CeltiCare Preferred For Individuals & Families Plan Standard Rate Quote



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Select PPO Plans 80/20 5000 224.53 - - 15.88 4.94-245.35 100/0 5000 267.35 - - 15.88 4.94-288.17 80/20 2500 280.69 - - 15.88 4.94-301.51 80/20 1500 349.05 - - 15.88 4.94-369.87 100/0 2500 371.84 - - 15.88 4.94-392.66 80/20 1000 402.02 - - 15.88 4.94-422.84 80/20 500 449.25 - - 15.88 4.94-470.07

AnyDoc PPO Plans 80/20 5000 258.52 - - 15.88 4.94-279.34 100/0 5000 307.84 - - 15.88 4.94-328.66 80/20 2500 323.21 - - 15.88 4.94-344.03 80/20 1500 401.90 - - 15.88 4.94-422.72 100/0 2500 428.13 - - 15.88 4.94-448.95 80/20 1000 462.90 - - 15.88 4.94-483.72 80/20 500 517.26 - - 15.88 4.94-538.08

Managed Indemnity Plans 80/20 5000 310.53 - - 15.88 4.94-331.35 100/0 5000 369.75 - - 15.88 4.94-390.57 80/20 2500 388.20 - - 15.88 4.94-409.02 80/20 1500 482.73 - - 15.88 4.94-503.55 100/0 2500 514.26 - - 15.88 4.94-535.08 80/20 1000 555.98 - - 15.88 4.94-576.80 80/20 500 621.28 - - 15.88 4.94-642.10

Celtic Saver HSA Plan PPO Plans Coverage Deductible Primary Spouse Dependent Preventive Total 100/0 5000 204.27 - - 11.94 216.21 80/20 2600 211.94 - - 11.94 223.88 80/20 1500 261.81 - - 11.94 273.75 100/0 2600 295.62 - - 11.94 307.56 100/0 1500 365.58 - - 11.94 377.52 A $5.00 maintenance fee will be administered per month if you open a Health Savings account.

Celtic Saver HSA Plan Managed Indemnity Plans Coverage Deductible Primary Spouse Dependent Preventive Total 100/0 5000 286.01 - - 11.94 297.95 80/20 2600 296.71 - - 11.94 308.65 80/20 1500 366.54 - - 11.94 378.48 100/0 2600 413.86 - - 11.94 425.80 100/0 1500 511.81 - - 11.94 523.75 A $5.00 maintenance fee will be administered per month if you open a Health Savings account.