What Medicare Plans Does Coventry Cover?14 minute read

14 minute read

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Updated for May, 2019

There are hundreds of insurance companies you can get your Medicare plans with, and these particular plans are referred to as Medicare Advantage plans (under Part C of Medicare). The following information provides specifics into Coventry medicare plans.

Medical Plans offered by Coventry

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These private insurance companies offer the following:

  • The exact same coverage as parts A and B of Medicare (which we’ll refer to as Original Medicare)
  • Additional preventive coverage like vision and dental
  • Some prescription drug coverage, which you have to purchase separately from parts A and B if you have Original Medicare
  • A maximum out-of-pocket cost per year, meaning you know you won’t pay any more than a certain amount, no matter your condition

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. As of late 2018, CVS was in talks to merge with Aetna for $69 billion, and Aetna Coventry would be included in the merger.

As a part of Aetna, Coventry shares 7 percent of the entire Medicare market, according to a 2017 report. As a whole, the company has more than 1 million customers Medicare Advantage.

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

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

Coventry Medicare Plan Enrollment Periods

Initial Enrollment Period (IEP)

This is when you are first eligible to enroll in Medicare. This period lasts for a total of seven months: three months before your 65th birthday month, your birthday month, and then three months after your birthday month. So if you were born May 21, your IEP would last from February 1 until August 31. If you don’t obtain some Medicare coverage (Original Medicare, Medicare Advantage, Part D, or any combination of them), you may accrue penalty fees when you do eventually enroll.

OpenEnrollment Period

If you missed your IEP, you can get a Medicare plan with Aetna Coventry during the open enrollment period, which lasts from October 15 to December 7. You can also switch Medicare plans (from Original Medicare to Medicare Advantage or between two Medicare Advantage plans) during this time.

Special Enrollment Period

There are certain special situations that allow you to change your Medicare plans at varying times of the year. For instance, you can change to a Part C plan with Aetna Coventry if you move out of an area into a new one where they provide services and your old plan doesn’t. Other situations that allow special enrollment include if you move into a skilled nursing facility, were released from jail, or qualify for Medicaid while on a Medicare plan.

If Aetna Coventry ever has a Medicare plan available in your area that is rated five stars, you will able to switch from whatever Medicare Advantage plan you have to the five-star plan any time from December 8 to November 30.

Senior Couple Meeting

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.

Letting the site “guide you” includes entering broad information about your health status (good, fair, poor), which type of coverage you’re looking for, the drugs you’re currently taking, and the pharmacy you use. But if you’re comfortable viewing the plans on your own, you can absolutely do that, too.

The Aetna Coventry site shows different elements of their plans including:

  • Monthly premium rate
  • Yearly deductible
  • Star rating
  • If your drugs are covered in the plan
  • What type of plan it is (HMO, PPO, etc.)
  • The maximum out-of-pocket costs

Once you’ve settled on a plan, navigate the site’s commands for “add to cart,” and then you’ll be on your way to securing a plan.

If you have any questions regarding any Aetna Coventry plans, non-members can contact the company at 1-888-247-1051 (TTY:711). Current members can call the customer service number on their card.