Medicare Beneficiary Now you have All-In-One access

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:

• Farmacias Aliadas
• Farmacias Rey
• Farmacias Belmonte
• Farmacias Caridad

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.