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 |
| Humana |
Humana Medicare Employer (HMO) H4007-819-0 |
HMO | No | $0 | No | 1,372 | |||||||
| 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 | 1,294 |
| Triple S Advantage |
Employer BD 7 (HMO-POS) H5774-818-0 |
HMOPOS | No | $0 | No | 1,209 | |||||||
| 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 | 1,180 |
| Medicare y Mucho Mas |
MMM Dorado Platino (HMO D-SNP) H4003-058-0 |
HMO | $35 per Quarter | No | $140 | Yes | $2,500 | No | No | No | Yes | No | 1,134 |
| 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 | 1,052 |
| MCS Classicare |
MCS Classicare Hero (HMO) H5577-044-0 |
HMO | $20 per Month | Yes | $0 | Yes | $2,000 | No | No | No | Yes | No | 843 |
| 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 | 840 |
| Humana |
Humana Gold Plus H4007-025 (HMO) H4007-025-0 |
HMO | $20 per Month | Yes | $0 | Yes | $1,500 | Yes | No | Yes | No | No | 818 |
| Humana |
Humana Gold Plus H4007-024 (HMO) H4007-024-0 |
HMO | $0 per Month | No | $0 | Yes | $1,500 | Yes | No | Yes | No | No | 802 |
| 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 | 802 |
| MCS Classicare |
MCS Classicare Patriot (HMO) H5577-016-0 |
HMO | $230 per Month | Yes | $0 | Yes | $1,000 | No | No | No | Yes | No | 753 |
| Humana |
Humana Gold Plus H4007-020 (HMO) H4007-020-0 |
HMO | $0 per Month | No | $0 | Yes | $1,000 | Yes | No | Yes | No | No | 742 |
| 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 | 700 |
| 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 | 660 |
| Medicare y Mucho Mas |
MMM Group E Calendar (HMO-POS) H4003-826-0 |
HMOPOS | No | $0 | No | 660 | |||||||
| Medicare y Mucho Mas |
MMM Advantage Group A Calendar (PPO) H7522-801-0 |
Local PPO | No | $0 | No | 575 | |||||||
| Humana |
Humana Gold Plus H4007-021 (HMO) H4007-021-0 |
HMO | $0 per Month | No | $0 | Yes | $1,500 | Yes | No | Yes | No | No | 453 |
| Humana |
HumanaChoice Value H2029-001 (PPO) H2029-001-0 |
Local PPO | $20 per Month | Yes | $0 | Yes | $1,000 | No | No | Yes | No | No | 442 |
| 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 | 344 |
| Triple S Advantage |
Royal C (HMO) H5774-808-0 |
HMO | No | $0 | No | 335 | |||||||
| Triple-S Advantage |
Óptimo (PPO) H4005-001-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | $1,000 | No | No | No | No | No | 199 |
| Medicare y Mucho Mas |
MMM Integral (HMO C-SNP) H4003-052-0 |
HMO | $40 per Quarter | No | $160 | Yes | $1,000 | No | No | No | Yes | No | 172 |
| MCS Classicare |
MCS Classicare Freedom (HMO) H5577-014-0 |
HMO | $30 per Month | Yes | $360 | Yes | $1,000 | No | No | No | No | No | 159 |
| MCS Classicare |
MCS Classicare InteliCare (HMO) H5577-052-0 |
HMO | $90 per Month | No | $0 | Yes | $1,000 | No | No | No | Yes | Yes | 108 |
| Triple S Advantage |
Basic (HMO) H5774-003-0 |
HMO | $50 per Quarter | No | $200 | Yes | $1,500 | No | No | No | No | No | 75 |
| Triple-S Advantage |
Óptimo Plus B (PPO) H4005-804-0 |
Local PPO | No | $0 | No | 55 | |||||||
| MCS Classicare |
MCS Classicare En Tu Casa (HMO) H5577-047-0 |
HMO | $50 per Month | Yes | $600 | Yes | $500 | No | No | No | No | Yes | 51 |
| MCS Classicare |
MCS Classicare SuperRx (HMO) H5577-039-0 |
HMO | $60 per Month | Yes | $720 | Yes | $2,000 | No | No | No | No | No | 49 |
| Triple-S Advantage |
Optimo Xtra (PPO) H4005-007-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | $1,000 | No | No | No | No | No | 35 |
| MCS Classicare |
MCS Classicare MA-PD Group 2P (HMO) H5577-831-0 |
HMO | No | $0 | No | 22 | |||||||
| MCS Classicare |
MCS Classicare Metro (HMO) H5577-051-0 |
HMO | $75 per Month | No | $0 | Yes | $1,250 | No | No | No | Yes | No | 18 |
| Triple S Advantage |
Enlace Plus (HMO) H5774-038-0 |
HMO | $200 per Month | No | $0 | Yes | $1,500 | No | No | No | No | No | 17 |
| Humana |
Humana Medicare Employer (HMO) H4007-821-0 |
HMO | No | $0 | No | 16 | |||||||
| MCS Classicare |
MCS Classicare MA-PD Group 2C (HMO) H5577-818-0 |
HMO | No | $0 | No | 14 | |||||||
