Administración de Seguros de Salud de Puerto Rico
Plan Vital Care Management · About this organization
What you get
A team of nurses, social workers, and nutritionists can help you make and update a care plan.
How to start
Call your child's insurer and ask for a care-management assessment.
The details, as published
Plan Vital members with high needs or special conditions may receive a care-management team that can include nurses, social workers, and nutritionists to create and update an individualized care plan. A member may request help through the insurer, while a doctor, family member, or hospital may also inquire; cancer is a Special Coverage condition but automatic enrollment is not published.
What help you may get
Medical And Insurance Costs
Plan Vital Care Management — medical and insurance costs
Plan Vital members with high needs or special conditions may receive a care-management team that can include nurses, social workers, and nutritionists to create and update an individualized care plan. A member may request help through the insurer, while a doctor, family member, or hospital may also inquire; cancer is a Special Coverage condition but automatic enrollment is not published.
Amount not published
Navigation Guides And Advocacy
Plan Vital Care Management — navigation guides and advocacy
Plan Vital members with high needs or special conditions may receive a care-management team that can include nurses, social workers, and nutritionists to create and update an individualized care plan. A member may request help through the insurer, while a doctor, family member, or hospital may also inquire; cancer is a Special Coverage condition but automatic enrollment is not published.
Amount not published
Why this may help
Medical And Insurance Costs: The care-management team helps you plan care and coordinate the services covered by your health plan.
Check the main eligibility rules
Diagnosis
B-ALL is in scope. An enrolled child with B-ALL is a high-needs Special Coverage member who may be evaluated for care management.
Age
The program does not publish an age limit.
Treatment status
No specific treatment status is published.
Where you live and where your child is treated
Where your family lives
You must live in: PR.
Where your child is treated
No treatment-location restriction is published.
How to get started
Does a social worker or care team need to start it? No. A required care-team start is not published; the family can use the available route below.
- Call the member's Plan Vital insurer and request a care-management evaluation.
Ways to apply or ask
- Hospital Workflow
- Web Form
Documents to prepare
The program does not publish a document checklist. Ask before gathering paperwork.
Availability and timing
| Program | Active |
|---|---|
| Applications | Not Published |
| Funding or space | Not Published |
| Application window | Rolling |
| Last checked | Aug 24, 2026 |
Limitations and things to confirm
- Eligibility scoring, decision time, staffing, and automatic cancer enrollment are not published.
- What scoring, decision time, and automatic-enrollment rules apply?
Official sources
Program details were last verified Aug 24, 2026. Availability can change, so check the official program before applying.
- Plan Vital Care Management · checked Aug 24, 2026