Health Plan for Singles without Children Learn about the health plan options Triple-S Directo offers singles, available to protect you at this stage of your life at an affordable price.
Think about what you’re doing these days. Did you just graduate from college? Are you about to start a business because you want to have something of your own? Do you want to go out into the world with no worries? Maybe you have your mind set on living, on doing things you have never done before and that’s great, but you’ll need the protection of a specialized healthcare plan for singles, so it can join you on your adventures.
For you, a new business owner on a tight budget, Triple-S healthcare plans have options at affordable prices. It will cost much less than a visit to a doctor, with X-Ray readings and medications that you will have to pay out of pocket because you hammered your finger. For those of you who are saving up to go on that adventure, theres an available travel insurance that protects you while you go around the world. Here in Puerto Rico, you will be protected by a network of over 10,000 hospitals, doctors and laboratories. As part of Triple-S you will have over-the-phone access to professional nurses, available 24/7 through TeleConsulta, who will help you identify your symptoms, since that pain in your hand is not necessarily cancer, contrary to what you read on the Internet. You’ll also be covered during any trip to the United States (through reimbursments), so go swim with those dolphins in peace.
Applying for a medical plan doesn’t have to be a headache either. You can complete your application for a Triple-S healthcare plan online, which is convenient for someone like you, who wants it done quickly. Speaking of quick, with Triple-S medical plans theres no waiting time to start using your plan. Emergencies are not planned, and we believe that you should always have free access to our network of over 10,000 doctors, hospitals and laboratories.
Getting sick without a medical plan may delay your plans enough, you’ll see that having a health insurance plan is a good investment. Check the list of necessary documents [link to checklist] to apply for your health insurance. To make it even easier, you can apply online.
The medical plan for Singles without children includes:
- On-the-phone assistance through TeleConsulta from professional nurses, available 24/7 to answer your medical questions
- Visits to optometrists so you can get a better view of the world
- Visits to the audiologist to determine if you have to lower the volume of your headphones
- Dental care so you can keep that smile going
- Preventive tests without copayments so you can monitor your health
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
