/2018 5 min read

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What is Medicare Coventry?

Coventry's Medicare Advantage (MA) policies, among its most popular, offer the benefits of Original Medicare – Part A (hospital insurance) and Part B (medical insurance) – with Medicare Part D prescription plans (PDPs). As of March 2017, Aetna had almost 47 million subscribers.

Is Aetna and Coventry the same?

Coventry and Aetna have been the same company since 2013. We're changing our name and logo, but our relationship with you and our members will stay the same. We value our local relationships, so our plan offerings and contract agreements won't be impacted by our name and logo change.

What kind of insurance is Coventry?

Coventry is one of the larger nationwide companies that offers Medicare plans, and it was purchased by Aetna in a $5.7 billion deal in 2012. Now, the company is known as Aetna Coventry.Jan 6, 2022

Is Aetna Coventry a Medicare plan?

Coventry Medicare Plans Are Now Sold by Aetna While Aetna began integrating Coventry since acquiring it in 2013, this is the first major change announced for 2020.Feb 13, 2020

Is Coventry a Medicaid plan?

Coventry provides a full portfolio of risk and fee-based products including Medicare and Medicaid programs, group and individual health insurance, workers' compensation solutions, and network rental services.

Is Coventry insurance still around?

was a health insurer in the United States. It had 3.7 million medical members, 1.5 million Medicare Part D members, and 900,000 Medicaid members. In May 2013, the company was acquired by Aetna for $5.7 billion....Coventry Health Care.TypeDefunctIndustryHealth insuranceFounded1986DefunctMay 7, 2013FateAcquired by Aetna10 more rows

Is Coventry an insurance company?

Coventry Health Care Inc., often referred to as Coventry, is a national health insurance company. The diversified company is dedicated to providing affordable and high-quality health insurance solutions to its customers.

Who bought Coventry Health Care?

AetnaAetna acquires managed health care company Coventry Health Care for $8.7 billion. Clients Aetna Inc. Jones Day acted as antitrust counsel to health insurer Aetna Inc. in its acquisition of Maryland based managed health care organization Coventry Health Care, Inc., for approximately $8.7 billion.

Is First Health Network part of Coventry?

First Health will operate as a subsidiary of Coventry.Oct 17, 2004

Who owns Aetna Medicare?

CVS HealthAetnaTypeSubsidiaryProductsHealth insuranceRevenue$60.6 billion (2018)Number of employees47,950 (2018)ParentCVS Health (2018–present)10 more rows

What is Aetna Medicare payer ID?

Use our electronic payer ID# 60054.

What is Aetna advantra?

Advantra Medicare Advantage plans are offered through Aetna, one of the largest insurance companies in the United States. Aetna Advantra offers HMO, PPO, and D-SNP Medicare Advantage plans in several areas throughout the country.

Does Medicare have a 5-star rating?

The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. This information is not a complete description of benefits.

Is Coventry Health Care Medicare available?

Coventry Health Care Medicare is currently only available via phone calls. Leave your contact info here. We will get back to you with Coventry Health Care Medicare Plans as soon as possible:

When Can I Get A Medicare Plan With Coventry?

There are three periods you can get a Medicare plan with Aetna Coventry.

How To Get A Medicare Plan With Coventry

First, you’ll want to find the Medicare Advantage or prescription drug plan that is right for you. To do this, head to the Aetna Coventry website and type in your zip code. From there, you can either let the site guide you to your decision, or you can browse all of the plan options.

What is Coventry Medicare Advantage Plan?

What Medicare Advantage Plans Does Coventry Offer? Medicare Advantage plans are an attractive alternative way to get Original Medicare (Part A and Part B) benefits for beneficiaries who want the convenience of getting their Medicare benefits through a single plan. Medicare Advantage plans are required by law...

Does Coventry have Medicare?

As a Medicare beneficiary, you may be interested in Medicare Part D prescription drug coverage. Coventry, a private insurance company contracted by Medicare to provide health-care benefits, offers two ways to get your Medicare Part D coverage for... Read more.

Does Medicare cover dental care?

Under Original Medica re (Part A and Part B), there is no coverage for routine or preventive dental care services, such as routine exams, cleanings, extractions, or dental appliances. In some situations, Medicare may cover certain dental services if they are... Read more.

Does Medicare cover cataract surgery?

Medicare vision coverage under Original Medicare (Part A and Part B) is generally limited to only medically necessary treatment for injuries, diseases, and conditions that affect the health and integrity of the eye, such as cataract surgery. For most routine... Read more.

What is a Coventry network provider?

Coventry network providers may include hospitals, doctors, specialists, hospitals, and other health-care professionals. As part of Coventry’s network, these providers have agreed to accept a certain payment rate for their services.

Do you get billed above contracted amounts for coinsurance?

In addition, these providers agree to accept your plan’s cost sharing (such as copayment or coinsurance amounts) as full payment for your share; you will not be billed above contracted amounts for any covered services you receive when you use a provider contracted with your plan.

Does Coventry Medicare require a network?

Depending on which Coventry Medicare plans you select, you may be required to get all your care from network providers (except for medically necessary emergency care), or you may have the option to use non-network providers, but save money on out-of-pocket costs by using network and/or preferred providers. For example, if you’re enrolled in ...

Is CVS part of Aenta?

As a result of CVS Health acquiring Aetna, SilverScript became part of Aenta’s Medicare portfolio. SilverScript is one of the largest Medicare Part D insurers according to a CMS Monthly Enrollment by Plan report. It serves over 6 million Medicare policy holders, offering them convenience, round-the-clock customer service, and access to pharmacies nationwide.

Does Aetna offer Medigap?

Medigap, or Medicare Supplement insurance plans, are also offered through Aetna. Medigap plans complement Original Medicare coverage while helping you pay for costs of healthcare products and services such as:

Be a Part of Something Bigger

Interested in joining one of the largest networks in the country? We can help. Whether you participate for workers’ comp, auto, or both, the benefits are endless.

Access Your Information

Whether you are looking for Provider Manuals, a list of Coventry clients, or researching a bill status, our provider portal coventryprovider.com is all you need.

Locate a Provider

Curious what facilities, specialists, or ancillary providers you should refer to? Our provider search engine eliminates the guesswork.

Join Coventry

If you are ready to join one of the nation’s largest work comp networks, call 800.937.6824 to get the process started.

Auto Channeling

Although auto insurance payers may not always have the opportunity to actively direct injured parties to participating providers, injured parties may locate you in a variety of ways: through their employee benefits plan, after being treated by you previously, locating you through an online provider directory or toll free number, or by recommendation of a trusted associate or family member..

Join Our Network

The Coventry network is always looking for quality network providers that effectively engage in the coordination of treatment for a broad range of injuries, and are focused on return-to-work.

Check Out the Provider Portal

The Coventry Provider Portal offers features specific to both workers’ comp and auto. Information is delivered directly into the providers office through the portal to ensure timely updates to office personnel. The portal allows providers to:

We've Moved

Please note this address does not replace any Coventry invoicing addresses or any email addresses you would normally use in the course of doing business with us.

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Healthcare

  • As with many carriers, Coventry places particular emphasis on Medicare. This isnt surprising, given that the company already had an estimated 250,000 Medicare beneficiaries (and 930,000 on Medicaid) before the Aetna acquisition. According to Medicares Star Ratings, Coventry had an o…
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Products

  • Coventry also offers the same standalone Part D plans in all states and the District of Columbia that are offered through Aetna. Prior to the acquisition, the company already had more than 1.5 million Part D enrollees. Coventrys prescription drug coverage plans have ranked among the industrys best. The company also provides Medicare Supplement plans (Medigap), which requir…
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Operations

  • Coventry was a relatively new insurer until recently, providing coverage in just 22 states. After the merger, the carrier reached all 50 states and the District of Columbia. The company has about 15,000 employees, and its network of providers includes more than 4,700 participating hospitals; 580,000 allied health care professionals; and an additional 64,000 retail pharmacies. Coventry al…
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Significance

  • Coventrys acquisition by Aetna has benefitted both carriers, especially for the valuable Medicare audience. Analyst Thomas Carroll noted:
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Goals

  • Its a deal that almost had to happen. For Aetna to really compete effectively among the other large, national managed-care companies, they have to do more in terms of gaining market share in the commercial business, as well as getting a bigger foothold in Medicare and Medicaid, which are the growth areas in managed care over the next decade.
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Statistics

  • Aetna gained 5 million Coventry members, including 250,000 Medicare enrollees; 1.5 million Part D enrollees; and 930,000 Medicaid enrollees. They were also able to grow their base of smaller employers and beneficiaries who purchased individual coverage.
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Ratings

  • *Star Rating The star rating listed above is reflective of results of consumer polling from individuals who have used in the past and or currently use that carriers medicare plan. These do not reflect star ratings that have been assigned to each individual carriers plan by CMS. For detailed information about each plans CMS star rating please visit Medicare.gov.
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