Medicare Plans

Open Medicare Plan Data.

MMM Valiente (HMO-POS) Medicare Advantage Plan H4004-075 • 2027 • Culebra Municipio, PR

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
Culebra Municipio, PR
Local Enrollment
0 beneficiaries in Culebra Municipio
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.

You must live in Culebra Municipio, Puerto Rico to enroll in this plan. CMS reports 0 beneficiaries enrolled in this plan in Culebra Municipio. For assistance with this plan, new members can call (833)668-2402 (TTY 711).

Compare Similar Plans in Culebra Municipio

Compare this plan with the two most-enrolled HMO-POS plans available in Culebra Municipio, Puerto Rico. Enrollment is based on CMS local enrollment data.

HMO-POS plan comparison for Culebra Municipio, Puerto Rico
Plan Detail MMM Valiente MCS Classicare Essential MMM Plenitud
CMS Plan ID H4004-075-0 H5577-008-0 H4004-065-0
Local Enrollment 0 30 11
Monthly Premium $0.00 $0.00 $0.00
Medical Deductible $0.00 $0.00 $0.00
Maximum Out-of-Pocket $3,250.00 $3,400.00 $3,250.00
Part B Giveback −$100.00 reduction Not offered −$45.00 reduction
Primary Care $0 copay $0 copay $0 copay
Specialist $0 copay $0 copay $0 copay
Part D Deductible Not Applicable $0.00 $0.00
CMS Star Rating Not yet rated Not yet rated Not yet rated
Dental $0 copay $0 copay $0 copay
Vision $0 copay $0 copay $0 copay
Hearing $0 copay $0 copay $0 copay

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.

You can also compare 2027 costs and coverage with last year, side-by-side: Plan H4004-075-0 Cost Compare.

Office Visits

Primary care
In-network: $0 copay
Out-of-network: 20% coinsurance
Specialist
In-network: $0 copay
Out-of-network: 20% coinsurance

Preventive and Wellness Services

Annual wellness exam
Not covered
Telehealth benefit
In-network: $0 copay
Routine chiropractic
In-network: $0 copay
Out-of-network: 20% coinsurance
Fitness benefits
Coming soon
Health education
In-network: $0 copay
Counseling services
Not covered
Over-the-counter drug benefits
In-network: $0 copay
Health transportation (non-emergency)
Coming soon

Diagnostic, Lab, and Imaging Services

Diagnostic radiology services
In-network: $0-$40 copay
Out-of-network: 20% coinsurance
Lab services
In-network: 0%-20% coinsurance
Out-of-network: 20% coinsurance
Outpatient x-rays
In-network: $0 copay
Out-of-network: 20% coinsurance
Diagnostic tests and procedures
In-network: $0 copay
Out-of-network: 20% coinsurance

Emergency and Urgent Care Services

Emergency room care
$75 copay
Worldwide emergency care
Coming soon
Urgent care
$0 copay
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
Skilled Nursing Facility
In-network:
$0 copay
Out-of-network:
20% per stay
Ground ambulance
In-network: $0 copay
Out-of-network: 20% coinsurance

Mental Health Services

Outpatient individual therapy
In-network: $0 copay
Out-of-network: 20% coinsurance
Outpatient group therapy
In-network: $0 copay
Out-of-network: 20% coinsurance
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

Rehabilitation Services

Physical therapy and speech and language therapy
In-network: $0 copay
Out-of-network: 20% coinsurance
Occupational therapy
In-network: $0 copay
Out-of-network: 20% coinsurance

Medical Equipment and Supplies

Diabetes supplies
In-network: $0 copay
Out-of-network: 20% coinsurance
Durable medical equipment
In-network: 0%-20% coinsurance
Out-of-network: 20% coinsurance
Prosthetics
In-network: 5% coinsurance
Out-of-network: 20% coinsurance

Medicare Part B Drugs

Chemotherapy
In-network: 0%-20% coinsurance
Out-of-network: 20% coinsurance
Other Part B drugs (Medicare-covered)
In-network: 0%-20% coinsurance
Out-of-network: 20% coinsurance

Dental Services

Oral exam
In-network: $0 copay
Out-of-network: 20% coinsurance
Dental x-rays
In-network: $0 copay
Out-of-network: 20% coinsurance
Cleaning
In-network: $0 copay
Out-of-network: 20% coinsurance
Periodontics
In-network: $0 copay
Out-of-network: 20% coinsurance
Endodontics
In-network: $0 copay
Out-of-network: 20% coinsurance
Restorative services
In-network: $0 copay
Out-of-network: 20% coinsurance
Implant services
In-network: $0 copay
Out-of-network: 20% coinsurance
Orthodontics
Not covered
Oral/Maxillofacial surgery
In-network: $0 copay
Out-of-network: 20% coinsurance

Vision Services

Routine eye exam
In-network: $0 copay
Out-of-network: 20% coinsurance
Contact lenses
In-network: $0 copay
Out-of-network: 20% coinsurance
Eyeglass frames only
Not covered
Eyeglass lenses only
Not covered
Eyeglasses (frames & lenses)
In-network: $0 copay
Out-of-network: 20% coinsurance
Upgrades
Not covered

Hearing Services

Hearing exam
In-network: $0 copay
Out-of-network: 20% coinsurance
Fitting/evaluation
Not covered
Prescription hearing aids
Not covered
OTC hearing aids
Not covered

Additional and Special Needs Services

Adult day health services
Not covered
Home-based palliative care
Not covered
Personal emergency response system
Coming soon
Weight management programs
Not covered
Wigs for chemotherapy-related hair loss
Coming soon
Alternative therapies
In-network: $0 copay
Massage therapy
Not covered
Home/bathroom safety devices
In-network: $0 copay

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.

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.