Medicare Advantage Plans for Humacao County, Puerto Rico

  • 62 Total Plans
  • 14,060 Seniors Eligible for Medicare
  • 12,059 Seniors on Medicare Advantage (86%)
  • 8 plans with 1,746 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 37 plans with 5,447 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 51% 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 Platino Ideal (HMO D-SNP)
H5577-002-0 		HMO No $0 Yes $700 No No No Yes Yes 1,355
MCS Classicare MCS Classicare Platino Progreso (HMO D-SNP)
H5577-017-0 		HMO No $0 Yes $3,000 No No No Yes Yes 987
MCS Classicare MCS Classicare Efectivo (HMO)
H5577-005-0 		HMO $20 per Month No $0 Yes $800 No No No Yes No 588
MCS Classicare MCS Classicare Platino MasCa$h (HMO D-SNP)
H5577-029-0 		HMO No $0 Yes $650 No No No Yes Yes 552
Medicare y Mucho Mas MMM Diamante Platino (HMO D-SNP)
H4003-017-0 		HMO $100 per Quarter No $400 Yes $3,000 No No No Yes No 541
Humana Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)
H4007-018-0 		HMO $720 per Month No $0 Yes $4,000 Yes No Yes No No 521
MCS Classicare MCS Classicare Essential (HMO-POS)
H5577-008-0 		HMOPOS $35 per Month Yes $0 Yes $1,500 No No No Yes No 509
Triple S Advantage Employer BD 3 (HMO-POS)
H5774-814-0 		HMOPOS No $0 No 434
MCS Classicare MCS Classicare Activo (HMO)
H5577-031-0 		HMO $60 per Month Yes $720 Yes $1,000 No No No No No 377
MCS Classicare MCS Classicare Exacto (HMO)
H5577-053-0 		HMO $20 per Month No $0 Yes $1,100 No No No Yes No 370
PMC Medicare Choice MMM Plenitud (HMO-POS)
H4004-065-0 		HMOPOS $25 per Quarter No $100 Yes $1,250 No No No Yes No 325
Humana Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)
H4007-016-0 		HMO $480 per Month No $0 Yes $4,000 Yes No Yes No No 302
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 300
Triple S Advantage Platino Plus (HMO D-SNP)
H5774-024-0 		HMO $95 per Quarter No $380 Yes $1,000 No No No No No 298
PMC Medicare Choice MMM Relax Platino (HMO D-SNP)
H4004-062-0 		HMO $60 per Quarter No $240 Yes $600 No No No Yes No 267
Humana Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP)
H4007-019-0 		HMO $720 per Month No $0 Yes $1,500 Yes No Yes No No 260
MCS Classicare MCS Classicare MA-PD Group 2nd Formulary Opt. (HMO)
H5577-809-0 		HMO No $0 No 247
Triple S Advantage Real (HMO)
H5774-005-0 		HMO $50 per Quarter No $200 Yes $1,500 No No No No No 215
Humana Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)
H4007-026-0 		HMO $780 per Month No $0 Yes $500 Yes No Yes No No 207
Humana Humana Gold Plus H4007-012 (HMO)
H4007-012-0 		HMO $20 per Month Yes $0 Yes $1,500 Yes No Yes No No 204
Medicare y Mucho Mas MMM Group D Calendar (HMO-POS)
H4003-821-0 		HMOPOS No $0 No 202
Triple S Advantage Platino Blindao (HMO D-SNP)
H5774-028-0 		HMO $40 per Quarter No $160 Yes $1,500 No No No No No 195
MCS Classicare MCS Classicare MA-PD Group (HMO)
H5577-802-0 		HMO No $0 No 183
Triple S Advantage Brillante (HMO-POS)
H5774-031-0 		HMOPOS $60 per Quarter No $240 Yes $1,750 No No No No No 163
Medicare y Mucho Mas MMM Group A Calendar (HMO-POS)
H4003-806-0 		HMOPOS No $0 No 157
Triple S Advantage Magno (HMO-POS)
H5774-027-0 		HMOPOS $50 per Quarter No $200 Yes $500 No No No No No 145
MCS Classicare MCS Classicare MA-PD Group 2L (HMO)
H5577-827-0 		HMO No $0 No 131
Medicare y Mucho Mas MMM Valor Platino (HMO D-SNP)
H4003-047-0 		HMO $100 per Quarter No $400 Yes $500 No No No Yes No 126
MCS Classicare MCS Classicare Primero (HMO C-SNP)
H5577-038-0 		HMO $90 per Month Yes $0 Yes $900 No No No Yes No 125
MCS Classicare MCS Classicare MA-PD Group 2F (HMO)
H5577-821-0 		HMO No $0 No 109
Humana Humana Gold Plus SNP-DE H4007-022 (HMO D-SNP)
H4007-022-0 		HMO $0 per Month No $0 Yes $2,000 No No Yes No No 106
Humana Humana Medicare Employer (HMO)
H4007-819-0 		HMO No $0 No 105
Triple S Advantage Royal D (HMO-POS)
H5774-809-0 		HMOPOS No $0 No 104
PMC Medicare Choice PMC Premier Platino (HMO D-SNP)
H4004-048-0 		HMO $200 per Month No $0 Yes $2,500 No No No Yes No 88
Humana Humana Gold Plus H4007-025 (HMO)
H4007-025-0 		HMO $20 per Month Yes $0 Yes $1,500 Yes No Yes No No 84
Triple S Advantage Platino Advance (HMO D-SNP)
H5774-026-0 		HMO $45 per Quarter No $180 Yes $1,500 No No No No No 82
MCS Classicare MCS Classicare En Tu Hogar (HMO)
H5577-043-0 		HMO $35 per Month No $0 Yes $700 No No No Yes No 76
Medicare y Mucho Mas MMM Group C Calendar (HMO-POS)
H4003-820-0 		HMOPOS No $0 No 75
MCS Classicare MCS Classicare Platino Total (HMO D-SNP)
H5577-046-0 		HMO No $0 Yes $800 No No No Yes Yes 69
Triple S Advantage AhorroMax (HMO)
H5774-037-0 		HMO $50 per Quarter No $200 Yes $1,250 No No No No No 63
Medicare y Mucho Mas MMM Supremo (HMO C-SNP)
H4003-009-0 		HMO $25 per Quarter No $100 Yes $1,000 No No No Yes No 60
Humana Humana Gold Plus H4007-020 (HMO)
H4007-020-0 		HMO $0 per Month No $0 Yes $1,000 Yes No Yes No No 58
Triple S Advantage Platino Ultra (HMO D-SNP)
H5774-025-0 		HMO $75 per Quarter No $300 Yes $2,500 No No No No No 58
PMC Medicare Choice MMM Balance (HMO-POS)
H4004-063-0 		HMOPOS $25 per Quarter No $100 Yes $1,250 No No No Yes No 56
Humana Humana Gold Plus H4007-024 (HMO)
H4007-024-0 		HMO $0 per Month No $0 Yes $1,500 Yes No Yes No No 51
Humana Humana Gold Plus H4007-021 (HMO)
H4007-021-0 		HMO $0 per Month No $0 Yes $1,500 Yes No Yes No No 46
PMC Medicare Choice PMC Max (HMO-POS)
H4004-056-0 		HMOPOS $75 per Month No $0 Yes $1,000 No No No Yes No 45
Humana Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)
H4007-027-0 		HMO $3,180 per Month No $0 Yes $3,000 Yes No Yes No No 39
MCS Classicare MCS Classicare Hero (HMO)
H5577-044-0 		HMO $20 per Month Yes $0 Yes $2,000 No No No Yes No 32
Triple S Advantage Contigo Plus (HMO C-SNP)
H5774-022-0 		HMO $100 per Quarter No $400 Yes $1,000 No No No No No 32
Triple-S Advantage Óptimo Plus A (PPO)
H4005-802-0 		Local PPO No $0 No 32
Triple-S Advantage Óptimo Plus (PPO)
H4005-004-0 		Local PPO $0 per Month No $0 Yes $1,250 No No No No No 31
Humana HumanaChoice Value H2029-001 (PPO)
H2029-001-0 		Local PPO $20 per Month Yes $0 Yes $1,000 No No Yes No No 29
MCS Classicare MCS Classicare Platino @Home (HMO D-SNP)
H5577-037-0 		HMO $50 per Month Yes $600 Yes $1,000 No No No No Yes 29
Triple S Advantage Platino Alcance (HMO D-SNP)
H5774-035-0 		HMO $150 per Month No $0 Yes $1,000 No No No No No 22
Medicare y Mucho Mas MMM Deluxe (HMO-POS)
H4003-055-0 		HMOPOS $25 per Quarter No $100 Yes $1,250 No No No Yes No 19
Triple S Advantage Employer BD 7 (HMO-POS)
H5774-818-0 		HMOPOS No $0 No 19
Medicare y Mucho Mas MMM Advantage Group A Calendar (PPO)
H7522-801-0 		Local PPO No $0 No 14
Medicare y Mucho Mas MMM Dinamico (HMO-POS)
H4003-051-0 		HMOPOS $40 per Quarter No $160 Yes $1,250 No No No Yes No 13
Medicare y Mucho Mas MMM Grande Platino (HMO D-SNP)
H4003-049-0 		HMO $25 per Quarter No $100 Yes $1,000 No No No Yes No 13
MCS Classicare MCS Classicare InteliCare (HMO)
H5577-052-0 		HMO $90 per Month No $0 Yes $1,000 No No No Yes Yes 12
MCS Classicare MCS Classicare Freedom (HMO)
H5577-014-0 		HMO $30 per Month Yes $360 Yes $1,000 No No No No No 11
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