The directory provides a list of the providers in your plan that have agreed to provide you with your healthcare coverage. You may visit any of our plan providers listed in this directory. If you have been going to one plan provider, you are not required to continue going to that same provider. In some cases, you may obtain coverage for certain services from non-plan providers.
Under the HMO coverage, you will have to choose one of our plan providers that are listed in this directory to be your Primary Care Physician (PCP). Generally, you must receive your health care coverage from your PCP, who specializes in internal medicine, family medicine, general practice or geriatric, to which you will have access without a referral and who has a direct or indirect contractual arrangement with the Health Plan. A PCP provides you with primary care services; maintains the continuity of your medical care and initiates and manages referrals to other network providers as required by your medical needs and/or as established in your coverage. To receive services from a non-plan provider you will need preauthorization from the plan.
For PPO coverage, you do not have to choose a Primary Care Physician (PCP); you have the option of using contracted and non-contracted providers. However, if you choose to visit a nonplan provider, with the exception of emergencies or urgent care situations, renal dialysis and hospitalization (when admitted through the emergency room) it may cost you more.
The service areas of Medicare y Mucho Más (MMM), PMC Medicare Choice (PMC) and First+Plus include all municipalities in Puerto Rico.
To get detailed information about your healthcare coverage, please refer to your Evidence of Coverage. For more information, call our Member Services Department.
For your convenience, we provide you with an electronic search of the providers in Medicare y Mucho Más (MMM), PMC Medicare Choice (PMC) and First+Plus. Click on the link of your plan to start your search:
To find your pharmacy and/or provider, please follow these steps:
a. In the “Find a doctor” option, select the specialty you need.
b. If you know the name of your provider, type it in the “Who you looking for” section.
c. In the “Where” section, select the area. If you know the ZIP code, type it in that section.
d. Use the Advance Search option if you need to look by: Hospital Affiliations, Group Affiliations (IPA), Gender,
Spoken Languages, Accepting New Patients, Home Visits, Office Hours, Preferred, and then click Search.
a. In the “Find a service facility” section, select “Pharmacy”.
b. In the “Where?” section, select the area. If you know the ZIP code, type it in that section.
c. Use the Advance Search option if you need to look pharmacies by type (All; 90-day supply; Long Term;
d. Specialty; Part B; Is Retail; Is Chain), then click search.
For a new search, click “Clear Search”
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 Approved
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