[vc_row hide_bg_image_on_tablet=”” hide_bg_image_on_mobile=”” css=”.vc_custom_1534802407564{padding-top: 64px !important;}”][vc_column][vc_row_inner][vc_column_inner][vc_column_text el_class=”h-separator” css=”.vc_custom_1539368209342{padding-bottom: 32px !important;}”]<\/p>\n
[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_column_text]The Government Health Plan “Vital” is responsible for providing physical and mental health services to 1.3 million Puerto Ricans. Services are offered by provider networks (primary doctors, specialists, hospitals, laboratories, etc.) throughout the island.<\/p>\n
Important phone numbers:<\/strong>[\/vc_column_text][\/vc_column][\/vc_row][vc_row hide_bg_image_on_tablet=”” hide_bg_image_on_mobile=”” css=”.vc_custom_1534802417932{margin-top: 20px !important;margin-bottom: 20px !important;}”][vc_column width=”1\/6″][\/vc_column][vc_column width=”2\/3″][vc_row_inner content_placement=”middle” hide_bg_image_on_tablet=”” hide_bg_image_on_mobile=”” css=”.vc_custom_1534800860179{margin-top: 10px !important;border-top-width: 1px !important;border-bottom-width: 1px !important;border-top-color: #666666 !important;border-top-style: solid !important;border-bottom-color: #666666 !important;border-bottom-style: solid !important;}”][vc_column_inner width=”1\/2″][vc_single_image image=”4282″ img_size=”full” alignment=”center”][\/vc_column_inner][vc_column_inner width=”1\/2″][vc_column_text]<\/p>\n Beneficiary Services<\/strong> [\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=”middle” hide_bg_image_on_tablet=”” hide_bg_image_on_mobile=”” css=”.vc_custom_1534800832870{margin-top: 10px !important;border-bottom-width: 1px !important;border-bottom-color: #666666 !important;border-bottom-style: solid !important;}”][vc_column_inner width=”1\/2″][vc_single_image image=”4300″ img_size=”” alignment=”center”][\/vc_column_inner][vc_column_inner width=”1\/2″][vc_column_text]<\/p>\n Medicaid Program Call Center<\/strong> [\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=”middle” hide_bg_image_on_tablet=”” hide_bg_image_on_mobile=”” css=”.vc_custom_1534800832870{margin-top: 10px !important;border-bottom-width: 1px !important;border-bottom-color: #666666 !important;border-bottom-style: solid !important;}”][vc_column_inner width=”1\/2″][vc_single_image image=”1136″ img_size=”” alignment=”center”][\/vc_column_inner][vc_column_inner width=”1\/2″][vc_column_text]<\/p>\n ASSMCA (Linea PAS) <\/strong> [\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=”middle” hide_bg_image_on_tablet=”” hide_bg_image_on_mobile=”” css=”.vc_custom_1534800832870{margin-top: 10px !important;border-bottom-width: 1px !important;border-bottom-color: #666666 !important;border-bottom-style: solid !important;}”][vc_column_inner width=”1\/2″][vc_single_image image=”1140″ img_size=”” alignment=”center”][\/vc_column_inner][vc_column_inner width=”1\/2″][vc_column_text]<\/p>\n Patient Advocate Office<\/strong> [\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_empty_space alter_height=”small” hide_on_desktop=”” hide_on_notebook=”” hide_on_tablet=”” hide_on_mobile=””][vc_row_inner content_placement=”middle” hide_bg_image_on_tablet=”” hide_bg_image_on_mobile=”” css=”.vc_custom_1534802476425{margin-top: 10px !important;margin-bottom: 30px !important;}”][vc_column_inner width=”1\/2″][vc_single_image image=”3231″ img_size=”230×79″ alignment=”center”][\/vc_column_inner][vc_column_inner width=”1\/2″][vc_column_text]<\/p>\n Puerto Rico Health Insurance Administration (ASES)<\/strong> [\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=”middle” hide_bg_image_on_tablet=”” hide_bg_image_on_mobile=”” css=”.vc_custom_1534802476425{margin-top: 10px !important;margin-bottom: 30px !important;}”][vc_column_inner width=”1\/2″][vc_single_image image=”3225″ img_size=”237×100″ alignment=”center”][\/vc_column_inner][vc_column_inner width=”1\/2″][vc_column_text]<\/p>\n Do you want to change insurance?<\/strong> [\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][vc_column width=”1\/6″][\/vc_column][\/vc_row][vc_row hide_bg_image_on_tablet=”” hide_bg_image_on_mobile=”” css=”.vc_custom_1534367028626{padding-bottom: 64px !important;}”][vc_column][vc_tta_accordion style=”flat” shape=”square” c_icon=”triangle” active_section=”20″ collapsible_all=”true”][vc_tta_section title=”What information can I find online?” tab_id=”1534340993601-6b28eb5b-1a07″][vc_column_text css=”.vc_custom_1541018686657{padding-top: 32px !important;padding-bottom: 32px !important;}”]For information about Vital: www.asespr.gov<\/a> Everyone can apply voluntarily.<\/p>\n NOTE: Foreigners with permanent residence permits in the United States have a waiting period to apply for benefits if the permit was granted after August 22, 1996.<\/p>\n Where to apply?<\/strong><\/p>\n To apply:<\/p>\n Documents you must provide when you go to your appointment in the Medicaid Program<\/strong><\/p>\n [\/vc_column_text][vc_row_inner][vc_column_inner width=”1\/4″][vc_column_text css=”.vc_custom_1534802998316{margin-top: 10px !important;margin-right: 10px !important;margin-bottom: 10px !important;margin-left: 10px !important;border-top-width: 1px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 1px !important;padding-top: 10px !important;padding-right: 10px !important;padding-bottom: 10px !important;padding-left: 10px !important;border-left-color: #666666 !important;border-left-style: solid !important;border-right-color: #666666 !important;border-right-style: solid !important;border-top-color: #666666 !important;border-top-style: solid !important;border-bottom-color: #666666 !important;border-bottom-style: solid !important;border-radius: 10px !important;}”]<\/p>\n [\/vc_column_text][\/vc_column_inner][vc_column_inner width=”3\/4″][vc_column_text]Obtain the necessary documents to complete your application and present it to our offices. Complete them, print them and visit Medicaid office in your Municipality.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_column_text css=”.vc_custom_1539368339166{padding-top: 32px !important;padding-bottom: 32px !important;}”]Information you must provide when you go to Medicaid<\/strong><\/p>\n NOTE: Additional information and\/or documentation to those mentioned here may be requested according to your situation.<\/p>\n Determination of eligibility<\/strong><\/p>\n In order to review your benefits application and be evaluated in accordance with current rules and procedures:<\/p>\n What if you have a newborn?<\/strong><\/p>\n If you have a newborn, visit your Medicaid Office and give them a copy of the newborn\u2019s birth certificate to enroll the newborn in Vital. If you do not do this, the newborn cannot get services under Vital. Furthermore, when you have a newborn, you also might be able to get other benefits, so it is important to visit the Medicaid Office, so they can check.<\/p>\n How to keep Vital benefits?<\/strong><\/p>\n To keep your Vital benefits, you have to go to all your Medicaid appointments. Plan de Salud Menonita will send you a letter 90 days, 60 days and 30 days before the day when your Vital benefits stop. These letters will remind you that you have to go to your local Medicaid Office to maintain your eligibility in Vital.<\/p>\n If you miss your appointment, call the Medicaid Program Call Center at 787-641-4224<\/a> or visit your local Medicaid Office to ask for a new appointment.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=”Your ID Card” tab_id=”1534341058228-8a3368a8-a7a3″][vc_column_text]This is your ID Card with Plan de Salud Menonita[\/vc_column_text][vc_row_inner hide_bg_image_on_tablet=”” hide_bg_image_on_mobile=”” css=”.vc_custom_1534367624573{padding-top: 32px !important;padding-bottom: 32px !important;}”][vc_column_inner width=”1\/2″][vc_single_image image=”4310″ img_size=”full” alignment=”center”][\/vc_column_inner][vc_column_inner width=”1\/2″][vc_single_image image=”4308″ img_size=”full” alignment=”center”][\/vc_column_inner][\/vc_row_inner][vc_column_text css=”.vc_custom_1537902767306{padding-bottom: 32px !important;}” el_class=”bulletstyle”]Each insured person in your family will have his\/her own ID card, even if he\/she is a newborn. Your ID card has important information like:<\/p>\n If you need to use your health benefits before you get your ID card, use your MA-10 form given to you by your Medicaid Office.<\/p>\n Important to remember: first, your ID card is only for you. Second, don\u2019t let anyone else use your card. Third, if your card is lost or stolen, you can ask your Insurer for a new card.<\/p>\n You can visit any of the PSM Service Centers or call the PMS Beneficiary Service line at\u00a01-866-600-4753<\/a> (free of charge)\/ 1-844-726-3345<\/a> TTY (hearing impaired).[\/vc_column_text][\/vc_tta_section][vc_tta_section title=”Changes” tab_id=”1534342610946-5654dc91-335d”][vc_column_text css=”.vc_custom_1539368401381{padding-top: 32px !important;padding-bottom: 32px !important;}”]How to choose an insurer?<\/strong><\/p>\n Once you sign up for Vital, you can choose your Insurer. Your Insurer will work with you and your doctors to keep you healthy.<\/p>\n There is an enrollment counselor available in Medicaid offices and on the phone, who can help you choose an Insurer. The enrollment counselor does not work for any Insurer or any providers. They are neutral. They can give you information about Vital and your benefits. They can tell you about the choices available to you and help answer your questions. They can\u2019t choose for you. They can help you:<\/p>\n You can contact the Enrollment Counselor for support:<\/p>\n There are Enrollment Counselor staff in each of the Medicaid Offices. The offices are open Monday through Friday from 7:30am to 4:00pm. Your Insurer can tell you the Medicaid Office that is closest to you.<\/p>\n If you do not choose an Insurer, one will be chosen for you.<\/p>\n Can you change the insurer?<\/strong><\/p>\n Yes, you can ask to change your Insurer. Once you have chosen an Insurer or one has been chosen for you, you have 90 days to change Insurers. You can also change your Insurer once a year during the \u201copen enrollment period\u201d, which is from November 1 to January 31.<\/p>\n If you want to change your Insurer, call the Enrollment counselor at 787-641-4224 or visit your local Medicaid Office.<\/p>\n You can also ask to change your Insurer at any time if you have certain reasons, like:<\/p>\n If you want to change your insurer for one of these reasons, you can ask for this change from the Insurer, the enrollment counselor or ASES. ASES will decide if you can change or if you have to wait until Open Enrollment. If you do not like the decision ASES makes, you can ask them to reconsider. If the decision is still not to your liking, you can ask for a hearing.<\/p>\n Can the membership with your insurer stop?<\/strong><\/p>\n Yes, your membership with your Insurer will stop if you:<\/p>\n You will not lose your membership with your Insurer if:<\/p>\n You also might want to stop your membership with your Insurer if you no longer need your Vital benefits. If this happens, let your Medicaid Office and your Insurer know.<\/p>\n How to report changes?<\/strong><\/p>\n Vital and your Insurer are committed to helping you. To support your needs, we need your help. To report a change, call the Medicaid Program call center at 787-641-4224<\/a> or visit your local Medicaid Office.<\/p>\n It is important to make sure your contact information is up to date with your local Medicaid Office. This is important because Medicaid and your Insurer send you important information about your Vital coverage and benefits in the mail. Most importantly, if they don\u2019t have your current address, you could lose your Vital benefits. To report a change, call your Insurer or visit your local Medicaid Office.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=”Payments” tab_id=”1534342653716-687e058c-5470″][vc_column_text css=”.vc_custom_1539963158063{padding-top: 32px !important;padding-bottom: 32px !important;}”]Sometimes you will have to pay to get health care services. Preventive Care is care that helps you stay well, like checkups, shots, pregnancy care, and childbirth. This kind of care is always free. You don\u2019t have copays for preventive care.<\/p>\n For other care like hospital stays or sick child visits, you may have to pay part of the cost. Copays\u00a0are what you pay for each health care service you get. None of your doctors or providers can refuse to give you medically necessary services because you don\u2019t pay your copays<\/strong>. But, your Insurer and your providers can take steps to collect any copays you owe.<\/p>\n You should only have to pay your copay for the services received. You should not be billed for the rest of the cost of your care. If you are billed for the rest of the cost, you can appeal. Click here<\/strong> <\/a>for information on how to make an appeal.<\/p>\n Copayment Charts<\/strong><\/p>\n Do you have to pay copays for a PCP, Specialist, ER visit, hospital stay, or other type of service? Not sure?<\/p>\n Check the chart below, look at your ID card or call the PSM Beneficiary Service line at 1-866-600-4753<\/a> (free of charge)\/ 1-844-726-3345<\/a> TTY (hearing impaired) for information.[\/vc_column_text][vc_single_image image=”4401″ img_size=”full” alignment=”center” css=”.vc_custom_1677122080580{padding-bottom: 32px !important;}”][vc_column_text css=”.vc_custom_1540061213254{padding-bottom: 32px !important;}”]** Copays apply to diagnostic tests only. Copays do not apply to tests required as part of a preventive service. [vc_row hide_bg_image_on_tablet=”” hide_bg_image_on_mobile=”” css=”.vc_custom_1534802407564{padding-top: 64px !important;}”][vc_column][vc_row_inner][vc_column_inner][vc_column_text el_class=”h-separator” css=”.vc_custom_1539368209342{padding-bottom: 32px !important;}”] Vital [\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_column_text]The Government Health Plan “Vital” is responsible for providing physical and mental health services to 1.3 million Puerto Ricans. Services are offered by provider networks (primary doctors, specialists, hospitals, laboratories, etc.) throughout the island. Important phone numbers:[\/vc_column_text][\/vc_column][\/vc_row][vc_row hide_bg_image_on_tablet=”” hide_bg_image_on_mobile=”” css=”.vc_custom_1534802417932{margin-top: 20px !important;margin-bottom: 20px !important;}”][vc_column width=”1\/6″][\/vc_column][vc_column width=”2\/3″][vc_row_inner content_placement=”middle” hide_bg_image_on_tablet=”” hide_bg_image_on_mobile=””…<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0},"_links":{"self":[{"href":"https:\/\/menonitavital.com\/en\/wp-json\/wp\/v2\/pages\/883"}],"collection":[{"href":"https:\/\/menonitavital.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/menonitavital.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/menonitavital.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/menonitavital.com\/en\/wp-json\/wp\/v2\/comments?post=883"}],"version-history":[{"count":31,"href":"https:\/\/menonitavital.com\/en\/wp-json\/wp\/v2\/pages\/883\/revisions"}],"predecessor-version":[{"id":4826,"href":"https:\/\/menonitavital.com\/en\/wp-json\/wp\/v2\/pages\/883\/revisions\/4826"}],"wp:attachment":[{"href":"https:\/\/menonitavital.com\/en\/wp-json\/wp\/v2\/media?parent=883"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\n1-866-600-4753<\/a> (Toll-free)
\n1-844-726-3345<\/a> (TTY (hearing impaired)
\nTeleCuidado Menonita (Medical Advice Line)<\/strong>
\n1-844-736-3345<\/a> (Toll free)
\n1-844-716-3345<\/a>\u00a0TTY (hearing impaired)
\nwww.MenonitaVital.com<\/strong><\/a><\/p>\n
\n787-641-4224<\/a> <\/strong><\/p>\n
\nMental Health Service Line<\/strong>
\n1-800-981-0023<\/strong><\/a><\/p>\n
\nToll-free 1-800-981-0031<\/a><\/strong>
\nTTY 787-710-7057<\/a><\/strong><\/p>\n
\nVITAL<\/strong>
\nToll-free 1-800-981-2737<\/a><\/strong>
\nTTY 787-474-3389<\/a><\/strong><\/p>\n
\nVITAL<\/strong>
\n1-866-280-2053<\/a><\/strong>
\n1-888-984-0128 (TTY)<\/a>
\n1-833-253-7721 (Spanish)<\/a>
\nwww.PlanVitalPR.com<\/strong><\/a><\/p>\n
\nFor information about Medicaid programs: www.medicaid.pr.gov<\/a>
\nFor more information on patient protections: www2.pr.gov\/Directorios<\/a>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=”Eligibility to Vital” tab_id=”1534340993649-ec38c377-4e75″][vc_column_text css=”.vc_custom_1541019945546{padding-top: 32px !important;padding-bottom: 32px !important;}”]Who can apply to Vital?<\/strong><\/p>\n\n
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Medicaid<\/a><\/h3>\n
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Remember to:<\/h6>\n
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\nPlease remember to let your Medicaid Office and Insurer know of any changes that may affect your membership or benefits. Some examples include:<\/p>\n\n
\nNot everyone in Vital has copays. Your ID card will tell you if you have copays and what they are. Copays depend on the type of Vital you have. Your ID card says what type of Vital you have.<\/p>\n
\n*** Copays apply to each medicine included in the same prescription pad.[\/vc_column_text][\/vc_tta_section][\/vc_tta_accordion][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"