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Celtic Insurance in California
Products Available:
CeltiCare is Celtic's best-known
premier coverage for healthy applicants. The version of
CeltiCare insurance (5.0) available to individuals
and families in California
requires that the applicant be a state resident
for a mimimum of two years prior to enrollment.
Celtic Basic is a more affordable
coverage for healthy applicants. The most current version of
Celtic Basic (2.1) available to individuals
and families in California
requires that the applicant be a state resident
for a mimimum of two years prior to enrollment.
Celtic Saver HSA takes advantage of
the cost-saving features of a Health Savings Account.
High deductible insurance plans are comined with
optional qualified savings accounts available at no
additional cost. The most current version of Celtic
Saver Health Savings Account plan (3.0) available to individuals
and families in California
requires that the applicant be a state resident
for a mimimum of two years prior to enrollment.
All
Celtic Insurance products are available with private
quoting (no personal identifying data
is required for online pricing), secure
online enrollment, fast application
processing and independent enrollment
support though OnlineAdviser at no additional charge.
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State-specific Variations of Coverage
CeltiCare, Celtic Saver HSA and Celtic Basic (except where indicated)
health plans have the
following significant
variations in coverage in accordance with state law:
- Pre-Existing Conditions - 6 months /6 months. Credit given for prior creditable coverage.
- Well Child Care –including immunizations, covered through age 18.
- Temporomandibular Joint Disorder (TMJ) – coverage for diagnosis and surgical treatment of TMJ.
- Contraceptive Coverage.
- Dental General Anesthesia -if medically necessary for an insured either developmentally disabled or
under 7 years of age.
- Severe Mental Illness/Serious Emotional Disturbances -same as any sickness, excluding alcohol, drug and substance abuse.
- Osteoporosis – medically necessary services for the diagnosis, treatment and management of osteoporosis
- Phenylketonuria – Enteral formula and special food products when prescribed by a physician.
- Prosthetic devices -initial and subsequent prosthetic devices needed to restore a method of speaking as a result of a laryngectomy.
- Othotic/Prosthetic devices – initial and replacement as prescribed by a physician.
(Does not apply to Celtic Basic policies).
- Cancer Clinical Trials-coverage provided for an insured diagnosed with cancer and accepted into a
phase I through IV clinical trial for cancer.
- Home Health Care Charges – up to 100 visits per
calendar year in lieu of hospital or extended care
facility confinement. (Does not apply to Celtic Basic policies).
- For Celtic Basic policies only: Alcoholism - Inpatient $2,500 annual maximum. Outpatient $1,000 annual maximum. Lifetime
maximum $10,000 inpatient and outpatient combined.
This information is based on a publication dated 3/1/2009 and may change
in the future. See your specific policy certificate for details. In the event of a conflict between this information and the details of a policy, the policy will prevail.
Celtic Insurance News in California
5/1/2011 California residents using a paper application form should now
use state specific application form
U5-581-00241-CA
REV for all individual medical insurance plans. The correct application forms are
always automatically used when using the online enrollment system. Product brochures in PDF format are updated for 2011:
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