Medicare Advantage Plans for Bayamon County, Puerto Rico

  • 74 Total Plans
  • 44,564 Seniors Eligible for Medicare
  • 37,238 Seniors on Medicare Advantage (84%)
  • 10 plans with 1,505 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 44 plans with 23,153 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 55% 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 3,447
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 2,724
PMC Medicare Choice MMM Plenitud (HMO-POS)
H4004-065-0 		HMOPOS $25 per Quarter No $100 Yes $1,250 No No No Yes No 2,531
Triple S Advantage Employer BD 3 (HMO-POS)
H5774-814-0 		HMOPOS No $0 No 2,244
MCS Classicare MCS Classicare Essential (HMO-POS)
H5577-008-0 		HMOPOS $35 per Month Yes $0 Yes $1,500 No No No Yes No 1,908
MCS Classicare MCS Classicare Platino Progreso (HMO D-SNP)
H5577-017-0 		HMO No $0 Yes $3,000 No No No Yes Yes 1,609
MCS Classicare MCS Classicare Platino Ideal (HMO D-SNP)
H5577-002-0 		HMO No $0 Yes $700 No No No Yes Yes 1,448
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 1,333
Medicare y Mucho Mas MMM Group D Calendar (HMO-POS)
H4003-821-0 		HMOPOS No $0 No 1,327
Medicare y Mucho Mas MMM Group A Calendar (HMO-POS)
H4003-806-0 		HMOPOS No $0 No 1,305
MCS Classicare MCS Classicare Efectivo (HMO)
H5577-005-0 		HMO $20 per Month No $0 Yes $800 No No No Yes No 1,257
Triple S Advantage Real (HMO)
H5774-005-0 		HMO $50 per Quarter No $200 Yes $1,500 No No No No No 1,225
MCS Classicare MCS Classicare Activo (HMO)
H5577-031-0 		HMO $60 per Month Yes $720 Yes $1,000 No No No No No 1,180
Triple S Advantage Platino Plus (HMO D-SNP)
H5774-024-0 		HMO $95 per Quarter No $380 Yes $1,000 No No No No No 966
MCS Classicare MCS Classicare Platino MasCa$h (HMO D-SNP)
H5577-029-0 		HMO No $0 Yes $650 No No No Yes Yes 919
Triple S Advantage Magno (HMO-POS)
H5774-027-0 		HMOPOS $50 per Quarter No $200 Yes $500 No No No No No 863
Triple S Advantage Brillante (HMO-POS)
H5774-031-0 		HMOPOS $60 per Quarter No $240 Yes $1,750 No No No No No 800
MCS Classicare MCS Classicare MA-PD Group 2nd Formulary Opt. (HMO)
H5577-809-0 		HMO No $0 No 780
MCS Classicare MCS Classicare Exacto (HMO)
H5577-053-0 		HMO $20 per Month No $0 Yes $1,100 No No No Yes No 765
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 713
Medicare y Mucho Mas MMM Group C Calendar (HMO-POS)
H4003-820-0 		HMOPOS No $0 No 610
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 561
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 503
Triple-S Advantage Óptimo Plus A (PPO)
H4005-802-0 		Local PPO No $0 No 468
MCS Classicare MCS Classicare MA-PD Group (HMO)
H5577-802-0 		HMO No $0 No 437
PMC Medicare Choice MMM Balance (HMO-POS)
H4004-063-0 		HMOPOS $25 per Quarter No $100 Yes $1,250 No No No Yes No 391
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 334
MCS Classicare MCS Classicare MA-PD Group 2F (HMO)
H5577-821-0 		HMO No $0 No 332
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 321
PMC Medicare Choice PMC Max (HMO-POS)
H4004-056-0 		HMOPOS $75 per Month No $0 Yes $1,000 No No No Yes No 309
MCS Classicare MCS Classicare MA-PD Group 2L (HMO)
H5577-827-0 		HMO No $0 No 256
Triple S Advantage Royal D (HMO-POS)
H5774-809-0 		HMOPOS No $0 No 241
Triple-S Advantage Óptimo Plus (PPO)
H4005-004-0 		Local PPO $0 per Month No $0 Yes $1,250 No No No No No 230
MCS Classicare MCS Classicare Primero (HMO C-SNP)
H5577-038-0 		HMO $90 per Month Yes $0 Yes $900 No No No Yes No 206
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 202
Triple S Advantage AhorroMax (HMO)
H5774-037-0 		HMO $50 per Quarter No $200 Yes $1,250 No No No No No 198
MCS Classicare MCS Classicare En Tu Hogar (HMO)
H5577-043-0 		HMO $35 per Month No $0 Yes $700 No No No Yes No 172
MCS Classicare MCS Classicare Platino Total (HMO D-SNP)
H5577-046-0 		HMO No $0 Yes $800 No No No Yes Yes 156
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 141
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 125
Triple S Advantage Royal C (HMO)
H5774-808-0 		HMO No $0 No 104
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 100
MCS Classicare MCS Classicare Hero (HMO)
H5577-044-0 		HMO $20 per Month Yes $0 Yes $2,000 No No No Yes No 89
Triple S Advantage Employer BD 7 (HMO-POS)
H5774-818-0 		HMOPOS No $0 No 86
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 85
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 82
Humana Humana Gold Plus H4007-024 (HMO)
H4007-024-0 		HMO $0 per Month No $0 Yes $1,500 Yes No Yes No No 72
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 70
Humana Humana Gold Plus H4007-012 (HMO)
H4007-012-0 		HMO $20 per Month Yes $0 Yes $1,500 Yes No Yes No No 68
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 67
MCS Classicare MCS Classicare Patriot (HMO)
H5577-016-0 		HMO $230 per Month Yes $0 Yes $1,000 No No No Yes No 64
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 58
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 55
Humana Humana Gold Plus H4007-020 (HMO)
H4007-020-0 		HMO $0 per Month No $0 Yes $1,000 Yes No Yes No No 48
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 48
Medicare y Mucho Mas MMM Advantage Group A Calendar (PPO)
H7522-801-0 		Local PPO No $0 No 48
Medicare y Mucho Mas MMM Group E Calendar (HMO-POS)
H4003-826-0 		HMOPOS No $0 No 42
Humana Humana Medicare Employer (HMO)
H4007-819-0 		HMO No $0 No 38
Humana Humana Gold Plus H4007-025 (HMO)
H4007-025-0 		HMO $20 per Month Yes $0 Yes $1,500 Yes No Yes No No 35
Humana HumanaChoice Value H2029-001 (PPO)
H2029-001-0 		Local PPO $20 per Month Yes $0 Yes $1,000 No No Yes No No 34
MCS Classicare MCS Classicare Freedom (HMO)
H5577-014-0 		HMO $30 per Month Yes $360 Yes $1,000 No No No No No 28
Triple-S Advantage Óptimo Plus B (PPO)
H4005-804-0 		Local PPO No $0 No 28
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 27
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 26
Triple-S Advantage Óptimo (PPO)
H4005-001-0 		Local PPO $50 per Quarter No $200 Yes $1,000 No No No No No 25
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 24
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 23
MCS Classicare MCS Classicare En Tu Casa (HMO)
H5577-047-0 		HMO $50 per Month Yes $600 Yes $500 No No No No Yes 23
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 22
MCS Classicare MCS Classicare InteliCare (HMO)
H5577-052-0 		HMO $90 per Month No $0 Yes $1,000 No No No Yes Yes 19
Humana Humana Gold Plus H4007-021 (HMO)
H4007-021-0 		HMO $0 per Month No $0 Yes $1,500 Yes No Yes No No 17
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 17
Triple S Advantage Basic (HMO)
H5774-003-0 		HMO $50 per Quarter No $200 Yes $1,500 No No No No No 15
MCS Classicare MCS Classicare SuperRx (HMO)
H5577-039-0 		HMO $60 per Month Yes $720 Yes $2,000 No No No No No 12
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