- Entity
- county:puerto-rico-ciales-72039
- 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/ciales/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 23
- PPO Plans
- 1
- HMO Plans
- 10
- HMO-POS Plans
- 12
- PFFS Plans
- 0
- Average Monthly Premium
- 0
- Average MOOP
- 3602.22
- Average Part D Deductible
- 0
- $0 Premium Plans
- 23
- 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
- 0
- PPO $0 Premium Plans
- 1
- PPO Plans Without Part D Coverage
- 0
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 3560
- HMO Enrollment
- 690
- HMO $0 Premium Plans
- 10
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 3341.67
- HMO-POS Enrollment
- 415
- HMO-POS $0 Premium Plans
- 12
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:puerto-rico-ciales-72039
- 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/ciales/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-puerto-rico-ciales-72039-landscape-stats
- Plans Indexed
- 23
- Standard Medicare Advantage Plans
-
-
Ahorro Plus
H5774-047-1 -
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 Excede
H5577-056-2 -
MCS Classicare Firme
H5577-042-0 -
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
- 1105
2027 Medicare Advantage Plans in Ciales Municipio, PR
Last update: .
In Ciales Municipio, PR, there are 23 Medicare Advantage plans available for 2027. Of these, 23 offer a $0 monthly premium, and about (2027 Star Ratings Coming Soon) 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 Ciales Municipio, PR. Or explore all Medicare Options available in Ciales 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 | $7,151 | $0 | H4005-004-0 |
What is the total number of PPO plans offered in Ciales?
Ciales Municipio has 1 PPO plans for 2027, with 0 enrolled.
How much do PPO plans cost in Ciales?
The typical PPO premium in Ciales 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
- 690
- $0 Premium HMO Plans
- 10
- Average MOOP
- $3,560
- Top HMO by Enrollment
- MCS Classicare Firme (HMO) — 422 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Ahorro Plus | $0 | $4,200 | $0 | H5774-047-1 | |
| 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 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 |
- What is the average monthly premium for HMO plans?
- HMO plans in Ciales cost $0.00 per month on average.
- Which HMO plan is most popular in Ciales?
- The most popular HMO plan in Ciales is MCS Classicare Firme (HMO), with 422 enrollees.
- How many HMO plans in Ciales do not include drug coverage?
- There are 1 HMO plans in Ciales 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 12
- Average Monthly Premium $0.00/mo
- Total HMO-POS Enrollment 415
- $0 Premium HMO-POS Plans 12
- Average MOOP $3,342
- Top HMO-POS by Enrollment MMM Balance (HMO-POS) — 167 enrollees
- HMO-POS Plans Without Drug Coverage 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS 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 total number of HMO-POS plans in Ciales?
There are 12 HMO-POS plans in 2027, covering 415 enrollees.
How much do HMO-POS plans cost in Ciales?
The average HMO-POS premium in Ciales is $0.00 per month, with 12 plans offering $0 premiums.
What is the leading HMO-POS plan in Ciales?
MMM Balance (HMO-POS) is the top HMO-POS in Ciales, with 167 enrollees.
What is the number of HMO-POS plans without Part D coverage in Ciales?
1 HMO-POS plans in Ciales do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Ciales Municipio, PR for 2027.
| 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) | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- 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
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
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 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.