In order to make it easy for you to understand your options when you apply for CeltiCare Health Plans, this chart outlines and compares the features and benefits of each plan.
| Comparison of CeltiCare Health Plans | |
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In order to make it easy for you to understand your options when you apply for CeltiCare Health Plans, this chart outlines and compares the features and benefits of each plan. |
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| Features/Benefits | CeltiCare Select PPO | CeltiCare "Any Doc" PPO | CeltiCare Managed Indemnity Plan |
| Deductibles | $250, $500, $1,000, $2,500, $5,000 | $250, $500, $1,000, $2,500, $5,000 | $250, $500, $1,000, $2,500, $5,000 |
| Choices of Coinsurance after the deductible |
80/20 of the next $5,000 & 100% thereafter; or 100% | 80/20 of the next $5,000 & 100% thereafter; or 100% | 50/50 to $5,000 and 100% thereafter; 80/20 of the next $5,000 & 100% thereafter; or 100% |
| Lifetime Maximum | $5,000,000 | $5,000,000 | $5,000,000 |
| Physician Copay Services | $10 copay with PHCS network doctors | $25 copay with any Doctor (your choice) | Benefits at any doctor. |
| Physician & Hospital Services | Benefits at PHCS network physicians and hospitals | Benefits at any physician and PHCS network hospitals | Benefits at any physician and hospital |
| Emergency Room Deductible (in addition to plan deductible) | $50 deductible per visit, if not admitted. | $50 deductible per visit, if not admitted. | $50 deductible per visit, if not admitted. |
| FREE Rx Discount Card |
Yes | Yes | Yes |
| Easy Claim Stickers | Yes | Yes | Yes |
| Billing Options | Monthly, Quarterly, EFT | Monthly, Quarterly, EFT | Monthly, Quarterly, EFT |
| Eligibility | 6mo - 64 ½ yrs | 6mo - 64 ½ yrs | 6mo - 64 ½ yrs |
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Optional Benefits |
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| Preventive Care | CeltiCare Plus Option | CeltiCare Plus Option | CeltiCare Plus Option |
| Low Copay Rx Drug Card |
CeltiCare Plus Option | CeltiCare Plus Option | CeltiCare Plus Option |
| Vision Care | CeltiCare Plus Option | CeltiCare Plus Option | CeltiCare Plus Option |
| Term Life Insurance (not available in all states) |
$25,000 | $25,000 | $25,000 |
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| Important Note: The information contained on this web page and the other linked pages is not intended to provide full details of Celtic plans and may change at the discretion of Celtic Insurance Company. Benefits and Plan details may vary by state. Complete terms of coverage are outlined in the individual Certificate Booklets and set forth in the applicable insurance Policy and Trust agreement. In applying for coverage, the primary insured agrees to be bound by the Certificate. The benefits described in these pages and any accompanying literature are the standard benefits offered by Celtic. Policy provisions vary in some states. |