- Entity
- county:puerto-rico-guayanilla-72059
- 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/guayanilla/
- 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
- 4.76
- $0 Premium Plan Share
- 100
- 5-Star Plan Share
- 52
- 4+ Star Plan Share
- 100
- 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
- 971
- 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
- 506
- HMO-POS $0 Premium Plans
- 12
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:puerto-rico-guayanilla-72059
- 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/guayanilla/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-puerto-rico-guayanilla-72059-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
H5577-056-4 -
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
- 1477
2027 Medicare Advantage Plans in Guayanilla Municipio, PR
Last update: .
For 2027, Guayanilla Municipio, PR includes 23 Medicare Advantage plans. Enrollment across these plans totals approximately 1,477, with 23 $0 premium options and 100% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Guayanilla Municipio, PR are summarized separately. Visit Medicare Options in Guayanilla 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
- 0
- $0 Premium PPO Plans
- 1
- Average MOOP
- $7,151
- Top PPO by Enrollment
- — 0 enrollees
- PPO Plans Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Óptimo Plus | $0 | $7,151 | $0 | H4005-004-0 |
- What is the average monthly premium for PPO plans in Guayanilla?
- PPO plans in Guayanilla cost $0.00 per month on average.
- Which PPO plan has the highest enrollment in Guayanilla?
- The most popular PPO plan in Guayanilla is , with 0 enrollees.
- How many PPO plans in Guayanilla do not include prescription drug coverage?
- 0 PPO plans in Guayanilla do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 | H5577-056-4 | |
| 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 total number of HMO plans offered in Guayanilla?
There are 10 HMO plans in 2027, covering 971 enrollees.
How much do HMO plans cost in Guayanilla?
The average HMO premium in Guayanilla is $0.00 per month, with 10 plans offering $0 premiums.
What is the top HMO by enrollment in Guayanilla?
MCS Classicare Firme (HMO) is the top HMO in Guayanilla, with 483 enrollees.
What is the number of HMO plans without Part D coverage in Guayanilla?
1 HMO plans in Guayanilla 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
- 506
- $0 Premium HMO-POS Plans
- 12
- Average MOOP
- $3,342
- Top HMO-POS by Enrollment
- MMM Plenitud (HMO-POS) — 162 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 average monthly premium for HMO-POS plans?
HMO-POS plans in Guayanilla cost $0.00 per month on average.
Which HMO-POS plan is most popular in Guayanilla?
The most popular HMO-POS plan in Guayanilla is MMM Plenitud (HMO-POS), with 162 enrollees.
How many HMO-POS plans in Guayanilla do not include drug coverage?
There are 1 HMO-POS plans in Guayanilla without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Guayanilla Municipio, PR (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 12 | 52% |
| 4 Stars (includes 5 Stars) | 23 | 100% |
| 3 Stars | 0 | 0% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 4.76 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
| Data Source | Publisher | CMS Version |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | CY2027 Landscape (202609.1) |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | 2027 Star Ratings Data Tables |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | PBP Benefits-2027 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | 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.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Medicare.gov | Understanding Medicare Advantage Plans | 25 May, 2025 |
| Medicare.gov | Compare Original Medicare & Medicare Advantage | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 25 May, 2025 |
MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, 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.