The MMM Elite Ultra plan features a list of benefits with low copayments and $0 premium, with no deductibles. This plan also covers all Medicare-covered preventive services with zero cost sharing.
Preferred Network Specialists
General Network Specialists
Psychiatrist or mental health specialists
$10copay medicare covered visits
$75copay per admission
Preferred Network Hospital stay
Emergency care, $100 in worldwide coverage
Preferred Brand Drugs
Non Preferred Brand Drugs
$500Up to $500 a year
$0One pair a year
Eyeglasses or contact lenses
$200every three years
*Out-of-Network Coverage covers up to $ 5,000 per year and requires preauthorization. In the Drug Coverage, while you are in the Coverage Gap, you will pay 40% of the cost for brand name drugs (plus dispensing fee), through the Medicare Gap Coverage Discount Program, and generally pay no more than 51% 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 a MMM al 1-866-333-5470, (TTY: 1-866-333-5469); PMC al 1-866-516-7700 (TTY: 1-866-516-7701); y First+Plus al 1-888-767-7717 (TTY: 1-877-672-4242), de 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 Approved
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