Medicare Advantage Plans for Puerto Rico

638,508 Total Medicare Advantage Enrollees

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 70,578
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 42,023
PMC Medicare Choice MMM Plenitud (HMO-POS)
H4004-065-0
HMOPOS $25 per Quarter No $100 Yes $1,250 No No No Yes No 39,235
MCS Classicare MCS Classicare Platino Ideal (HMO D-SNP)
H5577-002-0
HMO No $0 Yes $700 No No No Yes Yes 32,359
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 32,082
MCS Classicare MCS Classicare Platino Progreso (HMO D-SNP)
H5577-017-0
HMO No $0 Yes $3,000 No No No Yes Yes 30,808
Triple S Advantage Employer BD 3 (HMO-POS)
H5774-814-0
HMOPOS No $0 No 25,879
Medicare y Mucho Mas MMM Group A Calendar (HMO-POS)
H4003-806-0
HMOPOS No $0 No 21,471
MCS Classicare MCS Classicare Platino MasCa$h (HMO D-SNP)
H5577-029-0
HMO No $0 Yes $650 No No No Yes Yes 21,348
MCS Classicare MCS Classicare Essential (HMO-POS)
H5577-008-0
HMOPOS $35 per Month Yes $0 Yes $1,500 No No No Yes No 18,784
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 18,391
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 18,093
Medicare y Mucho Mas MMM Group D Calendar (HMO-POS)
H4003-821-0
HMOPOS No $0 No 18,091
MCS Classicare MCS Classicare Efectivo (HMO)
H5577-005-0
HMO $20 per Month No $0 Yes $800 No No No Yes No 16,624
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 15,576
Triple S Advantage Real (HMO)
H5774-005-0
HMO $50 per Quarter No $200 Yes $1,500 No No No No No 13,780
MCS Classicare MCS Classicare Activo (HMO)
H5577-031-0
HMO $60 per Month Yes $720 Yes $1,000 No No No No No 11,600
MCS Classicare MCS Classicare Firme (HMO)
H5577-042-0
HMO $120 per Month Yes $0 Yes $950 No No No Yes No 11,233
Triple S Advantage Magno (HMO-POS)
H5774-027-0
HMOPOS $50 per Quarter No $200 Yes $500 No No No No No 9,832
MCS Classicare MCS Classicare MA-PD Group 2nd Formulary Opt. (HMO)
H5577-809-0
HMO No $0 No 9,806
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 9,208
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 9,171
Triple S Advantage Brillante (HMO-POS)
H5774-031-0
HMOPOS $60 per Quarter No $240 Yes $1,750 No No No No No 8,605
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 8,497
MCS Classicare MCS Classicare Exacto (HMO)
H5577-053-0
HMO $20 per Month No $0 Yes $1,100 No No No Yes No 7,914
MCS Classicare MCS Classicare MA-PD Group (HMO)
H5577-802-0
HMO No $0 No 7,152
Medicare y Mucho Mas MMM Group C Calendar (HMO-POS)
H4003-820-0
HMOPOS No $0 No 7,044
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 6,176
PMC Medicare Choice MMM Balance (HMO-POS)
H4004-063-0
HMOPOS $25 per Quarter No $100 Yes $1,250 No No No Yes No 5,996
PMC Medicare Choice PMC Max (HMO-POS)
H4004-056-0
HMOPOS $75 per Month No $0 Yes $1,000 No No No Yes No 5,304
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 4,718
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 4,564
MCS Classicare MCS Classicare MA-PD Group 2F (HMO)
H5577-821-0
HMO No $0 No 4,251
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 4,117
MCS Classicare MCS Classicare MA-PD Group 2L (HMO)
H5577-827-0
HMO No $0 No 4,055
Triple S Advantage Royal D (HMO-POS)
H5774-809-0
HMOPOS No $0 No 3,731
Triple-S Advantage Óptimo Plus A (PPO)
H4005-802-0
Local PPO No $0 No 3,678
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 3,108
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 2,896
Triple S Advantage AhorroMax (HMO)
H5774-037-0
HMO $50 per Quarter No $200 Yes $1,250 No No No No No 2,797
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 2,609
Humana Humana Gold Plus H4007-012 (HMO)
H4007-012-0
HMO $20 per Month Yes $0 Yes $1,500 Yes No Yes No No 2,538
MCS Classicare MCS Classicare Primero (HMO C-SNP)
H5577-038-0
HMO $90 per Month Yes $0 Yes $900 No No No Yes No 2,335
MCS Classicare MCS Classicare Platino Total (HMO D-SNP)
H5577-046-0
HMO No $0 Yes $800 No No No Yes Yes 2,272
Triple-S Advantage Óptimo Plus (PPO)
H4005-004-0
Local PPO $0 per Month No $0 Yes $1,250 No No No No No 2,210
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 2,052
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 1,863
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 1,815
MCS Classicare MCS Classicare En Tu Hogar (HMO)
H5577-043-0
HMO $35 per Month No $0 Yes $700 No No No Yes No 1,658
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 1,401

Counties in Puerto Rico

County Medicare Advantage Enrolless
Adjuntas 2,762
Aguada 8,016
Aguadilla 11,013
Aguas Buenas 4,531
Aibonito 5,353
Anasco 5,563
Arecibo 20,136
Arroyo 3,428
Barceloneta 4,608
Barranquitas 4,335
Bayamon 37,555
Cabo Rojo 9,202
Caguas 25,888
Camuy 6,457
Canovanas 7,547
Carolina 29,573
Catano 4,238
Cayey 9,902
Ceiba 2,173
Ciales 3,898
Cidra 7,233
Coamo 6,297
Comerio 3,091
Corozal 5,949
Culebra 146
Dorado 5,874
Fajardo 6,112
Florida 2,974
Guanica 3,143
Guayama 6,375
Guayanilla 4,699
Guaynabo 15,434
Gurabo 6,625
Hatillo 6,702
Hormigueros 3,858
Humacao 12,085
Isabela 8,330
Jayuya 2,564
Juana Diaz 7,477
Juncos 6,941
Lajas 4,661
Lares 5,533
Las Marias 1,573
Las Piedras 7,293
Loiza 3,290
Luquillo 3,243
Manati 8,693
Maricao 758
Maunabo 2,542
Mayaguez 16,885
Moca 7,062
Morovis 5,407
Naguabo 4,325
Naranjito 5,340
Orocovis 3,962
Patillas 3,965
Penuelas 3,946
Ponce 29,385
Quebradillas 5,122
Rincon 3,027
Rio Grande 8,508
Sabana Grande 4,986
Salinas 5,588
San German 6,228
San Juan 61,667
San Lorenzo 7,317
San Sebastian 9,132
Santa Isabel 3,371
Toa Alta 10,068
Toa Baja 13,878
Trujillo Alto 9,803
Utuado 5,437
Vega Alta 7,846
Vega Baja 9,893
Vieques 1,139
Villalba 4,094
Yabucoa 7,822
Yauco 7,632
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