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.
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.
$20copay on Medicare covered visits (up to 2 visits)
Preferred Network Hospital stay
Emergency care, $65 in worldwide coverage
Preferred Brand Drugs
Non Preferred Brand Drugs
$300every three years
1Blood Prssure Moitor* Per Member every three years
Over-the-counter Items (OTC)
*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.
Medicare y Mucho Más (MMM) (HMO), PMC Medicare Choice (PMC) (HMO) and FIRST+PLUS (PPO), products offered by MMM Healthcare, LLC, are plans with a Medicare contract. Enrollment in the plans depends on contract renewal. To enroll, you must have Medicare Parts A and B, have not been diagnosed with End Stage Renal Disease (ESRD) and reside within the 78 municipalities of the Island. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. MMM Healthcare, LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-333-5470. (TTY: 1-866-333-5469). Lunes a domingo, de 8:00 a.m. a 8:00 p.m.
H4003-MMM Healthcare, LLC H4004-PMC Medicare Choice H7522-MMM Healthcare, LLC Y0049_2017 4006 0005 1 Pending
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