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Celtic Insurance in Maryland
Products Available:
Effective immediately, Celtic is temporarily suspending quoting and new business of health plans in
Maryland.
Please check for other alternatives on
the state insurance department Web site or the portal
for the insurance exchange links at
FreedomBenefits.net
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 II health plans have the
following significant
variations in coverage in accordance with state law:
- 10 Day Free Look
- Term Life Option – Not available
- Contraceptive Coverage
- Mammogram –deductible does not apply.
- Home Health Care-up to 40 visits per calendar
year.
- Cleft Lip and Cleft Palate medically necessary
treatment in a newborn child.
-
Child Wellness – deductible does not apply.
Eligible expense include office visits,
developmental assessments, immunizations,
hearing and vision screenings as determined by the
American Academy of Pediatrics.
- TMJ – covered.
- Colorectal Cancer Screening-– covered based on
standards established by the American Cancer
Society.
- Inherited Metabolic Disease.
- Morbid Obesity.
- Hair Prosthesis – up to $350.
- Hearing Aids – for minor children up to $1,400 per
hearing aid.
- Manipulative Therapy – no calendar year
maximum.
- Mental Illness, Drug Abuse, Alcoholism –
partial Hospitalization –covered up to 60
days per calendar year. Outpatient – 80% of the first 5 visits, 65%
through 30th visit. 50% for 31st visit and
over in a calendar year.
- Hospice Care -$5,000 maximum removed.
- Maternity – up to 48/96 hours of inpatient hospitalization.
- In Vitro Fertilization – up to a lifetime maximum of $100,000.
- Dental General Anesthesia –facility and general anesthesia charges rendered in a hospital or outpatient surgical facility for a
dependent child or a person with a developmental disability, subject to limitations.
- Clinical Cancer Trials
- Osteoporosis- for medically necessary prevention,
diagnosis and treatment. One annual chlamydia screening.
- Human Papillomavirus Screening at the testing
intervals outlined in certain recommendations
developed by the American college of Obstetrician
& Gynecologists.
- Nicotine Replacement Therapy – covered to a
maximum of two 90-day courses of nicotine
replacement therapy.
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 Maryland
5/1/2011 Maryland residents using a paper application form should now
use state specific application form I5-585-00167-MD-rev for all
individual medical insurance. The correct application forms are
always automatically used when using the online enrollment system.
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