Benefit and Program Information

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. Not sure which plan you have? Your plan name is near the bottom of your Member ID card.


Current Benefit Year – Evidence of Coverage

CeltiCare Commonwealth Care

Effective July 1, 2013:

CeltiCare Direct

Effective July 1, 2012:

CeltiCare Commonwealth Choice

Effective July 1, 2012:


For a quick summary of your benefits, click on your plan type below.


Commonwealth Care – English (PDF).
Commonwealth Care – Spanish (PDF).
Commonwealth Choice (PDF).
CeltiCare Direct (PDF).

If you need the Evidence of Coverage for a previous year, please call CeltiCare Member Services at (866) 895-1786, TTY/TDD: (866) 614-1949, Monday through Friday, 8 am – 5 pm.