Products & Services Overview

Coventry provides a full range of products and services, including group and individual health insurance, Medicare and Medicaid programs, and coverage for specialty services such as workers’ compensation and behavioral health care.

Group Health Solutions

Both fully-insured and self-funded options are offered through regional health plans and insurance companies.

• PPO
• OOA/PPO
• Coventry Consumer Choice (FSA, HRA, HSA)
• POS
• HMO
• HMO Out of Area (Student Benefits)
• ASO
• Retiree Solutions for Pre-65 and 65+

Coventry National Accounts also provides ASO coverage to national employers, including the Federal Employees Health Benefits (FEHB) Program.

Retiree Solutions

• Pre-65
• Multiple 65+ options

Insurance for Individuals and Families

Backed by quality, affordability and thousands of satisfied members, CoventryOne Plans offer a smart choice for health insurance coverage for individuals and families.  CoventryOne specializes in offering cost-effective coverage for medical services with a range of deductibles and coinsurances.  CoventryOne has solutions for everyone:

• Singles
• Families
• Students and Recent Grads
• Self-employed
• In-between jobs or without group coverage
• Early Retirees

Medicare

Offerings for Individuals who qualify for Medicare:

• Advantra Plans - Medicare Advantage Coordinated Care programs (HMO/PPO) in select communities
• Advantra Rx and First Health Part D – Medicare Prescription Drug programs available nationwide

Group Retiree offerings for Employers:

• Pre-65 customized plans
• Post-65 Medicare Advantage programs.  Regional coordinated care (Advantra MAPD) programs are available for employers with retirees who are eligible for Medicare benefits.

Medicaid

Medicaid Manage Care Organizations (MCOs):

National in scope, yet local in focus, Coventry’s Medicaid expertise helps communities around the nation support their Medicaid recipients gain control over their health challenges.  Coventry’s Medicaid programs include, if needed:

• Quality care management programs in asthma, maternity, HIV, high blood pressure, Early Periodic Screening, Diagnostic and Treatment, immunizations and woman care
• Several plans accredited by National Committee for Quality Assurance (NCQA) or URAC
• Temporary Assistance for Needy Families (TANF)
• Aged, Blind and Disabled (ABD)
• State Children’s Health Insurance Program (SCHIP)
• Old Age Assistance (OAA)
• Children in State Custody and Pregnant Woman programs
• Woman, Infant and Children (WIC) Referrals
• Coordination with Maternal Support Services/Infant Support Services (MSS/ISS)
• Provider performance recognition programs

Workers' Compensation

Coventry Workers’ Comp Services offers a suite of client solutions designed to help drive industry-leading medical outcomes and identify appropriate cost savings at every step of an injured worker’s recovery. Coventry’s experienced staff works with clients and their injured workers’ to design programs that meet the cost containment and medical management needs of an organization.

Our Client Solutions include:

• Network Solutions - Provide clients access to the largest national provider network offering in the workers’ compensation industry.
• Care Management - Provides innovative ways to help reduce the cost of workers' compensation injuries and improve return-to-work rates.
• First Script Services - Help reduce workers’ compensation costs by providing Pharmacy Benefit Management and Durable Medical Equipment programs.
• Technology Solutions - Help promote effective and efficient ways to process information in the worker’ comp process.

Behavioral Health

Coventry’s Behavioral Health business, is home of The Total Behavioral Solution – dedicated to improving the well-being of our members through a quality, clinical outcome-oriented model.  We provide innovate behavioral health and EAP/work-life services for:

• Health Plans
• Employer Groups
• Public Programs

Dental

We offer a variety of dental services including:

• Insured plans for all size groups
• Full-Service dental third-party administrator specializing in private-label programs
• Full suite of discount products