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Comparison of CeltiCare
Health Plans

In order to make it easy for you to understand your options when you apply for CeltiCare Health Plans, this chart outlines and compares the features and benefits of each plan.  

 

Features/Benefits CeltiCare   Select PPO CeltiCare "Any Doc" PPO CeltiCare Managed Indemnity Plan
Deductibles $250, $500, $1,000, $2,500, $5,000 $250, $500, $1,000, $2,500, $5,000 $250, $500, $1,000, $2,500, $5,000
Choices of
Coinsurance after the deductible
80/20 of the next $5,000 & 100% thereafter; or 100% 80/20 of the next $5,000 & 100% thereafter; or 100% 50/50 to $5,000 and 100% thereafter; 80/20 of the next $5,000 & 100% thereafter; or 100%
Lifetime Maximum $5,000,000 $5,000,000 $5,000,000
Physician Copay Services $10 copay with PHCS network doctors $25 copay with any Doctor (your choice) Benefits at any doctor.
Physician & Hospital Services Benefits at PHCS network physicians and  hospitals Benefits at any physician and PHCS network hospitals Benefits at any physician and hospital
Emergency Room Deductible (in addition to plan 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
Yes Yes Yes
Easy Claim Stickers Yes Yes Yes
Billing Options Monthly, Quarterly, EFT Monthly, Quarterly, EFT Monthly, Quarterly, EFT
Eligibility 6mo - 64 ½ yrs 6mo - 64 ½ yrs 6mo - 64 ½ yrs

Optional Benefits

Preventive Care CeltiCare Plus Option CeltiCare Plus Option CeltiCare Plus Option
Low Copay Rx Drug
Card
CeltiCare Plus Option CeltiCare Plus Option CeltiCare Plus Option
Vision Care CeltiCare Plus Option CeltiCare Plus Option CeltiCare Plus Option
Term Life Insurance
(not available in all states)
$25,000 $25,000 $25,000

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Pierre Granger CLU
Group & Individual plans available
Website Address  http://www.assurance-reseau.com

E-Mail: pierre@floridahealthinsurance.com    

PH:  (954) 328-6750     Fax: (954) 893-7916

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