Planning guidance only—not a guarantee. Requirements, network capacity, contracting, and payer review can affect timing and effective dates.
Coventry Health Care was one of the largest managed care companies in the United States before its acquisition by Aetna in 2013. Under CVS Health's ownership of Aetna, Coventry continues to operate as a distinct brand in select markets, particularly for employer-sponsored plans in the mid-Atlantic and Midwest regions. However, Coventry's administrative functions — including credentialing — are now largely integrated with Aetna's systems.
For most providers, Coventry enrollment occurs as part of the broader Aetna credentialing process. When enrolling with Aetna through Availity, providers should ensure they are selecting all applicable Aetna subsidiaries and product lines, including Coventry-branded products in markets where Coventry maintains a presence. The credentialing committee review is unified under Aetna's infrastructure.
Coventry remains a significant brand particularly in Virginia, West Virginia, Maryland, and Ohio, where it has historically had strong employer plan market share. Providers in these markets who see employer-sponsored patients should confirm that their Aetna enrollment includes Coventry-branded products to avoid network-related billing issues.
Workers' compensation is one area where Coventry maintains a more distinct operational identity — Coventry Workers' Compensation (now Aetna Workers' Compensation) has its own network and enrollment process separate from the health plan. Providers who treat workers' compensation patients should inquire about separate workers' comp network enrollment.
The enrollment path
Documents to have on hand
Frequently Asked Questions
Is Coventry still a separate insurance company from Aetna?
Coventry was acquired by Aetna in 2013 and is now a subsidiary of CVS Health through Aetna. While the Coventry brand continues to appear on some employer-sponsored plans, credentialing and administrative functions are integrated with Aetna. Enrolling with Aetna through Availity typically covers Coventry-branded products.
Do I need separate enrollment for Coventry workers' compensation?
Yes. Coventry Workers' Compensation (now operating under Aetna's workers' comp infrastructure) has its own provider network and enrollment process separate from health plan credentialing. Providers treating work-related injuries who want workers' comp reimbursement from Coventry/Aetna should inquire about separate workers' comp network enrollment.
What markets still use the Coventry brand?
The Coventry brand is most active in Virginia, West Virginia, Maryland, Ohio, and parts of the Midwest. In these markets, employer-sponsored plan ID cards may still show "Coventry" even though the underlying administration is Aetna. Check the payer ID on the claims form — Coventry and Aetna often share payer IDs.
These state links are related Arctic Health credentialing guides for this profile’s listed markets. Product availability, plan or network participation, provider types, and open panels vary by location; confirm current requirements directly with the payer before relying on a market listing.
Reviewed by Arctic Health Team , Credentialing Specialists
Last reviewed: September 2026
Information on this page reflects our experience as of September 2026. Credentialing requirements, payer processes, and state regulations may change. Contact us or check the relevant state medical board and payer websites for the most current requirements. This content is for informational purposes only and does not constitute legal or professional advice.