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Cubiertas-Individuales-MCS-Classicare-RxMax-2026

2026 MCS Classicare RxMax (HMO)

Comprehensive Dental $2,500 annually, Restorative services/Crowns/Prosthodontics

Benefits of this plan
Below you can see the details of the benefits offered by the cover MCS Classicare RxMax

MCS Classicare Te Paga $768 annual ($64 monthly)

OTC/Te Paga Card 1,2

Medicare Part B Premium Reduction $240 annual ($20 monthly)

Medicare Part B Premium Reduction

$0 copay Primary Physician and Specialists

Visits to Physicians 4

0% Special Network / 20% General Network

Labs and X-rays 4

$500 annual

Eyewear6

$2,000 annual ($1,000 per ear)

Hearing aids 4

$2,500 annual 0% coinsurance

Comprenhensive Dental

22 One-Way trips annual (locations places approved by the plan)

Transportation 8

Pest control, yard clean-up, hairstyling7, electricity, preventive home cleaning/disinfection, plumbing, locksmith and technology assistance. 16 visits per year (4 quarterly)

Home Assistance 8,9

Not covered

Home Care Support

Not covered

In Home Foot Care

$0 copay per encounter

Telemedicine

7 pills per month

ED Drugs

Nutritionist, Acupuncture, Therapeutic Massage, Foot Reflexology 6 visits annual / $0 copay

Wellness Benefits

1. The Te Paga card allowance includes your monthly OTC allowance. Enrollees who meet the eligibility criteria for Special Supplemental Benefits for the Chronically Ill (SSBCI) may use the card to purchase both OTC items and additional eligible items and services. Te Paga Card, Healthy Food Box, Transportation for non-medical needs, Home Assistance. Eligible enrollees with chronic conditions, such as Chronic Hypertension, Cardiovascular Disorders, Diabetes Mellitus, Chronic Kidney Disease, Chronic and Disabling Mental Health Conditions, and other conditions not listed are eligible for the SSBCI program. Eligibility for the benefits described is not guaranteed solely based on the presence of a listed chronic condition. All applicable eligibility requirements must be met before the benefit is provided. For details, please contact us.

2. The benefit cannot be used for cash withdrawal nor purchase the following services or products: cosmetic procedures, hospital indemnity insurance, funeral planning and expenses, life insurance, alcohol, tobacco, cannabis products, broad membership programs inclusive of multiple unrelated services and discounts, and non-healthy food.

4. Some services may require pre-authorization. Contact the plan for details.

7. For hairstyling services you must visit participating establishments to receive these services. Contact the Home Assistance supplier for more details

8. Benefits may vary by plan. Call us or refer to your Evidence of Coverage available on our website www.mcsclassicare.com for benefit information, periodicity, limitations, and exclusions.

9. Only simple repairs and basic services apply, according to the assessment made by the service provider.

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