The Mandatoria Plan offers solid coverage, affordable copayments, and full access to the provider network.
Expanded hospital coverage
Comprehensive vision benefits
Comprehensive life protection
Maximum medical protection
Click any category to see detailed copays and coverage.
Immediate emergency care
Red Preferida / Otras Facilidades
Hospital stays and inpatient care
Consultations and treatments without hospitalization
Diagnostic tests and medical studies
Therapies and necessary medical equipment
Major medical care and specialized equipment
Covered prescription medications
Beneficio Anual $2,000
Luego aplica un 40%
Preventive care and ongoing management
Exams, lenses, and vision benefits
Diagnosis, prevention, and dental treatments
Note: This is a summary of benefits. Consult your plan documents for complete information. Copayments and coinsurance are subject to the annual maximum limit.
Immediate emergency care
Red Preferida / Otras Facilidades
| Accident | $0 |
| Illness | $40 |
Hospital stays and inpatient care
| Total, including Mental Health | $75 |
| Partial Mental Health | $75 |
Consultations and treatments without hospitalization
| Primary Care Physician | $8 |
| Specialist | $10 |
| Sub-Specialist | $15 |
| Psychiatry | $10 |
| Psychologist | $10 |
| Chiropractic |
$10 Copay, limited to 20 sessions per year. (Combined with physical therapies) |
| Nutritionist | $10 copay, up to 12 visits per contract |
| Laboratories and X-Rays | 30% |
Diagnostic tests and medical studies
| CT Scan | 30% |
| Ultrasounds | 30% |
| Stress Test, Electrocardiogram, Neurological Studies | 30% |
| MRI, MRA |
30% Limited to 1 per contract year |
Therapies and necessary medical equipment
| Physical Therapy |
$7 Copay, limited to 20 sessions (Combined with chiropractic manipulations) |
| Respiratory Therapy | $7 Copay |
Major medical care and specialized equipment
| Durable Medical Equipment | 20% coinsurance applies. Pre-authorization required |
Covered prescription medications
Beneficio Anual $1,750
Luego aplica un 40%
|
Annual Benefit $2,000 Then 40% applies |
|
| Bioequivalent Generic |
10% min $5 Preferred Pharmacy 15% min $10 Non-Preferred Pharmacy |
| Preferred Brand |
10% min $12 Preferred Pharmacy 15% min $15 Non-Preferred Pharmacy |
| Non-Preferred Brand |
15% min $20 Preferred Pharmacy 20% min $25 Non-Preferred Pharmacy |
| Specialized Products | 30% up to a maximum of $200 |
Preventive care and ongoing management
| Preventive Services (Including Women's Services) | 0% |
| Preventive Immunizations (Vaccines) | 0% – administration costs apply |
Exams, lenses, and vision benefits
| Eye Exam (Refraction) |
Covered 100% of contracted rates after a $10 copay |
| Frame and Prescription |
Single Vision Lenses $18 copay Bifocal Lenses $20 copay Contact Lenses $36 copay Frames $18 copay |
Diagnosis, prevention, and dental treatments
| Periodic Oral Exam | Covered every 6 months |
| Restorative | 20% |
| Endodontics | 20% |
| Temporary Restorations (Crowns) | 20% |
| Oral Surgery | 20% |
Note: This is a summary of benefits. Consult your plan documents for complete information. Copayments and coinsurance are subject to the annual maximum limit.
Complete the form and we’ll help you choose the best option.
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your interest in our health plans.
One of our Sales Representatives will be in touch with you to provide personalized guidance
and share details about the plan you are interested in.
Thank you for considering Plan de Salud Menonita as
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We have received your information and appreciate
your interest in our health plans.
One of our Sales Representatives will be in touch with you to provide personalized guidance
and share details about the plan you are interested in.
Thank you for considering Plan de Salud Menonita as
your health insurance provider.
Complete the form so we can help you with your questions.
Complete the form and we’ll help you choose the best option.