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
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