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MCS Classicare ELA Enlace

MCS Classicare ELA Enlace (HMO POS)

A health care and prescription drug plan with a Point-of-Service (POS) option that has no monthly premium and zero copay on specialist visits. In addition to Original Medicare services, this plan offers dental services, transportation and generic drugs at zero copay, Over-the-Counter (OTC) items, hearing aids and eyewear, among others, all free of referral requisites.

$0 Monthly Premium Plan

after employer's contribution of $100.

You must continue to pay your Medicare Part B premium.

Benefits of this plan
Below you can see the summary of some of the benefits offered by the MCS Classicare ELA Enlace (HMO POS)

$0 for each Medicare-covered inpatient hospital stay.

Hospitalization

Primary care physician: $0 for each Medicare-covered primary care physician visit.

Primary care physician (PCP)

$0 for each Medicare-covered specialist visit.

Specialist

$0 copay for 8 trips (one-way or return trip) to plan-approved locations.

Transportation

$0 for Medicare-covered ambulance services.

Ambulance

0% coinsurance.

Durable medical equipment

Medicare-covered lab services: 0% per service.

Laboratory services

Hea $1,000 each year - plan coverage limit for hearing aid(s) (for both ears combined) including repair of devices.

Hearing aids

$400 every year - plan coverage limit for non-Medicare covered eyewear. If the eyewear you purchase cost more than our plan covers, you pay the difference.

Eyewear

$1,000 each year - plan coverage limit for non-Medicare covered dental benefits (but covered by the plan)

Prosthodontic: $1,000 every five years - plan coverage limit for prosthodontics

Dental services

$90 every 3 months ($360 per year)

Over-the-Counter Items (OTC)

30-day supply
Medicare Part D prescription drugs: Preferred Generics: $0 Generics: $0 Preferred brand: $5 Non-preferred brand: $10 Specialty: 25% Select Care: $0

Medicare Part D prescription drugs

For 2018, MCS Classicare received an overall four-star rating out of a total of five, based on the Medicare Star Rating System.

Among the measures that contributed to this Overall Star Rating, the following stand out:

Drug plan services with 4.5 stars

Health plan services with 4 stars

Medicare evaluates plans based on a 5-star rating system. The Star Rating is calculated every year and can change from one year to the next.

MCS Classicare is a product subscribed by MCS Advantage, Inc. MCS Classicare is an HMO plan with a Medicare contract. Enrollment in MCS Classicare depends on contract renewal. MCS Advantage, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age disability, or sex. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-866-627-8183 (TTY: 1-866-627-8182).

ATENCION: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-627-8183 (TTY: 1-866-627-8182).

注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電1-866-627-8183 (TTY: 1-866-627-8182).

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

Telesales 1.866.627.8181
Metro Area 787.620.2530   Toll free 1.866.627.8183
For people with hearing disabilities (TTY) 1.866.627.8182

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