Know Your Benefits

MCS Classicare CFSE Premium Group

For Retirees and Optional Dependents over age 65 with Medicare Part A and B and/or Disabled Retirees under age 65 with Medicare Part A and B

Your benefit coverage includes:

Visitas medicas
  • Medical Visits
  • $7 Generalist
  • $15 Specialist
  • $15 Subspecialist
Visitas medicas
  • Medical Visits
  • $7 Generalist
  • $15 Specialist
  • $15 Subspecialist
Visitas medicas
  • Medical Visits
  • $7 Generalist
  • $15 Specialist
  • $15 Subspecialist
Visitas medicas
  • Medical Visits
  • $7 Generalist
  • $15 Specialist
  • $15 Subspecialist

Its main benefits are:

  • $0 monthly premium after employer's contribution
  • $0 yearly prescription drug deductible
  • $0 copayment and/or coinsurance in:
    • Medical visits
    • Hospital services
    • Chiropractic visits
    • Podiatrist visits
    • Durable medical equipment
    • Ambulance Services
    • Laboratories and x-rays
    • Preventive services (including immunizations, bone density testing, mammograms, colorectal screening and prostate cancer, among others)
    • Mint Health Services
    • Preventive dental services (up to $1,000 per year)
    • Medical visits
    • Medical visits
  • $25 copay for emergency and urgently needed visits
  • $300 per year for glasses
  • $800 for annual hearing aids
  • Over-the-Counter Drug Coverage (OTC)
  • $320 yearly up to a maximum of $80 per trimester - Requires a prescription

Prescription Drug Coverage

Your prescription drug coverage includes an extended formulary. You will pay the following for your drugs on the formulary:

Retail Pharmacy
Mail order medications
Generic
$0 copayment
$0 copayment
Preferred brand name
$10 copayment
$10 copayment
Non-preferred brands
$10 copayment
$10 copayment
Specialized
$10 copayment
$10 copayment

After drug coverage reaches the total of $4,550 paid between you and the plan, you will pay the amount that is greater for: Generic: $2.60 copayment Preferred brand name: $6.50 copayment or 5% coinsurance.

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