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Celtic Insurance in Missouri
Products Available:
CeltiCare is Celtic's best-known
premier coverage for healthy applicants. The most current version of
CeltiCare insurance (5.1) has
been available to individuals
and families in Missouri since June
2010.
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) has been
available to individuals and
families in Missouri since June
2010.
Celtic Short Term Medical Insurance
is available for 1 month or longer (up to a 6 or 12
month maximum) with more liberal eligibility
requirements. Short term coverage is less expensive
because it does not pay the cost of prior medical
conditions.
The most current version of
Celtic STM (3.0) has been
available to individuals and
families in Missouri since June
2010.
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 and Celtic Saver HSA health plans have the
following significant
variations in coverage in accordance with state law:
- 10 Day Free Look
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Mammogram – eligible regardless of age if
recommended by a physician and there’s a family
history of breast cancer.
-
Immunizations - for dependent children up to age 5.
Not subject to deductible or coinsurance.
-
Child Health Supervision -thru age 12, subject to
deductible and coinsurance requirements.
-
Lead Poisoning Screening Test.
-
Speech or Hearing Disorder Charges, including
newborn screening, audiological assessment and
follow-up and initial amplification.
- Inpatient Psychiatric Care Treatment - up to 90
days per calendar year.
-
Outpatient Psychiatric Care Treatment – covered
only if enrolled in a full day or partial treatment
program.
-
Mental Health Diagnosis – two sessions per
calendar year with a licensed practitioner for the
purpose of diagnosis or assessment
- Osteoporosis charges -medically necessary
services for the diagnosis, treatment and
appropriate management of osteoporosis including
bone mass measurement.
-
Human leukocyte antigen testing, coverage is
limited to a maximum cost of $75 and one test per
lifetime.
-
Formula and low protein modified food products for the treatment of phenylketonuria or any inherited disease of amino and organic
acids for any insured person less than six years of age up to a maximum of $5000 per calendar year.
- Colorectal cancer examination and laboratory tests for cancer for any nonsymptomatic insured person, in accordance with the current
American Cancer Society guidelines.
- Chemical Dependency charges: nonresidential treatment up to a maximum of 26 days per calendar year. Residential treatment to a
maximum 21 days per calendar year, limited to a lifetime maximum of 10 episodes.
-
Early Intervention Services Charges provided by early intervention specialists who are health care professionals licensed by the
state of Missouri. Coverage is limited to $3,000 per insured person per calendar year with a lifetime benefit maximum of $9,000 per
insured person.
-
Dental Anesthesia Charges coverage for the administration of general anesthesia and office or medical care facility charges for
dental care, rendered by a dentist, provided to the following insured persons: A child under the age of five; A person who is
severely disabled; or A person who has a medical or behavioral condition which requires hospitalization or general anesthesia when
- Cancer Clinical Trials – routine patient care for an approved phase II, phase III or phase IV clinical trial.
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 Missouri
5/1/2011 Missouri residents using a paper application form should now
use state specific application form
U5-581-00241-MO for all individual medical insurance and state
specific application form
U5-589-00249-MO for short term insurance. 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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