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Individual-coverages-list-2024

2024 Individual Coverages

MCS Classicare has developed innovative health coverage options designed to meet your needs as a Medicare beneficiary.

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MCS Classicare Essential (HMO-POS)

You will have the benefit of eyewear of$1,100 annual and for Comprehensive Dental benefit $3,500 annual which includes Restorative services, Crowns and Prosthodontics. $0 copayments Primary Physician and Specialists. In addition, you will have the hearing aids benefit for $1,500 annual ($750 per ear).

MCS Classicare Efectivo (HMO)

Includes Comprehensive Dental benefit $2,500 annual for Restorative services, Crowns and Prosthodontics. Medicare Part B Premium reduction of $780 annually ($65 monthly). Health benefits such as: visits to primary care physicians and specialists with $0 copayments.

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MCS Classicare Patriot (HMO)

You will have available on the Te Paga card benefit $2,760 annually ($230 monthly), comprehensive dental benefit with $2,500 annual and combined benefits of eyewear and hearing aids $1,000 annual . In addition, transportation with 28 one-way and 40 one-way to Veteran affairs facilities.

MCS Classicare Primero (HMO C-SNP)

You will have available on the Te Paga card Benefit $1,080 annually ($90 monthly). A Medicare Part B Premium Reduction of $480 annual ($40 monthly). In addition, comprehensive dental benefit with $3,000 annual for restorative services, crowns and prosthodontics. You will receive 12 visits (3 quarterly) for home assistance

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MCS Classicare Firme (HMO)

You will have available on the Te Paga card benefit $1,440 annually ($120 monthly). Enjoy benefits such as: Comprehensive Dental with $2,900 annually for Restorative services, Crowns, and Prosthodontics. Combined benefits for eyewear and hearing aids $950 annual. $0 copayments for visits to primary care physicians and specialists, among others.

MCS Classicare En tu Hogar (HMO)

Benefits such as home bundle with $1,800 annually ($150 monthly) for items such as: diapers, cream, wet wipes, nutritional drinks, rash creams and ointments, and pressure ulcer creams. In-Home foot care (1 visit per quarter).

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Photo of senior couple enjoying the park in Bicycles

MCS Classicare Hero (HMO)

Includes benefit such as Medicare Part B premium reduction of $1,978.80 annual ($164.90 monthly) . You will have available Comprehensive Dental benefit $3,400 annually for restorative services, crowns and prosthodontics. Benefit for eyewear with $725 annually. In addition, you will have hearing aids benefit with $2,000 annual($1,000 per ear).

MCS Classicare Metro (HMO)

You will have available on the Te Paga card benefit $900 annually ($75 monthly). In addtion, you have a Medicare Part B Premium reduction of $600 annually ($50 monthly). Home care support with 60 hours annually (5 hours monthly). Home Assitance with services such as hairstyling and yard clean-up.

Photo of senior couple enjoying the park in Bicycles
Photo of senior couple enjoying the park in Bicycles

MCS Classicare InteliCare (HMO)

You will have a benefit of the Te Paga card with $1,080 annually ($90 monthly), and the Comprehensive Dental benefit with $3,000 annual for Restorative services, Crowns and Prosthodontics. In addition, $0 co-payments on visits to primary care physicians and specialists.

MCS Classicare Exacto (HMO)

Includes benefit such as Medicare Part B premium reduction of $1,080 annual ($90 monthly) . You will have available Comprehensive Dental benefit $2,500 annually for restorative services, crowns and prosthodontics. Additional, combined benefits for hearing aids and eyewear $1,100 annual and access to the network around the island.

photo of senior man taking a selfie
Photo of senior couple enjoying the park in Bicycles

MCS Classicare Excede (HMO) Region 1

You will have available on the Te Paga card benefit $1,584 annual ($132 monthly). A Medicare Part B Premium Reduction $600 annual ($50 monthly). In addition, in comprehensive dental $1,500 annual for restorative services, crowns and prosthodontics. Additional, combined benefits of hearing aids and eyewear $700 annual and access to the network around the island.

MCS Classicare Excede (HMO) Region 2

You will have available on Te Paga card benefit $1,104 annual ($92 monthly). A Medicare Part B Premium Reduction $600 annual ($50 monthly). Also, in comprehensive dental $1,500 annual for restorative services, crowns and prosthodontics. Additional, combined benefits of hearing aids and eyewear $700 annual and access to the network around the island.

photo of senior man taking a selfie
Photo of senior couple enjoying the park in Bicycles

MCS Classicare Del Caribe (HMO)

You will have available on Te Paga card benefit $984 annual ($82 monthly). A Medicare Part B Premium Reduction $960 annual ($80 monthly). In addition, comprehensive dental with $1,500 annual for restorative services, crowns and prosthodontics. Additional, combined benefits for hearing aids and eyewear $700 annual and access to the network around the island.

The benefits mentioned are part of special supplemental program for members with chronic diseases. Members must meet all benefit’s eligibility criteria. The Te Paga Card cannot be used for the withdrawal of cash nor for the purchase of alcoholic beverages, nor tobacco or any of its derivatives. Unused amounts do not rollover to the next month for the coverages: MCS Classicare Efectivo, MCS Classicare En tu Hogar, MCS Classicare Exacto, MCS Classicare Intelicare y MCS Classicare Metro. Transportation to plan-approved locations through contracted suppliers. For the Home Assitances services only simple repairs and basic services apply, according to the evaluation performed by the service supplier. Hairstyling: You must visit participating establishments to receive these services. Contact the Home Assistance supplier for more details. Based on a Model of Care review, MCS Classicare has been approved by the National Committee for Quality Assurance (NCQA) to operate a Special Needs Plan (SNP) through 2024. Access to plan's in-network providers all over Puerto Rico. The service area for MCS Classicare: Excede Region 1 includes 13 municipalities, Excede Region 2 includes 21 municipalities, Del Caribe includes 8 municipalities, Firme includes 39 municipalities, Metro includes 8 municipalities. For details see the Evidence of Coverage or contact the plan.
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