Useful Links
Application & Rates Online!
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For individuals, families and self-employed.
Coventry Home Page
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Find benefits, member access and providers.
Coventry Policyholders Access
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LOG IN (upper left corner of link) - Need an ID card? Claims questions? Tons of answers here!
Dental Provider Directory
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Find Coventry's Delta Care USA Providers
Healthcare Provider Directory
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Find local providers. See separate link for dental and vision.
Vision Provider Directory
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Find Vision providers in your area.
Download Forms
$20 Copay CoventryOne Benefits Grid
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Side-by-side comparison of Coventry's $20 Copay plan.
$20 Copay versus $30 Copay
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Compare benefits between these two benefit rich plans.
$35 Copay CoventryOne Benefits Grid
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Coventry's newest and most economical plan!
$35 Copay versus $45 Copay Plan
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Compare the differences between these two economical plans.
Application
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Simply print, complete and fax to 770-904-6668. Call us if any questions at 770-967-1111.
Billing Change Form
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Use for changing banking info or switching to monthly billing.
Business Bank Draft Verification
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Required if premiums are being paid from a business account.
Coventry Plan Comparisons
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Complete grid of $20, $30, $35 and $45 copay plans.
Dental Benefits Brochure
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Dental benefits included only in the $20 Copay CoventryOne health plan for individuals and families.
Dental Benefits Schedule
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Find out how much you will pay for specific procedures. Applies only to $20 Copay CoventryOne plans.
HSA Plans Brochure
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Use your HSA tax deferred savings account with 100% benefits on this low premium comprehensive plan.
Rx Preauthorization Form
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To be completed by your physican for all Rx requiring preauth.
Vision Benefits Brochure
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Vision benefits included only in the $20 Copay CoventryOne plan for individuals and families.
© 2010 Copyright Brackett Insurance Consultants
Email:
Info@PolicyHunters.com
P.O Box 1105 | Buford, GA 30515
Main: 770-967-1111
Toll-free: 1-877-967-4732
Fax: 770-904-6668
