Medicare Advantage Plans for Arecibo County, Puerto Rico

  • 70 Total Plans
  • 24,161 Seniors Eligible for Medicare
  • 19,990 Seniors on Medicare Advantage (83%)
  • 9 plans with 1,664 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 43 plans with 12,973 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 61% 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 1,355
Triple S Advantage Employer BD 3 (HMO-POS)
H5774-814-0 		HMOPOS No $0 No 1,050
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 951
MCS Classicare MCS Classicare Firme (HMO)
H5577-042-0 		HMO $120 per Month Yes $0 Yes $950 No No No Yes No 948
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 943
PMC Medicare Choice MMM Plenitud (HMO-POS)
H4004-065-0 		HMOPOS $25 per Quarter No $100 Yes $1,250 No No No Yes No 935
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 913
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 887
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 764
MCS Classicare MCS Classicare Platino Ideal (HMO D-SNP)
H5577-002-0 		HMO No $0 Yes $700 No No No Yes Yes 752
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 701
Triple S Advantage Real (HMO)
H5774-005-0 		HMO $50 per Quarter No $200 Yes $1,500 No No No No No 670
Medicare y Mucho Mas MMM Encanto (HMO-POS)
H4003-054-0 		HMOPOS $25 per Quarter No $100 Yes $1,250 No No No Yes No 647
MCS Classicare MCS Classicare Platino MasCa$h (HMO D-SNP)
H5577-029-0 		HMO No $0 Yes $650 No No No Yes Yes 617
Medicare y Mucho Mas MMM Group D Calendar (HMO-POS)
H4003-821-0 		HMOPOS No $0 No 570
MCS Classicare MCS Classicare Platino Progreso (HMO D-SNP)
H5577-017-0 		HMO No $0 Yes $3,000 No No No Yes Yes 543
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 459
Medicare y Mucho Mas MMM Group A Calendar (HMO-POS)
H4003-806-0 		HMOPOS No $0 No 433
Triple S Advantage Magno (HMO-POS)
H5774-027-0 		HMOPOS $50 per Quarter No $200 Yes $500 No No No No No 383
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 380
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 358
MCS Classicare MCS Classicare Essential (HMO-POS)
H5577-008-0 		HMOPOS $35 per Month Yes $0 Yes $1,500 No No No Yes No 312
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 301
Triple S Advantage Brillante (HMO-POS)
H5774-031-0 		HMOPOS $60 per Quarter No $240 Yes $1,750 No No No No No 254
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 234
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 230
MCS Classicare MCS Classicare Efectivo (HMO)
H5577-005-0 		HMO $20 per Month No $0 Yes $800 No No No Yes No 227
MCS Classicare MCS Classicare MA-PD Group 2nd Formulary Opt. (HMO)
H5577-809-0 		HMO No $0 No 222
Medicare y Mucho Mas MMM Group C Calendar (HMO-POS)
H4003-820-0 		HMOPOS No $0 No 204
Triple S Advantage Royal D (HMO-POS)
H5774-809-0 		HMOPOS No $0 No 204
MCS Classicare MCS Classicare Activo (HMO)
H5577-031-0 		HMO $60 per Month Yes $720 Yes $1,000 No No No No No 184
PMC Medicare Choice PMC Max (HMO-POS)
H4004-056-0 		HMOPOS $75 per Month No $0 Yes $1,000 No No No Yes No 178
Triple S Advantage AhorroMax (HMO)
H5774-037-0 		HMO $50 per Quarter No $200 Yes $1,250 No No No No No 161
MCS Classicare MCS Classicare MA-PD Group (HMO)
H5577-802-0 		HMO No $0 No 159
PMC Medicare Choice MMM Balance (HMO-POS)
H4004-063-0 		HMOPOS $25 per Quarter No $100 Yes $1,250 No No No Yes No 144
MCS Classicare MCS Classicare Patriot (HMO)
H5577-016-0 		HMO $230 per Month Yes $0 Yes $1,000 No No No Yes No 137
MCS Classicare MCS Classicare MA-PD Group 2L (HMO)
H5577-827-0 		HMO No $0 No 115
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 108
MCS Classicare MCS Classicare Platino Total (HMO D-SNP)
H5577-046-0 		HMO No $0 Yes $800 No No No Yes Yes 94
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 92
MCS Classicare MCS Classicare Exacto (HMO)
H5577-053-0 		HMO $20 per Month No $0 Yes $1,100 No No No Yes No 90
Triple S Advantage Employer BD 7 (HMO-POS)
H5774-818-0 		HMOPOS No $0 No 85
Humana Humana Gold Plus H4007-012 (HMO)
H4007-012-0 		HMO $20 per Month Yes $0 Yes $1,500 Yes No Yes No No 80
MCS Classicare MCS Classicare MA-PD Group 2F (HMO)
H5577-821-0 		HMO No $0 No 73
Triple-S Advantage Óptimo Plus A (PPO)
H4005-802-0 		Local PPO No $0 No 71
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 60
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 55
Triple-S Advantage Óptimo Plus (PPO)
H4005-004-0 		Local PPO $0 per Month No $0 Yes $1,250 No No No No No 55
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 47
Triple-S Advantage Óptimo (PPO)
H4005-001-0 		Local PPO $50 per Quarter No $200 Yes $1,000 No No No No No 47
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 43
Medicare y Mucho Mas MMM Group E Calendar (HMO-POS)
H4003-826-0 		HMOPOS No $0 No 36
Triple S Advantage Basic (HMO)
H5774-003-0 		HMO $50 per Quarter No $200 Yes $1,500 No No No No No 32
Humana Humana Gold Plus H4007-024 (HMO)
H4007-024-0 		HMO $0 per Month No $0 Yes $1,500 Yes No Yes No No 30
MCS Classicare MCS Classicare Primero (HMO C-SNP)
H5577-038-0 		HMO $90 per Month Yes $0 Yes $900 No No No Yes No 28
Medicare y Mucho Mas MMM Advantage Group A Calendar (PPO)
H7522-801-0 		Local PPO No $0 No 26
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 25
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 25
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 23
Humana Humana Medicare Employer (HMO)
H4007-819-0 		HMO No $0 No 20
Humana Humana Gold Plus H4007-021 (HMO)
H4007-021-0 		HMO $0 per Month No $0 Yes $1,500 Yes No Yes No No 18
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 18
MCS Classicare MCS Classicare Hero (HMO)
H5577-044-0 		HMO $20 per Month Yes $0 Yes $2,000 No No No Yes No 16
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 16
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 14
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 13
Humana Humana Gold Plus H4007-020 (HMO)
H4007-020-0 		HMO $0 per Month No $0 Yes $1,000 Yes No Yes No No 12
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 12
Humana HumanaChoice Value H2029-001 (PPO)
H2029-001-0 		Local PPO $20 per Month Yes $0 Yes $1,000 No No Yes No No 11
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 11
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