Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Adjuntas |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Aguada |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Aguadilla |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Aguas Buenas |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Aibonito |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Anasco |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Arecibo |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Arroyo |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Barceloneta |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Barranquitas |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Bayamon |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Cabo Rojo |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Caguas |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Camuy |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Canovanas |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Carolina |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Catano |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Cayey |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Ceiba |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Ciales |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Cidra |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Coamo |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Comerio |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Corozal |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Culebra |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dorado |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Fajardo |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Florida |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Guanica |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Guayama |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Guayanilla |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Guaynabo |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Gurabo |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Hatillo |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Hormigueros |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Humacao |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Isabela |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Jayuya |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Juana Diaz |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Juncos |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Lajas |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Lares |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Las Marias |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Las Piedras |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Loiza |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Luquillo |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Manati |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Maricao |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Maunabo |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Mayaguez |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Moca |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Morovis |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Naguabo |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Naranjito |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Orocovis |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Patillas |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Penuelas |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Ponce |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Quebradillas |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Rincon |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Rio Grande |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Sabana Grande |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Salinas |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
San German |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
San Juan |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
San Lorenzo |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
San Sebastian |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Santa Isabel |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Toa Alta |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Toa Baja |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Trujillo Alto |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Utuado |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Vega Alta |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Vega Baja |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Vieques |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Villalba |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Yabucoa |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Yauco |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Brand: $50.00 Specialty Tier: 33%
| n/a Browse Formulary |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Triple S Advantage Vital Plus (HMO SNP) in PR - H5774-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |