CeltiCare Preferred Select PPO 80/20 2500 Deductible

Individual Health Insurance (Obamacare)

Don't overpay for your Health Insurance.

Call Toll Free (800) 597-5140

Benefits & Coverage

Plan Name
CeltiCare Preferred Select PPO 80/20 2500 Deductible
Plan ID
21663FL0040016
Plan Year
2013
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Celtic
Plan Type
PPO
Deductible
$2,500
Out-of-Pocket Maximum
$4,500
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $116.99
How many applications are denied?
27% of the applicants were denied
How accurate is this estimate?
1% of the applicants ended up paying a higher amount than the quoted price
Deductible
Individual: $2500
Family: $7500
In-Network Out-of-Pocket Limit
Individual: $4500
Family: $13500
What is included in the in-network out-of-pocket limit?
Deductible + Coinsurance
Is this plan Health Savings Account (HSA) eligible?
No
Plan Type
PPO

Health Services Options

Service
In Network
Out of Network
Primary care physician office visit
$15 Copay
40% Coinsurance after deductible
Specialist
$15 Copay
40% Coinsurance after deductible
Diagnostic Test (X-ray, blood work)
20% Coinsurance after deductible
40% Coinsurance after deductible
Outpatient Facility Fee
20% Coinsurance after deductible
40% Coinsurance after deductible
Outpatient Physician/Surgeon Fee
20% Coinsurance after deductible
40% Coinsurance after deductible
Hospital facility fee
20% Coinsurance after deductible
40% Coinsurance after deductible
Hospital physician/surgeon fee
20% Coinsurance after deductible
40% Coinsurance after deductible
Emergency Room
20% Coinsurance after deductible
20% Coinsurance after deductible

Drug Services

Generic Drugs
Coverage: $10 Copay
Preferred Brand Drugs
Coverage: $40 Copay
Specialty Drugs
Coverage: 30% Coinsurance after deductible

Mental Health or Substance Abuse Services

Service
In Network
Out of Network
Mental/behavioral health outpatient services
20% Coinsurance after deductible
40% Coinsurance after deductible
Mental/behavioral health inpatient services
20% Coinsurance after deductible
40% Coinsurance after deductible
Substance use disorder inpatient services
Not Covered
Not Covered
Substance use disorder outpatient services
Not Covered
Not Covered

Maternity Services

Service
In Network
Out of Network
Prenatal/postnatal care
Not Covered
Not Covered
Delivery and all inpatient services for maternity care
Not Covered
Not Covered

Coverage Options Summary

Included Benefits
  • Durable medical equipment
  • Emergency Transportation
  • Eye glasses children
  • Home health care
  • Hospice
  • Imaging (CT/PET scans, MRIs)
  • Inpatient rehabilitation
  • Non-preferred brand drugs
  • Skilled nursing care
  • Other practitioner office visit
  • Outpatient rehabilitation
  • Preventive care, screening, immunization
  • Routine eye exam children
  • Urgent Care
Excluded Benefits
  • Acupuncture
  • Bariatric surgery
  • Chiropractic
  • Cosmetic surgery
  • Dental care adult
  • Dental check up children
  • Eye exam adult
  • Habilitation
  • Hearing Aid
  • Infertility treatment
  • Long Term Care
  • Non-emergency care outside U.S.
  • Private duty nursing
  • Routine foot care
  • Routine hearing tests
  • Weight loss program

What To Know

  • 27%of the applicants were denied
  • 1%of the applicants ended up paying a higher amount than the quoted price

Physician Directory

List of doctors that accepts CeltiCare Preferred Select PPO 80/20 2500 Deductible Plan in Florida

/

No results found. Try changing the search distance or zip code.

Community Q&A

Do you have questions about this plan?

Get answers from the HealthPocket community.

Similar Plans

Similar Plans to CeltiCare Preferred Select PPO 80/20 2500 Deductible Plan in Florida

PremiumPlan NameMetal Level
$48.00
BlueOptions Hosp/Surgical Plus 704

Not Available

Select
$64.33
Celtic Basic PPO 70/30 7500 Deductible

Not Available

Select
$67.31
Momentum 70 10000

Not Available

Select
$84.00
FL Open Access Value 10,000/70%

Not Available

Select
$102.00
Open Access® Managed Choice® Value 10000

Not Available

Select

Related Articles

Related Searches

 

 

Speak with a licensed agent

(800) 520-0394

(800) 520-0394

24 hours a day, 7 days a week

LEARN MORE​ 
{"globalPhoneNumber":"8005200394","helpInfo":{"leadCopy":"Speak with a licensed agent","phone":"8005200394","analyticsInfo":{"pageType":"details","productLine":"ifp","phone":"8005200394"}}}