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Business Profile

Insurance Companies

Coventry Health Care, Inc.

This business is NOT BBB Accredited.

Find BBB Accredited Businesses in Insurance Companies.

Complaints

This profile includes complaints for Coventry Health Care, Inc.'s headquarters and its corporate-owned locations. To view all corporate locations, see

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Coventry Health Care, Inc. has 2 locations, listed below.

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    Customer Complaints Summary

    • 6 total complaints in the last 3 years.
    • 3 complaints closed in the last 12 months.

    If you've experienced an issue

    Submit a Complaint

    The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

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    Complaint status

    Complaint type

    • Initial Complaint

      Date:04/16/2023

      Type:Service or Repair Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      DO NOT DEAL WITH THIS COMPANY (FIRST HEALTH OPEN ACCESS PPO) My partner and I recently moved to the USA and were seeking health insurance. After searching briefly online and imputing her phone number, she was contacted by a First Health agent. This agent rushed my partner to sign up that day, as she was told if she didn't pay her first month immediately, she would have to wait an entire month before being covered. The agent gave my partner (verbally) figures for our co-pay, deductible, and out of pocket, as well as including two free dentists appointments and two free vision appointments per year. We paid the agent, and were told our cards would arrive within 7-10 days. We never received any documentation email from the company, just what was verbally spoken over the phone. We were not told that this is NOT HEALTH INSURANCE, but a discount program. It took me a whole day of phone calls, being transferred endlessly, before being told that i signed up for a discount program and that in the case of a catastrophic health event, I was not covered. There were no free dentists appointments, and the co-pay and deductible that were promised do not apply to discount programs. It has been 23 days and we have not received our cards from this company, I imagine they are waiting until the 30 day cancellation period is up before we receive our cards (if we ever will.) We called to cancel and were told verbally that our plan is cancelled, but again, received no confirmation email. I am now aware what a PPO is, and I know that i am to blame for not researching that correctly, but I believe that the agent was predatory to rush the sale, and lead us to believe that we were receiving health insurance. Our only saving grace is that we recorded our phone call with the agent who made these false promises, and we hope that will benefit us when we seek our full refund.

      Business Response

      Date: 05/12/2023

      Dear Dispute Resolution team,

      Please see our response to complaint # ******** for *********************** that was received by us on May 11, 2023. Our Executive Resolution Team researched your concerns, and I would like to share the results of the review with you.

      Upon receipt of the complaint, we immediately reached out internally for review. We confirmed that a First Health plan does not exist, their only purpose is to sell preferred provider organization (PPO) networks to health plans. First Health is only listed on the member identification card because they provide a service to the actual health plan. A member of our First Health team contacted **************** today, to advise. However, **************** stated he received a refund from his credit card company and is satisfied with the outcome.

      We take customer complaints very seriously and appreciate you taking the time to contact us and giving us the opportunity to address *** ******’s concerns. If there are any additional questions regarding this particular matter, please contact the Executive Resolution Team at [email protected].

      Sincerely,

      Sincerely,

      ************
      Analyst, Executive Resolution
      Executive Resolution Team

    • Initial Complaint

      Date:04/04/2023

      Type:Order Issues
      Status:
      ResolvedMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I had lost my job and I was looking online for for *** health insurance (*********). I was looking at the plans and wanted some help with finding a plan that suits my needs and not cost me a financial hardship. I called the number thinking it was the legitimate site. Apparently it was not. This company told me that my primary care doctor accepts this insurance which they didn’t. It was an absolute nightmare dealing with this company. They charged me $153 for the first month and $103 dollars monthly after that. Company name: First Health Network- Bethany Preventive. They mislead me all the way through. I tried canceling this insurance but they gave me a hard time. I had to show proof of my new insurance or else they wouldn’t start the cancellation process. I canceled another insurance and I didn’t have to show proof and they sent me a cancellation email immediately. This company is very difficult to deal with. I just want to cancel this policy because I signed up with another company. I don’t think it’s any of their business who I signed up with or who my primary care doctor name is. I wanted to cancel right after I signed up and wanted a refund but they refused to do it. They gave me false information. After a lot of run around I just stayed with this bad company and prayed I’d get a job and get health insurance through my employer. But I still don’t have a job so I switched insurances so I can keep all my doctors. I don’t know what kind of company they are but they are awful. They prey on people’s misfortunes. I canceled this insurance today 4/4/2023. I don’t want them to charge anymore premiums on my credit card. Please expedite ASAP. Thank you.

      Business Response

      Date: 04/21/2023

      Dear **********************:

      Please see our response to complaint ******** for ***************************;that was received by us on April 17, 2023. Our Executive Resolution Team researched your concerns, and I would like to share the results of the review with you.

      Upon receipt of the consumers concerns, I immediately reached out internally to our First Health point of contact. He advised he made outreach to the member directly to obtain additional information to help identify where the issue occurred. With the additional information ****************** was able to provide, he was able to coordinate the appropriate outreach and both carriers have agreed to refund the member her money and she's satisfied with the outcome. I was informed this was not an issue with First Health.

      We take customer complaints very seriously and appreciate you taking the time to contact us and giving us the opportunity to address **. *********************;concerns. If there are any additional questions regarding this particular matter, please contact the Executive Resolution Team at *****************.

      Sincerely,
      Destiny S.
      Analyst, Executive Resolution Team

      Customer Answer

      Date: 04/26/2023

      [A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]

      Better Business Bureau:

      I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me. 
      ---------- Forwarded message ---------
      From: ********************* <********************>
      Date: Tue, Apr 25, 2023 at 4:55 PM
      Subject: Complaint ******
      To: Mybbb Info <[email protected]>

      Hello,

      I would like to close out my complaint. It was rectified by the company. 
      Complaint #******.

      Please advise what steps I need to take.

      Kind Regards,
      *********************
      Regards,

      *****************************

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