Inpatient medical-surgical

• Medical visits, consultations and diagnostics for hospitalized patients.
• Skin, bone, and corneal transplants.
• Surgery and anesthesia.
• Lithotripsy procedure (ESWL).
• Invasive cardiovascular tests and gastrointestinal endoscopies.

Outpatient medical

• All visits to family doctors, specialists, subspecialists, and health care providers you want.
• Nutritionist visits, up to six per contract year.
• Clinical labs and X-rays.
• Outpatient surgeries.
• Health care at home.
• Urgent care and emergency services.
• Ground ambulance for up to $80 per case.
• Preventive services, like immunizations, as stated by federal law.

Services in the US

The Blue Card program covers emergency care and services pre-approved by Triple-S Salud. You must pay the respective coinsurance in the US. This will depend on the coverage you choose.

Drug coverage

We cover a $5 copay for preferred generic drugs. We also cover a 5-tier copay structure.

Dental

We cover 100% of dental for diagnostic and preventive services.

• Full basic exam.
• Common routine exams.
• Radiographs.
• Dental cleaning (prophylaxis).
• (Topical) application of fluoride varnish. This depends on the member's age and health.

More services

• Triple-S Natural:
  Enjoy the rewards of alternate therapy. For instance, acupuncture, aromatherapy and naturopathic services, among others. Up to six visits.
• TeleConsulta MD:
  TeleConsulta MD lets you talk with a doctor online. You can use it 7 days a week, through your smartphone or computer.
• Eyeglasses:
  One pair per contract year for members up to 21 years old. Up to $50 for eyeglasses or contact lenses for adults.
• Maternity:
  With pre and post-natal care.
• Specialized diagnostic tests:
  MRI, PET CT and PET Scan, sonograms, and others.
• Durable medical equipment