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The
CelticSaver HSA health
plan is a qualified high deductible health plan designed to
provide you with major medical coverage including up to $7,000,000
of health insurance protection, combined with a Health Savings
Account (HSA) option to make your health plan even more affordable.
Health
savings accounts (HSAs) are savings accounts that are coupled
to high-deductible health insurance policies. You
can deposit tax-deductible money into the HSA and use it
to pay health care expenses throughout the year that aren't
covered by your health insurance plan.
With
high deductible plans, you save on the cost of insurance
by sharing more of the smaller expenses such as physician
office visits. While these plans are designed to be
affordable, you will also enjoy the satisfaction of knowing
you are protected against the catastrophic cost of a major
illness/injury.

When
Applying
Online, Celtic's $25 application fee is waived.
There is a $25 application fee when applying by mail.
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Features/Benefits
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Specifics
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PPO**
or Managed Indemnity |
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Non-Preventive
office visits |
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Covered
after deductible subject to coinsurance. |
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Emergency
Room Deductible
(in addition to annual
plan deductible) |
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$250
per visit, (waived if admitted to hospital) |
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Covered
after deductible subject to coinsurance. |
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Inpatient
annual maximum of $2,500 per person, per calendar
year. Outpatient
annual maximum of $1,000 per person, per calendar
year. Lifetime maximum of
$10,000 per person for inpatient and outpatient
combined. |
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$500
maximum per person, per calendar year. |
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Average
semi-private room rate. Intensive care at
four times the average semi-private room rate. |
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30
visits per person, per calendar year. |
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Inpatient
- up to 30 days confinement per person, per
calendar year. |
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Outpatient
- up to 30 visits per person, per calendar
year. |
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Up
to 12 days of confinement per person, per
calendar year. |
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Covered
up to amount negotiated by network if Transplant
Network used; capped at $100,000 per procedure
if insured goes out of network. |
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$3,000
maximum per person, per calendar year, for
emergency air or ground
ambulance service. |
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Optional
Benefit
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Specifics
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(Eligibility
begins after 90 days of coverage) Eligible
expenses for medical services and supplies
incurred for preventive care in an asymptomatic
individual are covered first dollar at 100%,
up to $300 per person, per calendar year,
which includes up to $50 for routine eye exams. |
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*
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The
Primary Applicant cannot be claimed as a dependent on
any tax return. |
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If
PPO plan is chosen, out-of-network eligible charges
reduced additional 20%. |
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Benefit
will vary by state. |
This
information is presented only as a very brief overview of
some of the benefits of this plan, and is intended only
for general education. The amount of benefits provided
depends on the plan selected. Premium will vary with the
type of benefits selected. These plans contain exclusions
from and limitations of coverage. Please see the product
brochure for more complete information, as well as information
about terms of renew ability, preexisting conditions, out-of-network
penalties, and notification requirements. Plans are
subject to health underwriting. To be considered for
reimbursement, expenses must qualify as covered expenses.
Expenses are also subject to reasonable and customary limits,
unless you use a network, and all other policy provisions,
including determinations of medical necessity.

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Coverage
Synopsis:
CelticSaver
HSA PPO Plan After
you have met your deductible (one deductible for the entire family), the plan
pays 100% of all covered expenses, up to $5 million per person. This plan
also covers wellness services up to $300 per year, after the deductible is met,
including $50 for routine eye exams. Chiropractic care is also covered,
after the deductible has been satisfied, up to $500 per person, per calendar
year. Eligible expenses for medical services and supplies incurred for
preventive care in an asymptomatic individual are covered up to $300 per insured
person per calendar year. CelticSaver
HSA Managed Indemnity Plan This
plan offers you the same comprehensive coverage as above, with the flexibility
to select the doctors and hospitals of your choice. This plan is more
popular in very rural areas where there may not be many doctors in the PPO network. Full
Credit for Meeting Prior Deductibles: If you choose to replace your
current insurance coverage with the CelticSaver HSA health plan, you'll receive
credit for satisfying any portion of a previous carrier's deductible met during
the same calendar year. This valuable benefit is very rare to find in
today's health insurance market. These
plans both qualify as HSA-eligible. Combining a Health Savings
Account with any CelticSaver HSA plan allows you to make tax-deductible contributions,
pay medical expenses with pre-tax dollars, and earn tax-deferred interest.
This account works much like an IRA, except you may use your tax-free savings
for qualified medical expenses your health plan does not cover, such as your
deductible, dental, eyewear, and most types of alternative medicine (see the
HSA qualified medical expenses page).
If you do not use these funds, they are always yours and continue to grow tax-deferred. Healthy
Lifestyle Benefit A
standard benefit on all CelticSaver HSA Health plans, this benefit pays 25%
of fees (up to $300 per person per calendar year) for eligible programs that
improve physical health including health club memberships,youth sports, weight
loss and smoking cessation programs.

Optional
Riders:
Supplemental
Accident Coverage
Many
of our customers add a supplemental accident plan to their
coverage. These plans cover a set amount ($2,000,
$5000, or $10,000) for any accident, after a $100 deductible.
Having a supplemental accident plan can greatly reduce the
exposure of a high-deductible plan. These plans are
not associated with Celtic Insurance Company, and must be
purchased separately. Complete information is available
on our Accident Plans
page.

Rates:
Preferred rates
without riders are available on our instant quote
page. The quoted rates are for the $7 million maximum benefit, and do not include
any optional benefits. Rates depend on gender, smoking status, zip code, and
health status. The
premium can be paid monthly or quarterly, or by an automatic monthly bank draft.
The bank draft will occur on the premium due date each month. The initial premium
can be paid with a check or credit card. If you choose to receive a monthly
or quarterly billing statement, a $10 per bill fee will be charged.

PPO
Network:
Celtic's
PHCS network includes more than 320,000 physicians
and ancillary care providers in 50 states and the District
of Columbia, serving 1.3 million PPO members. The
nationwide Celtic PPO network assures you access even when
traveling or relocating to another state.
Celtic
also partners with the largest network of pharmacies in
the country to give you prescription drugs at the lowest
pre-negotiated rates. Show your Celtic ID card at
any of the 50,000 participating pharmacies nationwide and
receive substantial savings on your prescription drug purchases.

Underwriting:
Underwriting
of your application with Celtic normally takes five business
days, unless medical records are needed, then the process
could take longer depending on the doctor's office. Automatic
underwriting provides same day approvals for applications
that are submitted online and are clean. Celtic is fairly
lenient compared to many other insurance companies, and
often accepts applicants who may have been turned down by
other insurance companies.
It is
standard practice to request a Blood Pressure Inquiry on
all applicants who are currently being treated for or who
have recently discontinued treatment for high blood pressure.
Certain conditions may be waived with a temporary rider
(usually for one to two years), or an indefinite rider.

Effective
dates:
The
earliest your coverage can go into effect is the day after
you have signed your application. You may request
an effective date any time between 1 and 60 days after you
sign your application.
Please
note, if you are requesting an effective date of less than
21 days from the time you complete the application, you
may not receive notification of your approval until after
your effective date. If you have claims during this
period, they will be eligible for coverage if submitted
after you have been approved. Also note that you will
be billed starting on your requested effective date, even
if you have not yet been notified that you have been approved.
This is very good for someone who does not have any present
coverage and would like for their benefits to begin right
away. For those who are already covered, it is suggested
that you maintain your current coverage in force until you
have received notice from either HSA
for America or directly from Celtic that
your coverage has been approved and is in force.
Because
underwriting can sometimes take 3 weeks or longer, if you
do not currently have coverage we recommend that you apply
for a Short Term plan.
This plan can go into effect tomorrow, giving you important
protection until your new permanent plan is in place.

HSA Administrator:
Your
health savings account is totally separate from your health
insurance, and you may use any approved bank or trustee
as your HSA administrator. We recommend that you choose
one from our HSA administrator
page, where you can compare rates and features.

About
Celtic:
Celtic
Insurance Company is headquartered in Chicago,
IL. Celtic began operating in 1978 as a broker, insurance
and reinsurance company for group life and health coverage.
Today, the company has narrowed its focus and holds a strong
commitment to the individual health marketplace.
Celtic
has been assigned an "A-" (Excellent)
rating from the A.M.
Best Company, an independent insurance rating organization.
A.M. Best assigned this rating after a thorough quantitative
and qualitative evaluation of a company's financial condition
and operating performance. For more than 10 years,
Celtic has earned a rating of "Excellent" for
consistently demonstrating profitable operating results,
high-quality investment portfolio and favorable capital
position. Celtic holds no junk bonds, real estate
or direct mortgage loans and maintains no outstanding debt.
HSA
for America is an independent authorized
Celtic agent.
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"Our
medical insurance is now costing less than half of what
it was before we got an HSA (we're saving over $3,500 a
year in premiums), and we can save federal-tax free."
I
very much appreciate what you have done for my wife and
I. HSA for America
offered us a great variety of plans to choose from.
Our medical insurance is now costing less than half of what
it was before we got an HSA (were saving over $3,500
a year in premiums), and we can save federal-tax free.
HSA
for America provides outstanding service.
Most other companies have you on hold and entering numbers
on the phone until you are completely fed up. While
you provide all the questions and answers. I did not
even have to ask questions - you have provided all the questions
and answers for me.
I
talk very favorably to my friends about your company.
Thank You!
Beryl
Sanders
Loomis, CA
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