Te Paga Card $1,440 annual ($120 monthly)
Medicare Part B Premium Reduction $1,212 annual ($101 monthly)
Primary Physician $0 copay Specialists $10 copay
20% of the total cost
12 One-Way annual (locations approved by the plan)
$500 annual in combined benefit for vision care and hearing services8
$2,500 annual $0 copay
Pest control, yard clean-up, hairstyling7, electricity, preventive home cleaning/disinfection, plumbing, locksmith and technology assistance. 12 visits per year (3 quarterly)
$0 copay per encounter
10 pills per month
Nutritionist, Acupuncture, Therapeutic Massage and 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. 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.
5. Access to the provider's network all over Puerto Rico. The service area for MCS Classicare ELA Solido includes 39 municipalities, Adjuntas, Aguada, Aguadilla, Añasco, Arecibo, Barceloneta, Cabo Rojo, Camuy, Ciales, Corozal, Florida, Guánica, Guayanilla, Hatillo, Hormigueros, Isabela, Jayuya, Juana Díaz, 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 y Yauco. For details see the Evidence of Coverage or contact the plan.
6. 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.
7. For hairstyling services (wash, cut and dry) you must visit participating establishments to receive these services. Contact the Home Assistance supplier for more details.
8. The maximum benefit amount for eyewear and hearing aids is combined and includes coverage for repairs.
Metro Area 787.620.2528 Toll free 1.866.627.8181 For people with hearing disabilities (TTY) 1.866.627.8182