HENDERSONVILLE, NORTH CAROLINA -- I am enduring my second year with this den of thieves. I had no choice but to enroll with them because this is the only insurance my company offered. The prescriptions they cover are minimal at best. It's almost like you have no prescription coverage at all. Most prescriptions my family has had, was paid out of pocket.
For most of 2014, most doctor visits were denied due to “pre-existing conditions”. The VERY RUDE customer service reps had my wife running in circles trying to get our claims paid. I do not know how many hours my wife spent on the phone but it was substantial. After speaking with the agency that suckered us into this D- rated company (BBB), I told my wife that we needed to gather up all our medical records for the past 3 years and submit this to Coventry to thwart the pre-existing claim. After running all over town, compiling proof of prior coverage and writing a lengthy cover letter, we submitted the information to Coventry. Sorry…claim(s) denied. I then filed a complaint with the NC Insurance commissioner (2 filed so far). Coventry said that because it was past 120 days from the date of service, they refuse to pay. I was then told to reference page 67 of the (non-coverage) handbook.
In short, this is their M.O. Deny most claims up front. Do not tell the insured what they have to do to get their claims paid and string everything along past the 120-day cutoff. Many people will simply pay to avoid damaging their credit like I had to do and the rest is history. I have paid over $2000+ out of pocket and $9600 (my part) in premiums in the last year.
Coventry apparently feels they have the right to steal my money and so far they have been successful. If my employer offers Coventry as our only choice this year, I will tender my resignation as others in my company have done.
ATLANTA, GA -- BEWARE!!!! The worse health insurance company ever to be established on earth!!!! Very unprofessional, unorganized, and disrespectful. They will over-charge for monthly service and take months for a refund. Every time I would call to inquire about my account, they had no recollection of who I was or even what occurred on my account in the past. It took them days to even get my coverage start date correct. They will give you the run around and eventually hang up on you! I have never experienced this level of unprofessionalism. Some of the representatives speak as if they have a third grade education. One supervisor claimed he would "expedite my refund and send my money through an electronic wire". I called back the next day, another representative said that process simply doesn't exit! DO NOT SIGN UP WITH COVENTRY ONE!!! BEWARE !!!
OVERLAND PARK, KANSAS -- First they said they sent me a letter October of 2014, saying that family policy was going to change. I never got a letter. Without my permission, they took out twice the amount from my bank account and told me it was my problem that I did not respond to the letter, that I NEVER GOT! They automatically renewed me to a NEW policy that costs almost double what I had been paying. They would not credit me but went on to further screw me, After hours on the phone they put me on the plan and into the Marketplace, but my 18-year-old son had to go on a separate policy. They put me on automatic payments for my son's insurance, I paid my first payment and then I had to keep calling for them to straighten it out. On March 10, I spoke with an agent who told me not to worry about it and I asked him several times if I needed to make a payment because they were behind a month. HE said no, several times! After my payment was not taken out in April, I called back. THEY CANCELED THE INSURANCE ON FEB 28th! The supposed Supervisor told me that I had to back pay the whole month of March, even when he had no insurance, or they were going to cancel the whole policy and I would have to wait to enroll him! .They are horrid and I have read other stories like mine on other sites. Why isn't someone holding them legally accountable for this?
I recently transferred over to Coventry as of Jan 2015 from Blue Cross because I was getting a similar policy for about 89$ less a month. Boy, I am sorry I did that.
First, I cannot register online with them because the website is constantly telling me I am not an active member, Second, they have denied the two general Doctor visits my husband had to make in 4 months and third, I received a bill from them that was due on the last day of the month ( which was a Friday ). I tried to pay it the following Monday and I was told my policy had been cancelled. The lady I was speaking to on the customer service line 1-877-849-9690 stated she had no idea why it was cancelled and that there is usually a 90 day grace period and all my other payments were on time. She told me she would ask her supervisor what was going on and then she literally told me to call back in 3-5 days to figure out what was going on then because her system would not allow her to do anything.
Two thumbs down guys.. So wish I would have stayed with Blue Cross right about now!!! SAVE YOURSELF THE HASSLE AND DON'T GO WITH THESE GUYS!
FLORIDA -- After my first visit to my primary care doctor who ordered blood tests, they told me that I had to pay $193 for having the blood drawn and for the lab tests. If I had Medicare alone they would have covered 80%. Their people are useless just mouth the "company line" and their website is completely defective. I registered and it never allowed me to log in again (said my birth date was wrong, my email wrong and even my ID number "invalid").
I believe based on my experience that they are cheats and that it is a very bad company!
BROWARD, FLORIDA -- I made appt with family doc and when I arrived, he would not see me. I had to have appt with a nurse. But they billed insurance for a doctor, when I told Coventry they ignored my email.
I made appt with ophthalmologist and when I arrived, he would not see me. I was forced to see an optometrist. But I still had to pay as a specialist which she was not. When I told Coventry nothing was done.
My GP dropped all Coventry patients, but Coventry never told me. I found out when I attempted to make an urgent appt. Then I had to wait a few weeks to get a new doc.
URBANDALE, IOWA -- January of 2009 My employer changed from Wellmark Blue Cross Blue Shield to Coventry because "The savings was unbelievable". One Month later I found that I had testicular cancer. I went to a specialist and they recommend a procedure to remove the cancer and still be able to possible have more children with my wife. Coventry got an authorization from the Dr. just one day before the surgery and then called me to tell me that they denied the procedure because it was considered experimental. They said that they had evidence from other specialists across the country that the procedure my first Dr had recommended often times did not effectively treat the cancer and it came back twice as often as it would with other treatments. I was taken aback at first because "How could a Dr ever recommend something that wasn't the best for me?" Coventry said they would pay for me to have a second or even third opinion but they wanted me to have the best outcome for my health. I then went to the MAYO Clinic for the second opinion and they recommended another procedure because of the same reason that Coventry had told me they denied the first one. I was astonished. Six months later I saw an article in the paper that my first doctor was being sued for malpractice. Almost two years later I am in complete remission and Coventry saved my life by caring enough to deny a procedure that was not in my best interest.
SAGINAW, MICHIGAN -- 3 Month old fever of 99 with a bit of a cry. Found low sugar of around 40ish. Multiply attempts at a IV in arm all fail, IV inserted in temporal vein. This was done to raise sugar. After being a bit of a hard head with the doctor I called the childs main physician. After the office called emergency to get details I got back in contact with them and was told " it is common practice to move from arm to head for IV in young patients".
Then was told (mind you they called the hospital for the numbers so to speak) "the steps taken were not necessary they could have placed the child on his back(!!!!!) Or gIVen a oral dosage of ___?___."
Does this sound like professionals to you?
TEXAS -- My daughter and I go to the DR. about once a year. Coventry of which we have had for over 6 months now has denied our yearly Dr. visit claims.
In searching on the internet there are several cases in which Coventry likes to deny claims to the customers that pay them so well every month. I am interested in finding more people w/ the same problem.
If you have been denied coverage by Coventry health care AKA Coventryone. Please leave a message here.