2025 MCS Classicare Platino Ideal (HMO D-SNP)

MCS Classicare is an HMO plan with a Medicare contract and a contract with Puerto Rico Medicaid program. Enrollment in MCS Classicare depends on contract renewal. MCS Classicare is a product subscribed by MCS Advantage, Inc. Based on a Model of Care review, MCS Classicare has been approved by the National Committee for Quality Assurance (NCQA) to operate a Special Needs Plan (SNP) through2026. 1. If you have questions, need materials on a standing basis in alternate formats and/or languages or need oral interpretation services, you can call us at 1.866.627.8183 (toll free) or 1.866.627.8182 (TTY, for the hearing impaired). 2. Some services may require pre-authorization. Contact the plan for details. 3. Unused amounts does not roll over to the next month for the following groups: MCS Classicare Platino Ideal (HMO D-SNP) and MCS Classicare Platino MásCa$h (HMO D-SNP). 4. Unused amounts do not carry over to the next month or quarter. 5. Benefits may vary per coverage. Call us or refer to your Evidence of Coverage available on our website www.mcsclassicare.com for benefit information, limitations and exclusions. 6. Some services may require a referral. 7. Access to the provider’s network all over Puerto Rico. The service area of MCS Classicare Platino Máximo (HMO D-SNP) Region 1 includes 13 municipalities, Platino Máximo (HMO D-SNP) Region 2 includes 21 municipalities and Platino Máximo (HMO D-SNP) Region 3 includes 44 municipalities. For details see the Evidence of Coverage or contact the plan.