- About CoventryCares
Coventry Health Care of Virginia, Inc. makes available a variety of products designed to meet the needs of our members. Our products include HMO, POS, PPO, and Medicaid products. PPO products are underwritten by Coventry Health and Life Insurance Company and administered by Coventry Health Care of Virginia, Inc. CoventryCares of Virginia is the name of the Medicaid/FAMIS Plus program offered by Coventry Health Care of Virginia, Inc.
We contract with doctors, hospitals, drug stores and other medical providers to give care to our CoventryCares members. They make up CoventryCares’ provider network and are called participating providers. You should use these providers whenever possible. We do not pay extra money to providers for deciding if you do or do not need care. We only pay providers for the care you receive. If you have questions about how we pay providers, call CoventryCares Customer Service at 1-800-279-1878 to ask for this information.
CoventryCares has a quality improvement program to make sure our services meet high standards of quality and safety. Our QI program is reviewed and updated each year.
Coventry Health Care of Virginia received full health plan accreditation by NCQA in March 2015 for our Medicaid line of business. Accreditation was awarded April 24, 2015 through April 24, 2018.
Coventry Health Care of Virginia was rated 3 out of 5 among health insurance plans in NCQA’s Medicaid Health Insurance Plan Ratings 2015–2016.
National Committee for Quality Assurance (NCQA) is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and recognizes clinicians in key clinical areas. NCQA's HEDIS® is the most widely used performance measurement tool in health care. NCQA's Web site (www.ncqa.org) contains information to help consumers, employers and others make more informed health care choices.