Health Plans 2024

Discover the options you can choose according to your health needs

INDIVIDUAL

Health Maintenance
Organization

Platino (SNP)

Special Needs Plan

PPO

Preferred Provider Organization

Plans PPO

This type of plan is recommended for you that are searching for a low monthly premium and the great benefit of visiting out-of-network providers in Puerto Rico and the United States. You will also receive other important benefits such as eyeglasses, dental, OTC, and more.

These are the PPO plans we have for you

Óptimo (PPO)

Óptimo (PPO)

For people that have a prescription drugs coverage and look for an additional coverage for your medical care with $0 monthly premium. Offer savings to your pocket with the Medicare Part B give back benefit, and the ComboCard.

$900 per year Medicare Part B Premium giveback benefit (BuyDown) $200 per year in OTC items $2,000 per year in Comprehensive Dental Benefit
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Óptimo Plus (PPO)

Óptimo Plus (PPO)

A plan with $0 monthly premium, accessible copayments, and supplemental benefits to take care of your health.

$0 copay in: Specialists*, Prescription drugs** $1,700 per year for Comprehensive Dental Benefit $400 per year for eyeglasses
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Óptimo Xtra (PPO)

Óptimo Xtra (PPO)

A coverage with free access to visit providers inside and outside of network in Puerto Rico and United States, without referrals

$30 monthly premium $0 copay in: Specialists*, Prescription drugs** $300 per year in OTC items
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*Copay/coinsurance applies to services rendered at SALUS facilities. Other providers are available in our network.

**Applies to the Preferred Pharmacy Network in Tiers 1, 2 & 6.