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  • Report:  #1168456

Complaint Review: Coventry One

Coventry One Coventry Health Care, Coventry,Aetna (parenting company) No paying medical bills for pregnant woman despite the insurance contract Nationwide

  • Reported By:
    pregnant mom — Durham North Carolina
  • Submitted:
    Fri, August 08, 2014
  • Updated:
    Fri, August 08, 2014

I have bought insurance form Coventry One over the phone. During the conversation the representative told me and my husband that the company will cover everything for normal pregnancy. We looked at the contract, it says "Prenatal and postnatal care" for "In-network Provider" -- NO CHARGE. No deductible, no co-payments.

However, after I visited in-network OBGYN doctor, did normal tests and ultrasound using in-network facility they refused to cover bills, currently about $1,500. Now they claim that they cover only some bills but not other bills. They paid $0 (they did, however, adjustments) in my behalf. They claim, that I have to satisfy the deductible, $6,500, and only after that they will pay their share. So, basically, they are not apying anything.

I recommend you to avoid this insurance company, Coventry Health or Coventry One, as it lies in order to lure you into the contract and they will not pay what they have to.

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