Insurance Agent Forum

[Peelerinsurance.com]

Ok, Coventry One has now danced into Texas and I have a few questions.
First, What are you Coventry boys getting on first year and renewals?

I looked over the contract, not in great detail yet, but noticed a clause related to "rolling" and it said no agent shall attempt to move a client from Coventry One nor shall an agebt contact a client for that purpose. Any comments?

Also, are organ transplants a mandated benny here in Texas? I cant remember. Coventry states in big bold type, organ transplants NOT COVERED

Their rates suck, about 100-200 more that the other guys. However I just got them and need more study on the subject.

Does anyone have any other comments regarding this outfit?

Peace, Out

[moonlightandmargaritas]

Back at the beginning of the year they announced plans to roll out here in Floirda third-quarter (the one we're in) this year. Never heard any more...

[Paradigm]

Originally Posted by Peelerinsurance.com

Ok, Coventry One has now danced into Texas and I have a few questions.
First, What are you Coventry boys getting on first year and renewals?

I looked over the contract, not in great detail yet, but noticed a clause related to "rolling" and it said no agent shall attempt to move a client from Coventry One nor shall an agebt contact a client for that purpose. Any comments?

Also, are organ transplants a mandated benny here in Texas? I cant remember. Coventry states in big bold type, organ transplants NOT COVERED

Their rates suck, about 100-200 more that the other guys. However I just got them and need more study on the subject.

Does anyone have any other comments regarding this outfit?

Peace, Out

In GA there is coverage for transplants (deductible plus 70/30 up to coinsurance max no coverage out of network

Short Term Therapies

30% 40% 30% 40% 30% 40% 30% 40% 30% 40% 30% 40%
No Visit Limits
Physical, Speech, Occupational and Respiratory Therapies
Cardiac and Pulmonary Rehabilitation

Chiropractic Services

$10 Copay Not Covered $10 Copay Not Covered $10 Copay Not Covered $10 Copay Not Covered $10 Copay Not Covered $10 Copay Not Covered
Limited to 24 Visits

DME, Prosthetics, Orthoses

30% Not Covered 30% Not Covered 30% Not Covered 30% Not Covered 30% Not Covered 30% Not Covered
Limited to $2,500 Annual Max, All Combined

Transplants 30% Not Covered 30% Not Covered

[moonlightandmargaritas]

Humana One...
United Health One..
Coventry One...

Which One?

[Paradigm]

Coventry

[Paradigm]

Point taken. I went to a paid UHC focus group where we choose colors design and name for UHC individual. They paid us 400 to sit at a table for an hour and a half to look at various design and rate them as to whether we liked them. Insurance companies tend not to have many creative types, they go with what works.

Well at least they served a good lunch.

[TXINSURANCE]

24 month pre ex and no online application in Texas - correct me if I am wrong.

[Peelerinsurance.com]

tex, would prior credib. coverage over ride the 24 months?

[dmason]

Prior creditable coverage overrides any pre-ex waiting periods in Texas. That house bill (cant remember the number) passed in 2007.

[jbage007]

1. Why would any responsible agent need to look into any product any further if they didn't cover transplants??

2. NOTHING overrides the pre-x clause. The fact of the matter is if it is pre-xing enough, it'll get RIDERED OUT, or you'll get a total decline. That pre-x clause is only for the liars and cheaters who refuse to disclose pertinent health history. Bottom line: Pretty much NO WAY to get a true pre-x condition actually "covered" under an individually underwritten plan.

3. What the hell have you guys been smoking?

[Peelerinsurance.com]

so noone has any pointers or inside info about these clowns? so this post is a waste

[somarco]

I can't speak about TX, but I will share what I know about Coventry here in GA. Some of it may apply, some not.

They came here last spring and made a big splash. Lot's of bells & whistles in their packaged copay plans with $20 unlimited doc visits, dental (DHMO) and vision. Low rates, "cheater" underwriting (at least for the first 90 days or so) and higher commissions than Blue (who seems to be their favorite target).

After the preliminary dating period they got religion and started declining upwards of 40% of apps. Most of the rest had rate ups or riders or both.

Today they still suffer from schizophrenic underwriting and what has got to be the worst customer service of any company I know.

Yet they still have a lot of sex appeal to the public.

At least one agency here is probably spending $10,000 a week (highly subsidized I suspect) on fillers in the Sunday paper, mailers, etc. You can't swing a cat by the tail without hitting a Coventry ad somewhere.

They approve a lady with breast cancer and then 4 years later, brain cancer but decline a guy who was injured in a motorcycle accident a year ago but had full recovery.

They are a reckless and dangerous carrier in my opinion but one you have to deal with whether you like it or not. I finally chucked them after having so many frustrating times in underwriting and even more trying to settle billing and claims issues.

They are still the carrier to beat on paper but a bottom of the barrel carrier when the rubber meets the road.

[Peelerinsurance.com]

TY very much somarco