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12. How do I request a service reimbursement?

You must include your payment receipts with your reimbursement request. Make sure to fill out the entire form to avoid any delays in the review process. You may:

  • Submit your reimbursement request online by clicking here. To obtain basic instructions or assistance to fill out the form, please click here.
  • You may print, fill out, and send the reimbursement request form, including your payment receipts, for medical or dental services via:
    • Email: moc.r1717036915psss@1717036915etnei1717036915lclao1717036915icivr1717036915es1717036915
    • Fax: 787-706-2833, to the attention of the Reimbursement Department or Dental Reimbursement Department (as applicable)
    • By mail:

Triple-S Salud

Reimbursement Department or Dental Reimbursement Department (as applicable)

PO Box 363628

San Juan PR 00936-3628

787-277-6653 787-474-6326