First+Plus Advantage (PPO) ImprimirPrint

AVISO IMPORTANTE

 

MMM Healthcare, LLC won’t offer the First+Plus Advantage plan in 2017. This means your coverage through First+Plus Advantage ended in December 31, 2016.

 

We have included important information you will need to make some decisions about your Medicare coverage.

 

Non-Renewal Notice 

What you need to know about Medigap

 

 

About the coverage

 

The First+Plus Advantage plan, available throughout Puerto Rico, will cover most services while traveling to the United States, all you have to pay is a monthly premium of $49.50, your coinsurance or copayment, we will cover the rest.

 

 

What do we offer?

Medical visits and Hospital Stays

$8copay

Primary Care Physician (PCP)

  • $20copay

    Specialists

  • $20copay on Medicare covered visits (up to 2 visits)

    Chiropractic

  • $75copay

    Preferred Network Hospital stay

  • $65copay

    Emergency care, $65 in worldwide coverage

Drug Coverage*

$6copay

Preferred Generic Drugs

  • $14copay

    Generic Drugs

  • $40copay

    Preferred Brand Drugs

  • $65copay

    Non Preferred Brand Drugs

  • 33%coinsurance

    Specialty Drugs

More Benefits

$0copay

Preventive dental services

  • $100every year

    Eyeglasses

  • $300every three years

    Hearing aids

  • 1Blood Prssure Moitor* Per Member every three years

    Over-the-counter Items (OTC)

  • 20%coinsurance

    Out-of-Network Coverage*

 

*Blood Pressure Monitor requires evaluation and preauthorization. In the Drug Coverage, while you are in the Coverage Gap, you will pay 45% of the cost for brand name drugs (plus dispensing fee), through the Medicare Gap Coverage Discount Program, and generally pay no more than 58% of the cost for generic drugs. This plan offers additional coverage in the gap for some drugs.

 

Do you need a printed copy of any of these documents? We can send it by mail, request it here.