Committed to Building Partnerships
with the Community to Enhance the Delivery of Health Care Services - Key
Information on Coventry Health Care’s Advantra Freedom Program for the State of
Maine Retirees
(Continued –
Information provided by Employee Health & Benefits)
Coventry Health Care is a national insurance company
that provides group retiree health care benefits. As a part of our programs, we
are committed to working collaboratively with community stakeholders as partners
in the delivery of comprehensive health care services that holistically address
members’ medical, behavioral and social needs. We believe this approach in
invaluable to ensuring members get the most from their health care benefits and
take full advantage of all of the resources available to them.
A representative of Coventry Health Care recently
reached out to your agency to inform you that we have been selected to provide
the State of Maine’s retiree health care benefits and to
begin the process of building a partnership with your agency. This document
provides additional information on our company and the State of Maine’s benefit program.
We look forward to working with you to serve the State of Maine’s retirees.
Coventry Health Care will be
providing the State’s retiree health care benefits effective January 1,
2009
The State of Maine Employee Health Commission has recently
selected Coventry Health Care to provide retiree health care benefits to the
state’s nearly 6,800 Medicare-eligible retirees. This program will be effective
January 1, 2009 and is a full replacement. As a result, Coventry will be the
health care provider for all State retirees who receive their health care
coverage through the state.
Coventry Health Care was selected because of our ability to
deliver high-quality health care benefits that are
cost-effective
Coventry Health Care was awarded the State’s business
after a formal, competitive bidding process where Coventry’s technical and
financial proposals were found to be the most advantageous to both the State and
its members in terms of quality of benefits and cost savings. Coventry is a national,
Fortune 500 healthcare company with 10+ years of Medicare experience.
Advantra Freedom is a Medicare
Advantage Private Fee-for-Service plan
Coventry Health Care will be providing the State’s
retirees with access to comprehensive medical and pharmacy health care coverage
through our Medicare Advantage Private Fee-for-Service (PFFS) program called
Advantra Freedom and Advantra Rx, our Part D prescription drug plan.
As a PFFS plan, Advantra Freedom provides the advantages
of being a national retiree
health care plan that eliminates network boundaries and provides members with
the freedom to see any provider who accepts Coventry Health Care’s terms and
conditions. Coventry Health Care is implementing a comprehensive provider
communications plan that includes contacting providers throughout Maine and other areas
where retirees reside to educate them on Advantra Freedom and confirm their
willingness to participate.
Coventry Health Care has matched the
state’s previous benefit plan design to ensure a seamless transition, while also
adding enhancements
To ensure a seamless transition, Coventry Health Care’s
program retains the current health care benefit levels enjoyed by retirees,
including no deductibles and no co-payments for services such as doctor’s office
visits, outpatient rehabilitation and chiropractic and podiatry
services.
On top of this, we have enhanced the benefits available
to retirees to include an array of health and wellness services, social worker
services, a 24-hour nurse information line, disease management programs, as well
as care coordination and case management.
Coventry Health Care is committed to keeping members informed
throughout the transition and has already launched a comprehensive member
communication plan
Coventry Health Care has created and is leading the
execution of a comprehensive, multi-faceted communication plan designed to
provide members with timely information about the new program and the transition
process. Some of these communication initiatives include mailings, such as
postcards and informational packets that will educate members on their new
benefits, as well as a customized DVD that talks about the new program. In
addition, in partnership with the State, we will be hosting Advantra
Informational Meetings, which will give members the opportunity to hear about
the program first hand and ask questions directly of our staff.
Coventry Invites agencies to attend
the Advantra Informational Meetings
To enhance collaboration with local agencies, like
yours, Coventry Health Care would like to extend an invitation to our State of
Maine Advantra Informational
Meetings. Meeting details are provided below:
Date
Location
Time
These meetings will be co-hosted by the State and
Coventry Health Care. Each meeting will be approximately XX hours in length and
will provide a complete overview of the State’s new Advantra Freedom benefits
and the transition process. In addition, the meetings will provide your agency
the opportunity to interact directly with and ask questions of both State of
Maine and
Coventry Health Care’s staff. We will also be sending your agency copies of
materials being provided to members so you can understand how information on the
program is being communicated to members.
Your agency’s involvement in these meetings will equip
you with the knowledge to help you to serve as a resource to State of Maine members who may
access your agency for information on Advantra Freedom.
The Maine program is staffed with a team of
professionals who are dedicated to supporting the success of the
program
Coventry Health Care has a team of professionals who are
dedicated to supporting the successful implementation and on-going management of
the State’s program. This includes a local Account Manager who will serve as
the day-to-day contact for any questions related to the program, as well as
customer and provider service representatives who will be available in advance
of the program’s go live date.
