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ELA coverage list 2024

2024 ELA Coverages

MCS Classicare has developed innovative health coverage designed to respond to the needs of Medicare beneficiaries receiving an employer contribution from the Government of Puerto Rico.

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MCS Classicare ELA Enlace Acero (HMO-POS)

Includes comprehenssive dental with $4,500 annual for restorative services / crowns / prosthodontics. Also, the benefit of Te Paga card with $1,920 annual ($160 monthly) and. Combined benefit of $900 annual for hearing aids/eyewear . In addition it includes transportation and home assistance.

MCS Classicare Gobierno Ahorro (HMO-POS)

Includes comprehensive dental with $2,500 annual for restorative services / crowns / prosthodontics. Also, on Te Paga card with $600 annual ($50 monthly). $800 annual for hearing aids / eyewear (combined benefits). In addition it includes transportation and home assistance.

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MCS Classicare ELA Te Ayuda (HMO-POS)

You will have a Medicare Part B premium reduction of $1,212 ($101 monthly), and the Te Paga card benefit of $780 annual ($65 monthly). Also, includes Compressive Dental with $3,000 annual in restorative services / crowns / prosthodontics. Additional combined benefits of $700 for hearing aids / eyewear.

MCS Classicare ELA Crédito Rubí (HMO-POS)

Includes comprehenssive dental with $3,500 annual fot restorative services / crowns / prosthodontics. Also the Te Paga card benefit of $1,200 annual ($100 monthly) and eyewear benefits of $800 annual. In addition it includes hearing aids benefits of $2,500 annual ($1,250 per ear).

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MCS Classicare ELA Máximo (HMO-POS)

You will have a Medicare Part B monthly premium reduction of$1,978.80 annually ($164.90 monthly). In addition, Comprehenssive Dental with $2,000 annually for restorative services / crowns / prosthodontics. Additional, combined benefitsof $800 annual for hearing aids / eyewear.

MCS Classicare ELA Sólido (HMO-POS)

You will have a Medicare monthly Part B premium reduction of $1,212 annually ($101 monthly). Also, the Te Paga card benefit of $1,200 annually ($100 monthly). In addition Comprehensive Dental with $2,000 annually for restorative services / crowns / prosthodontics, and in addittion, transportation and home assistance.

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MCS Classicare is an HMO plan with a Medicare contract. Enrollment in MCS Classicare depends on contract renewal. For the Te Paga Card: The benefits mentioned are a part of special supplemental program for members with chronic diseases. Members must meet all benefit’s eligibility criteria. The benefit cannot be used for cash withdrawal and to buy alcohol beverages nor tobacco, or its derivatives. Transportation to plan-approved locations through contracted suppliers. Home Assistance: Only simple repairs and basic services apply, according to the evaluation performed by the service supplier. Services are limited to 12 visits per year, 3 quarterly. Unused amounts do not rollover to the next quarter. Access to the provider's network all over Puerto Rico. The service area for MCS Classicare ELA Solido includes 39 municipalities. For details see the Evidence of Coverage or contact the plan. Approved by the Puerto Rico Health Insurance Administration.

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