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Benefits

Óptimo Plus (PPO)

Savings in Part B Not covered
Benefits of purchases and
payment for:

• Purchase of food
• Restaurants and fast foods
• Utilities: Water, electricity, telephone, and internet
• Gasoline
• Propane gas
• Household cleaning supplies
• Professional house cleaning
Not covered
OTC Not covered
Comprehensive Dental $1,000 per year
Eyeglasses $200 per year
Preferred brand prescription drugs $30 copay
Hearing aids $200 per year
Transportation Not covered

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

You have:

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.

Member Service

1-888-620-1919

TTY/TDD users

1-866-620-2520

Monday thru Sunday,
from 8:00 a.m. to 8:00 p.m.

Service for Providers

1-855-886-7474

Monday thru Friday,
from 8:00 a.m. to 5:00 p.m.

TeleConsulta

1-800-255-4375

Dedicated TeleConsulta for TTY/TDD Callers: 711 | 1-855-209-2639

TeleConsejo

1-877-879-5964

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