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How Vital works if you are a Public Employee or Retiree?


If you are a public employee or a retiree from the Government of Puerto Rico, you can choose Vital as your health insurance. Your employer will pay ASES and you will pay the difference, if any.

You can also visit your local Medicaid Office to see if you are eligible for Vital for other reasons. If you are eligible for Vital for other reasons, you will not have to pay the difference, if any. If you and your husband (or wife) is public employees or retirees from the Government of Puerto Rico, you can apply together for Vital. This is called “joint enrollment”.

If at any time you lose eligibility for Vital, you can sign up for Vital in the ELA Puro group. That way, you can continue getting your Vital benefits until you can get insurance through your job. You do not have to continue as ELA Puro. It is your choice!

If you get other health insurance from your job, you have to cancel your Vital benefits before you sign up for the other health insurance. Visit your local Medicaid Office to cancel your Vital benefits. The change will be effective the first day of the next month after you cancel your benefits. If you do not cancel your benefits, you will have to pay for part of the cost of the premium for the new insurance you affiliate with.