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ELA Maximo 2025

2025 MCS Classicare ELA Máximo (HMO-POS)

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Summary of Benefits

Medicare Part B Premium reduction $2,096.40 annual ($174.70 monthly)

Benefits of this plan
Below you can see the details of the benefits offered by the cover MCS Classicare ELA Máximo (HMO-POS)

Te Paga Card $360 annual ($30 monthly), what you don't use is transferred to the next month.

Te Paga Card2,3

Medicare Part B Premium Reduction
$2,096.40 annual
($174.70 monthly)

Medicare Part B Premium reduction

Primary Physician $0 copay
Specialists $10 copay

Visits to Physicians

20% of the total cost

Labs1

12 One-Way

Transportation 2,3

$800 annual in combined benefit for vision care and hearing services

Eyewear3

$800 annual in combined benefit for vision care and hearing services

Hearing aids1,3


$2,000 annual
$0 copay

Comprenhensive Dental1,3

Pest control, yard clean-up, hairstyling7, electricity, preventive home cleaning/disinfection, plumbing, locksmith and technology assistance. 12 visits per year (3 quarterly)

Home Assistance2,3,5

$0 Copay per encounter

Telemedicine

10 pills per month

ED Drugs

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

Wellness Benefits
1.The benefits mentioned are a part of special supplemental program for members with chronic diseases. Members must meet all benefit’s eligibility criteria. SSBCI-eligible members will be able to use the full amount for the purchase of OTC and other items and/or services covered under the Te Paga card. The benefit cannot be used to buy alcoholic beverages nor tobacco, or its derivatives.
2.Only simple repairs and basic services apply, according to the evaluation performed by the service supplier. Unused amounts do not rollover to the next quarter. For Hairstlying and pet grooming, you must visit participating establishments to receive these services. Contact the Home Assistance supplier for more details.
3.You might be eligible to transportation for non-medical matters to plan-approved locations through contracted suppliers.
Approved by the Puerto Rico Health Insurance Administration.


The Te Paga Card, home assistance and transportation for non-medical needs, benefits are part of special supplemental program for members with chronic diseases. Members must meet all benefit’s eligibility criteria.

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

Metro Area 787.620.2528    Toll free 1.866.627.8181
For people with hearing disabilities (TTY) 1.866.627.8182

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