Medicare Advantage Plans for San Juan County, Puerto Rico
- 78 Total Plans
- 81,779 Seniors Eligible for Medicare
- 58,151 Seniors on Medicare Advantage (71%)
- 10 plans with 2,173 seniors have enough OTC benefit to fully cover MDHearing hearing aids
- 46 plans with 35,666 seniors have OTC benefits that partially cover MDHearing hearing aids
- 46% 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 Elite (HMO-POS) H4003-034-0 |
HMOPOS | $90 per Quarter | No | $360 | Yes | $2,000 | No | No | No | Yes | No | 4,803 |
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 | 4,310 |
PMC Medicare Choice |
MMM Plenitud (HMO-POS) H4004-065-0 |
HMOPOS | $25 per Quarter | No | $100 | Yes | $1,250 | No | No | No | Yes | No | 3,780 |
Triple S Advantage |
Employer BD 3 (HMO-POS) H5774-814-0 |
HMOPOS | No | $0 | No | 3,661 | |||||||
MCS Classicare |
MCS Classicare Essential (HMO-POS) H5577-008-0 |
HMOPOS | $35 per Month | Yes | $0 | Yes | $1,500 | No | No | No | Yes | No | 3,282 |
Medicare y Mucho Mas |
MMM Group A Calendar (HMO-POS) H4003-806-0 |
HMOPOS | No | $0 | No | 2,496 | |||||||
MCS Classicare |
MCS Classicare Platino Progreso (HMO D-SNP) H5577-017-0 |
HMO | No | $0 | Yes | $3,000 | No | No | No | Yes | Yes | 2,215 | |
MCS Classicare |
MCS Classicare Efectivo (HMO) H5577-005-0 |
HMO | $20 per Month | No | $0 | Yes | $800 | No | No | No | Yes | No | 1,923 |
MCS Classicare |
MCS Classicare Platino Ideal (HMO D-SNP) H5577-002-0 |
HMO | No | $0 | Yes | $700 | No | No | No | Yes | Yes | 1,918 | |
MCS Classicare |
MCS Classicare MA-PD Group (HMO) H5577-802-0 |
HMO | No | $0 | No | 1,893 | |||||||
Medicare y Mucho Mas |
MMM Group D Calendar (HMO-POS) H4003-821-0 |
HMOPOS | No | $0 | No | 1,863 | |||||||
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 | 1,771 |
Triple S Advantage |
Brillante (HMO-POS) H5774-031-0 |
HMOPOS | $60 per Quarter | No | $240 | Yes | $1,750 | No | No | No | No | No | 1,690 |
Triple S Advantage |
Real (HMO) H5774-005-0 |
HMO | $50 per Quarter | No | $200 | Yes | $1,500 | No | No | No | No | No | 1,667 |
Triple S Advantage |
Magno (HMO-POS) H5774-027-0 |
HMOPOS | $50 per Quarter | No | $200 | Yes | $500 | No | No | No | No | No | 1,662 |
MCS Classicare |
MCS Classicare Activo (HMO) H5577-031-0 |
HMO | $60 per Month | Yes | $720 | Yes | $1,000 | No | No | No | No | No | 1,649 |
MCS Classicare |
MCS Classicare Platino MasCa$h (HMO D-SNP) H5577-029-0 |
HMO | No | $0 | Yes | $650 | No | No | No | Yes | Yes | 1,306 | |
MCS Classicare |
MCS Classicare MA-PD Group 2nd Formulary Opt. (HMO) H5577-809-0 |
HMO | No | $0 | No | 1,301 | |||||||
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 | 1,157 |
MCS Classicare |
MCS Classicare Exacto (HMO) H5577-053-0 |
HMO | $20 per Month | No | $0 | Yes | $1,100 | No | No | No | Yes | No | 1,151 |
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 | 955 |
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 | 818 |
Triple-S Advantage |
Óptimo Plus (PPO) H4005-004-0 |
Local PPO | $0 per Month | No | $0 | Yes | $1,250 | No | No | No | No | No | 757 |
Triple-S Advantage |
Óptimo Plus A (PPO) H4005-802-0 |
Local PPO | No | $0 | No | 708 | |||||||
MCS Classicare |
MCS Classicare MA-PD Group 2F (HMO) H5577-821-0 |
HMO | No | $0 | No | 652 | |||||||
Medicare y Mucho Mas |
MMM Group C Calendar (HMO-POS) H4003-820-0 |
HMOPOS | No | $0 | No | 637 | |||||||
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 | 623 |
PMC Medicare Choice |
MMM Balance (HMO-POS) H4004-063-0 |
HMOPOS | $25 per Quarter | No | $100 | Yes | $1,250 | No | No | No | Yes | No | 584 |
PMC Medicare Choice |
PMC Max (HMO-POS) H4004-056-0 |
HMOPOS | $75 per Month | No | $0 | Yes | $1,000 | No | No | No | Yes | No | 494 |
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 | 401 |
Triple S Advantage |
Royal D (HMO-POS) H5774-809-0 |
HMOPOS | No | $0 | No | 400 | |||||||
MCS Classicare |
MCS Classicare MA-PD Group 2L (HMO) H5577-827-0 |
HMO | No | $0 | No | 380 | |||||||
MCS Classicare |
MCS Classicare Primero (HMO C-SNP) H5577-038-0 |
HMO | $90 per Month | Yes | $0 | Yes | $900 | No | No | No | Yes | No | 329 |
Triple S Advantage |
AhorroMax (HMO) H5774-037-0 |
HMO | $50 per Quarter | No | $200 | Yes | $1,250 | No | No | No | No | No | 326 |
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 | 295 |
MCS Classicare |
MCS Classicare En Tu Hogar (HMO) H5577-043-0 |
HMO | $35 per Month | No | $0 | Yes | $700 | No | No | No | Yes | No | 294 |
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 | 294 |
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 | 244 |
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 | 227 |
Humana |
Humana Gold Plus H4007-012 (HMO) H4007-012-0 |
HMO | $20 per Month | Yes | $0 | Yes | $1,500 | Yes | No | Yes | No | No | 211 |
MCS Classicare |
MCS Classicare Platino Total (HMO D-SNP) H5577-046-0 |
HMO | No | $0 | Yes | $800 | No | No | No | Yes | Yes | 170 | |
MCS Classicare |
MCS Classicare Hero (HMO) H5577-044-0 |
HMO | $20 per Month | Yes | $0 | Yes | $2,000 | No | No | No | Yes | No | 154 |
Humana |
Humana Gold Plus H4007-020 (HMO) H4007-020-0 |
HMO | $0 per Month | No | $0 | Yes | $1,000 | Yes | No | Yes | No | No | 150 |
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 | 148 |
Triple S Advantage |
Employer BD 7 (HMO-POS) H5774-818-0 |
HMOPOS | No | $0 | No | 142 | |||||||
Humana |
Humana Medicare Employer (HMO) H4007-819-0 |
HMO | No | $0 | No | 139 | |||||||
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 | 137 |
Humana |
HumanaChoice Value H2029-001 (PPO) H2029-001-0 |
Local PPO | $20 per Month | Yes | $0 | Yes | $1,000 | No | No | Yes | No | No | 134 |
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 | 126 |
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 | 119 |
Humana |
Humana Gold Plus H4007-024 (HMO) H4007-024-0 |
HMO | $0 per Month | No | $0 | Yes | $1,500 | Yes | No | Yes | No | No | 118 |
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 | 106 |
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 | 104 |
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 | 93 |
Medicare y Mucho Mas |
MMM Advantage Group A Calendar (PPO) H7522-801-0 |
Local PPO | No | $0 | No | 91 | |||||||
Humana |
Humana Gold Plus H4007-025 (HMO) H4007-025-0 |
HMO | $20 per Month | Yes | $0 | Yes | $1,500 | Yes | No | Yes | No | No | 90 |
Medicare y Mucho Mas |
MMM Group E Calendar (HMO-POS) H4003-826-0 |
HMOPOS | No | $0 | No | 90 | |||||||
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 | 82 |
Humana |
Humana Gold Plus H4007-021 (HMO) H4007-021-0 |
HMO | $0 per Month | No | $0 | Yes | $1,500 | Yes | No | Yes | No | No | 57 |
MCS Classicare |
MCS Classicare Patriot (HMO) H5577-016-0 |
HMO | $230 per Month | Yes | $0 | Yes | $1,000 | No | No | No | Yes | No | 56 |
Triple-S Advantage |
Óptimo (PPO) H4005-001-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | $1,000 | No | No | No | No | No | 56 |
Triple S Advantage |
Royal C (HMO) H5774-808-0 |
HMO | No | $0 | No | 55 | |||||||
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 | 44 |
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 | 44 |
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 | 43 |
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 | 42 |
MCS Classicare |
MCS Classicare Freedom (HMO) H5577-014-0 |
HMO | $30 per Month | Yes | $360 | Yes | $1,000 | No | No | No | No | No | 38 |
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 En Tu Casa (HMO) H5577-047-0 |
HMO | $50 per Month | Yes | $600 | Yes | $500 | No | No | No | No | Yes | 28 |
Triple S Advantage |
Basic (HMO) H5774-003-0 |
HMO | $50 per Quarter | No | $200 | Yes | $1,500 | No | No | No | No | 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 | 26 |
MCS Classicare |
MCS Classicare SuperRx (HMO) H5577-039-0 |
HMO | $60 per Month | Yes | $720 | Yes | $2,000 | No | No | No | No | No | 26 |
MCS Classicare |
MCS Classicare InteliCare (HMO) H5577-052-0 |
HMO | $90 per Month | No | $0 | Yes | $1,000 | No | No | No | Yes | Yes | 23 |
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 |
Triple-S Advantage |
Óptimo Plus B (PPO) H4005-804-0 |
Local PPO | No | $0 | No | 15 | |||||||
MCS Classicare |
MCS Classicare MA-PD Group 2C (HMO) H5577-818-0 |
HMO | No | $0 | No | 14 | |||||||
MCS Classicare |
MCS Classicare MA-PD Group 2P (HMO) H5577-831-0 |
HMO | No | $0 | No | 11 |