Medicare Advantage Plans for Puerto Rico

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement OTC Rolls Over? Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? Puerto Rico Enrollees
Medicare y Mucho Mas MMM Diamante Platino (HMO D-SNP)
H4003-017-0 		HMO $400 No Yes $3,000 No No Yes No 70,578
Medicare y Mucho Mas MMM Elite (HMO-POS)
H4003-034-0 		HMOPOS $360 No Yes $2,000 No No Yes No 42,023
PMC Medicare Choice MMM Plenitud (HMO-POS)
H4004-065-0 		HMOPOS $360 No Yes $1,250 No No Yes No 39,235
MCS Classicare MCS Classicare Platino Ideal (HMO D-SNP)
H5577-002-0 		HMO $1,080 Yes Yes $2,500 No No No Yes 32,359
PMC Medicare Choice MMM Relax Platino (HMO D-SNP)
H4004-062-0 		HMO $240 No Yes $600 No No Yes No 32,082
MCS Classicare MCS Classicare Platino Progreso (HMO D-SNP)
H5577-017-0 		HMO $960 Yes Yes $3,000 No No No Yes 30,808
Triple S Advantage Employer BD 3 (HMO-POS)
H5774-814-0 		HMOPOS $0 No No 25,879
Medicare y Mucho Mas MMM Group A Calendar (HMO-POS)
H4003-806-0 		HMOPOS $0 No No 21,471
MCS Classicare MCS Classicare Platino MasCa$h (HMO D-SNP)
H5577-029-0 		HMO $720 Yes Yes $500 No No No Yes 21,348
MCS Classicare MCS Classicare Essential (HMO-POS)
H5577-008-0 		HMOPOS $420 Yes Yes $1,500 No No No No 18,784
Triple S Advantage Platino Plus (HMO D-SNP)
H5774-024-0 		HMO $320 No Yes $2,000 No No No No 18,391
Medicare y Mucho Mas MMM Valor Platino (HMO D-SNP)
H4003-047-0 		HMO $400 No Yes $500 No No Yes No 18,093
Medicare y Mucho Mas MMM Group D Calendar (HMO-POS)
H4003-821-0 		HMOPOS $0 No No 18,091
MCS Classicare MCS Classicare Efectivo (HMO)
H5577-005-0 		HMO $540 Yes Yes $1,000 No No No No 16,624
MCS Classicare MCS Classicare Platino Solido (HMO D-SNP)
H5577-041-0 		HMO $2,760 Yes Yes $2,500 No No No Yes 15,576
Triple S Advantage Real (HMO)
H5774-005-0 		HMO $400 No Yes $1,500 No No No No 13,780
MCS Classicare MCS Classicare Activo (HMO)
H5577-031-0 		HMO $720 Yes Yes $1,000 No No No No 11,600
MCS Classicare MCS Classicare Firme (HMO)
H5577-042-0 		HMO $1,440 Yes Yes $1,500 No No No No 11,233
Triple S Advantage Magno (HMO-POS)
H5774-027-0 		HMOPOS $200 No Yes $500 No No No No 9,832
MCS Classicare MCS Classicare MA-PD Group 2nd Formulary Opt. (HMO)
H5577-809-0 		HMO $0 No No 9,806
Triple S Advantage Platino Blindao (HMO D-SNP)
H5774-028-0 		HMO $400 No Yes $1,500 No No No No 9,208
PMC Medicare Choice PMC Premier Platino (HMO D-SNP)
H4004-048-0 		HMO $2,400 No Yes $2,500 No No Yes No 9,171
Triple S Advantage Brillante (HMO-POS)
H5774-031-0 		HMOPOS $240 No Yes $1,500 No No No No 8,605
Medicare y Mucho Mas MMM Supremo (HMO C-SNP)
H4003-009-0 		HMO $320 No Yes $1,000 No No Yes No 8,497
MCS Classicare MCS Classicare Exacto (HMO)
H5577-053-0 		HMO $420 Yes Yes $1,000 No No No No 7,914
MCS Classicare MCS Classicare MA-PD Group (HMO)
H5577-802-0 		HMO $0 No No 7,152
Medicare y Mucho Mas MMM Group C Calendar (HMO-POS)
H4003-820-0 		HMOPOS $0 No No 7,044
Triple S Advantage Platino Titan (HMO D-SNP)
H5774-036-0 		HMO $240 No Yes $1,000 No No No No 6,176
PMC Medicare Choice MMM Balance (HMO-POS)
H4004-063-0 		HMOPOS $240 No Yes $1,250 No No Yes No 5,996
PMC Medicare Choice PMC Max (HMO-POS)
H4004-056-0 		HMOPOS $1,800 No Yes $1,000 No No Yes No 5,304
MCS Classicare MCS Classicare CeroCeroCero (HMO C-SNP)
H5577-045-0 		HMO $1,560 Yes Yes $2,000 No No No No 4,718
Humana Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)
H4007-018-0 		HMO $0 No Yes $4,000 No Yes No No 4,564
MCS Classicare MCS Classicare MA-PD Group 2F (HMO)
H5577-821-0 		HMO $0 No No 4,251
Triple S Advantage Platino Ultra (HMO D-SNP)
H5774-025-0 		HMO $300 No Yes $2,500 No No No No 4,117
MCS Classicare MCS Classicare MA-PD Group 2L (HMO)
H5577-827-0 		HMO $0 No No 4,055
Triple S Advantage Royal D (HMO-POS)
H5774-809-0 		HMOPOS $0 No No 3,731
Triple-S Advantage Óptimo Plus A (PPO)
H4005-802-0 		Local PPO $0 No No 3,678
Triple S Advantage Platino Advance (HMO D-SNP)
H5774-026-0 		HMO $200 No Yes $500 No No No No 3,108
Humana Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)
H4007-016-0 		HMO $0 No Yes $4,000 No Yes No No 2,896
Triple S Advantage AhorroMax (HMO)
H5774-037-0 		HMO $200 No Yes $1,000 No No No No 2,797
Medicare y Mucho Mas MMM Encanto (HMO-POS)
H4003-054-0 		HMOPOS $200 No Yes $1,250 No No Yes No 2,609
Humana Humana Gold Plus H4007-012 (HMO)
H4007-012-0 		HMO $300 Yes Yes $2,000 No Yes No No 2,538
MCS Classicare MCS Classicare Primero (HMO C-SNP)
H5577-038-0 		HMO $1,440 Yes Yes $1,500 No No No No 2,335
MCS Classicare MCS Classicare Platino Total (HMO D-SNP)
H5577-046-0 		HMO $3,000 Yes Yes $800 No No No Yes 2,272
Triple-S Advantage Óptimo Plus (PPO)
H4005-004-0 		Local PPO $0 No Yes $300 No No No No 2,210
Medicare y Mucho Mas MMM Grande Platino (HMO D-SNP)
H4003-049-0 		HMO $200 No Yes $1,000 No No Yes No 2,052
Humana Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP)
H4007-019-0 		HMO $0 No Yes $2,000 No Yes No No 1,863
Humana Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)
H4007-026-0 		HMO $0 No Yes $2,000 No Yes No No 1,815
MCS Classicare MCS Classicare En Tu Hogar (HMO)
H5577-043-0 		HMO $420 Yes Yes $1,000 No No No No 1,658
Triple S Advantage Contigo Plus (HMO C-SNP)
H5774-022-0 		HMO $400 No Yes $1,000 No No No No 1,401

Counties in Puerto Rico

County Medicare Advantage Enrolless
Adjuntas 2,762
Aguada 8,016
Aguadilla 11,013
Aguas Buenas 4,531
Aibonito 5,353
Anasco 5,563
Arecibo 20,136
Arroyo 3,428
Barceloneta 4,608
Barranquitas 4,335
Bayamon 37,555
Cabo Rojo 9,202
Caguas 25,888
Camuy 6,457
Canovanas 7,547
Carolina 29,573
Catano 4,238
Cayey 9,902
Ceiba 2,173
Ciales 3,898
Cidra 7,233
Coamo 6,297
Comerio 3,091
Corozal 5,949
Culebra 146
Dorado 5,874
Fajardo 6,112
Florida 2,974
Guanica 3,143
Guayama 6,375
Guayanilla 4,699
Guaynabo 15,434
Gurabo 6,625
Hatillo 6,702
Hormigueros 3,858
Humacao 12,085
Isabela 8,330
Jayuya 2,564
Juana Diaz 7,477
Juncos 6,941
Lajas 4,661
Lares 5,533
Las Marias 1,573
Las Piedras 7,293
Loiza 3,290
Luquillo 3,243
Manati 8,693
Maricao 758
Maunabo 2,542
Mayaguez 16,885
Moca 7,062
Morovis 5,407
Naguabo 4,325
Naranjito 5,340
Orocovis 3,962
Patillas 3,965
Penuelas 3,946
Ponce 29,385
Quebradillas 5,122
Rincon 3,027
Rio Grande 8,508
Sabana Grande 4,986
Salinas 5,588
San German 6,228
San Juan 61,667
San Lorenzo 7,317
San Sebastian 9,132
Santa Isabel 3,371
Toa Alta 10,068
Toa Baja 13,878
Trujillo Alto 9,803
Utuado 5,437
Vega Alta 7,846
Vega Baja 9,893
Vieques 1,139
Villalba 4,094
Yabucoa 7,822
Yauco 7,632
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