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Adjuntas County, Puerto Rico — 2026 Medicare Advantage plans

Contract year 2026 · data updated October 01, 2026 · source files

40 individual Medicare Advantage plan segments from 3 parent organizations are filed for Adjuntas County for 2026, per CMS public files. This page reports what was filed; it does not rank or recommend plans.

CMS public dataReported, not recommendedNo broker influenceNo paid placementDirect from CMS sources
40plans filed −14 vs prior year
39with a $0 premium −13 vs prior year
$3,400median in-network MOOP unchanged vs prior year
39on 4-star or better contracts
36report comprehensive dental
32report an OTC allowance

Tick Compare on up to three plans to see them side by side.

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PlanTypePremiumIn-network MOOPPart D deductibleStar ratingOTC allowanceSupplemental benefits reported
Ahorro Plus (HMO)
Guidewell Mutual Holding Corporation · H5774-047-001 · SoB
HMO$0$4,200$04.5out of 5 stars, Above average$50Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
Brillante (HMO-POS)
Guidewell Mutual Holding Corporation · H5774-031-000 · SoB ✓
HMO-POS$0$4,200$04.5out of 5 stars, Above average$25Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
Contigo Plus (HMO C-SNP)
Guidewell Mutual Holding Corporation · H5774-022-000 · SoB ✓
HMO C-SNP$0$4,200$04.5out of 5 stars, Above average—Comprehensive dental Vision exam Eyewear Hearing aids
ContigoEnMente (HMO C-SNP)
Guidewell Mutual Holding Corporation · H5774-046-000 · SoB
HMO C-SNP$0$4,200$04.5out of 5 stars, Above average$150Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
Enlace Plus (HMO)
Guidewell Mutual Holding Corporation · H5774-038-000 · SoB
HMO$0$4,200$04.5out of 5 stars, Above average$200Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
MCS Classicare Efectivo (HMO)
MHH Healthcare, L.P. · H5577-005-000 · SoB
HMO$0$3,400$05.0out of 5 stars, Excellent$10Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
MCS Classicare En Tu Hogar (HMO)
MHH Healthcare, L.P. · H5577-043-000 · SoB
HMO$0$3,400$05.0out of 5 stars, Excellent$35Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
MCS Classicare Essential (HMO-POS)
MHH Healthcare, L.P. · H5577-008-000 · SoB
HMO-POS$0$3,400$05.0out of 5 stars, Excellent$47Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
MCS Classicare Excede (HMO)
MHH Healthcare, L.P. · H5577-056-002 · SoB
HMO$0$3,400$05.0out of 5 stars, Excellent$64Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
MCS Classicare Firme (HMO)
MHH Healthcare, L.P. · H5577-042-000 · SoB
HMO$0$3,400$05.0out of 5 stars, Excellent$120Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
MCS Classicare Hero (HMO)
MHH Healthcare, L.P. · H5577-044-000 · SoB
HMO$0$3,400$05.0out of 5 stars, Excellent—Comprehensive dental Vision exam Eyewear Hearing aids Transportation
MCS Classicare InteliCare (HMO)
MHH Healthcare, L.P. · H5577-052-000 · SoB
HMO$0$3,400$05.0out of 5 stars, Excellent$75Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
MCS Classicare Platino 185 (HMO D-SNP)
MHH Healthcare, L.P. · H5577-062-000 · SoB
HMO D-SNP$0$3,400$6155.0out of 5 stars, Excellent—Transportation
MCS Classicare Platino Ideal (HMO D-SNP)
MHH Healthcare, L.P. · H5577-002-000 · SoB
HMO D-SNP$0$3,400$6155.0out of 5 stars, Excellent$80Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
MCS Classicare Platino Maximo (HMO D-SNP)
MHH Healthcare, L.P. · H5577-054-002 · SoB
HMO D-SNP$0$3,400$6155.0out of 5 stars, Excellent$145Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
MCS Classicare Platino Progreso (HMO D-SNP)
MHH Healthcare, L.P. · H5577-017-000 · SoB
HMO D-SNP$0$3,400$6155.0out of 5 stars, Excellent$86Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
MCS Classicare Platino Total (HMO D-SNP)
MHH Healthcare, L.P. · H5577-046-000 · SoB
HMO D-SNP$0$3,400$6155.0out of 5 stars, Excellent$250Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
MCS Classicare Primero (HMO C-SNP)
MHH Healthcare, L.P. · H5577-038-000 · SoB
HMO C-SNP$0$3,400$05.0out of 5 stars, Excellent$52Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
MCS Classicare RxMax (HMO)
MHH Healthcare, L.P. · H5577-059-000 · SoB
HMO$0$3,400$05.0out of 5 stars, Excellent$64Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
MMM Balance (HMO-POS)
Elevance Health, Inc. · H4004-073-002 · SoB
HMO-POS$0$3,250$05.0out of 5 stars, ExcellentReportedComprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
MMM Combo Platino (HMO D-SNP)
Elevance Health, Inc. · H4004-068-000 · SoB
HMO D-SNP$0$3,250$6155.0out of 5 stars, ExcellentReportedComprehensive dental Eyewear Transportation OTC allowance Meals
MMM Deluxe (HMO-POS)
Elevance Health, Inc. · H4003-055-000 · SoB
HMO-POS$0$3,250$05.0out of 5 stars, ExcellentReportedVision exam Transportation OTC allowance Meals
MMM Diamante Platino (HMO D-SNP)
Elevance Health, Inc. · H4003-017-000 · SoB
HMO D-SNP$0$3,250$6155.0out of 5 stars, ExcellentReportedComprehensive dental Eyewear Hearing aids Transportation OTC allowance Meals
MMM Elite (HMO-POS)
Elevance Health, Inc. · H4003-034-000 · SoB
HMO-POS$0$3,250$05.0out of 5 stars, ExcellentReportedComprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
MMM Flexi Platino (HMO D-SNP)
Elevance Health, Inc. · H4004-069-000 · SoB
HMO D-SNP$0$3,250$6155.0out of 5 stars, Excellent—Transportation Meals
MMM Grandioso (HMO-POS)
Elevance Health, Inc. · H4004-070-000 · SoB
HMO-POS$0$3,250$05.0out of 5 stars, ExcellentReportedComprehensive dental Vision exam Eyewear Transportation OTC allowance Meals
MMM Mega Flex (HMO-POS)
Elevance Health, Inc. · H4004-071-000 · SoB
HMO-POS$0$3,250$05.0out of 5 stars, Excellent—Vision exam Transportation Meals
MMM Plenitud (HMO-POS)
Elevance Health, Inc. · H4004-065-000 · SoB
HMO-POS$0$3,250$05.0out of 5 stars, ExcellentReportedComprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
MMM Relax Platino (HMO D-SNP)
Elevance Health, Inc. · H4004-072-002 · SoB
HMO D-SNP$0$3,250$6155.0out of 5 stars, ExcellentReportedComprehensive dental Eyewear Hearing aids Transportation OTC allowance Meals
MMM Supremo (HMO C-SNP)
Elevance Health, Inc. · H4003-009-000 · SoB
HMO C-SNP$0$3,250$05.0out of 5 stars, ExcellentReportedComprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
MMM Valioso (HMO-POS)
Elevance Health, Inc. · H4004-066-000 · SoB
HMO-POS$0$3,250$05.0out of 5 stars, Excellent—Comprehensive dental Vision exam Eyewear Hearing aids Transportation Meals
PLATINO ADVANCE (HMO D-SNP)
Guidewell Mutual Holding Corporation · H5774-041-001 · SoB
HMO D-SNP$0$3,650$6154.5out of 5 stars, Above average—Comprehensive dental Vision exam Eyewear Hearing aids Transportation
PLATINO PLUS (HMO D-SNP)
Guidewell Mutual Holding Corporation · H5774-043-001 · SoB
HMO D-SNP$0$3,650$6154.5out of 5 stars, Above average$90Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
PMC Max (HMO-POS)
Elevance Health, Inc. · H4004-056-000 · SoB
HMO-POS$0$3,250$05.0out of 5 stars, ExcellentReportedComprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
PMC Premier Platino (HMO D-SNP)
Elevance Health, Inc. · H4004-048-000 · SoB
HMO D-SNP$0$3,250$6155.0out of 5 stars, ExcellentReportedComprehensive dental Eyewear Hearing aids Transportation OTC allowance Meals
Platino Blindao (HMO D-SNP)
Guidewell Mutual Holding Corporation · H5774-028-000 · SoB
HMO D-SNP$0$3,650$6154.5out of 5 stars, Above average—Comprehensive dental Vision exam Eyewear Hearing aids Transportation
Platino Enlace (HMO D-SNP)
Guidewell Mutual Holding Corporation · H5774-035-000 · SoB
HMO D-SNP$0$3,650$6154.5out of 5 stars, Above average$175Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
Óptimo Plus (PPO)
Guidewell Mutual Holding Corporation · H4005-004-000 · SoB
PPO$0$6,751$03.5out of 5 stars, AverageReportedComprehensive dental Vision exam Eyewear Hearing aids OTC allowance
MMM Unico (HMO-POS)
Elevance Health, Inc. · H4003-019-000 · SoB
HMO-POS$15$3,250$05.0out of 5 stars, ExcellentReportedComprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
MCS Classicare Patriot (HMO)
MHH Healthcare, L.P. · H5577-016-000 · SoB
HMO—$3,400—5.0out of 5 stars, Excellent$200Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance

What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.

5 Excellent4 Above average3 Average2 Below average1 Poor

Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.

How to read this table

Yes — the plan's approved bid reports the benefit. No — the bid reports it is not offered. — — CMS did not publish a value for this field; that is not the same as No. Reported under an allowance column means the benefit is offered but CMS published no dollar amount. Premium is the CMS consolidated monthly premium (Part C + Part D). MOOP is the in-network maximum out-of-pocket. Star rating is the contract's overall rating in the CMS file used for this build. SNP plans (D-SNP, C-SNP, I-SNP) are limited to people who meet the plan's eligibility rules. A plan's own Summary of Benefits and Evidence of Coverage govern the details.

Click a column header to sort. On small screens the Part D deductible and OTC columns are hidden; open a plan for the full record.

Is a drug covered by plans in Adjuntas County?

Shows the tier, prior-authorization / step-therapy / quantity-limit flags and tier cost sharing for every plan above, plus the 3 stand-alone Part D plans in the Puerto Rico region. From the CMS monthly formulary file.

Before enrolling or making a coverage decision, confirm current details with the plan, Medicare.gov, your State Health Insurance Assistance Program (SHIP), or 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048). MedicareBenefits.care reports CMS-filed data and does not verify provider networks, pharmacy participation, or final plan terms.

Download all 40 Adjuntas County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.

Pro data Free 10-row sample

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