Medicare Advantage Plans for Ponce County, Puerto Rico

  • 72 Total Plans
  • 36,216 Seniors Eligible for Medicare
  • 28,978 Seniors on Medicare Advantage (80%)
  • 10 plans with 3,082 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 42 plans with 18,891 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 3,418
PMC Medicare Choice MMM Plenitud (HMO-POS)
H4004-065-0 		HMOPOS $25 per Quarter No $100 Yes $1,250 No No No Yes No 2,390
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 2,137
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 1,525
Triple S Advantage Employer BD 3 (HMO-POS)
H5774-814-0 		HMOPOS No $0 No 1,282
Medicare y Mucho Mas MMM Group A Calendar (HMO-POS)
H4003-806-0 		HMOPOS No $0 No 1,190
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 1,067
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 936
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 919
Medicare y Mucho Mas MMM Group D Calendar (HMO-POS)
H4003-821-0 		HMOPOS No $0 No 911
MCS Classicare MCS Classicare Firme (HMO)
H5577-042-0 		HMO $120 per Month Yes $0 Yes $950 No No No Yes No 894
Triple S Advantage Real (HMO)
H5774-005-0 		HMO $50 per Quarter No $200 Yes $1,500 No No No No No 763
MCS Classicare MCS Classicare Platino MasCa$h (HMO D-SNP)
H5577-029-0 		HMO No $0 Yes $650 No No No Yes Yes 668
MCS Classicare MCS Classicare Platino Ideal (HMO D-SNP)
H5577-002-0 		HMO No $0 Yes $700 No No No Yes Yes 611
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 609
MCS Classicare MCS Classicare Platino Progreso (HMO D-SNP)
H5577-017-0 		HMO No $0 Yes $3,000 No No No Yes Yes 532
Triple S Advantage Magno (HMO-POS)
H5774-027-0 		HMOPOS $50 per Quarter No $200 Yes $500 No No No No No 511
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 505
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 486
Triple S Advantage Brillante (HMO-POS)
H5774-031-0 		HMOPOS $60 per Quarter No $240 Yes $1,750 No No No No No 434
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 414
Humana Humana Gold Plus H4007-012 (HMO)
H4007-012-0 		HMO $20 per Month Yes $0 Yes $1,500 Yes No Yes No No 362
Medicare y Mucho Mas MMM Group C Calendar (HMO-POS)
H4003-820-0 		HMOPOS No $0 No 362
MCS Classicare MCS Classicare Essential (HMO-POS)
H5577-008-0 		HMOPOS $35 per Month Yes $0 Yes $1,500 No No No Yes No 356
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 352
PMC Medicare Choice MMM Balance (HMO-POS)
H4004-063-0 		HMOPOS $25 per Quarter No $100 Yes $1,250 No No No Yes No 305
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 299
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 250
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 247
MCS Classicare MCS Classicare MA-PD Group 2nd Formulary Opt. (HMO)
H5577-809-0 		HMO No $0 No 247
PMC Medicare Choice PMC Max (HMO-POS)
H4004-056-0 		HMOPOS $75 per Month No $0 Yes $1,000 No No No Yes No 244
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 236
Humana Humana Medicare Employer (HMO)
H4007-819-0 		HMO No $0 No 223
MCS Classicare MCS Classicare Efectivo (HMO)
H5577-005-0 		HMO $20 per Month No $0 Yes $800 No No No Yes No 217
MCS Classicare MCS Classicare MA-PD Group (HMO)
H5577-802-0 		HMO No $0 No 200
MCS Classicare MCS Classicare Activo (HMO)
H5577-031-0 		HMO $60 per Month Yes $720 Yes $1,000 No No No No No 178
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 177
Triple S Advantage AhorroMax (HMO)
H5774-037-0 		HMO $50 per Quarter No $200 Yes $1,250 No No No No No 162
Humana Humana Gold Plus H4007-020 (HMO)
H4007-020-0 		HMO $0 per Month No $0 Yes $1,000 Yes No Yes No No 149
Triple S Advantage Royal D (HMO-POS)
H5774-809-0 		HMOPOS No $0 No 146
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 141
Humana Humana Gold Plus H4007-025 (HMO)
H4007-025-0 		HMO $20 per Month Yes $0 Yes $1,500 Yes No Yes No No 125
MCS Classicare MCS Classicare Exacto (HMO)
H5577-053-0 		HMO $20 per Month No $0 Yes $1,100 No No No Yes No 114
Triple-S Advantage Óptimo Plus A (PPO)
H4005-802-0 		Local PPO No $0 No 111
MCS Classicare MCS Classicare MA-PD Group 2L (HMO)
H5577-827-0 		HMO No $0 No 102
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 102
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 97
Triple S Advantage Employer BD 7 (HMO-POS)
H5774-818-0 		HMOPOS No $0 No 83
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 81
Humana Humana Gold Plus H4007-024 (HMO)
H4007-024-0 		HMO $0 per Month No $0 Yes $1,500 Yes No Yes No No 80
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 74
Humana Humana Gold Plus H4007-021 (HMO)
H4007-021-0 		HMO $0 per Month No $0 Yes $1,500 Yes No Yes No No 73
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 72
Humana HumanaChoice Value H2029-001 (PPO)
H2029-001-0 		Local PPO $20 per Month Yes $0 Yes $1,000 No No Yes No No 69
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 64
MCS Classicare MCS Classicare Platino Total (HMO D-SNP)
H5577-046-0 		HMO No $0 Yes $800 No No No Yes Yes 63
Triple-S Advantage Óptimo Plus (PPO)
H4005-004-0 		Local PPO $0 per Month No $0 Yes $1,250 No No No No No 61
MCS Classicare MCS Classicare MA-PD Group 2F (HMO)
H5577-821-0 		HMO No $0 No 60
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 54
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 46
Medicare y Mucho Mas MMM Group E Calendar (HMO-POS)
H4003-826-0 		HMOPOS No $0 No 46
Medicare y Mucho Mas MMM Advantage Group A Calendar (PPO)
H7522-801-0 		Local PPO No $0 No 38
MCS Classicare MCS Classicare Hero (HMO)
H5577-044-0 		HMO $20 per Month Yes $0 Yes $2,000 No No No Yes No 33
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 27
MCS Classicare MCS Classicare Patriot (HMO)
H5577-016-0 		HMO $230 per Month Yes $0 Yes $1,000 No No No Yes No 25
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 21
MCS Classicare MCS Classicare Freedom (HMO)
H5577-014-0 		HMO $30 per Month Yes $360 Yes $1,000 No No No No No 20
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 19
MCS Classicare MCS Classicare Primero (HMO C-SNP)
H5577-038-0 		HMO $90 per Month Yes $0 Yes $900 No No No Yes No 17
Humana Humana Medicare Employer (HMO)
H4007-821-0 		HMO No $0 No 16
MCS Classicare MCS Classicare En Tu Hogar (HMO)
H5577-043-0 		HMO $35 per Month No $0 Yes $700 No No No Yes No 16
Triple S Advantage Royal C (HMO)
H5774-808-0 		HMO No $0 No 13
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