Coventry Consumer Choice

Section Banner Image

Smart. Flexible. Easy to Understand.

Consumer-directed health benefits plans (CDHPs) may be the wave of the future, but they're anything but easy for consumers to use or understand. That's why Coventry built its own solution to benefits administration, Coventry Consumer Choice (C3), a smarter CDHP option.

Portfolio of Products

Coventry Consumer Choice presents a full range of options, including Flexible Spending Accounts (FSAs), Health Reimbursement Arrangements (HRAs) and Health Savings Accounts (HSAs).

The Single-Source Advantage

Coventry Consumer Choice (C3) is administered entirely in-house, leveraging our expertise in claims administration and member services.

With C3, employers and members get:

  • A single-source solution for medical management, claims administration and customer care
  • High-level service with many resources to help employees make educated health care decisions

Exciting New Features

The unique features of our program enhance the member experience:

  • Smart Payment gives complete control over reimbursement. Reimbursement can be made to the member, the provider, or funds may be saved for future use.
  • Automatic reimbursement of pharmacy claims
  • Specially trained Coventry Consumer Coaches to help resolve complex questions and issues
  • Online tools to help estimate health care costs and make wise choices about health care
  • Dedicated employer service representatives who assist with financial questions and banking processes

Forms

Use the forms below for enrollment, reimbursement and other important activities related to a C3 account.

C3 Forms

FSA Enrollment
PDF | 88 KB
Use the FSA Enrollment Form to enroll in both a C3 Health Care Flexible Spending Account and a C3 Dependent Care Flexible Spending Account and determine how much money to contribute to each. Once complete, please return this form to your employer or Coventry representative.
HCFSA Enrollment
PDF | 88 KB
Use this FSA Enrollment Form to enroll in a C3 Health Care Flexible Spending Account without dependent care.
FSA Worksheet
PDF | 56 KB
Use this C3 Flexible Spending Worksheet (FSA) to plan for health care expenditures for the year.
HSA Enrollment
PDF | 60 KB
Use this form to enroll in a C3 Health Savings Account Powered by HealthEquity.  Once complete, please return this form to your employer or Coventry representative.
HRA/FSA Reimbursement
PDF | 101 KB
Use this form for medical and/or dependent care claims.
Direct Deposit
PDF | 78 KB
C3 Direct Deposit Authorization Form (FSA, HRA, and HSA) - Use this form to have reimbursements from an FSA, HRA, or HSA deposited directly into a checking or savings account.
Provider Letter HRA
PDF | 129 KB
Show this letter to the office staff when visiting a health care provider. It gives instructions about how to handle claims. Remember—claims should be sent to Coventry first so we can price the claim correctly.
Provider Letter FSA
PDF | 112 KB
Show this letter to the office staff when visiting a health care provider. It gives instructions about how to handle claims. Remember—claims should be sent to Coventry first so we can price the claim correctly.
Provider Letter HSA
PDF | 114 KB
Show this letter to the office staff when visiting a health care provider. It gives instructions about how to handle claims. Remember—claims should be sent to Coventry first so we can price the claim correctly.
Smart Payment Change
PDF | 24 KB
Use this form to change the default for Smart Payment option. The automatic default is the Spend mode. There are two additional options—Save and Save Review. To save time, members should make changes by logging into My Online Services at the web address shown on the medical ID card and selecting the link "My Coventry Consumer Choice Online."
How to Read Your EOB
Use this document to help you understand how to read your C3 EOB.

© Copyright 2008-2014 Coventry Health Care