Why choose Óptimo Plus (PPO)?

A plan that gives you the freedom to visit providers inside and out of network in Puerto Rico and United States, without referral. Is a plan with a $0 monthly premium, accessible copayments, and supplemental benefits to take care of your health like eyeglasses, dental procedures, and hearing aids.

I want this plan

Manage your plan and have your digital plan card with the Mi Triple-S app

Receive medications and OTC with Triple-S en casa app

Coordinate virtual appointments with specialists through TeleConsulta MD app

$300 per year in Part B premium contribution benefit
$0 copay in specialists at Salus
$4,500 per year for comprehensive dental
$250 per year for eyeglasses and contact lenses
$500 per year for hearing aids

Important documents for you

Summary of Benefits (SB)

The Summary of Benefits tells you about some of the characteristics of the plan. It does not include all covered services or all limitations or exclusions. For a complete list of benefits, refer to the Evidence of Coverage.

DOWNLOAD SUMMARY OF BENEFITS

Evidence of Coverage (EOC)

The EOC gives you details about your Medicare healthcare and prescription drug coverage for the calendar year. It also explains how to get coverage for the services and prescription drugs you need. This is an important legal document.

DOWNLOAD EVIDENCE OF COVERAGE

Annual Notice of Change (ANOC)

This document is sent to members every fall to inform you about all the changes to benefits, costs, providers, and prescription drugs for the next year. The ANOC helps you compare your current health and prescription drug benefits and costs with those for next year.

DOWNLOAD ANNUAL NOTICE OF CHANGE

Annual Notification of Changes (ANOC) crosswalk from Óptimo Plus Xtra (PPO) to Óptimo Plus (PPO)

DOWNLOAD ANNUAL NOTICE OF CHANGE

Last update: 10/15/2024

I wish to receive information about the coverage products and services offered by Triple-S Advantage

Yes, I wish to receive information about the coverage products and services offered by Triple-S Advantage.

You have:

Medicare Part A
Medicare Part B
Government Health Plan of Puerto Rico (GHP)
ELA

* May we contact you?

Yes

By completing this form, you agree to a meeting with a sales agent to discuss the types of products you check above. Please note, the person who will discuss the products is either employed or contracted by a Medicare plan. They do not work directly for the Federal government. This individual may also be paid based on your enrollment in a plan.

This selection does NOT obligate you to enroll in a plan, it does not affect your current membership, and it will not enroll you in another Medicare plan.