Whether youre just starting a life together, planning on having kids or ready to live life to the fullest, Triple-S Directo offers peace of mind with our Couples healthcare plan.
What side of the bed do you prefer? Who gets what chore around the house? Who takes the dog out? Will we have children? How many? When you live as a couple there are many decisions to take into account, among these, which health insurance plan is best for your lifestyle.
Let’s be honest, living with a partner means adjusting yourself to someone else in order to build a life together and that’s what Triple-S health insurance plans for couples do for you. We offer full protection to complement your lifestyle. If your interest lies in building a family, they have maternity coverage that also covers baby appointments during their first year of life.
Now, if what you prefer is traveling to the United States and enjoying life without thinking about kids, you can relax because you are covered by the Blue Card program wherever you go.
As they say, it’s better to be safe than sorry, and a list of preventive diagnostic tests are available to you without copayments. That way, you prevent something now that you may regret later.
Think about how going through an emergency situation without health insurance would cause serious damage to your budget, which could delay your plans. With a Triple-S healthcare plan for couples, you can be sure that you will be covered by the widest provider network of doctors, hospitals and laboratories in Puerto Rico. This means that 100% of hospitals in Puerto Rico accept Triple-S medical plans.
In addition, all our medical plans include pharmacy and dental, so that a toothache and buying medicine don’t turn into a problem for the savings you are gathering for the dining table you so desperately need. Is it the paperwork that discourages you from requesting a healthcare plan? Check the list of necessary documents [link to checklist] to request your couples insurance, and youll see how it’s much easier than you think. Apply online; it will be a lot easier than choosing the size of the TV in your room.
The health insurance plan for couples includes:
- Maternity coverage for when you decide to have children.
- Visits to podiatrists, optometrists, audiologists and chiropractors to pay attention to those areas of the body that cannot be ignored when they start acting up
- Dental Plan to help you take care of that smile with which you conquered your partner
- X-Ray services in case somebody slips in the garage when the floor is wet
Coverage of this plan
Hospital Services
- Semi-private room, 365 days a year
- Hospitalizations for mental conditions and substance abuse
- Skilled Nursing Facility (SNF) unit
Hospital Medical & Surgical Services
- Visits from physicians to hospitalized patients; specialist consultations and diagnostic services
- Skin, bone, and cornea transplants
- Surgery and anesthesia
- Extracorporeal Shock Wave Lithotripsy (ESWL) procedure
- Invasive cardiovascular tests and gastrointestinal endoscopies
Medical-Outpatient Services
- Unlimited visits to primary care physicians (PCP), specialists, and subspecialists
- Visits to podiatrists, optometrists, audiologists, and chiropractors
- Visits to the psychiatrist and psychologist; including group therapy and collateral visits for mental conditions and substance abuse
- Visits to a nutritionist, up to six per policy year
- Clinical laboratories and X-rays
- Outpatient surgery at the doctor’s office
- Home Health Care
- Emergency Room Services
- Ground ambulance services, up to $80 per case
- Preventive and vaccine services, as required by federal law
Specialized Diagnostic Tests
- Cardiovascular and vascular non-invasive tests
- Neurological tests
- Nuclear medicine tests
- Computed tomography and MRI, one test per anatomical region, per policy year
- Sonograms and SPECT
- Echocardiograms and electroencephalograms
- PET CT and PET Scan, one per year
Maternity
- Pre and Post-Natal visits
- Hospitalization costs for natural childbirth or cesarean section
- Biophysical profile, one per pregnancy, 50% coinsurance
- Production and interpretation of fetal monitoring
- Visits for preventive newborn care
Services in the United States
The Blue Card Program offers coverage for emergency care and for services that have been pre-certified by Triple-S Salud. You are responsible for the coinsurance corresponding to the benefit in the United States, according to the coverage you select.
Pharmacy
Brand and generic drugs as the first option from a list of medications. Except when there is no generic drug available in the market for a brand-named drug. If the insured chooses, or the physician prescribes, a brand-name drug when the generic drug is available in the market, the insured will pay the brand-name drug copayment / coinsurance and the difference between the brand-name drug and the generic.
Dental Services
Youre 100% covered with any of our dental plans, which offer diagnostic and preventive services. $0 copay for the following services:
- Initial comprehensive exam by generalist or specialist
- Routine periodic exams
- Emergency exam
- Individual periapical x-rays
- Bitewings x-rays
- Dental Prophylaxis (cleanings)
- Fluoride (topical) varnish application to children under age 5
- Topical Fluoride applications to children under age19
- Topical fluoride applications only for adults with special conditions
Additional Benefits
- Triple-S Natural: Enjoy the benefits of alternative therapies, such as acupuncture, aromatherapy and naturopathic medicine, among others, for up to six visits.
- Glasses: One pair per policy year for those insured, until age 21
- Durable Medical Equipment
