COLORADO HEALTH BENEFITS
       Celtic Health Insurance Colorado

                CeltiCare Managed Indemnity Plan

                This  plan offers you the comprehensive  major medical coverage you are looking for with the flexibility
                to select the doctors and hospitals of your choice. There is no doctors office copayment with this plan.
                All such visits will apply toward deductible and coinsurance, if any. 

                Note:  This is a Traditional major medical, not a PPO plan.
                                                                                                                          
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Features/Benefits 70/30 80/20 100%
Coinsurance 70/30 Coverage after deductible of the next $10,000 80/20 Coverage after deductible of the next $5,000 100% Coverage after deductible
Annual Deductibles $1000, $2500, $5000, $10000 $250, $500 $1000, $2500, $5000, $10000 $1000, $2500, $5000, $10000
Out-of-Pocket Maximum $4000, $5500, $8000, $13000 $1,250, $1500, $2000, $3500, $6000, $11000 $1000, $2500, $5000, $10000
Lifetime Maximum $7,000,000 $7,000,000 $7,000,000
Emergency Room Deductible (in addition to annual 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 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.
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

 

                                                                                                            Celtic Health Insurance Plan
                 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.In applying for coverage, the primary
                insured agrees to be bound by the Certificate or Policy.  The benefits described in these pages and any
                accompanying literature are the standard benefits offered by Celtic. Policy provisions vary in some states.


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