Full-time associates in Puerto Rico have the option to enroll in health benefits, that include medical, prescription drug, and dental coverage, provided through Triple-S Salud. In addition to coverage for yourself, you may elect coverage for your eligible dependents, including legal spouses and dependent children. Triple S has provided this Health Summary to share how the plan works and the services you have available.
Your eligible dependents include:
- your lawful spouse
- your domestic partner who meets certain criteria (you’re required to submit an Affidavit of Domestic Partnership)
- your dependent children up to age 26, or who are age 26 or older with a physical or mental disability as defined by the Social Security Administration.
Eligible children include your natural children, legally adopted children, stepchildren who reside with you the majority of the time, children of your verified domestic partner and children for whom you have legal guardianship. PetSmart requires proof of dependent eligibility for all dependents added to the health plans.
We have three levels of coverage to meet the needs of our associates and their families. When enrolled you will be responsible for the weekly contribution amount based on your coverage level.
Coverage Level |
2022 Weekly Associate Contribution |
---|---|
Associate Only |
$11.08 |
Associate + One |
$22.17 |
Associate + Family (includes spouse and child(ren)) |
$26.11 |
The table below contains highlights of your PetSmart Health and Dental benefits. Costs for these coverages vary by coverage level. View the Summary of Benefits and Coverage for full details.
Benefit |
Highlights |
---|---|
Health Care |
|
Physician Copays Per Visit |
$10 primary care/$15 specialist |
Hospital Admission |
$50 |
Emergency Room |
$75/$35 if recommended by a teleconsultant |
X-Rays and Labs |
25% |
Major Medical |
20% coinsurance; lifetime maximum is $1,000,000 |
Prescription Drug Copays |
$5 generic/$20 name brand |
Dental Care |
|
Preventive Services (cleanings, x-rays, etc.) |
100% coverage |
Minor Services (fillings, extractions, etc.) |
70% coverage |
Major Services (crowns, etc.) |
50% coverage |
Orthodontia |
100% up to $1,000 lifetime maximum |