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Puerto Rico also provides Medicaid coverage to aged, blind, and disabled individuals through the medically needy option. In Puerto Rico, the medically needy income level is $400 per month for an individual plus $95 for each additional family member.
The No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at in-network facilities, and services from out-of-network air ambulance service providers.
This law applies to any entity subject to the insurance regulations of Puerto Rico and any self-funded plan that opts-in.
The public healthcare sector in Puerto Rico is generally well-managed and is handled via a government-run program. No, healthcare is not free. However, the government provides insurance for those who qualify for the ?la Reforma?, a government-funded program.
Medicare Advantage penetration in Puerto Rico increased from 60.1% in 2008 to 72.4% in 2019, with high rates of enrollment in all counties (range, 60.9%-92.0%). Medicare Advantage penetration in the US mainland increased from 24.5% in 2008 to 34.9% in 2019 (eFigures 1 and 2 in the Supplement).
Medicare coverage in Puerto Rico is the same as it is everywhere else. The only difference is you will not be automatically enrolled in Part B, you have to request enrollment yourself.