The most important thing is that you and your children are protected and have an insurance plan for any situation.
Now that youre starting a new life, you may be interested in following your adventurous spirit or making a reality out of that business idea that has long been in your mind, and having a medical plan is important. Emergencies can arise at any given moment and you must be protected at all times, which is why Triple-S healthcare plans have no waiting time. As soon as your plan is approved, you’re instantly covered. You wont be rejected for any preexisting condition either. Its that easy.
You also want your children to be well-protected at all times; it doesnt matter if they live with you around the clock or only during weekends. Having a specialized health plan for single parents is something less to worry about when you are planning what you will do while on vacation with them and in your daily life. You can rest assured in knowing that no matter where you are in Puerto Rico, you have over 10,000 doctors, hospitals and laboratories ready to serve you. For a fact, 100% of hospitals in Puerto Rico accept Triple-S. In addition, all our plans include pharmacy coverage, because you know that young children tend to get sick a lot and medicine can be expensive. Eyeglasses are also covered (up to 21 years old) and vaccines required by federal law are covered too.
Being sick is complicated enough, and not having a medical plan could make it much worse. Review the necessary documents to apply for a healthcare plan for you and your children. It is much easier than you think and you can apply online.
The Health Insurance Plan for Singles with Children covers:
- Dental Plan to keep your candy-loving childrens teeth healthy
- Visits to pediatricians and other primary care physicians, specialists and subspecialists without medical referrals
- Cardiovascular care for when your daughter brings her first boyfriend home
- Physical therapy in case you end up injured after playing basketball with your son
- Preventive tests without copayments to prevent a treatable condition from becoming a major problem
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
