After having received orientation about the different options available at MCS Classicare (HMO), you may fill out the Enrollment Form.
Before making an enrollment decision, it is important that you fully understand our benefits and rules. To understand our benefits:
Understanding Important Rules
For MCS Classicare Essential (HMO-POS) and MAPD groups (HMO-POS) plans, you should know:
For MCS Classicare Primero (HMO C-SNP) , you should know:
For MCS Classicare Excede (HMO), you should know:
For MCS Classicare Metro (HMO) , you should know:
For MCS Classicare Firme (HMO), you should know:
For MCS Classicare Del Caribe (HMO), you should know:
For Platino plans, you should know:
For Classicare Platino Del Sur (HMO D-SNP), you should know:
For Classicare Platino Máximo (HMO D-SNP), you should know:
The following instructions can help you in the process of filling out the Enrollment Form.
SELECT THE BENEFITS PLAN YOU WANT TO JOIN
Choose the Plan you want and select it. Also, let us know the name of your previous medical plan.
BENEFICIARY INFORMATION
Fill out all the sections related to the information of the beneficiary:
YOUR MEDICARE INFORMATION
Fill out the section related to your Original Medicare:
PAYING YOUR PLAN PREMIUM / PREMIUM PAYMENT METHOD, IF APPLICABLE
Please read this important information and select the payment method for the monthly premium and/or late enrollment penalty. This is only applicable if the plan that you selected has a monthly premium or if we determine that you owe a late enrollment penalty or if you currently have a late enrollment penalty. If not, omit this part.
ANSWER THESE IMPORTANT QUESTIONS
Read and answer all the questions in this section of the Enrollment Form.
PRIMARY CARE PHYSICIAN (PCP) INFORMATION
Select your primary care physician (PCP) from the MCS Classicare provider network and write down the name of the physician in the space provided. If you do not have a primary care physician, MCS Classicare will assign one for you, which you may change later on if you wish to do so. In order to obtain the Providers Directory, access our webpage at www.mcsclassicare.com.
INFORMATIONAL MATERIALS
CHRONIC SPECIAL NEEDS PLAN (C-SNP)
IMPORTANT: READ BELOW
Carefully read the terms and conditions established by MCS Classicare. This way, you will have completed the application. If you wish to receive additional orientation about how to fill out the application, you may contact us at:
Metro Area: 787.296.9003
Toll Free: 1.866.591.4002
TTY (Hearing Impaired): 1.866.627.8182
Our operation hours are Monday through Sunday from 8:00 a.m. to 8:00 p.m. from October 1 to March 31 and Monday through Friday from 8:00 a.m. to 8:00 p.m. and Saturday from 8:00 a.m. to 4:30 p.m. from April 1 to September 30.
Remember that there are limits as to when and how often you can change the way you receive Medicare services:
During the Medicare Advantage Open Enrollment Period (MA OEP) - from January 1 through March 31st, anyone enrolled to a Medicare Advantage Plan may enroll in another Medicare Advantage plan or disenroll from their Medicare Advantage plan and return to Original Medicare. Enrollees may make only one election during the MA OEP. Individuals may add or drop Part D coverage during this period.
Medicare limits when you can make changes to your coverage. From From October 15 through December 7 of each year, you can join a new Medicare Prescription Drug Plan or Medicare Health Plan for next year. You cannot enroll in a new plan at other time in the year unless you meet certain special exceptions, such as, for example, if you move outside MCS Classicare service area, lost creditable coverage or if you qualify for extra help with the costs of your prescription drugs.
Benefits, prescription drugs formulary, providers and/or pharmacy networks, premium and/or co-payments/co-insurance may change from year to year. Plan may not be available the following contract year because by law, plans can choose to not renew their contract with CMS or reduce their service area and CMS may also refuse to renew the contract, thus, resulting in a termination or non-renewal.
Special Enrollment Period (SEP) for Dual-eligible individuals (Medicare and Medicaid) this SEP allows and individual to enroll in, or disenroll from, a Medicare Advantage plan once per calendar quarter during the first nine (9) months of the year. This SEP can be used once during each of the following time periods:
Benefits, prescription drug formulary, providers and/or pharmacy networks, premium and/or co-payments/co-insurance may change from year to year. Plan may not be available the following contract year because by law, plans can choose to not renew their contract with CMS or reduce their service area and CMS may also refuse to renew the contract, thus, resulting in a termination or non-renewal.
2024
To subscribe any 2024 product press here to access our Enrollment Form for the following products. To see our product’s health coverage’s benefits please refer to our Summary of Benefits Section. Also, you may refer to Plan Rating Every year, Medicare evaluates plans based on a 5-star rating system. Press here for more information:
https://www.medicare.gov/plan-compare/#/search-results?plan_type=PLAN_TYPE_MAPD&fips=72127&zip=00926&lang=en&page=1&year=2024
If you wish to subscribe to our products, you may fill out the Enrollment Form and hand it in at any of our Service Centers or send it by fax at 787.620.1343 or mail to the following address:
MCS Advantage Enrollment Department PO Box 191720 San Juan PR 00919-1720
Medicare beneficiaries may enroll in MCS Classicare through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. Press here to enroll at medicare.gov. If you click this link, you will be leaving the MCS Classicare website and lead you to the Medicare website.
This information is available for free in other languages. Please contact our customer service number at 787.620.2530 (Metro) or 1.866.627.8183 (Toll Free) and TTY (People with hearing disabilities) 1.866.627.8182, operation hours are Monday through Sunday from 8:00 a.m. to 8:00 p.m. from October 1 to March 31 and 8:00 a.m. to 8:00 p.m. Monday through Friday and Saturday from 8:00 a.m. to 4:30 p.m. from April 1 to September 30.