MCS Classicare Te Paga $1,440 annual ($120 monthly)
Medicare Part B Premium Reduction $60 annual ($5 monthly)
$0 copay Primary Physician and Specialists
0% Special Network / 20% General Network
$950 annual in combined benefit for vision care and hearing services
$3,000 annual 0% coinsurance
42 One-Way trips annual (locations places approved by the plan)
Pest control, yard clean-up, hairstyling7, electricity, preventive home cleaning/disinfection, plumbing, locksmith and technology assistance. 16 visits per year (4 quarterly)
Not covered
$0 copay per encounter
7 pills per month
Nutritionist, Acupuncture, Therapeutic Massage, Foot Reflexology 6 visits annual / $0 copay
1. The Te Paga card allowance includes your monthly OTC allowance. Enrollees who meet the eligibility criteria for Special Supplemental Benefits for the Chronically Ill (SSBCI) may use the card to purchase both OTC items and additional eligible items and services. Te Paga Card, Healthy Food Box, Transportation for non-medical needs, Home Assistance. Eligible enrollees with chronic conditions, such as Chronic Hypertension, Cardiovascular Disorders, Diabetes Mellitus, Chronic Kidney Disease, Chronic and Disabling Mental Health Conditions, and other conditions not listed are eligible for the SSBCI program. Eligibility for the benefits described is not guaranteed solely based on the presence of a listed chronic condition. All applicable eligibility requirements must be met before the benefit is provided. For details, please contact us.
2. The benefit cannot be used for cash withdrawal nor purchase the following services or products: cosmetic procedures, hospital indemnity insurance, funeral planning and expenses, life insurance, alcohol, tobacco, cannabis products, broad membership programs inclusive of multiple unrelated services and discounts, and non-healthy food.
4. Some services may require pre-authorization. Contact the plan for details.
6. The maximum benefit amount for vision items and hearing aids is combined and includes coverage repairs.
7. For hairstyling services you must visit participating establishments to receive these services. Contact the Home Assistance supplier for more details
8. Benefits may vary by plan. Call us or refer to your Evidence of Coverage available on our website www.mcsclassicare.com for benefit information, periodicity, limitations, and exclusions.
9. Only simple repairs and basic services apply, according to the assessment made by the service provider.
10. Access to the provider's network all over Puerto Rico. The service area for MCS Classicare Firme (HMO) is available to beneficiaries residing in any of the 39 eligible municipalities. For details see the Evidence of Coverage or contact the plan. Service Area: Adjuntas / Aguada / Aguadilla / Añasco / Arecibo / Barceloneta / Cabo Rojo / Camuy / Ciales / Corozal / Florida / Guánica / Guayanilla / Hatillo / Hormigueros / Isabela / Jayuya / Juana Diaz / Lajas / Lares / Las Marías / Manatí / Maricao / Mayagüez / Moca / Morovis / Orocovis / Peñuelas / Ponce / Quebradillas / Rincón / Sabana Grande / San Germán / San Sebastián / Utuado / Vega Alta / Vega Baja / Villalba / Yauco
Metro Area 787.620.2528 Toll free 1.866.627.8181 For people with hearing disabilities (TTY) 1.866.627.8182