Medicare Advantage Plans for Puerto Rico
| Hearing Aid Coverage | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Company | Plan name | Plan type | Total monthly premium | 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 | $0 | Yes | $2,000 | No | No | No | Yes | No | 79,552 |
| Medicare y Mucho Mas |
MMM Diamante Platino (HMO D-SNP) H4003-017-0 |
HMO | $0 | 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 | 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 | $0 | Yes | $2,000 | No | No | No | No | No | 23,930 |
| Medicare y Mucho Mas |
MMM Valor Platino (HMO D-SNP) H4003-047-0 |
HMO | $0 | 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 | $0 | Yes | $500 | No | No | No | No | No | 19,894 |
| PMC Medicare Choice |
MMM Relax Platino (HMO D-SNP) H4004-061-0 |
HMO | $0 | Yes | $600 | No | No | No | Yes | No | 18,864 |
| Triple S Advantage |
Brillante (HMO-POS) H5774-031-0 |
HMOPOS | $0 | Yes | $1,500 | No | No | No | No | No | 16,818 |
| Triple S Advantage |
Employer BD 3 (HMO-POS) H5774-814-0 |
HMOPOS | No | 15,568 | |||||||
| Medicare y Mucho Mas |
MMM Supremo (HMO C-SNP) H4003-009-0 |
HMO | $0 | 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 | No | 12,537 | |||||||
| Triple S Advantage |
Royal D (HMO-POS) H5774-809-0 |
HMOPOS | No | 11,335 | |||||||
| PMC Medicare Choice |
PMC Premier Platino (HMO D-SNP) H4004-048-0 |
HMO | $0 | Yes | $2,500 | No | No | No | Yes | No | 11,235 |
| Triple S Advantage |
Real (HMO) H5774-005-0 |
HMO | $0 | Yes | $500 | No | No | No | No | No | 10,236 |
| Triple S Advantage |
Platino Blindao (HMO D-SNP) H5774-028-0 |
HMO | $0 | 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 | $0 | 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 | $0 | Yes | $1,000 | No | No | No | Yes | No | 6,836 |
| Triple S Advantage |
Platino Ultra (HMO D-SNP) H5774-025-0 |
HMO | $0 | Yes | $2,000 | No | No | No | No | No | 6,479 |
| MCS Classicare |
MCS Classicare MA-PD Group (HMO) H5577-802-0 |
HMO | No | 6,299 | |||||||
| Triple-S Advantage |
Óptimo Plus A (PPO) H4005-802-0 |
Local PPO | No | 5,641 | |||||||
| Medicare y Mucho Mas |
MMM Group D Calendar (HMO-POS) H4003-821-0 |
HMOPOS | 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 | $0 | Yes | $500 | No | No | No | No | No | 4,365 |
| MCS Classicare |
MCS Classicare MA-PD Group 2E (HMO) H5577-820-0 |
HMO | No | 4,361 | |||||||
| Humana |
Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP) H4007-016-0 |
HMO | $0 | Yes | $2,000 | No | No | Yes | No | No | 4,271 |
| Medicare y Mucho Mas |
MMM Group C Calendar (HMO-POS) H4003-820-0 |
HMOPOS | No | 4,092 | |||||||
| Humana |
Humana Gold Plus H4007-012 (HMO) H4007-012-0 |
HMO | $0 | Yes | $2,000 | No | No | Yes | No | No | 3,342 |
| Triple-S Advantage |
Óptimo Plus (PPO) H4005-004-0 |
Local PPO | $52 | Yes | $300 | No | No | No | No | No | 2,946 |
| Triple S Advantage |
Contigo Plus (HMO C-SNP) H5774-022-0 |
HMO | $0 | Yes | $1,500 | No | No | No | No | No | 2,735 |
| MCS Classicare |
MCS Classicare MA-PD Group 2L (HMO) H5577-827-0 |
HMO | No | 2,456 | |||||||
| Medicare y Mucho Mas |
MMM Unico (HMO-POS) H4003-019-0 |
HMOPOS | $15 | Yes | $1,250 | No | No | No | Yes | No | 1,965 |
| Humana |
Humana Medicare Employer (HMO) H4007-813-0 |
HMO | No | 1,809 | |||||||
| MCS Classicare |
MCS Classicare MA-PD Group 2G (HMO) H5577-822-0 |
HMO | 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 | $0 | 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 | No | 1,324 | |||||||
| Humana |
Humana Gold Plus H4007-020 (HMO) H4007-020-0 |
HMO | $0 | Yes | $500 | No | No | Yes | No | No | 1,290 |
| Humana |
Humana Gold Plus SNP-DE H4007-022 (HMO D-SNP) H4007-022-0 |
HMO | $0 | No | 1,048 | ||||||
| Medicare y Mucho Mas |
MMM Advantage Group A Calendar (PPO) H7522-801-0 |
Local PPO | No | 970 | |||||||
| MCS Classicare |
MCS Classicare MA-PD Group 2nd Formulary Opt. (HMO) H5577-809-0 |
HMO | No | 924 | |||||||
| Medicare y Mucho Mas |
MMM Dinamico (HMO-POS) H4003-051-0 |
HMOPOS | $0 | 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 |
