Other Programs

Gold Service

 

Introducing the new exclusive program for MMM Único members. Through the program, you will receive a service that’s special for you, helping you speed up and arrange various efforts between the plan and your health services providers, in order to support your integrated care.

 

With Gold Service you will receive:

 
  • Assistance in the coordination of medical appointments with your primary physician
  • Information regarding reimbursement determinations
  • Reminders of prescriptions that are soon to expire
  • Preauthorization management
  • Invitations to events and health plan activities

 

 

Gold Service  Haciendo Contacto (Getting in Touch)

 

Medical helpline available 7 days a week, 24 hours a day. Trained personnel teach you about what to do when you have a health concern and your primary care physician or caregiver is unavailable.

 

 

Gold Service

 

Preventour is an initiative with the mission to reinforce preventive behavior among the advanced age and disabled populations. This way, they meet the requirements and standards of the Centers for Medicare and Medicaid Services (CMS) and the National Committee for Quality Assurance (NCQA).

 

As part of its prevention initiatives, Preventour offers health screening tests free of charge throughout the Island. Such tests are offered through medical offices and/or our regional offices. The tests offered are:

 
  • Visual exam for diabetic patients (eye fundus test)
  • Spirometry for COPD patients

 

To encourage preventive actions, Preventour will also offer educational seminars to all members at Members Club facilities.

 

For more information, call us at 787-522-5622 (Metro Area) or 1-877-522-8604 (toll free). 

 

Join us and learn!

 

Recompensando Tu Salud (Rewarding your Health)

 

A program that recognizes members who perform preventive measures on their own. They will receive rewards for complying with specific prevention tests for which they are eligible, according to clinical criteria of their Primary Care Physician (PCP)

 

Reward

Tests or preventive care activities

Umbrella

Flu shot 
Diabetic Retinopathy test (eye exam)

Glycosylated Hemoglobin in Control <9%

Pedometer

Bone density test

Rheumatoid arthritis

Lunch Box

Body Mass Index
Breast Cancer Screening

Colorectal Cancer Screening

Pill Box

Medicine Screening
Medication adherence

 
  • Diabetes - Oral
  • Hypertension - Antihypertensive
  • Cholesterol - Statins

 

 

Gold Service  Gold Card

 

 

Program for members, offering a bargain coupon booklet with attractive discounts in entertainment, restaurants, and services around the Island, every quarter.

 

Caregivers Program

 

Program especially designed for those people in charge of the care of a member, be it every day or for some periods. It has the purpose of giving tools and services that help caregivers and facilitate their important task.

 

Some advantages for Caregivers:

 
  • Exclusive Access
    • In one call, the caregiver can receive orientation in a secure and quick way about the coverage that best meets all needs of the person he or she is taking care of.
    • When choosing option #2, the caregiver can receive “first aid” service with specialists in emotions management and mental health.
      • 1-855-622-5606 (toll free)
      • 787-522-5606 (Metro Area)
      • 1-866-333-5469 TTY (hearing impaired)
      • Monday through Friday, from 8:00 a.m. to 6:00 p.m.
  • Express Service in Regional Offices with preferential turn in line.
  • Exclusive access to Members Clubs
    • Monthly courtesy passes to enjoy activities
  • Drug Evaluation Clinics
    • Pharmacists give you orientation about the use and interaction of the member’s medications and yours.
  • Educational material
  • Exercises with Patitas Calientes groups in your community.
  • And more!

 

If you know a caregiver of a MMM, PMC or First+Plus member, refer him or her via email for registration: cuidadores@mmmhc.com

 

 

 

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