2026 Medicare Advantage Plans in Cabo Rojo Municipio, PR
Last update: . Enrollment data updated: May 2, 2026
In Cabo Rojo Municipio, PR, there are 22 Medicare Advantage plans available for 2026. Of these, 21 offer a $0 monthly premium, and about 95% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Cabo Rojo Municipio, PR. Or explore all Medicare Options available in Cabo Rojo Municipio, PR.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Óptimo Plus | $0 | $6,751 | $0 | H4005-004-0 |
What is the total number of PPO plans offered in Cabo Rojo?
Cabo Rojo Municipio has 1 PPO plans for 2026, with 23 enrolled.
How much do PPO plans cost in Cabo Rojo?
The typical PPO premium in Cabo Rojo is $0.00, and 1 plans have no monthly premium.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 10
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 2,335
- $0 Premium HMO Plans
- 10
- Average MOOP
- $3,560
- Top HMO by Enrollment
- MCS Classicare Firme (HMO) — 1,128 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| MCS Classicare Efectivo | $0 | $3,400 | $0 | H5577-005-0 | |
| MCS Classicare En Tu Hogar | $0 | $3,400 | $0 | H5577-043-0 | |
| MCS Classicare Excede | $0 | $3,400 | $0 | H5577-056-2 | |
| MCS Classicare Firme | $0 | $3,400 | $0 | H5577-042-0 | |
| 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 | |
| Ahorro Plus | $0 | $4,200 | $0 | H5774-047-3 | |
| Enlace Plus | $0 | $4,200 | $0 | H5774-038-0 |
- What is the average monthly premium for HMO plans?
- HMO plans in Cabo Rojo cost $0.00 per month on average.
- Which HMO plan is most popular in Cabo Rojo?
- The most popular HMO plan in Cabo Rojo is MCS Classicare Firme (HMO), with 1,128 enrollees.
- How many HMO plans in Cabo Rojo do not include drug coverage?
- There are 1 HMO plans in Cabo Rojo without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
- Total HMO-POS Plans 11
- Average Monthly Premium $1.36/mo
- Total HMO-POS Enrollment 1,462
- $0 Premium HMO-POS Plans 10
- Average MOOP $3,350
- Top HMO-POS by Enrollment MMM Balance (HMO-POS) — 519 enrollees
- HMO-POS Plans Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| 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 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 Unico | $15 | $3,250 | $0 | H4003-019-0 | |
| MMM Valioso | $0 | $3,250 | $0 | H4004-066-0 | |
| PMC Max | $0 | $3,250 | $0 | H4004-056-0 | |
| Triple S Advantage Brillante | $0 | $4,200 | $0 | H5774-031-0 |
What is the total number of HMO-POS plans in Cabo Rojo?
There are 11 HMO-POS plans in 2026, covering 1,462 enrollees.
How much do HMO-POS plans cost in Cabo Rojo?
The average HMO-POS premium in Cabo Rojo is $1.36 per month, with 10 plans offering $0 premiums.
What is the leading HMO-POS plan in Cabo Rojo?
MMM Balance (HMO-POS) is the top HMO-POS in Cabo Rojo, with 519 enrollees.
What is the number of HMO-POS plans without Part D coverage in Cabo Rojo?
0 HMO-POS plans in Cabo Rojo do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Cabo Rojo Municipio, PR for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 18 | 82% |
| 4 Stars (includes 5 Stars) | 21 | 95% |
| 3 Stars | 1 | 5% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 4.86 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 25 May, 2025
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Data provenance documentation is maintained in alignment 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.