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Visit your doctors, laboratories, imaging centers, and hospitals
Pay for groceries and delivery, and home cleaning and disinfection
Purchase your OTC products with the new barcode
List of participating pharmacies
Get cash for whatever you need: water, electricity, gas, entertainment, and more
Obtain your medications
Yes, it is. You show it to your doctors, hospitals, laboratories, imaging centers, and any other healthcare provider, just like you do with a regular health plan card.
Our wider benefits and services aim to improve or maintain the health of our members, by promoting better nutrition. This is why we decided to offer financial relief for food, which complements our clinical care model and the offering of visits to nutritionists with no need for a previous diagnosis.
However, if you want to have cash to help you pay utilities, we have several products with a cash benefit that could be of interest to you. With this benefit, you will be able to pay for whatever you need, including electricity, water, and telephone bills.
To comply with the guidelines and rules of our regulator –CMS (Centers for Medicare & Medicaid Services)– Triple-S Advantage, just like all insurers, must ensure that the member meets all the criteria defined by CMS for chronic diseases. In some cases, the information is already available in the member’s claims and records on file. We encourage you to ask your doctor when selecting coverages with these supplemental benefits.
Our team will evaluate whether you have one or more conditions of those established by CMS, and will evaluate your medical history, including hospitalizations and recoveries, medication use, and other factors related to your health.
We must emphasize that this benefit is not considered income and is not taxable.
The cash benefit allows you to use the money deposited monthly at any establishment that accepts Mastercard®. Therefore, you can use it to pay other expenses, like electricity, water, telephone, gas, entertainment, and others. You may also check the balance of this benefit and make cash withdrawals from Oriental Bank’s automated teller machines. This cash benefit accrues on a month-by-month basis while you are still a plan member.
This benefit is offered as part of the Real and Platino Advance coverages.
No, you don’t have to pay taxes for this cash. The Puerto Rico Department of Treasury confirmed that Triple-S Advantage’s cash benefit is not considered income and, therefore is not taxable. For the same reason, this benefit does not affect your eligibility based on income for Medicaid and other aid programs.
If you have questions about this, please contact us at 1.888.620.1919 / 1.866.620.1919 TTY (hearing impaired) from Monday to Sunday from 8 a.m to 8 p.m.
Yes, if you do not want it, you can waive the cash benefit because it is a completely optional benefit and does not affect other additional benefits your coverage.
To make it easier for you to use your benefit, you can now go to your drugstore and use our regular card or Mastercard®, whether to get them at the prescription drug counter, or better yet, pay for OTC products at the cashier outside the drug counter at almost 500 community drugstores. These include, but are not limited to:
Many older adults struggle to purchase nutritious food due to financial reasons. It may also be difficult for them if the grocery story is far away, and they do not drive or face mobility issues. With this benefit, eligible members may get cash to buy groceries and pay for its delivery. By doing this, we also offer greater access to healthy food. A balanced nutrition is part of a healthy lifestyle.
We recognize that hygiene and a clean home have a positive effect on physical and mental health. Therefore, this year, eligible members can enjoy this benefit in addition to what we already offered. This is part of our mission to provide our members with true holistic healthcare.
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By clicking this link, you are leaving the website of Triple-S Advantage. If you need further assistance you may contact the Member Service Center of Triple-S Advantage at 1-888-620-1919. (TTY users should call 1-866-620-2520.) Hours are Monday through Sunday from 8:00 am to 8:00 pm.
Triple-S Advantage has a strong commitment to protecting the confidentiality of our members’ sensitive information. We take information privacy very seriously and it is important to us that our members are made fully aware of a potential privacy issue. We have learned that personal information of some of our members, including their name, health plan identification number, date of service in which treatment was provided, and treatment codes describing the service provided was mailed to the wrong address. The Social Security Numbers and date of birth of our members were NOT disclosed as a result of this incident.
On December 5, 2017, Triple-S Advantage discovered that notices sent in November 2017 to health care providers involved in the treatment of our members were mailed to the wrong address. However, we have not received any indication that the information has been accessed or used by an unauthorized individual.
Triple-S Advantage has performed an extensive investigation into why and how their personal information was disclosed. We have taken immediate steps to ensure additional notices to our members and your health care providers are sent to the correct address, such as: correction of the mailing process, completion of testings and sending the letters to the correct address of your provider. The members who may have been affected by this incident will receive first-class mail notices.
We have reported the incident to the required government agency, the Health Insurance administration of Puerto Rico (ASES) and will comply with the evaluation as required by the Office of Civil Rights within the time period established.
We are making an announcement about this incident so that affected Triple-S Advantage members can consider taking action to reduce the chances that their personal information will be misused:
If you or a family member belong to Triple-S Advantage and want additional information about the incident, you may contact our Customer Service Department from Monday through Sunday from 8:00 am to 8:00 pm at our toll-free number 1-888-620-1919, TTY users should call 1-866-620-2520 or by e-mail at: firstname.lastname@example.org.
You may also visit our Internet website advantage.grupotriples.com for further information.
If you are a Medicare Platino member, you can also contact the Health Insurance Administration of Puerto Rico (ASES) at or Customer and Providers Services Offices (PROBENE) at 1-800-981-2737/1-800-981-ASES from Monday through Friday 8:00 am to 4:30 pm, a Customer Services Representative will assist you. TTY users should call (787) 474- 3389. You can also contact us by email at email@example.com.
Triple-S Advantage sincerely apologize and regret this situation. The privacy and security of our member’s information is very important. We are working hard to strengthen our processes for the benefit and protection of our members.
Please Note: Triple-S Advantage will NOT call or email anyone requesting any personal information as a result of this incident. If you receive an unsolicited call or email that appears to be from Triple-S Advantage, your local hospital or physician office, please do not provide any personal information in response to these calls or emails.
Triple-S Advantage, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Triple-S Advantage, Inc. cumple con las leyes federales aplicables de derechos civiles y no discrimina por razón de raza, color, origen de nacionalidad, edad, discapacidad, o sexo. Triple-S Advantage Inc. 遵守適用的聯邦民權法律規定，不因種族、膚色、民族血統、年 齡、殘障或性別而歧視任何人ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call: 1-888-620-1919 (TTY: 1-866-620- 2520). ATENCIÓN: Si usted habla español, servicios de asistencia lingüística están disponibles libre de cargo para usted. Llame al: 1-888-620-1919 (TTY: 1-866-620-2520). 注意:如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-888-620-1919 (TTY: 1-866-620-2520)。
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