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Coventry Health Plan of Florida (Foundation)-HMO is a managed care organization offering affordable health insurance solutions primarily to individuals and families in Florida. The plan operates as a Health Maintenance Organization (HMO), meaning that members are required to select a primary care physician (PCP) for coordination of their healthcare services. This structure promotes preventive care and early intervention, helping to reduce overall healthcare costs for members. Coventry is part of the larger Aetna family, which enhances its resources and network.
This health plan provides a comprehensive selection of benefits, including coverage for hospitalization, medical services, wellness programs, and specialty care. Members often appreciate the emphasis on preventative wellness services and routine screenings, which align with contemporary healthcare trends focused on maintaining health rather than merely treating illness. The network includes a broad array of providers and facilities, enabling members to access quality care within their designated area while enjoying lower out-of-pocket costs.
Coventry Health Plan of FL (Foundation)-HMO covers a variety of essential health services, including doctor visits, preventive care, emergency services, hospital stays, laboratory testing, vaccinations, and prescription drug coverage. It focuses on offering comprehensive protective measures to ensure the well-being of its members while keeping healthcare costs manageable.
Choosing a primary care physician (PCP) under the Coventry Health Plan of FL (Foundation)-HMO is straightforward. Members can review the list of available PCPs within the plan’s network by visiting the Coventry website or calling customer service. Once you’ve chosen a physician, you can contact their office directly to establish your care. It’s recommended to consider factors such as the physician's location, specialty, and office hours when making your selection.
Yes, enrollment in the Coventry Health Plan of FL (Foundation)-HMO typically follows the guidelines set by the Affordable Care Act (ACA), which means there are specific Open Enrollment Periods each year. During this time, individuals can apply for coverage, make changes to their existing plans, or switch to Coventry. Special Enrollment Periods outside the open enrollment window may apply under certain circumstances, such as a significant life event like marriage or loss of other health coverage.
Coventry Health Plan of FL (Foundation)-HMO offers multiple resources for members to manage their health, including a member portal for accessing personal health information, tools for finding healthcare providers, and educational resources about managing chronic conditions. Additionally, members may have access to wellness programs that promote physical health and mental well-being, along with 24/7 nurse advice lines for urgent queries.
