AHM_Platino Plus (HMO SNP) 2011
The AHM_Platino Plus (HMO SNP) is a plan designed for Medicare beneficiaries subscribed to Part A and Part B and who, at the same time, are eligible for the Medicaid coverage.
$25 reduction to the Medicare Part B Premium, up to $300 annually
$0 monthly premium
$0 deductible
$0 copayment on prescription drugs: brand or generic
$0 copayment on Primary Care Physicians and Specialist visits
$0 copayment on ambulance services (only when medically necessary)
$0 copayment on laboratory and X-rays
Oral Nutritional Supplements (3 units per day for 4 weeks per year) *
Adult diapers (3 diapers per day) *
One shower chair (every 5 years) *
One Blood Pressure Monitor (every 5 years) *
$25 monthly for health programs such as gym memberships
* Certain restrictions apply.
Plan is available to beneficiaries residing in one of the 78 municipalities of Puerto Rico.
To enroll, you must have Medicare Parts A and B and Medicaid.
Please refer to the Evidence of Coverage and/or the Summary of Benefits for information on copayments/coinsurance.
Premiums, copayments, coinsurance and deductibles may vary based on the level of help received.
Evidence of Coverage AHM_Platino Plus (HMO SNP) H5774_1025_11_02_E CMS Approved 12012010
Summary of Benefits AHM_Platino Plus (HMO SNP) H5774_1001_11_01_E CMS Approved 08262010
Last Updated 10/06/2011
