General

Q – What is the difference between Commonwealth Care and CeltiCare?

Commonwealth Care is a program run by the Commonwealth Health Insurance Connector. This program connects eligible Massachusetts residents with affordable health insurance if they do not have health insurance coverage. Within Commonwealth Care, there are several options for health insurance plans.

CetiCare Health Plan is one of the health insurance plans available through the Commonwealth Care program. CeltiCare is the newest option for high quality health coverage at an affordable price.

Q – Who is Centene?

Centene is the parent company of CeltiCare. It is a leading national healthcare company with 25 years of experience in managed care programs and currently serves over 1.3 million members in nine states. To find out more, you can visit the website at www.centene.com.

Q – Is CeltiCare part of Caritas?

No, Caritas is a community-based hospital system that has partnered with Centene to form CeltiCare. However, we will contract with doctors, in and out of the Caritas network to provide members the best access to all benefits and services.

Enrollment

Q – How do I enroll in the CommCare program?

To apply for Commonwealth Care, you can fill out a Medical Benefit Request (MBR) form. This includes your eligibility in Commonwealth Care. This is available at the Connector website www.mahealthconnector.org. Please choose Commonwealth Care, then APPLY. You can also fill out the application on your own; download and complete the application, then follow the instructions for mailing.

If you have any questions about Commonwealth Care please call the Commonwealth Care Customer Service Center at 1-877-MA-ENROLL or 1-877-623-6765. For persons who are deaf or hard of hearing, please call TTY: 1-877-623-7773. You can call Commonwealth Care from 8:00 A.M. to 5:00 P.M., Monday through Friday.

Q – How do I sign up with CeltiCare?

If you are already eligible for Commonwealth Care, please call the Commonwealth Care Customer Service toll-free 1-877-MA-ENROLL or 1-887-623-6765. (TTY 1-877-623-7773) or visit www.MAhealthconnector.org.

If you have not applied for Commonwealth Care, once you receive eligibility confirmation from the Connector for Commonwealth Care, you will have a choice of health plans. You will receive an enrollment package in the mail asking you to choose a health plan. CeltiCare Health Plan is an option for you to choose.

Q – Once I have my baby, will he/she be part of CeltiCare?

CeltiCare will not be responsible for costs associated with newborns on or after the date of birth as they should be enrolled in the MassHealth program on their date of birth.  Please contact CeltiCare as soon as possible after the birth of your child so we can assist you in this process.

Benefits

Q – Do you cover transportation?

CeltiCare Health Plan covers emergency transportation and can help you coordinate your non-emergency transportation needs.

Q – Do you cover Vision services?

Dependant on your plan type, CeltiCare Health Plan covers an eye exam and eyeglasses every 24 months. Plan Type 1 $0 copay, Plan Type II $10 copay, Plan Type III $25 copay.  Commonwealth Care Bridge members are not eligible for vision services.

Q – Do you cover Dental services?

CeltiCare covers dental services under Plan Type I including routine, restorative, preventative, radiography, diagnostic, prosthodontic, and oral surgery services. Emergency dental services are covered for Plan Type II , III and Commonwealth Care Bridge. If you are in these plans, you can also use your Healthy Rewards Program to cover co-pays for non-emergency dental services.

Q – How can I learn more about CeltiCare benefits?

All members receive an Evidence of Coverage (EOC) in the new member welcome packet. The EOC explains your rights, benefits and responsibilities as a member of our health plan. The EOC can also be found on on the Members tab under Additional Resources. Members have a right to receive, free of charge, a paper copy of the EOC. Please contact Member Services at 1-866-895-1786 if you need a copy.

CentAccount Healthy Rewards Program

Q – How do I earn rewards?

The CentAcct Healthy Rewarsd program lets you earn up to $150 onto your own pre-paid MasterCard by simply doing things that help you stay healthy. CeltiCare will automatically put money onto a debit card for you after you complete easy healthy behaviors. These behaviors include:
1. Filling out a short health risk screening form.
2. Going to your primary care provider (PCP) once within the first 90 days of becoming a CeltiCare member.
3. Going to an annual check-up with your PCP once a year.

Q – Where can I use the money?

Your Healthy Rewards card can be used to for health related items at CVS, Wal-Mart, Shop n’ Save, Hannaford Supermarkets and lots of other stores. You can also use the money on your Healthy Rewards card at doctor’s offices that accept MasterCard® debit cards.

Q – When will I get the money?

You will receive a pre-paid Mastercard® debit card after you complete your first healthy behaviors. If you complete more, you will get a postcard notifying you that more money has been added to the card.

Q – Do I have to open a credit card for this?

No, you will receive a pre-paid Mastercard® debit card after you complete your healthy behaviors. It will in no way affect your credit. There will be a certain amount of money already loaded to the card. You can earn up to $150 by simply doing things that help you stay healthy. It will in no way affect your credit.