Our Plans

Constellation Health offers plans with the benefits that adapt to your needs. Each one of them is designed with the intention of bringing the adequate access you deserve. Get to know our new products so you can choose the one that will make you feel better than yesterday.

Planes_Medicare_Platino_Cajita_ENG

directorio_deproveedores_cajita_eng

Disenrollment

You can end your membership in our plan only during certain times of the year, known as enrollment periods. From October 15 to December 7 of each year, everyone has the opportunity to make any changes. From January 1 to February 14, any person enrolled in a Medicare Advantage plan has the opportunity to disenroll from that plan and return to Original Medicare. Anyone who disenrolls from a Medicare Advantage plan during this time, can join a Medicare Prescription Drug plan independently during the same period. If you enroll in a Medicare Prescription Drug plan, you will be automatically disenrolled from our plan and return to Original Medicare. Usually, you cannot make changes at other times unless you have special exceptions, for example you move outside the service area of the plan coverage or to enroll in a plan, in your area, with a rating of 5 stars.

Voluntary Disenrollment

You can send a letter with the reason for the disenrollment request from our plan. The letter can be sent through:

Mail

Constellation Health
Enrollment Department
PO BOX 360493
San Juan, PR 00936

Fax

  • 787-304-4849


Important
: The letter must be signed by the member. In case the member has a legal tutor, the letter must indicate that he/she is the member’s legal tutor and/or attach a copy of the power of attorney.

Also, you can request the disenrollment through Medicare by calling 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.

Involuntary Disenrollment

Our plan must end your membership if any of the following occurs:

  • If you do not stay continuously enrolled in Medicare Part A and Part B.
  • If you move out of our service area.
  • If you are away from our service area for more than six months.
  • If you become incarcerated (go to prison).
  • If you provide incorrect withhold information about other insurance you have that provides prescription drug coverage.
  • If you intentionally give us incorrect information when you are enrolling in our plan and that information affects your eligibility in our plan.*
  • If you continuously behave in a way that is disruptive and makes it difficult for us to provide medical care for you and other members of our plan.*
  • If you let someone else use your membership card to get medical care* If we end your membership because of this reason, Medicare may have your case investigated by the General Inspector.

*We cannot make you leave our plan for this reason unless we get permission from Medicare first.

Voluntary Cancellation

Member can request the plan cancellation through Customer Service Center.

Customer Service

Call:

  • 787-304-4040 Metro Area
  • 1-866-714-0724 Toll Free
  • 1-866-805-7777 TTY Users (people with hearing and speech difficulties); toll free

Our hours of operation are is from Monday to Sunday from 8:00AM to 8:00PM. We have interpreters for Spanish non-speakers.

Fax:

  • 787-304-4849


Write to:

Constellation Health
Customer Service
PO BOX 360493
San Juan, PR 00936

Important: The letter must be signed by the member. In case the member has a legal tutor, the letter must indicate that he/she is the member’s legal tutor and or attach a copy of the power of attorney.