Our Medicare Advantage plans are open to all Medicare beneficiaries eligible by age or disability and living in the plan’s service area. You must be entitled to Medicare benefits under Part A and be enrolled in Part B. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. If you switch to premium withhold or move from premium withhold to direct bill, it can take up to three months for the switch to take effect. You will be held responsible for those premiums. You may enroll during specific times of the year. You cannot enroll in this plan if your current or former employer helps pay for your drugs. For information on enrollment periods and for full information on Coventry benefits, please click here to contact our Customer Service Department.
Coventry Medicare: Advantra (HMO/PPO)
Whether you are an employer, health care provider, someone interested in enrolling, or already a current member, our goal is to provide you with valuable and convenient online resources and information. Come explore the ways in which we can help you take charge of your Medicare Advantage coverage.
Advantra Medicare Insurance Plans
Advantra Medicare Advantage plans offer the same coverage as the federal Medicare insurance plan but with additional benefits, such as vision, dental, hearing, preventive health screenings, fitness club memberships, and more. There are two types of Medicare Advantage Plans available through Advantra: the Advantra Preferred Provider Organization (PPO) and Advantra Health Maintenance Organization (HMO). Beneficiaries enrolled in either of these plans benefit from the Coventry Health Care network of contracted physicians and hospitals. They also have the option of going outside of their plans network to receive coverage. Advantra Medicare Advantage Plans combine Part A (hospital), Part B (medical), and Part D (prescription drug) coverage into one.
Medicare Advantage Plans cover all Medicare services
to make sure a service is medically necessary and will be covered. If the plan won’t pay for a service you think you need, you’ll have to pay all of the costs if you didn’t ask for an advance coverage decision. Get your plan’s contact information from a Personalized Search (under General Search), or search by plan name.
For existing members, to obtain the terms of your policy or a copy of your plan document, please contact us at the number located on the back of your member ID card. If you are not an existing member, for additional information on the terms of the policy or a copy of the plan document, please contact us using the phone number under the Contact Us tab.
Coventry Medicare Services Overview
Coventry’s acquisition by Aetna seems to have benefited both carriers, especially for the valuable Medicare audience. “It’s a deal that almost had to happen,” stated analyst Thomas Carroll. “For Aetna to really compete effectively amongst 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.” 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 two valuable audiences: smaller employers and beneficiaries who purchased individual coverage.