With 40 years of experience, MCS has stood out for offering
innovative products based on a service delivery model that takes all aspects of human health into
consideration.
Its unwavering commitment to its members ’ health has turned MCS into one of today’s strongest
companies,
leading the industry with a revolutionary business philosophy that redefines health services in Puerto Rico.
As part of our recent achievements in the delivery of services and care, MCS Classicare obtained the highest
score in the CAHPS survey for Health Plan and Drug Plan metrics in the United States and Puerto Rico, over
500 Medicare Advantage programs throughout the United States.
MCS Healthcare Holdings, LLC Serves Clients in Puerto Rico Through its Three
Lines of Business:
MCS Life Insurance Company
Offers a wide variety of individual and group health and life insurance.
Physical Address:
MCS Plaza
Ponce de León Avenue 255
San Juan, PR
00917
Mailing Address:
P.O. Box 9023547
San Juan, PR 00902-3547
Employer Identification Number:
66-0520918
MCS Advantage, Inc.
Through its MCS Classicare product, offers a wide variety of Medicare Advantage plans under a
contract with the Centers for Medicare and Medicaid Services (CMS).
Physical Address:
MCS Plaza
Ponce de León Avenue 255
San Juan, PR 00917
Mailing Address:
P.O. Box 191720
San Juan, PR 00919-1720
Employer Identification Number:
66-0642758
MCS General Insurance Agency, Inc.
New Insurance Agency that offer alternatives in cancer insurance, life, final expenses and individual
health coverage, among others.
Physical Address:
MCS Plaza
Ponce de León Avenue 255
San Juan,
PR 00917
Mailing Address:
P.O. Box 9024200
San Juan, PR 00902-4200
Employer Identification Number:
66-0845895
MCS’ growth has been achieved, precisely, because the company is constantly looking to optimize all
its
operational areas in order to provide its constituents with excellent service. The company relies on its
more than 2,000 committed employees placed around Puerto Rico’s different offices.
The company is aware of the important role it performs as an agent of development in society. Not only as
a contributor to the country’s economy or as a provider of employment and health services, but as
an
entity that can make a difference in the lives of people who live in the communities it serves.
MCS keeps undertaking community engagement initiatives, with the satisfaction of having contributed to
the improvement of the quality of life of thousands of Puerto Ricans throughout the company’s 40
years
of existence.
MCS currently provides a wide array of products and services focused on promoting healthy lifestyles that
lead to the physical and emotional wellbeing of its more than 400,000 members.
Brand Manifesto
These are the times to live. Live more. Live better. Living to the fullest starts when you take
care of yourself and your loved ones, and when you have a reliable hand to help you achieve your
goals.
MCS wants to be your trustworthy partner in this path by offering top-of-the-line services to
meet your health goals, innovative products that go beyond healthcare, and a friendly, kind,
honest approach no other health provider can match.
All of us at MCS laugh, dream, share and enjoy living just like you do. That’s why we want
to be
your caring partner in this great adventure we call life.
Main Company Attributes
-
A broad network of providers comprised of over 13,000 physicians, over 70,000 pharmacies in
Puerto Rico and the U.S., dentists, laboratories and hospitals, among others.
-
Team of trained clinical professionals and experts to effectively address the needs of our
clients. Our staff’s expertise provides the experience and ability to help companies reduce
unnecessary costs and establish competitive healthcare rates.
-
Fast, dynamic, and cost-effective service. We promote long lasting relationships of trust
with our members, employees, business partners and the community by fulfilling our commitment and
goals to facilitate processes and quality health services.
-
Innovative Wellbeing Program that promote a healthy lifestyle and help our insured members
stay positive, active, and productive.
-
Traveler’s Assistance Services Program valid anywhere in the world for MCS Life
insureds
traveling on business or leisure. With just one phone call, MCS Life insureds can get a hold of a
team of experienced critical care personnel and certified physicians available 24 hours a day, 365
days a year, at no additional cost.
Mission
Provide genuine care to achieve a fuller life.
Vision
To be the leader of the healthcare industry in Puerto Rico.
Corporate Culture
We aim at achieving our corporate goals through our ACT corporate culture, which is governed by our
three values:
We are committed to meeting our obligations and we take responsibility for the results.
All our actions and decisions are driven by the highest ethical standards and in compliance
with applicable laws and regulations applicable to the industry.
We create long lasting relationships of trust with our insured members, employees, business
partners and the community by fulfilling our commitments and goals.
Regulatory Agencies
MCS maintains compliance with the agencies in charge of regulating the healthcare industry. Among these
are:
- The Office of the Commissioner of Insurance (OCI).
- The Medicare and Medicaid Service Centers (CMS).
- The Health Insurance Administration (ASES, by its Spanish acronym).
- The National Association of Insurance Commissioners (NAIC).
- Office of the Patient Advocate (OPP, by its Spanish acronym).
- MCS also complies with the Final Rule for National Standards for electronic transactions (including
Electronic Data Interchange Transaction and National Code Set Standards for claims processing) of
the HIPAA Act (Health Insurance Portability and Accountability Act) of 1996.
Market Share
Our company stands out in the local health care industry for:
- Personalized Client Service.
- Flexibility in our coverage designs and services access model.
- Quality and efficiency in clinical care.
As of July 2024
our client portfolio includes:
MCS Classicare
|
279,561
|
MCS Life
|
243,226
|
Individual
|
20,577
|
Total
|
543,364
|
Good Service Is Our Priority
Our purpose is to attend to service requests as soon as possible, by offering:
- Accessibility to communicate with our service representatives.
- Fast service when it comes to meeting your needs and resolving them right away.
- Accuracy and the ability to provide precise information.
- Human factor: courtesy, empathy, diligence, ability to listen and resolve situations in the
shortest time possible.
We Are the Best Option for Your Health Care Services
Needs.
Our Clients and Business Partners
MCS insures thousands of people in the service, distribution, manufacturing and finance industries, among
others.
The company has a broad network of providers comprised of over 13,000 physicians, dentists, laboratories
and hospitals, among others. It also provides access to a broad network of over 70,000 pharmacies
between Puerto Rico and the United States.
MCS maintains strong business relationships with the various insurance brokerage firms in Puerto Rico and
has about 450 active independent agents island wide.
Service Access Models
Open Network - Access to health services through a PPO (Preferred Provider Organization). This
model is comprised of an extensive network of hospitals, physicians and other healthcare providers. You
may freely access the services of physicians, general practitioners, specialists and subspecialists
within this extensive network.
Coordinated Care - This model provides access to healthcare services through an extensive network
of participating physicians in personal care specializations such as: Family Medicine, General Medicine,
Internal Medicine, Obstetrics, Gynecology and Pediatrics. These physicians, in turn, coordinate the
clinical care required with the various specialists and sub-specialists contracted by MCS.
1983
Medical Card System, Inc. (MCS) is born, thanks to the visionary efforts of the three founding
partners: Felipe Benedit, José Durán-Ferrer and José Guillermo Meléndez.
1984
MCS obtains its first client: multinational insurer Transamerica Occidental Life Insurance. Others
are rapidly added to MCS’s client portfolio.
1985
Nine (9) insurance companies are using MCS’s provider network, which by this date already had 3,419
providers and served 70,000 users.
1987
100% of MCS’s shares are acquired by Baxter Pharmaceutical. MCS opens offices in Florida to support
Baxter’s operations in this state.
1993
MCS celebrates its 10th anniversary. The Baxter division, which was offering Caremark services,
breaks away from the pharmaceutical. MCS separates from Baxter and becomes part of Caremark. MCS
concentrates its operations in Puerto Rico.
1995
Already with 150 employees, and under the subsidiary MCS Life Insurance Company, MCS obtains its
license from the Insurance Commissioner’s Office to provide life, health and disability insurance.
1997
A new acquisition puts an end to MCS’s relationship with Caremark when the latter merges with Med
Partners. Six months later, Med Partners decides to sell MCS.
1998
The original founding partners decide to reacquire the business, together with other external
shareholders.
1999
MCS reaches $40 million in earnings, insures 125,000 members, and ranks among the island’s top five
most important insurance companies.
2000
The company begins to reorganize, in order to enter the Puerto Rico government’s Health Reform
program, and creates the MCS-HMO subsidiary. MCS is already serving close to 1,000 private companies
and is strongly positioned in the commercial segment.
2001
With 500 employees, MCS transcends traditional medical plans by incorporating its Wellness Program
offerings, which integrate mental health, complementary and alternative medicine. It also begins
offering the MCS Personal product.
2003
MCS celebrates its 20th anniversary.
2004
67% of the shares of Medical Card System, Inc., the parent company of the CS group of companies, are
acquired by JLL Partners, a prestigious investment firm based in New York.
2005
As of January 1, the authorization granted by the CMS to market Medicare Advantage (Classicare)
products becomes effective. MCS also receives approval from the Public Insurance Office to
participate in the ELA market.
2011
MCS’s commercial business grows by more than 30%, with more than $240 million in annualized premiums.
Jim O’Drobinak becomes the CEO of MCS. MCS also withdraws from the Puerto Rico Health Reform
program.
2012
MCS launches its Group Life product. The MCS Advantage program receives a rating of three (3) out of
5 Stars.
2013
MCS celebrates its 30th anniversary.
2016
MCS creates a new subsidiary, MCS General Insurance Agency (GIA), to enter the life and disability
product market. MCS Classicare reaches a rating of 4 out of 5 stars.
2018
MCS celebrates 35 years in Puerto Rico.
2019
MCS creates the MCS Classicare Te Paga card for its eligible members and integrates other innovative
special supplemental benefits into its coverage to address the social determinants of health.
2021
The MCS Classicare Te Paga card continues to evolve, now with cash withdrawal and accepted in all
merchants where they accept ATH. Additionally, MCS earns a rating of 4.5 out of 5 stars for 2022.
By December 2021, 100% of the shares of Medical
Card System, Inc., are acquired by Kinderhook Industries, a private investment firm based in New
York.
2023
MCS Classicare achieves the highest numerical score in the CAHPS survey for measures of health plan qualification and drug plan rating of all MA contracts within the United States and Puerto Rico. The MA plan announces that it received a score of 95% on both measures, demonstrating once again the quality of its health plan.
MCS celebrates 40 years of experience and service with purpose. An important moment to reflect on the transformative journey and unwavering commitment to offer genuine quality care services to the policyholders, members and the community of Puerto Rico.
Board of Directors
|
Medical Card System, Inc.
|
MCS Healthcare Holdings, LLC
|
MCS Advantage, Inc.
|
MCS Life Insurance Company
|
MCS Health Management Options, Inc.
|
MCS General Insurance Agency, Inc.
|
Medical Card System, Inc.
- James P. O’Drobinak
- Alex M. Azar II
- W. Mark Watson
- Jose R. Aponte
- Maité Morales
|
MCS Healthcare Holdings, LLC
- James P. O’Drobinak
- Alex M. Azar II
- W. Mark Watson
- Jose R. Aponte
- Maité Morales
|
- James P. O’Drobinak
- Alex M. Azar II
- W. Mark Watson
- Jose R. Aponte
- Maité Morales
|
MCS Life Insurance Company
- James P. O’Drobinak
- Alex M. Azar II
- W. Mark Watson
- Jose R. Aponte
- Maité Morales
|
MCS Health Management Options, Inc.
- James P. O’Drobinak
- Alex M. Azar II
- W. Mark Watson
- Jose R. Aponte
- Maité Morales
|
MCS General Insurance Agency, Inc.
- James P. O’Drobinak
- Alex M. Azar II
- Jose R. Aponte
- Maité Morales
- Herminio Nieves
|
About Our Investor
Kinderhook Industries, LLC is a private investment firm that
manages over $5 billion of committed capital. Since the beginning, Kinderhook
has made in excess of 270 investments and acquisitions. Its investment philosophy
is based on matching unique, growth-oriented investment opportunities with exceptional
financial expertise and its proprietary network of operating partners. Kinderhook’s
focus is on middle market businesses with defensible niche market positioning in the
healthcare services, environmental / business services and automotive / light manufacturing
sectors. Kinderhook has a track record of successfully and consistently building industry leaders.