Triple-S FarmaMed (PDP) Plan Membership Card

Front of Card

Parte del frente de la tarjeta del plan FarmaMed
  1. Insured name - Person entitled to service
  2. Contract number - You  contract number is unique to you
  3. Effective Date: Date from which you are entitled to receive Triple-S FarmaMed (PDP) benefits.
  4. CMS - CMS contract number

 

Back of Card

Parte posterior de la tarjeta del plan FarmaMed
  1. Members: Instructions for Members
  2. Hospitals or physicians: Instructions for hospitals and physicians
  3. Contact Numbers: Customer Services, TTY/TDD
  4. Teleconsulta: Health care helpline available 24 hours a day, seven days a week.
  5. Time: Office Hours

General Information

  • Before requesting the services of a pharmacy, or facility, make sure they are Triple-S FarmaMed (PDP) participating providers.
  • Show this identification card when requesting any services covered by your Triple-S FarmaMed (PDP) policy.
  • The pharmacy or facility may request additional identification to confirm that you are the person covered by the policy.
  • By accepting this card and any of the benefits it confers, the insured is in agreement with the contract subscribed between the insured, or his employer, and Triple-S Salud.  Furthemore, the insured acknowledges that Triple-S Salud is an independent licensee of the BlueCross BlueShield Association permitted to use its name and trademarks in the Commonwealth of Puerto Rico.
  • Triple-S FarmaMed (PDP) is a Prescription Drug Plan with a Medicare contract.  The Plan is available to all beneficiaries with Medicare Part A, B or both. 

Did you lose your Health Plan Id Card?

  • If your membership card is damaged, lost, or stolen, call Customer Services right away and we will send you a new card.

Updated on: October 1, 2011

Triple-S FarmaMed (PDP) y Triple-S FarmaMed Plus (PDP) son planes de farmacia que tienen contrato con Medicare. Los planes están disponibles para todos los beneficiarios de Medicare que tienen la Partes A, B, o ambas, y que residen en el área de servicio. Asegurados deben usar farmacias dentro de la red para obtener sus beneficios de medicamentos recetados, excepto en circunstancias no-rutinarias. Límites de cantidad y otras restricciones pueden aplicar. Beneficios, formulario, red de farmacias, primas y/o copagos/coaseguros pueden cambiar el 1 de enero de 2013.

Y0082_WEB2012 CMS Approved 12142011

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