Medicare Advantage Plans for Mayaguez County, Puerto Rico

  • 68 Total Plans
  • 19,673 Seniors Eligible for Medicare
  • 16,686 Seniors on Medicare Advantage (85%)
  • 9 plans with 1,447 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 41 plans with 10,217 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 59% 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
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 1,586
PMC Medicare Choice MMM Plenitud (HMO-POS)
H4004-065-0 		HMOPOS $25 per Quarter No $100 Yes $1,250 No No No Yes No 1,195
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 947
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 922
MCS Classicare MCS Classicare Platino Solido (HMO D-SNP)
H5577-041-0 		HMO $230 per Month Yes $2,760 Yes $2,500 No No No No Yes 819
MCS Classicare MCS Classicare Firme (HMO)
H5577-042-0 		HMO $120 per Month Yes $0 Yes $950 No No No Yes No 812
MCS Classicare MCS Classicare Platino Progreso (HMO D-SNP)
H5577-017-0 		HMO No $0 Yes $3,000 No No No Yes Yes 766
MCS Classicare MCS Classicare Platino Ideal (HMO D-SNP)
H5577-002-0 		HMO No $0 Yes $700 No No No Yes Yes 667
MCS Classicare MCS Classicare Platino MasCa$h (HMO D-SNP)
H5577-029-0 		HMO No $0 Yes $650 No No No Yes Yes 635
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 559
Medicare y Mucho Mas MMM Group A Calendar (HMO-POS)
H4003-806-0 		HMOPOS No $0 No 553
MCS Classicare MCS Classicare MA-PD Group (HMO)
H5577-802-0 		HMO No $0 No 536
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 475
Medicare y Mucho Mas MMM Group D Calendar (HMO-POS)
H4003-821-0 		HMOPOS No $0 No 417
Triple S Advantage Employer BD 3 (HMO-POS)
H5774-814-0 		HMOPOS No $0 No 390
MCS Classicare MCS Classicare Essential (HMO-POS)
H5577-008-0 		HMOPOS $35 per Month Yes $0 Yes $1,500 No No No Yes No 385
MCS Classicare MCS Classicare Efectivo (HMO)
H5577-005-0 		HMO $20 per Month No $0 Yes $800 No No No Yes No 376
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 375
PMC Medicare Choice PMC Max (HMO-POS)
H4004-056-0 		HMOPOS $75 per Month No $0 Yes $1,000 No No No Yes No 328
MCS Classicare MCS Classicare CeroCeroCero (HMO C-SNP)
H5577-045-0 		HMO $130 per Month Yes $1,560 Yes $2,000 No No No No No 327
Triple S Advantage Real (HMO)
H5774-005-0 		HMO $50 per Quarter No $200 Yes $1,500 No No No No No 275
PMC Medicare Choice MMM Balance (HMO-POS)
H4004-063-0 		HMOPOS $25 per Quarter No $100 Yes $1,250 No No No Yes No 246
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 237
Triple S Advantage Platino Titan (HMO D-SNP)
H5774-036-0 		HMO $50 per Quarter No $200 Yes $1,000 No No No No No 231
MCS Classicare MCS Classicare MA-PD Group 2nd Formulary Opt. (HMO)
H5577-809-0 		HMO No $0 No 211
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 183
Medicare y Mucho Mas MMM Group C Calendar (HMO-POS)
H4003-820-0 		HMOPOS No $0 No 181
MCS Classicare MCS Classicare Activo (HMO)
H5577-031-0 		HMO $60 per Month Yes $720 Yes $1,000 No No No No No 179
Triple S Advantage Magno (HMO-POS)
H5774-027-0 		HMOPOS $50 per Quarter No $200 Yes $500 No No No No No 173
MCS Classicare MCS Classicare MA-PD Group 2L (HMO)
H5577-827-0 		HMO No $0 No 134
Triple S Advantage Brillante (HMO-POS)
H5774-031-0 		HMOPOS $60 per Quarter No $240 Yes $1,750 No No No No No 117
MCS Classicare MCS Classicare Exacto (HMO)
H5577-053-0 		HMO $20 per Month No $0 Yes $1,100 No No No Yes No 105
Triple-S Advantage Óptimo Plus A (PPO)
H4005-802-0 		Local PPO No $0 No 91
MCS Classicare MCS Classicare MA-PD Group 2F (HMO)
H5577-821-0 		HMO No $0 No 89
Triple S Advantage AhorroMax (HMO)
H5774-037-0 		HMO $50 per Quarter No $200 Yes $1,250 No No No No No 87
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 71
Triple S Advantage Royal D (HMO-POS)
H5774-809-0 		HMOPOS No $0 No 65
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 64
MCS Classicare MCS Classicare Platino Total (HMO D-SNP)
H5577-046-0 		HMO No $0 Yes $800 No No No Yes Yes 57
Medicare y Mucho Mas MMM Group E Calendar (HMO-POS)
H4003-826-0 		HMOPOS No $0 No 57
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 49
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 44
Humana Humana Gold Plus H4007-012 (HMO)
H4007-012-0 		HMO $20 per Month Yes $0 Yes $1,500 Yes No Yes No No 42
Medicare y Mucho Mas MMM Advantage Group A Calendar (PPO)
H7522-801-0 		Local PPO No $0 No 42
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 36
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 33
Triple S Advantage Employer BD 7 (HMO-POS)
H5774-818-0 		HMOPOS No $0 No 33
Triple-S Advantage Óptimo Plus (PPO)
H4005-004-0 		Local PPO $0 per Month No $0 Yes $1,250 No No No No No 33
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 29
Medicare y Mucho Mas MMM Flexi Max (HMO-POS)
H4003-057-0 		HMOPOS $50 per Quarter No $200 Yes $1,250 No No No Yes No 28
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 26
MCS Classicare MCS Classicare Hero (HMO)
H5577-044-0 		HMO $20 per Month Yes $0 Yes $2,000 No No No Yes No 26
Medicare y Mucho Mas MMM Unico (HMO-POS)
H4003-019-0 		HMOPOS $25 per Quarter No $100 Yes $1,250 No No No Yes No 26
Humana Humana Medicare Employer (HMO)
H4007-819-0 		HMO No $0 No 22
Humana HumanaChoice Value H2029-001 (PPO)
H2029-001-0 		Local PPO $20 per Month Yes $0 Yes $1,000 No No Yes No No 21
Humana Humana Gold Plus H4007-025 (HMO)
H4007-025-0 		HMO $20 per Month Yes $0 Yes $1,500 Yes No Yes No No 19
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 19
Humana Humana Gold Plus H4007-024 (HMO)
H4007-024-0 		HMO $0 per Month No $0 Yes $1,500 Yes No Yes No No 18
MCS Classicare MCS Classicare Primero (HMO C-SNP)
H5577-038-0 		HMO $90 per Month Yes $0 Yes $900 No No No Yes No 18
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 16
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 15
MCS Classicare MCS Classicare Patriot (HMO)
H5577-016-0 		HMO $230 per Month Yes $0 Yes $1,000 No No No Yes No 15
Humana Humana Gold Plus H4007-020 (HMO)
H4007-020-0 		HMO $0 per Month No $0 Yes $1,000 Yes No Yes No No 13
Humana Humana Gold Plus H4007-021 (HMO)
H4007-021-0 		HMO $0 per Month No $0 Yes $1,500 Yes No Yes No No 13
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 13
Medicare y Mucho Mas MMM Encanto (HMO-POS)
H4003-054-0 		HMOPOS $25 per Quarter No $100 Yes $1,250 No No No Yes No 13
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 13
MCS Classicare MCS Classicare Freedom (HMO)
H5577-014-0 		HMO $30 per Month Yes $360 Yes $1,000 No No No No No 12
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