Medicare Advantage Plans for Puerto Rico

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement Coverage? Covered Amount In Network Required? Coinsurance? Copay? Prior Authorization? Need Referral? Puerto Rico Enrollees
Medicare y Mucho Mas MMM Elite (HMO-POS)
H4003-034-0
HMOPOS $360 Yes $2,000 No No No Yes No 79,552
Medicare y Mucho Mas MMM Diamante Platino (HMO D-SNP)
H4003-017-0
HMO $400 Yes $3,000 No No No Yes No 78,788
MCS Classicare MCS Classicare Platino Progreso (HMO D-SNP)
H5577-017-0
HMO $0 Yes $3,000 No No No No Yes 45,165
MCS Classicare MCS Classicare Activo (HMO)
H5577-031-0
HMO $0 Yes $1,000 No No No No No 27,095
Medicare y Mucho Mas MMM Group A Calendar (HMO-POS)
H4003-806-0
HMOPOS $0 No 26,428
MCS Classicare MCS Classicare Essential (HMO-POS)
H5577-008-0
HMOPOS $0 Yes $1,500 No No No No No 25,461
Triple S Advantage Platino Plus (HMO D-SNP)
H5774-024-0
HMO $300 Yes $2,000 No No No No No 23,930
Medicare y Mucho Mas MMM Valor Platino (HMO D-SNP)
H4003-047-0
HMO $400 Yes $500 No No No Yes No 23,476
MCS Classicare MCS Classicare Platino Ideal (HMO D-SNP)
H5577-002-0
HMO $0 Yes $2,500 No No No No Yes 21,243
Triple S Advantage Magno (HMO-POS)
H5774-027-0
HMOPOS $200 Yes $500 No No No No No 19,894
PMC Medicare Choice MMM Relax Platino (HMO D-SNP)
H4004-061-0
HMO $240 Yes $600 No No No Yes No 18,864
Triple S Advantage Brillante (HMO-POS)
H5774-031-0
HMOPOS $240 Yes $1,500 No No No No No 16,818
Triple S Advantage Employer BD 3 (HMO-POS)
H5774-814-0
HMOPOS $0 No 15,568
Medicare y Mucho Mas MMM Supremo (HMO C-SNP)
H4003-009-0
HMO $320 Yes $1,000 No No No Yes No 13,574
MCS Classicare MCS Classicare Efectivo (HMO)
H5577-005-0
HMO $0 Yes $1,000 No No No No No 12,999
MCS Classicare MCS Classicare MA-PD Group 2F (HMO)
H5577-821-0
HMO $0 No 12,537
Triple S Advantage Royal D (HMO-POS)
H5774-809-0
HMOPOS $0 No 11,335
PMC Medicare Choice PMC Premier Platino (HMO D-SNP)
H4004-048-0
HMO $2,400 Yes $2,500 No No No Yes No 11,235
Triple S Advantage Real (HMO)
H5774-005-0
HMO $200 Yes $500 No No No No No 10,236
Triple S Advantage Platino Blindao (HMO D-SNP)
H5774-028-0
HMO $400 Yes $1,500 No No No No No 10,225
MCS Classicare MCS Classicare Platino Clásico (HMO D-SNP)
H5577-028-0
HMO $0 Yes $2,500 No No No No Yes 8,681
Humana Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)
H4007-018-0
HMO $200 Yes $1,000 No No Yes No No 7,213
MCS Classicare MCS Classicare Platino MasCa$h (HMO D-SNP)
H5577-029-0
HMO $0 Yes $1,000 No No No No Yes 7,024
PMC Medicare Choice PMC Max (HMO-POS)
H4004-056-0
HMOPOS $1,800 Yes $1,000 No No No Yes No 6,836
Triple S Advantage Platino Ultra (HMO D-SNP)
H5774-025-0
HMO $400 Yes $2,000 No No No No No 6,479
MCS Classicare MCS Classicare MA-PD Group (HMO)
H5577-802-0
HMO $0 No 6,299
Triple-S Advantage Óptimo Plus A (PPO)
H4005-802-0
Local PPO $0 No 5,641
Medicare y Mucho Mas MMM Group D Calendar (HMO-POS)
H4003-821-0
HMOPOS $0 No 5,441
MCS Classicare MCS Classicare Platino Recarga (HMO D-SNP)
H5577-036-0
HMO $0 Yes $2,500 No No No No Yes 5,290
Triple S Advantage Platino Advance (HMO D-SNP)
H5774-026-0
HMO $200 Yes $500 No No No No No 4,365
MCS Classicare MCS Classicare MA-PD Group 2E (HMO)
H5577-820-0
HMO $0 No 4,361
Humana Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)
H4007-016-0
HMO $200 Yes $2,000 No No Yes No No 4,271
Medicare y Mucho Mas MMM Group C Calendar (HMO-POS)
H4003-820-0
HMOPOS $0 No 4,092
Humana Humana Gold Plus H4007-012 (HMO)
H4007-012-0
HMO $300 Yes $2,000 No No Yes No No 3,342
Triple-S Advantage Óptimo Plus (PPO)
H4005-004-0
Local PPO $0 Yes $300 No No No No No 2,946
Triple S Advantage Contigo Plus (HMO C-SNP)
H5774-022-0
HMO $400 Yes $1,500 No No No No No 2,735
MCS Classicare MCS Classicare MA-PD Group 2L (HMO)
H5577-827-0
HMO $0 No 2,456
Medicare y Mucho Mas MMM Unico (HMO-POS)
H4003-019-0
HMOPOS $500 Yes $1,250 No No No Yes No 1,965
Humana Humana Medicare Employer (HMO)
H4007-813-0
HMO $0 No 1,809
MCS Classicare MCS Classicare MA-PD Group 2G (HMO)
H5577-822-0
HMO $0 No 1,756
MCS Classicare MCS Classicare Primero (HMO C-SNP)
H5577-038-0
HMO $0 Yes $500 No No No No No 1,696
Humana Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP)
H4007-019-0
HMO $120 Yes $75 No No Yes No No 1,531
Medicare y Mucho Mas MMM Conectado Platino (HMO D-SNP)
H4003-050-0
HMO $0 Yes $100 No No No Yes No 1,469
Triple S Advantage Employer BD 7 (HMO-POS)
H5774-818-0
HMOPOS $0 No 1,324
Humana Humana Gold Plus H4007-020 (HMO)
H4007-020-0
HMO $100 Yes $500 No No Yes No No 1,290
Humana Humana Gold Plus SNP-DE H4007-022 (HMO D-SNP)
H4007-022-0
HMO $60 No 1,048
Medicare y Mucho Mas MMM Advantage Group A Calendar (PPO)
H7522-801-0
Local PPO $0 No 970
MCS Classicare MCS Classicare MA-PD Group 2nd Formulary Opt. (HMO)
H5577-809-0
HMO $0 No 924
Medicare y Mucho Mas MMM Dinamico (HMO-POS)
H4003-051-0
HMOPOS $160 Yes $1,250 No No No Yes No 903
Medicare y Mucho Mas MMM Extra (HMO-POS)
H4003-044-0
HMOPOS $0 Yes $200 No No No Yes No 591

Counties in Puerto Rico

County Medicare Advantage Enrolless
Adjuntas 2,723
Aguada 7,735
Aguadilla 10,679
Aguas Buenas 4,472
Aibonito 5,174
Anasco 5,421
Arecibo 19,625
Arroyo 3,360
Barceloneta 4,458
Barranquitas 4,208
Bayamon 36,328
Cabo Rojo 8,866
Caguas 24,938
Camuy 6,300
Canovanas 7,325
Carolina 28,709
Catano 4,244
Cayey 9,533
Ceiba 2,128
Ciales 3,795
Cidra 7,034
Coamo 6,100
Comerio 2,980
Corozal 5,760
Culebra 147
Dorado 5,690
Fajardo 5,955
Florida 2,903
Guanica 3,086
Guayama 5,771
Guayanilla 4,884
Guaynabo 13,407
Gurabo 6,423
Hatillo 6,401
Hormigueros 3,837
Humacao 11,717
Isabela 8,074
Jayuya 2,538
Juana Diaz 7,157
Juncos 6,719
Lajas 4,561
Lares 5,370
Las Marias 1,535
Las Piedras 7,148
Loiza 3,262
Luquillo 3,149
Manati 8,565
Maricao 772
Maunabo 2,562
Mayaguez 16,286
Moca 6,846
Morovis 5,270
Naguabo 4,284
Naranjito 5,211
Orocovis 3,810
Patillas 3,900
Penuelas 3,768
Ponce 27,996
Quebradillas 4,990
Rincon 2,952
Rio Grande 8,226
Sabana Grande 4,915
Salinas 5,433
San German 6,106
San Juan 56,559
San Lorenzo 7,142
San Sebastian 9,014
Santa Isabel 3,350
Toa Alta 9,623
Toa Baja 13,389
Trujillo Alto 9,346
Utuado 5,223
Vega Alta 7,873
Vega Baja 9,133
Vieques 1,148
Villalba 3,894
Yabucoa 7,622
Yauco 7,347
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