Triple-S Salud, Inc. provides individual, family, company, and small business health insurance coverages for residents and businesses in Puerto Rico. Its plans and products include Federal employee health benefits program for the Federal population in Puerto Rico and the United States Virgin Islands; ELA Diamante Plan that offers medical, pharmacy, and dental coverages for government employees and retirees; medical plans for students, families, and singles; Medicare advantage plan; group health insurance; and drug discount cards. The company also offers group services. It serves its customers through a network of service centers, and independent agents or brokers. Triple-S Salud, Inc. was fo...
1441 F.D. Roosevelt Avenue
San Juan, PR 00920
Founded in 1959
Triple-S Salud, Inc. Agrees to Extend Contract with the Puerto Rico Health Insurance Administration for the Provision of Health Services in the Metro North and West Regions of the Puerto Rico
Jul 5 17
Triple-S Management Corporation announced that its subsidiary, Triple-S Salud, Inc. agreed to extend its contract with the Puerto Rico Health Insurance Administration (ASES, by its Spanish acronym) for the provision of health services in the Metro North and West regions of the Puerto Rico Government's health insurance program, which was to expire on June 30, 2017, for a three-month period beginning July 1, 2017 and ending September 30, 2017. This extension is intended to ensure the continuity of services while the parties conclude negotiations for the renewal of the contract through the remainder of the Puerto Rico Government's 2017-2018 fiscal year, which ends June 30, 2018. Under the contract extension, ASES will increase its payment to Triple-S Salud from a rate of $165.93 to $183.38 per member per month (PMPM) for the Metro North region and from $138.37 to $148.99 PMPM for the West region. The new rates reflect cost and utilization trends for the 2016-2017 fiscal year. These new rates are subject to CMS approval, which is expected to occur during the 90 day extension period. Upon reaching an agreement on outstanding terms of the contract renewal, the new rates will also apply for the remainder of the 2017-2018 fiscal year. The Puerto Rico health insurance program serves more than 1.4 million members in eight regions across Puerto Rico, with approximately 390,000 members in the two regions insured by Triple-S Salud.