CeltiCare Plus Option

CeltiCare Plus Option Benefits
The following benefits are only available when the CeltiCare Plus Option is selected.

Preventive Care Benefit--Services for annual physical examinations and routine diagnostic or preventive testing for an asymptomatic insured person are covered at 100% up to $300 per insured person per calendar year. The insured's deductible does not have to be met before Preventive Care Benefits are paid.
Charges for care and treatment that are eligible expenses include: low dose mammographies, routine physical examinations, routine gynecologic visits, immunizations, and laboratory testing. Routine eye exams are covered up to $50 for per insured person per calendar year.
Healthy Lifestyle Program--25% of the charges for eligible programs that improve physical health will be covered up to $300 per calendar year, per insured person. Eligible programs include hospital sponsored or accredited smoking cessation, weight loss or weight control programs, as well as fitness or exercise programs that are offered through hospitals, accredited or licensed health clubs, or YMCA/YWCA programs. The deductible does not have to be met for Healthy Lifestyle Benefits to be paid.
Rx Drug Card--
Retail purchases

$15 copay for generic drugs
$35 copay and a 20% coinsurance for brand-name drugs with no generic substitutes
$35 copay and a 20% coinsurance for brand-name drugs with an available generic substitute along with 100% of the cost difference between the brand-name drug and the generic drug

Mail Order purchases

$30 copay for generic drugs
$70 copay and a 10% coinsurance for brand-name drugs with no generic substitutes
$70 copay and a 10% coinsurance for brand-name drugs with an available generic substitute along with 100% of the cost difference between the brand-name drug and the generic drug

Not all prescription drugs are eligible expenses under the Rx Drug Card, but they may be eligible under the major medical plan subject to deductible and coinsurance. Prescription Drugs for psychiatric care are not eligible expenses under the Rx Drug Card.

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Celtic Health Insurance

        Important Note:The information contained on this web page and the other linked pages is not intended
      to provide full details of Celtic health insurance 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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