Here we provide a summarized outline

of the benefits included in the coverages you chose to compare.
Remember selecting the one that best fits your health care needs and/or budget.

Benefits

Monthly Premium
Part B Savings
• ComboCard®* • Gas • Home cleaning • Purchase and delivery of groceries • Utilitys: Energy, water, propane gas, telephone, internet, Satellite/Cable TV • Additional OTC products • Access to cultural, social and entertainment events • Copays and coinsurance for covered services in our network • Additional transportation
Comprehensive dental
OTC (without a prescription)**
Eyeglasses
Hearing aids
Transportation

Add another plan to compare

* Restrictions apply. The amounts accumulate from month to month as long as your coverage remain active.
** Without accumulative.

Select the plans you want to compare, you can compare up to 4 plans.

I want to know more about this product

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

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

* May we contact you?

Yes

By completing this form, you as a beneficiary or authorized representative agree to have one of our sales representatives contact you to discuss the products Triple-S Advantage offers under Part C. Please be aware that the person calling you is a Medicare employee or subcontractor. They do not work directly with the federal government. This person could receive compensation based on your plan enrollment.

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.