The best way to learn about what plans from Coventry are available to you in South Carolina is to enter our South Carolina health insurance quote engine. There, you’ll be able to look at the details, including illustrative rates, of each available plan. You can also compare up to four plans side-by-side to help you narrow down your choice. Once you choose a plan and are ready to move on, the system prompts you to enter application information. It’s that simple!
- Traditional Plans: The Coventry One Traditional plans are their standard plans(Plans 1- 15) that bring together broad coverage with an affordable premium. Traditional plans are great for those who want the comfort of thorough coverage while controlling premium costs.
- Innovation Plans: Innovation plans(Plans 20-37) are designed for best value at the lowest premium. Innovation plans are for people looking for best value without sacrificing quality of coverage.
- Qualified High Deductible Health Plans (for HSA’s): Qualified High Deductible Health Plans (QHDHP plans 1- 5) incorporate strong coverage with the financial flexibility of an optional, tax-advantaged, no-fee Health Savings Account (HSA). QHDHP plans are appropriate for people who view health insurance as a financial decision as much as a healthcare decision, and who are willing to fund their HSA for future medical expenses.
CoventryOne® has a variety of affordable individual and family health insurance options sure to meet the coverage and budget demands you face every day. Please note that definitions, benefits, requirements, and guidelines vary by market. The below responses were prepared especially for CoventryOne in South Carolina. This information is a partial description of benefits and in no way details all of the benefits, limitations, or exclusions of the plan.
Features and benefits* of CoventryOne in South Carolina include:
- Competitive rates
- POS plans with a wide selection of copay and deductible options
- Preventive care
- Routine wellness exams
- Immunizations
- Hospital care
- Outpatient care
- Urgent and emergency care
- Prescription drug benefits
- Short-term therapies
- Password-protected online access to your personal account information through My Online Services
- Fast and accurate claims payment processing
*Features and benefits of CoventryOne plans vary by market. Please be sure to refer to the plan detail pages within the South Carolina Quote and Apply tool for full benefit information.
Plan Summaries
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Coventry One in South Carolina has close to 50 plans to choose from with very slight variations between most of them. You will most of them when you run your Coventry One quote, but in the interest of making your life easier. I will post a summary of them here.
Coventry One in South Carolina Frequently Asked Questions
1. What is the difference between in-network and out-of-network providers?
In-network benefits apply when you receive care from physicians or facilities that are part of the Coventry National Network in South Carolina. When you choose services from in-network providers, you enjoy a higher level of benefits and lower out-of-pocket costs.
When you choose services from out-of-network providers, you are still covered for those services, but you must pay a higher share of the cost. That means that your out-of-pocket costs are higher.
2. As a member, what if I need treatment when I’m out of town?
If it’s an emergency, call 911 or go to the nearest emergency room. Emergency care is covered at your in-network levels, in or outside South Carolina whether the emergency services are obtained from a participating or non-participating provider. If at all possible, please contact your physician as well to ensure he or she can coordinate your care once your condition has stabilized.
If you need non-emergency care when you’re outside of South Carolina you can use the Find a Doctor tool, or call CoventryOne’s Customer Service Department to help you find a Coventry National Network provider when you’re traveling.
If you choose not to use the Coventry National Network, you can receive care from any physician when out of town. Remember, however, that your out-of-pocket costs will be higher – sometimes substantially higher.
3. What is my effective date?
Your effective date is when your CoventryOne benefit coverage begins. That date is determined upon the approval of your application, and will begin on the day specified in our notice to you.
4. Who is eligible to apply for CoventryOne coverage?
You and your lawful spouse or domestic partner are eligible to apply if your primary, permanent residence is in the state of South Carolina.
5. Are children eligible to apply?
Yes, children (including legally adopted children, step children and your legally-dependent grandchildren) under the age of 25 are eligible to apply as dependents, provided they are unmarried. CoventryOne also accepts minor child-only applications.
6. What happens if I become eligible for health coverage through an employer?
You have several options. You can enroll in your employer’s group health plan, or you may choose to keep your CoventryOne individual coverage. You may also choose to do both – enroll in your employer’s plan while keeping your CoventryOne coverage. However, if you or your family members are covered by more than one health care plan, you may not be able to collect benefits from both plans. Read all of the rules very carefully and compare them with the rules of any other plan that covers you or your family.
