- Entity
- county:puerto-rico-bayamon-72021
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/puerto-rico/bayamon/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 21
- PPO Plans
- 1
- HMO Plans
- 8
- HMO-POS Plans
- 12
- PFFS Plans
- 0
- Average Monthly Premium
- 0
- Average MOOP
- 3621.48
- Average Part D Deductible
- 0
- $0 Premium Plans
- 21
- Plans Without Part D Coverage
- 2
- Average CMS Star Rating
- 0
- $0 Premium Plan Share
- 100
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 0
- 3-Star Plan Share
- 0
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 0
- PPO Average MOOP
- 7151
- PPO Enrollment
- 200
- PPO $0 Premium Plans
- 1
- PPO Plans Without Part D Coverage
- 0
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 3600
- HMO Enrollment
- 7097
- HMO $0 Premium Plans
- 8
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 3341.67
- HMO-POS Enrollment
- 7948
- HMO-POS $0 Premium Plans
- 12
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:puerto-rico-bayamon-72021
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/puerto-rico/bayamon/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-puerto-rico-bayamon-72021-landscape-stats
- Plans Indexed
- 21
- Standard Medicare Advantage Plans
-
-
Ahorro Plus
H5774-047-2 -
Brillante
H5774-031-0 -
Enlace Plus
H5774-038-0 -
MCS Classicare Efectivo
H5577-005-0 -
MCS Classicare En Tu Hogar
H5577-043-0 -
MCS Classicare Essential
H5577-008-0 -
MCS Classicare Hero
H5577-044-0 -
MCS Classicare InteliCare
H5577-052-0 -
MCS Classicare Patriot
H5577-016-0 -
MCS Classicare RxMax
H5577-059-0 -
MMM Balance
H4004-073-2 -
MMM Deluxe
H4003-055-0 -
MMM Elite
H4003-034-0 -
MMM Estela
H4003-059-3 -
MMM Grandioso
H4004-070-0 -
MMM Mega Flex
H4004-071-0 -
MMM Plenitud
H4004-065-0 -
MMM Valiente
H4004-075-0 -
MMM Valioso
H4004-066-0 -
Óptimo Plus
H4005-004-0 -
PMC Max
H4004-056-0
-
Ahorro Plus
- Total Standard Medicare Advantage Enrollment
- 15245
2027 Medicare Advantage Plans in Bayamon Municipio, PR
Last update: .
For 2027, Bayamon Municipio, PR includes 21 Medicare Advantage plans. Enrollment across these plans totals approximately 15,245, with 21 $0 premium options and (2027 Star Ratings Coming Soon) rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Bayamon Municipio, PR are summarized separately. Visit Medicare Options in Bayamon Municipio, PR to see more options.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 1
- Average Monthly Premium
- $0.00/mo
- Total PPO Enrollment
- 200
- $0 Premium PPO Plans
- 1
- Average MOOP
- $7,151
- Top PPO by Enrollment
- Óptimo Plus (PPO) — 200 enrollees
- PPO Plans Without Drug Coverage
- 0
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Óptimo Plus | $0 | $7,151 | $0 | H4005-004-0 |
What is the average monthly premium for PPO plans in Bayamon?
PPO plans in Bayamon cost $0.00 per month on average.
Which PPO plan has the highest enrollment in Bayamon?
The most popular PPO plan in Bayamon is Óptimo Plus (PPO), with 200 enrollees.
How many PPO plans in Bayamon do not include prescription drug coverage?
0 PPO plans in Bayamon do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 8
- Average Monthly Premium $0.00/mo
- Total HMO Enrollment 7,097
- $0 Premium HMO Plans 8
- Average MOOP $3,600
- Top HMO by Enrollment MCS Classicare Efectivo (HMO) — 3,746 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Ahorro Plus | $0 | $4,200 | $0 | H5774-047-2 | |
| Enlace Plus | $0 | $4,200 | $0 | H5774-038-0 | |
| MCS Classicare Efectivo | $0 | $3,400 | $0 | H5577-005-0 | |
| MCS Classicare En Tu Hogar | $0 | $3,400 | $0 | H5577-043-0 | |
| MCS Classicare Hero | $0 | $3,400 | $0 | H5577-044-0 | |
| MCS Classicare InteliCare | $0 | $3,400 | $0 | H5577-052-0 | |
| MCS Classicare Patriot | $0 | $3,400 | N/A | H5577-016-0 | |
| MCS Classicare RxMax | $0 | $3,400 | $0 | H5577-059-0 |
What is the top HMO by enrollment in Bayamon?
MCS Classicare Efectivo (HMO) is the top HMO in Bayamon, with 3,746 enrollees.
What is the number of HMO plans without Part D coverage in Bayamon?
1 HMO plans in Bayamon do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 12
- Average Monthly Premium
- $0.00/mo
- Total HMO-POS Enrollment
- 7,948
- $0 Premium HMO-POS Plans
- 12
- Average MOOP
- $3,342
- Top HMO-POS by Enrollment
- MCS Classicare Essential (HMO-POS) — 2,320 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Triple S Advantage Brillante | $0 | $4,200 | $0 | H5774-031-0 | |
| MCS Classicare Essential | $0 | $3,400 | $0 | H5577-008-0 | |
| MMM Balance | $0 | $3,250 | $0 | H4004-073-2 | |
| MMM Deluxe | $0 | $3,250 | $0 | H4003-055-0 | |
| MMM Elite | $0 | $3,250 | $0 | H4003-034-0 | |
| MMM Estela | $0 | $3,250 | $0 | H4003-059-3 | |
| MMM Grandioso | $0 | $3,250 | $0 | H4004-070-0 | |
| MMM Mega Flex | $0 | $3,250 | $0 | H4004-071-0 | |
| MMM Plenitud | $0 | $3,250 | $0 | H4004-065-0 | |
| MMM Valiente | $0 | $3,250 | N/A | H4004-075-0 | |
| MMM Valioso | $0 | $3,250 | $0 | H4004-066-0 | |
| PMC Max | $0 | $3,250 | $0 | H4004-056-0 |
What is the typical premium for HMO-POS plans in Bayamon?
HMO-POS plans in Bayamon cost $0.00 per month on average.
Which HMO-POS plan has the most members in Bayamon?
The most popular HMO-POS plan in Bayamon is MCS Classicare Essential (HMO-POS), with 2,320 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Bayamon?
There are 1 HMO-POS plans in Bayamon without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Bayamon Municipio, PR (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| 4 Stars (includes 5 Stars) | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| 3 Stars | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| Below 3 Stars | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| Not Rated | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| Average Rating | (2027 Star Ratings Coming Soon) | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-09
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 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 .
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.