Triple-S Advantage Inc. 遵守適用的聯邦民權法律規定，不因種族、膚色、民族血統、年齡、殘障或性別而歧視任何人ATTENTION: If you speak English, language assistance services, free of charge, are available to you. TTY users can call 1-877-486-2048. An SNP will typically provide enrollees with a network of doctors and specialists and specific benefits tailored to their group’s specific needs. You may also need your primary care physician’s referral. The exclusive SNP enrolls only those beneficiaries who fall into the special needs demographic. The members who may have been affected by this incident will receive first-class mail notices.We have reported the incident to the required government agency, the Health Insurance administration of Puerto Rico (ASES) and will comply with the evaluation as required by the Office of Civil Rights within the time period established.We are making an announcement about this incident so that affected Triple-S Advantage members can consider taking action to reduce the chances that their personal information will be misused:If you or a family member belong to Triple-S Advantage and want additional information about the incident, you may contact our Customer Service Department from Monday through Sunday from 8:00 am to 8:00 pm at our toll-free number 1-888-620-1919, TTY users should call 1-866-620-2520 or by e-mail at:If you are a Medicare Platino member, you can also contact the Health Insurance Administration of Puerto Rico (ASES) at or Customer and Providers Services Offices (PROBENE) at 1-800-981-2737/1-800-981-ASES from Monday through Friday 8:00 am to 4:30 pm, a Customer Services Representative will assist you. You must have one or more than one of the following conditions:Please note: The list above doesn’t necessarily include every chronic condition that might qualify you for an SNP. What should I do if my physician is not in the Triple-S Advantage healthcare provider network?Updates to Medicare Benefits and Coverage,Prevention and Detection of Financial Exploitation of Senior Citizens and Adults with Disabilities.Review Explanation of Benefits notices that you receive from us or your health care providers to make sure that the services reported as provided were received by you. Call 1-800-MEDICARE or your.Thank you for your response. We take information privacy very seriously and it is important to us that our members are made fully aware of a potential privacy issue. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. What does SNP stand for in Medicare? Most D-SNPs are health maintenance organization (HMO) plans, though some are preferred provider organization (PPO) plans. Medicare Special Needs Plans (SNPs) are types of Medicare Advantage plans available to Americans with certain conditions, diseases, or characteristics. Special Needs Plans are Medicare Advantage plans, meaning that both Medicare Part A (hospital) and Part B (medical) benefits are provided through the plan (except for hospice benefits, which Part A still covers). However, we have not received any indication that the information has been accessed or used by an unauthorized individual.Triple-S Advantage has performed an extensive investigation into why and how their personal information was disclosed. Fully Integrated Dual Eligible (FIDE) SNPs were created by Congress in section 3205 of the Affordable Care Act (ACA). The plans may be limited to individuals in specific types of institutions – such as nursing homes – or … We have taken immediate steps to ensure additional notices to our members and your health care providers are sent to the correct address, such as: correction of the mailing process, completion of testings and sending the letters to the correct address of your provider. We are working hard to strengthen our processes for the benefit and protection of our members.Please Note: Triple-S Advantage will NOT call or email anyone requesting any personal information as a result of this incident.

There are five types of D-SNPs: All-Dual, Full-Benefit, Medicare Zero Cost Sharing, Dual Eligible Subset, and Dual Eligible Subset Medicare Zero Cost Sharing. Plans targeting people simultaneously enrolled in Medicare and Medicaid, known as Dual Eligible Special Needs Plans, may assist with the coordination of Medicare and Medicaid services.

Please call our Member Service Center at 1-888-620-1919 for additional information. The other type is the disproportionate share SNP. Call 1-800-MEDICARE (1-800-633-4227). Medicare SNP acronym meaning defined here. should If your Explanation of Benefits reflects services that you did not receive, please contact our Customer Service Call Center immediately.Make sure that you continue to receive documents that you have normally received regarding your health care services or benefits. The privacy and security of our member’s information is very important. We sell insurance offered from a number of different Medicare Supplement insurance companies.You are about to leave Medicare.com. It is designed to attract and enroll medicare beneficiaries who are identified as special needs individuals on examination.There are two types of SNPs: exclusive SNP and disproportionate share SNP. regardless Call: 1-888-620-1919 (TTY: 1-866-620- 2520). Llame al: 1-888-620-1919 (TTY: 1-866-620-2520). What you should know about the coronavirus (COVID-19).Your call may be directed and answered by a licensed insurance sales agent.Health Guidance Hotline, available 24 hours a day, 7 days a week.Supporting you 24 hours, 7 days a week, with caregiver service.Monday through Sunday, from 8:00 a.m. to 8.00 p.m.PPO – Preferred Provider Organization Plan: In a PPO plan, you pay less if you choose physicians, hospitals, and other health care providers from the plan network. All SNPs are designed to meet specific care needs, and you can only join a SNP if you fit the special needs category the plan serves. Enrollment in Triple-S Advantage, Inc. depends on contract renewal.

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