Medicare Advantage Plans for Maricao County, Puerto Rico
- 23 Total Plans
- 1,146 Seniors Eligible for Medicare
- 872 Seniors on Medicare Advantage (76%)
- 3 plans with 71 seniors have enough OTC benefit to fully cover MDHearing hearing aids
- 12 plans with 419 seniors have OTC benefits that partially cover MDHearing hearing aids
- 43% 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 | 72 |
| 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 | 69 |
| MCS Classicare |
MCS Classicare Platino Progreso (HMO D-SNP) H5577-017-0 |
HMO | No | $0 | Yes | $3,000 | No | No | No | Yes | Yes | 66 | |
| MCS Classicare |
MCS Classicare Firme (HMO) H5577-042-0 |
HMO | $120 per Month | Yes | $0 | Yes | $950 | No | No | No | Yes | No | 57 |
| 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 | 55 |
| MCS Classicare |
MCS Classicare Platino Ideal (HMO D-SNP) H5577-002-0 |
HMO | No | $0 | Yes | $700 | No | No | No | Yes | Yes | 50 | |
| 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 | 43 |
| 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 |
| Triple S Advantage |
Employer BD 3 (HMO-POS) H5774-814-0 |
HMOPOS | No | $0 | No | 34 | |||||||
| MCS Classicare |
MCS Classicare Platino MasCa$h (HMO D-SNP) H5577-029-0 |
HMO | No | $0 | Yes | $650 | No | No | No | Yes | Yes | 31 | |
| Medicare y Mucho Mas |
MMM Group A Calendar (HMO-POS) H4003-806-0 |
HMOPOS | No | $0 | No | 31 | |||||||
| 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 | 29 |
| Medicare y Mucho Mas |
MMM Group D Calendar (HMO-POS) H4003-821-0 |
HMOPOS | No | $0 | No | 26 | |||||||
| 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 | 20 |
| MCS Classicare |
MCS Classicare Efectivo (HMO) H5577-005-0 |
HMO | $20 per Month | No | $0 | Yes | $800 | No | No | No | Yes | No | 18 |
| 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 |
| 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 | 17 |
| MCS Classicare |
MCS Classicare MA-PD Group 2F (HMO) H5577-821-0 |
HMO | No | $0 | No | 16 | |||||||
| MCS Classicare |
MCS Classicare Activo (HMO) H5577-031-0 |
HMO | $60 per Month | Yes | $720 | Yes | $1,000 | No | No | No | No | No | 14 |
| 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 | 14 |
| MCS Classicare |
MCS Classicare MA-PD Group 2nd Formulary Opt. (HMO) H5577-809-0 |
HMO | No | $0 | No | 14 | |||||||
| 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 | 13 |
| 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 | 12 |
