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MCS Classicare Platino Progreso 2025

2025 MCS Classicare Platino Progreso (HMO D-SNP)

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Summary of Benefits

Comprehensive Dental $4,500 annual Restorative services/Crowns /Prosthodontics

Benefits of this plan
Below you can see the details of the benefits offered by the cover MCS CLASSICARE Platino Progreso

MCS Classicare Te Paga Card $972 annual ($81 monthly), what you don't use is transferred to the next month.

Te Paga Card 1,5

Medicare Part B Premium Reduction $540 annual ($45 monthly)

Medicare Part B Premium Reduction

$0 copay Primary Physician and Specialists

Visits to Physicians 6

$0 copay

Labs and X-r 2,6

$1,000 annual

Eyewear 5

$3,000 annual ($1,500 per ear)

Hearing aids 5

$4,500 annual 0% copay

Comprenhensive Dental 2.5

45 One-Way trips

Transportation 1,5

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

Home Assistance 1,4,5

Not covered

In Home Foot Care 4,5

$0 copay per encounter

Telemedicine

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

Wellness Benefits
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.
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We are available for you!
We want to answer all your questions.

Metro Area 787.296.9003    Toll free 1.866.591.4002
For people with hearing disabilities (TTY) 1.866.627.8182

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