Medicare Plans

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MMM Valiente (HMO-POS) Medicare Advantage Plan H4004-075 • 2027

CMS Rating: Not yet rated by CMS.
Monthly Premium
$0.00Plus Part B premium.
Medical Deductible
$0.00
Maximum Out-of-Pocket
$3250.00In-network
Part B Giveback
−$100.00 reduction
Prescription Coverage
Not Included
Additional Benefits
Dental, Vision, Hearing
Service Area
See List
Total Enrollment
0 beneficiaries
Last update:

MMM Valiente (HMO-POS) Introduction

MMM Valiente is a Medicare Advantage HMO-POS plan offered by Medicare y Mucho Mas (MMM). It uses a Health Maintenance Organization with a Point of Service (HMO-POS) provider network and comes without prescription drug coverage. For the 2027 plan year it has a $0.00 monthly premium, $0.00 medical deductible, and $3250.00 in-network maximum out-of-pocket. CMS Plan ID H4004-075 identifies this plan.

Plan Benefits

MMM Valiente has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H4004-075.

Compare 2027 plan benefits with 2026.

Office Visits

Office visit costs by plan year.
Covered Service 2027 2026
Primary care In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon
Specialist In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon

Preventive and Wellness Services

Preventive and wellness service costs and benefits by plan year.
Covered Service 2027 2026
Annual wellness exam Not covered Coming soon
Telehealth benefit In-network: $0 copay Coming soon
Routine chiropractic In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon
Fitness benefits Coming soon Coming soon
Health education In-network: $0 copay Coming soon
Counseling services Not covered Coming soon
Over-the-counter drug benefits In-network: $0 copay Coming soon
Health transportation (non-emergency) Coming soon Coming soon

Diagnostic, Lab, and Imaging Services

Diagnostic, laboratory, and imaging service costs by plan year.
Covered Service 2027 2026
Diagnostic radiology services In-network: $0-$40 copay
Out-of-network: 20% coinsurance		 Coming soon
Lab services In-network: 0%-20% coinsurance
Out-of-network: 20% coinsurance		 Coming soon
Outpatient x-rays In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon
Diagnostic tests and procedures In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon

Emergency and Urgent Care Services

Emergency, urgent care, hospital, ambulance, and skilled nursing costs by plan year.
Covered Service 2027 2026
Emergency room care $75 copay Coming soon
Worldwide emergency care Coming soon Coming soon
Urgent care $0 copay Coming soon
Inpatient hospital care In-network:
Tier 1
$0 per stay
Tier 2
$100 per stay
Tier 3
$200 per stay
Out-of-network:
20% per stay		 Coming soon
Skilled Nursing Facility In-network:
$0 copay
Out-of-network:
20% per stay		 Coming soon
Ground ambulance In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon

Mental Health Services

Mental health therapy and inpatient psychiatric care costs by plan year.
Covered Service 2027 2026
Outpatient individual therapy In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon
Outpatient group therapy In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon
Inpatient psychiatric hospital care In-network:
Tier 1
$0 per stay
Tier 2
$100 per stay
Tier 3
$200 per stay
Out-of-network:
20% per stay		 Coming soon

Rehabilitation Services

Physical, speech, and occupational therapy costs by plan year.
Covered Service 2027 2026
Physical therapy and speech and language therapy In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon
Occupational therapy In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon

Medical Equipment and Supplies

Diabetes supplies, durable medical equipment, and prosthetic costs by plan year.
Covered Service 2027 2026
Diabetes supplies In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon
Durable medical equipment In-network: 0%-20% coinsurance
Out-of-network: 20% coinsurance		 Coming soon
Prosthetics In-network: 5% coinsurance
Out-of-network: 20% coinsurance		 Coming soon

Medicare Part B Drugs

Chemotherapy and other Medicare Part B-covered drug costs by plan year.
Covered Service 2027 2026
Chemotherapy In-network: 0%-20% coinsurance
Out-of-network: 20% coinsurance		 Coming soon
Other Part B drugs (Medicare-covered) In-network: 0%-20% coinsurance
Out-of-network: 20% coinsurance		 Coming soon

Dental Services

Preventive and comprehensive dental service costs by plan year.
Covered Service 2027 2026
Oral exam In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon
Dental x-rays In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon
Cleaning In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon
Periodontics In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon
Endodontics In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon
Restorative services In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon
Implant services In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon
Orthodontics Not covered Coming soon
Oral/Maxillofacial surgery In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon

Vision Services

Routine eye exams, contact lenses, and eyewear costs by plan year.
Covered Service 2027 2026
Routine eye exam In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon
Contact lenses In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon
Eyeglass frames only Not covered Coming soon
Eyeglass lenses only Not covered Coming soon
Eyeglasses (frames & lenses) In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon
Upgrades Not covered Coming soon

Hearing Services

Hearing exams, fittings, and hearing aid costs by plan year.
Covered Service 2027 2026
Hearing exam In-network: $0 copay
Out-of-network: 20% coinsurance		 Coming soon
Fitting/evaluation Not covered Coming soon
Prescription hearing aids Not covered Coming soon
OTC hearing aids Not covered Coming soon

Additional and Special Needs Services

Additional and special needs service costs and benefits by plan year.
Covered Service 2027 2026
Adult day health services Not covered Coming soon
Home-based palliative care Not covered Coming soon
Personal emergency response system Coming soon Coming soon
Weight management programs Not covered Coming soon
Wigs for chemotherapy-related hair loss Coming soon Coming soon
Alternative therapies In-network: $0 copay Coming soon
Massage therapy Not covered Coming soon
Home/bathroom safety devices In-network: $0 copay Coming soon

Certain preventive services are covered 100% by MMM Valiente as a Part B benefit.

Prescription Drug Coverage

This plan does not include a Medicare Part D plan for prescriptions.

CMS 5-Star Performance Ratings (Contract ID: H4004)

The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.

2027 Medicare Star Ratings for Contract H4004
CMS Measure Star Rating
2027 Overall Rating ☆☆☆☆☆
Staying Healthy: Screenings, Tests, Vaccines ☆☆☆☆☆
Managing Chronic (Long Term) Conditions ☆☆☆☆☆
Member Experience with Health Plan ☆☆☆☆☆
Complaints and Changes in Plans Performance ☆☆☆☆☆
Health Plan Customer Service ☆☆☆☆☆
Drug Plan Customer Service ☆☆☆☆☆
Complaints and Changes in the Drug Plan ☆☆☆☆☆
Member Experience with the Drug Plan ☆☆☆☆☆
Drug Safety and Accuracy of Drug Pricing ☆☆☆☆☆

Contact Information for Medicare y Mucho Mas (MMM)

Website
Medicare y Mucho Mas (MMM) Plan Page
Providers
Medicare y Mucho Mas (MMM) Providers Page
Formulary
Medicare y Mucho Mas (MMM) Formulary Page
Pharmacy
Medicare y Mucho Mas (MMM) Pharmacy Page
New Member Health Plan Help
(833)668-2402
New Member Health Plan TTY
711

Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.

Plan Availability

MMM Valiente (H4004-075-0) is available in the following locations:

Puerto Rico Municipios Served

Frequently Asked Questions

Here are some of the most frequently asked questions about this plan (click to open).

Frequently Asked Questions About MMM Valiente (HMO-POS)

How much does plan H4004-075 cost per month?

The plan’s monthly premium is $0.00 for 2027. The Part B premium is not included.

What is the MOOP for MMM Valiente in 2027?

The 2027 in-network MOOP is $3250.00. Once this limit is reached, covered in-network costs are fully covered.

How many beneficiaries are enrolled in this plan?

CMS reports 0 beneficiaries enrolled in this plan.

What is the prescription drug deductible for 2027?

For 2027, the prescription drug deductible is $0.00.

Medicare Plan Data Sources and Methodology
Primary CMS datasets used for this Medicare Advantage Plan resource.
Data Source Publisher Last Accessed
Landscape Source Files Centers for Medicare & Medicaid Services October 5, 2026
Medicare Part C & D Performance Centers for Medicare & Medicaid Services October 5, 2026
Plan Benefits Package Centers for Medicare & Medicaid Services October 5, 2026
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services October 5, 2026

Data sources and methodology documentation.

Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
Medicare y Mucho Mas (MMM) (official source) http://www.mmmpr.com October 4, 2026
Medicare.gov Understanding Medicare Advantage Plans 25 May, 2025
NCOA.org 5 Steps to Choosing the Right Medicare Plan for You 25 May, 2025
Medicare.gov Compare Original Medicare & Medicare Advantage 25 May, 2025

MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.

Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard.