Menu
Coventry Health Care Customer Service Phone, Email, Contacts

Coventry Health Care
reviews & complaints

Learn how the rating is calculated

1.0 1 Review

Coventry Health Care Complaints Summary

0 Resolved
1 Unresolved
Verify
Is this your company? Claim it and get a lot of features. Read more
Click here to get notifications about new complaints of Coventry Health Care. We promise not to send you any unrelated messages
Share
Claim Your Business
Take control of your profile: address complaints and engage with reviews
Write a review
File a complaint

Coventry Health Care reviews & complaints 1

Sort by:

Newest Coventry Health Care reviews & complaints

ComplaintsBoard
A
8:35 pm EDT

Coventry Health Care denial of covered claims

I had a 48 hour hospital stay in May, 2008, due to a stroke (life threatening emergency). I went to the nearest emergency room, which also was still listed on their website a month after my admission as a member provider. It is also listed in the manuals they sent me in 2008 as a member provider. They denied the hospital bill because they say the hospital has not been a member provider since April 2003. They say they can change their providers at any time, but I don't think they are allowed to do it retroactively. According to my literature, physician services are also covered if admitted to the hospital with no deductible, under my plan. They have treated the doctor bills as out patient services and, even though the doctors are member providers, according to their web site, they have applied them to my annual deductible for using out-of-network doctors as an out-patient. I have been forced to write appeal letters, which allow them to delay payment for 60 days.

I have all my membership materials, and am so happy I did not follow the instructions of the person who called me after I enrolled, who instructed me to just throw those confusing books away, all I needed to get medical care was to show my card. I am also happy that I printed out a copy of their web site listing the hospital I went to as a member provider a full month after my admission.

One of their customer service representatives outright lied to me stating that they had no record of a hospital bill for me and that the hospital must have sent it to the wrong insurance company. I insisted on a 3-way call with in-patient billing, during which I learned that the Coventry was negotiating my hospital bill as an observation, rather than an admission. How can you be negotiating a bill you never received?

Someone in government needs to do something to provide better oversight of the practices of these insurance companies. I happen to be fortunate enough to have a background in the insurance industry. How many 70 and 80 somethings would simply believe the "customer service" representative who tells them they did not understand their coverage?

I have sent complaints to various regulating agencies, along with step by step documentation from their own literature that proves I am correct, but I still have to wait 60 days, and they reserve the right to deny the doctor bills, if the hospital agrees to accept reimbursement as observation, rather than admission.

Read full review of Coventry Health Care
Hide full review
Trust badge
Collect Your Trust Badge
Be recognized for outstanding customer service

Coventry Health Care contacts

Phone number

860-273-3225

Your Voice Matters: Our Commitment to Genuine Reviews

Empowering Real Experiences

At ComplaintsBoard, we believe in the power of true customer stories. Our platform is a space for authentic voices, where experiences, both good and bad, are shared openly and honestly.

Dedicated to Authenticity

ComplaintsBoard is vigilant in our fight against false reviews. Our team employs robust verification methods to ensure every review reflects a real customer experience, upholding the integrity of our platform.

Encouraging Detailed Feedback

ComplaintsBoard values reviews that come with real evidence. Whether it's a photo, a detailed account, or additional documentation, such substantiation adds credibility to your story, helping others make better-informed decisions.

Balanced and Constructive Conversations

We're more than just a complaints board; we're a community for balanced dialogue. ComplaintsBoard encourages reviews that not only highlight issues but also acknowledge positive aspects, fostering a fair and comprehensive understanding.

Free and Fair Platform

ComplaintsBoard's commitment to maintaining a free and unbiased platform is unwavering. Every review is treated equally, ensuring that your voice is heard and respected, regardless of the nature of your experience.

Is ComplaintsBoard.com associated with Coventry Health Care?

ComplaintsBoard.com is not affiliated, associated, authorized, endorsed by, or in any way officially connected with Coventry Health Care Customer Service. Initial Coventry Health Care complaints should be directed to their team directly. You can find contact details for Coventry Health Care above.

ComplaintsBoard.com is an independent complaint resolution platform that has been successfully voicing consumer concerns since 2004. We are doing work that matters - connecting customers with businesses around the world and help them resolve issues and be heard.

Use this comments board to leave complaints and reviews about Coventry Health Care. Discuss the issues you have had with Coventry Health Care and work with their customer service team to find a resolution.