Triple-S Direct Health Plan in Puerto Rico – Get a Quote for 2026
Triple-S Direct is the individual health plan from Triple-S Salud, the largest health insurer in Puerto Rico. It offers PPO and Pocket plans for individuals and families, with access to the most extensive medical network on the island, including hospitals, specialists, and preventive care centers.
At CLB Insurance, we are authorized representatives of Triple-S. We help you compare the Bronze PPO, Silver PPO, Silver Pocket, and Gold Pocket plans to find the one that best fits your health needs and budget — free guidance with no obligation.
PPO Bronze
Annual medical deductible $75
Generalist $10
Specialist $25
Sub-specialist $30
Hospitalization $500
Annual medication deductible $0
Generic medications $10
Laboratories 60%
Emergency $100
Preventive dental care $0
Starting at $89.56
Silver
PPO
Annual medical deductible $0
Generalist $0
Specialist $15
Sub-specialist $25
Hospitalization $350
Annual medication deductible $0
Generic medications $10
Laboratories 35%
Emergency $100
Preventive dental care $0
Starting at $113.23
Silver Pocket
Annual medical deductible $0
Generalist $0
Specialist $10
Sub-specialist $25
Hospitalization $300
Annual medication deductible $0
Generic medications $10
Laboratories 30%
Emergency $100
Preventive dental care $0
Starting at $97.54
Gold Pocket
Annual medical deductible $0
Generalist $0
Specialist $10
Sub-specialist $25
Hospitalization $200
Annual medication deductible $0
Generic medications $5
Laboratories 30%
Emergency $80
Preventive dental care $0
Starting at $122.92
Rates are based on ages between 0 and 20 years.
Note: These benefits are a summary of the coverage. Any discrepancies will be governed by the provisions of the contract approved by the Office of the Insurance Commissioner of Puerto Rico.
What does the Triple-S Direct health plan in Puerto Rico include?
All Triple-S Direct plans include medical consultations ($0 copay for primary care), hospitalization, laboratory services, prescription medications with home delivery (Triple-S en Casa), and up to $240 annually for gym and wellness benefits through the Natural Fit program.
Preventive Centers
Get your physical and emotional exam, lab tests, and vision screening all in one visit, $0 copay
• SALUS , Guaynabo, Carolina, Ponce and Clínica Las Américas (Hato Rey)
• Tiger Med , Caguas
• Center for Ambulatory Medicine and Surgery , San Sebastián
• Wellness Alliance , Guaynabo and Humacao
• Quebradillas Preventive Center
• Arecibo Preventive Center
• Preventive Services of Mayagüez
Natural Fit
Up to $240 annually for gym, yoga classes, personal trainer, acupuncture, therapeutic massage or reflexology when you complete your annual preventive visit and Risk Assessment (HRA).
Triple-S at Home
Receive medications and OTC products wherever you want with free delivery.
• Send prescriptions electronically.
• Order your prescription OTC medications.
• Receive alerts when you need refills of your medications.
• Pay easily with credit card or ATH Móvil.
Triple-S Natural
$15 Co-payment
• Medical acupuncture
• Naturopathic medicine
• Therapeutic massage
• Music therapy