Evidence of Coverage
Your Evidence of Coverage explains the benefits and services covered under your plan.
To view the Evidence of Coverage for your plan, click on the appropriate link below:
CeltiCare Commonwealth Care
Current Benefit Year (effective July 1, 2011):
CeltiCare Commonwealth Care Bridge
Current Benefit Year (effective July 1, 2010):
CeltiCare Direct
Effective July 1, 2011:
CeltiCare Commonwealth Choice
Effective July 1, 2011:
| Previous Benefit Year – Evidence of Coverage |
CeltiCare Commonwealth Care
Previous Benefit Year (effective through June 30, 2011):
CeltiCare Commonwealth Care Bridge
Previous Benefit Year (effective through June 30, 2010):
CeltiCare Direct
For enrollment period January 1, 2011 through February 15, 2011:
For enrollment period April 1, 2010 through December 31, 2010:
- CeltiCare Direct Individual Evidence of Coverage (PDF)
- CeltiCare Direct Small Groups Evidence of Coverage (PDF)
CeltiCare Commonwealth Choice
For enrollment period January 1, 2011 through February 15, 2011:
For enrollment period April 1, 2010 through December 31, 2010:
