Skip Ribbon Commands
Skip to main content
Platino coverages list 2027

2027 Platino Coverages

MCS Classicare has developed innovative health coverage designed to meet the needs of Medicare and Medicaid beneficiaries.



logo medicare platino
Smiling couple.

MCS Classicare Platino Total (HMO D-SNP)

You will receive OTC and Eligible Items through the Te Paga Card with an annual benefit of $3,000 ($250 monthly). For Comprehensive Dental, you will have $1,200 per year for restorative services, crowns, and prosthodontics. In addition, the combined benefit for eyewear and hearing aids with $500 annually.

MCS Classicare Platino Progreso (HMO D-SNP)

You will have a Comprehensive Dental benefit with $4,500 per year for restorative services, crowns, and prosthodontics. In addition, you will receive OTC and Eligible Items through the Te Paga Card with $1,056 annually ($88 monthly). We also cover transportation, labs, X-rays, visits to primary care physicians and specialists with $0 copay, and eyewear coverage up to $1,000 annually.

Happy couple facing each other, enjoying nature.
Older couple smiling and looking at each other, enjoying nature.

MCS Classicare Platino Ideal (HMO D-SNP)

You will receive OTC and Eligible Items through the Te Paga Card with $1,176 annually benefit ($98 monthly), and a reduction on the monthly Medicare Part B premium of $1,560 annually ($130 monthly). In addition, the Comprehensive Dental coverage with $4,000 annually for restorative services, crowns, and prosthodontics.

MCS Classicare Platino Máximo (HMO D-SNP) (Region 1)

You will have available the Te Paga Card with $2,424 annually ($202 monthly), and a reduction on the monthly Medicare Part B premium of $1,140 annually ($95 monthly). Also, Comprehensive Dental benefits with $1,200 annually for restorative services, crowns, and prosthodontics. Additionally, the combined benefit for hearing aids and eyewear with $500 annually, and access to the provider network throughout the island. The service area for MCS Classicare Platino Máximo (HMO D-SNP) Region 1 is available to beneficiaries residing in any of the 17 eligible municipalities.

Senior couple walking barefoot on the beach.
Smiling senior couple enjoying at the beach

MCS Classicare Platino Máximo (HMO D-SNP) (Region 2)

You will have receive OTC and Eligible Items through the Te Paga Card $1,836 annually ($153 monthly), and a reduction on the monthly Medicare Part B premium of $1,140 annually ($95 monthly). Also, for Comprehensive Dental, $1,200 annually for restorative services, crowns, and prosthodontics. Additionally, the combined benefit for hearing aids and eyewear with $500 annually, and access to the provider network throughout the island. The service area for MCS Classicare Platino Máximo (HMO D-SNP) Region 2 is available to beneficiaries residing in any of the 17 eligible municipalities.

MCS Classicare Platino Máximo (HMO D-SNP) (Region 3)

You will have receive OTC and Eligible Items through the Te Paga Card $1,296 annually ($108 monthly), and a reduction on the monthly Medicare Part B premium of $1,140 annually ($95 monthly). Also, for Comprehensive Dental, $1,200 annually for restorative services, crowns, and prosthodontics. Additionally, the combined benefit for hearing aids and eyewear with $500 annually, and access to the provider network throughout the island. The service area for MCS Classicare Platino Máximo (HMO D-SNP) Region 3 is available to beneficiaries residing in any of the 44 eligible municipalities.

Happy couple embracing outdoors
Older man smiling with a box of fresh food, fruits, and vegetables.

MCS Classicare Platino 202 (HMO D-SNP)

Includes reduction on the monthly Medicare Part B premium of $2,434.80 annually ($202.90 monthly) and the “Healthy Food Box” (1 quarterly box). We also offer you a $0 copay on primary care physician visits, specialists, hospitals, and emergency rooms. It also includes labs, X-rays, and transportation.

MCS Classicare Platino Ultra (HMO D-SNP)

You will have receive OTC and Eligible Items through the Te Paga Card with $2,100 annually ($175 monthly), and a reduction on the monthly Medicare Part B premium of $2,100 annually ($175 monthly). Also, a Comprehensive Dental coverage with $1,000 annually for restorative services, crowns, and prosthodontics. Additionally, the combined benefit for hearing aids and eyewear with $300 annually, and access to the provider network throughout the island. The service area for MCS Classicare Platino Ultra (HMO D-SNP) is available to beneficiaries residing in any of the 39 eligible municipalities.

Smiling senior couple embracing each other
The Paga Debit Card includes your monthly OTC allowance. Enrollees who meet the eligibility criteria for Special Supplemental Benefits for the Chronically Ill (SSBCI) may use the same allowance for OTC items and other SSBCI-eligible items and services. 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 may be 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. The benefits mentioned are a part of a Special Supplemental Benefits Program for 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 may be 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. 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 that are illegal under State or Federal law, broad membership programs inclusive of multiple unrelated services and discounts, and non-healthy food. Unused amounts do not roll over to next month. Some services may require prior authorization. Contact the plan for details. Referrals are required for certain services. 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. 8. Comprehensive dental benefit periodicity varies depending on the service. Limitations and prior authorization apply. Transportation to plan-approved locations through contracted suppliers. Home Assistance: Only simple repairs and basic services apply, according to the evaluation carried out by the service supplier. Hairstyling; You must visit participating establishments to receive these services. Contact the Home Assistance supplier for more details. Eyewear and hearing aids share a combined allowance. Choosing to use one benefit will reduce or eliminate the amount available for the other benefit, including repairs. Unused allowances rollover monthly within the plan year. Access to the provider's network all over Puerto Rico. The service area for MCS Classicare Platino Máximo (HMO D-SNP) Region 1 is available to beneficiaries residing in any of the 17 eligible municipalities. The service area for MCS Classicare Platino Máximo (HMO D-SNP) Region 2 is available to beneficiaries residing in any of the 17 eligible municipalities. The service area for MCS Classicare Platino Máximo (HMO D-SNP) Region 3 is available to beneficiaries residing in any of the 44 eligible municipalities. For details see the Evidence of Coverage or contact the plan. The service area for MCS Classicare Platino Ultra (HMO D-SNP) is available to beneficiaries residing in any of the 39 eligible municipalities. For details see the Evidence of Coverage or contact the plan.
Social