Affordable Care Act (ACA) - 2013 Rebates |
The Affordable Care Act (ACA) and the U.S. Department of Health & Human Services (HHS) require health insurers to calculate and report the percentage of premium they spend on medical care. If an insurer spends less than 85 percent of large-group premiums and less than 80 percent of small-group premiums on medical care, the insurer will issue a rebate to policyholders.
Coventry Health Care will not be issuing MLR rebates to group commercial clients in the Mid-Atlantic Region (HealthAmerica, Coventry of Delaware and Coventry of West Virginia) this year.
We always strive to be the provider of low-cost, high-value, managed care products and services. As a result, our goal is to accurately predict medical cost trend, price accordingly and, as much as possible, minimize the need to issue rebates.
Again, this applies to our group customers only. For more information about rebates being issued in our Delaware, Maryland, or West Virginia markets for our individual policies through CoventryOne, please click here.
If you have questions, please contact your account executive or account manager. |
New Pharmacy Tools for Coventry® Mobile |
| Two new pharmacy tools are now available on the mobile app to help members manage their prescription activity.
Pharmacy Locator
- Find up to 50 participating pharmacies
- Search using a smartphone's GPS or enter a 5-digit ZIP Code or City/State
- View a map and address details, 24-hour indicator and miles from location
- Dial a pharmacy directly to talk with a pharmacist
Pharmacy Claims
- View prescription claims history and costs
- Check prescription claims status anytime
Encourage your clients to ask members to download the latest update to access these new tools. New to Coventry Mobile? Scan this code using your smartphone, or search for "Coventry" in the App StoreSM or Google PlayTM and get started today.
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