CeltiCare "Any Doc" PPO Plan
                (Hospital Network Only)

                If you live in an area very few 'In-Network" doctors and want a copay plan for doctor visits this 'AnyDoc'
                plan is the way to go. Visit any doctor anywhere with no network restrictions. It is important however to
                have PHCS network hospitals in your area or you would be considered out of network and pay extra
                fees should you be hospitalized.
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Benefits Summary	80/20	100%
Coinsurance	80/20 Coverage after deductible of the next  $10,000	100% Coverage after deductible
Deductibles	$500 $1000, $1500, $2500, $5000	$2500, $5000
Out-of-Pocket Maximum	$2500, $3000, $3500, $4500, $7000	$2500, $5000
Lifetime Maximum	$7,000,000	$7,000,000
Non-preventive office visits to Network Provider	$35 Copay 6 Doctor Visits per Person/Year  No deductible applies till 7th visit.	$35 Copay 6 Doctor Visits per  Person/Year  No deductible applies till 7th visit.
Emergency Room Deductible (in addition to plan deductible)	$250 deductible per visit, if not admitted.	$250 deductible per visit, if not  admitted.
Out-of-Network Services at Doctors and Hospitals per occurrence	Eligible charges reduced additional 20%  capped at $5,000.	Eligible charges reduced additional  20% capped at $5,000.
Supplemental Accident	$500 per injury with Plus Option	$500 per injury with Plus Option
FREE RX Discount Card	An average savings of 15% at over 40,000 U.S pharmacies.  See Optional Benefits below.
Psychiatric Care*	Inpatient annual maximum of $2,500 per person, per calendar year.  Outpatient annual  maximum of $1,000 per person per calendar year.  Lifetime maximum of $10,000 per  person per inpatient and outpatient combined.
Manipulative Therapy (benefits vary by state)	$500 maximum per person, per calendar year, covered after deductible.
Hospital	Average semi-private room rate.  Intensive care at four times the average semi-private  room rate.
Home Health Care	30 visits per person, per calendar year, one visit per day.
Rehabilitation Facility	Inpatient - up to 30 days confinement per person, per calendar year.
Rehabilitation Therapy	Outpatient - up to 30 visits per person, per calendar year.
Extended Care Facility	Up to 12 days of confinement, per person, per calendar year.
Transplants	Covered up to amount negotiated by network if Transplant Network used; capped at  $100,000 per procedure if insured goes out of network.
Ambulance	$3,000 covered per person, per calendar year for emergency air or ground ambulance  service.
Optional Features/Benefits	CeltiCare Plus Option

                                                                                                            
                 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.  
                 This is intended to be only a brief outline, see your policy for details of the plan.

Colorado Health Insurance Plans

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