Medical, Dental and Vision
To help you proactively manage your health and to provide protection in the event of the unexpected, we offer our Creators and Sciplayers who reside in Puerto Rico combined Medical, Dental and Vision coverage through Triple-S. If you elect Medical coverage, you will also receive Dental and Vision coverage.
Triple-S | |
---|---|
In-Network Only | |
You Pay | |
Calendar Year Deductible | |
Individual | $0 |
Family | $0 |
Calendar Year Out-of-Pocket Maximum (Includes Deductible) | |
Individual | $6,350 |
Family | $12,700 |
Preventive Care | $0 |
Primary Care Physician | $10 copay |
Specialist | $15 copay |
Urgent Care | $25 copay |
Emergency Room (Illness)* | $50 copay |
Emergency Room (Accident)* | $25 copay |
Retail Rx (up to 30-day supply) | |
Generic | $10 copay |
Preferred Brand | 25% minimum $20 copay |
Non-Preferred Brand | 30% minimum $30 copay |
Specialty: Preferred | 20% maximum $500 copay |
Specialty: Non-Preferred | 20% maximum $500 copay |
Mail Order Rx (up to 90-day supply) | |
Generic | $20 copay |
Preferred Brand | 19% minimum $40 copay |
Non-Preferred Brand | 30% minimum $90 copay |
* No charge if recommended by Teleconsulta. Coinsurance may apply for non-routine diagnostic tests other than X-rays.