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ELA Te Ayuda 2024

2024 MCS Classicare ELA Te Ayuda (HMO-POS)

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Summary of Benefits

Medicare Part B Premium reduction $1,212 annual ($101 monthly)

$1,212 annually ($101 monthly)

MCS Classicare Te Paga Card $780 annually ($65 monthly)

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

Te Paga Card $780 annual ($65 monthly), unused amounts do not rollover to the next month.

Te Paga Card1,2

Medicare Part B Premium Reduction $1,212 annual ($101 monthly)

Medicare Part B Premium reduction

Primary Physician $0 copay Specialists $0 copay

Visits to Physicians

0% of the total cost

Labs

16 One-Way trips

Transportation7

$700 annual in combined benefit for vision care and hearing services

Eyewear

$700 annual in combined benefit for vision care and hearing services

Hearing aids

$3,000 annual 0% coinsure

Comprenhensive Dental

Pest control, yard clean-up, hairstyling5,electricity, preventive home cleaning/disinfection, plumbing, locksmith and technology assistance. 12 visits per year (3 quarterly)

Home Assistance 1,3,5,6

$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
MCS Classicare is an HMO plan with a Medicare contract. Enrollment in MCS Classicare depends on contract renewal. 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.

1. The benefits mentioned are a part of special supplemental program for members with chronic diseases. Members must meet all benefit’s eligibility criteria.

2. The Te Paga Card :The benefit cannot be used for cash withdrawal and to buy alcohol beverages nor tobacco, or its derivatives.

3. Only simple repairs and basic services apply, according to the evaluation performed by the service supplier.

4. Services are limited by quarter; unused amounts do not roll over to the next quarter.

5. For hairstyling services (wash, cut and dry) you must visit participating establishments to receive these services. Contact the Home Assistance supplier for more details.

6. Unused amounts do not rollover to the next month or quarter.

7. Transportation to plan-approved locations through contracted suppliers.

MCS Classicare received the highest 5-star rating for the year 2024 in Puerto Rico.

Highlights:

  • MCS Classicare is the first and only plan with the highest rating of 5 out of 5 stars for the 2024 contract year.
  • For the first time, the Centers for Medicare & Medicaid Services (CMS), the federal health care agency, awarded MCS Classicare a 5-Star rating for its strong performance, placing it among the best Medicare Advantage (MA) plans in the United States and Puerto Rico.
  • For 2024, MCS Classicare - H5577 received the following Star Ratings from Medicare:
    • Overall Star Rating:
    • Health Services Rating:
    • Drug Services Rating:

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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