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Coventry Healthcare

Coventry Health Care, Inc. is a diversified national managed healthcare company based in Bethesda, Maryland, operating health plans, insurance companies, network rental and workers’ compensation services companies. Through the Company’s Commercial Business, Individual Consumer and Government Business, and Specialty Business divisions, it provides a range of risk and fee-based managed care products and services to a range of individuals, employer and government-funded groups, government agencies, and other insurance carriers and administrators.

As an organization, their long-term success depends on the ability to translate our commitment to affordable and accessible health care into real change.  We look to four principles to guide us as we strive to provide exceptional value for members, employers, and providers.

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About Coventry Healthcare

Coventry are driven to ensure that every person and organization we serve received the greatest possible value for their health care investment.  They do this by bringing together members, employers, and providers, making available the best possible information, and together devising solutions that help people enjoy optimal health.

Coventry Healthcare serves more than 4.6 million members in all 50 states.  Through our three divisions – Commercial, Individual Consumer & Government, and Specialty – we provide 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.

Coventry Healthcare, Inc.

Corporate Headquarters:
Coventry Health Care, Inc.
6705 Rockledge Drive, Suite 900
Bethesda, MD  20817
(301) 581-0600
CEO:
Robert L Dawson M.D.
Employee Number:
15,225
2007 Revenue:
$9.9 Billion

Product Types Offered

Individuals

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
Employers:

Coventry’s Commercial Division offers a number of solutions to Employers:

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

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.

Medicare Plans

Medicare is the nation’s largest health insurance program, covering 40 million Americans. It was designed to provide high-quality health care to people 65 and over, as well as to others with disabilities.

Offerings for Individuals who qualify for Medicare:
  • Advantra Plans - Medicare Advantage Coordinated Care programs (HMO/PPO) in select communities.
  • Advantra Freedom - Medicare Advantage Private Fee-For-Service programs available nationwide.
  • Advantra Savings – Medicare Advantage Medical Savings Accounts available in select communities.
  • Advantra Rx and First Health Part D – Medicare Prescription Drug programs available nationwide.

Medicaid Coverage Plans

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
Other State Health Services:
  • Pharmacy Benefit Administration
  • Health Care Management
  • Fiscal Agent Services
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Provider Network

Coventry Healthcare takes great pride in their network of physicians and related professionals who serve our members with the highest level of quality care and service, and are absolutely committed to making sure our providers receive the best possible and latest information, technology and tools available to ensure their success and their ability to provide for clients. Their network includes thousands of hospitals, professional providers and pharmacies.

Coventry’s directprovider.com simplifies the historic paper process and accelerates claims processing and information flow management so  data is readily available to providers as soon as they need it.

Click Here to Access Coventry’s Provider Network

Recent News

Here are some of the most recent news regarding Coventry Healthcare:

Coventry Health Care to Release Second Quarter 2009 Financial Results

BETHESDA, Md. (June 25, 2009) – Coventry Health Care, Inc. (NYSE: CVH) announced today that it will release second quarter 2009 financial results on Tuesday, July 28, 2009.

The conference call will also be webcast from Coventry’s Investor Relations website at www.coventryhealthcare.com. Coventry asks participants on both the call and webcast to review and be familiar with its Securities and Exchange Commission (SEC) filings. (Continue Reading)

Rating

Coventry Healthcare’s rating, as rated by A.M. Best Company. A.M. Best Company is a full-service credit rating organization dedicated to serving the financial services industries, including the banking and insurance sectors.

Financial Strength Rating
Rating: A- (Excellent)
Affiliation Code: g (Group)
Financial Size Category: VIII ($100 Million to $250 Million)
Outlook: Negative
Action: Affirmed
Effective Date: November 19, 2008

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