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Platino Alcance (HMO-SNP)

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Why choose Platino Alcance (HMO-SNP)?

If you are looking for a plan that provides the higher amount of special benefits for people with chronic conditions, without sacrificing saving money and added benefits with $0 copay, Platino Alcance (HMO-SNP) is for you. Platino Alcance (HMO-SNP) offers savings on your Medicare Part B premium in combination with extensive supplemental benefits, such as eyewear, dental, hearing aids, special benefits for people with certain chronic conditions, among other benefits for you.

Medicare Platino, Plan de Salud del Gobierno

Who is elegible?

  • Beneficiaries with Medicare Parts A and B, who are also eligible for Medicaid coverage
  • Residents living in one of Puerto Rico’s 78 municipalities
  • United States citizens or legal residents

For additional information about copayments, coinsurances and details about the benefits and restrictions that apply, please read the Evidence of Coverage and Summary of Benefits. You may enroll in this plan during the Annual Enrollment Period or once every Special Enrollment Period*.

Some benefits of this plan:

  • $25 monthly reduction to Medicare Part B premium
  • $375 for food and groceries shopping, housecleaning, among others**
  • $0 Hospital Stay
  • $0 Primary Care Physicians (PCP)
  • $0 Specialists
  • $0 Laboratory Tests and X-Rays
  • $0 copay for Covered Prescription Drugs
  • Preventive Dental Benefit
  • $1,500 per year for Comprehensive Dental Benefit
  • $50 every 3 months for OTC WITHOUT MEDICAL PRESCRIPTION
  • $750 annually for prescription eyeglasses or contact lenses
  • $1,000 every year for Hearing Aids
  • 48 one-way trips to plan approved locations, including to non-medical destinations**
  • 4 supplemental nutritionist visits
  • 48 hours of In-home support ***


*Each Special Enrollment Period occurs from January to March, April to June and From July to September. If you’re in a drug management program, you may not be able to change plans.

**Restrictions apply.

***Benefit eligibility will be based on medical recommendation and meet certain conditions. See Summary of Benefits or Evidence of Coverage for details.

Some Specialists may require a referral from your primary physician. This information is not a complete description of benefits. Call: 1-888-620-1919 (TTY 1-866-620-2520) for more information. This is a brief summary for informational purposes and it does not replace or modify your Evidence of Coverage (EOC).

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.


Evidence of Coverage (EOC)

The EOC gives you details about your Medicare health care 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.


Hospice Services Rights

List of Durable Medical Equipment (DME)

The Durable Medical Equipment (DME) list information about brands, equipment manufacturers and medical providers in this plan, as described in your Evidence of Coverage.


Provider and Pharmacy Directory 2021

Provider Directory

This document provides you with a list of all our contracted health care providers such as primary care physicians, specialists, hospitals, outpatient facilities among other health professionals. This directory contains contracted providers and preferred network providers.


Pharmacy Directory

The Pharmacy Directory gives you a complete list of pharmacies in our network, which means that all of these pharmacies have agreed to fill covered prescriptions for members of our plan. This directory contains contracted pharmacies and preferred network pharmacies.




Drug Formulary

The Comprehensive Formulary lists all the drugs covered by our plan. These drugs were selected in consultation with a team of health care providers and represent the prescription therapies believed to be necessary for a quality treatment program.


Notice of Changes to Formulary

Our plan is required to provide notice about removals or changes in the preferred or tiered cost-sharing status of any Part D drugs included in the formulary.

Effective Changes at 2/1/2021

Effective Changes at 3/1/2021

Effective Changes at 4/1/2021

Effective Changes at 5/1/2021

Prior Authorization Criteria

Our plan requires you (or your physician) to get prior authorization for certain drugs. This means you will need to get our approval before filling your prescription. If you don’t get approval, we may not cover the drug.

If you need the information contained in this document in Spanish, you may contact Member Services at 1-888-620-1919, from Monday through Sunday, from 8:00 a.m. to 8:00 p.m. TTY/TDD users should call 1-866-620-2520.


Step Therapy Criteria

In some cases, Triple-S Advantage requires that you first try certain medications to treat your medical condition, before covering other medications for the same medical condition. For example, if medication A and medication B both treat your medical condition, Triple-S Advantage may not cover medication B unless you have tried medication A first. If medication A does not work for you, then Triple-S Advantage will cover medication B.

If you need the information contained in this document in Spanish, you may contact Member Services at 1-888-620-1919, from Monday through Sunday, from 8:00 a.m. to 8:00 p.m. TTY/TDD users should call 1-866-620-2520.


Guide for Over the Counter (OTC) Drugs and items

This guide includes over the counter (OTC) medications and health-related items that do not require a prescription to help treat injuries or illnesses. It contains a list of some commonly used drugs, but does not include all the drugs covered by the plan and some items that assist in your health care. This list was selected by a team of health professionals and represents the therapies of medications and non-prescription items that we understand are important to complement your treatment program with prescription drugs.


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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.

Last update: 15/10/2020

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