In compliance with Chapter 48 of the Puerto Rico Insurance Code and the ‘Patient Protection Against Surprise Medical Bills Act’ (Law 134-2020), we present a detailed table with estimated costs of the most common health services provided by out-of-network providers. This law aims to promote transparency in medical service prices, ensuring that patients have access to clear and accurate information before receiving medical care.
The following tool presents the most requested services by our members and the costs shown in the table are estimates and average costs. The cost sharing mean shown whether copay or coinsurance will depend on the selected product available for sale in 2026. The reimbursement amount will also depend on if the accessed service is an emergency service or if the selected product has a reimbursement benefit or not.
To learn more about our products available for the individual market 2026, click here. To learn more about our products available for the Small Businesses market 2026, click here.
Our commitment is to provide high-quality healthcare services while ensuring transparency and accessibility of information for all our members.
