MCS Classicare Te Paga $2,400 annual ($200 monthly)
$0
$0 copay Primary Physician and Specialists
0% Special Network / 20% General Network
$700 annual in combined benefit for vision care and hearing services
$2,500 annual 0% coinsurance
28 one-way trips to plan approved locations and 40 one-way trips to veterans facilities annually
Pest control, yard clean-up, hairstyling7, electricity, preventive home cleaning/disinfection, plumbing, locksmith and technology assistance. 12 visits per year (3 quarterly)
Not covered
$0 copay per encounter
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.
Metro Area 787.620.2528 Toll free 1.866.627.8181 For people with hearing disabilities (TTY) 1.866.627.8182