Medicare Advantage Plans for Culebra County, Puerto Rico
- 8 Total Plans
- 352 Seniors Eligible for Medicare
- 260 Seniors on Medicare Advantage (74%)
- 0 plans with 0 seniors have enough OTC benefit to fully cover MDHearing hearing aids
- 4 plans with 88 seniors have OTC benefits that partially cover MDHearing hearing aids
- 25% of seniors can partially or fully cover OTC hearing aids from MDHearing (if their plan has MDHearing hearing aids)
| OTC Supplemental Benefits | Prescription Hearing Aid Coverage | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Company | Plan name | Plan type | OTC Supplement | OTC Rolls Over? | Annual OTC Supplement | Coverage? | Covered Amount | Covers OTC Aids? | Coinsurance? | Copay? | Prior Authorization? | Need Referral? | Puerto Rico Enrollees |
| MCS Classicare |
MCS Classicare Essential (HMO-POS) H5577-008-0 |
HMOPOS | $35 per Month | Yes | $0 | Yes | $1,500 | No | No | No | Yes | No | 30 |
| MCS Classicare |
MCS Classicare Efectivo (HMO) H5577-005-0 |
HMO | $20 per Month | No | $0 | Yes | $800 | No | No | No | Yes | No | 28 |
| MCS Classicare |
MCS Classicare Platino Ideal (HMO D-SNP) H5577-002-0 |
HMO | No | $0 | Yes | $700 | No | No | No | Yes | Yes | 17 | |
| Medicare y Mucho Mas |
MMM Elite (HMO-POS) H4003-034-0 |
HMOPOS | $90 per Quarter | No | $360 | Yes | $2,000 | No | No | No | Yes | No | 17 |
| MCS Classicare |
MCS Classicare Platino Progreso (HMO D-SNP) H5577-017-0 |
HMO | No | $0 | Yes | $3,000 | No | No | No | Yes | Yes | 16 | |
| PMC Medicare Choice |
MMM Plenitud (HMO-POS) H4004-065-0 |
HMOPOS | $25 per Quarter | No | $100 | Yes | $1,250 | No | No | No | Yes | No | 13 |
| Triple S Advantage |
Employer BD 3 (HMO-POS) H5774-814-0 |
HMOPOS | No | $0 | No | 13 | |||||||
| MCS Classicare |
MCS Classicare Platino MasCa$h (HMO D-SNP) H5577-029-0 |
HMO | No | $0 | Yes | $650 | No | No | No | Yes | Yes | 12 | |
