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 information is intended to promote greater price transparency and help our members understand potential costs before receiving medical care.
The tool below includes the most requested services by our members and the costs. The cost presented are estimates based on average costs; therefore, the final cost may vary. The final copay or coinsurance will depend on the selected health product available for sale in 2027, as well as whether the service received is an emergency service or if the selected includes reimbursement benefits.
To learn more about our products available for the individual market 2027, click here. To learn more about our products available for the Small Businesses market 2027, click here.
Our commitment is to provide high-quality healthcare services while ensuring transparency and accessibility of information for all our members.