2026 Medicare Advantage Plans in Penuelas Municipio, PR
Last update: . Enrollment data updated: May 2, 2026
For 2026, Penuelas Municipio, PR includes 23 Medicare Advantage plans. Enrollment across these plans totals approximately 1,302, with 22 $0 premium options and 96% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Penuelas Municipio, PR are summarized separately. Visit Medicare Options in Penuelas 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
- $6,751
- Top PPO by Enrollment
- — 0 enrollees
- PPO Plans Without Drug Coverage
- 0
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Óptimo Plus | $0 | $6,751 | $0 | H4005-004-0 |
What is the average monthly premium for PPO plans in Penuelas?
PPO plans in Penuelas cost $0.00 per month on average.
Which PPO plan has the highest enrollment in Penuelas?
The most popular PPO plan in Penuelas is , with 0 enrollees.
How many PPO plans in Penuelas do not include prescription drug coverage?
0 PPO plans in Penuelas 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 11
- Average Monthly Premium $0.00/mo
- Total HMO Enrollment 920
- $0 Premium HMO Plans 11
- Average MOOP $3,545
- Top HMO by Enrollment Ahorro Plus (HMO) — 372 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 Estrella | $0 | $3,400 | $0 | H5577-060-0 | |
| 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 | |
| Ahorro Plus | $0 | $4,200 | $0 | H5774-047-1 | |
| Enlace Plus | $0 | $4,200 | $0 | H5774-038-0 |
What is the top HMO by enrollment in Penuelas?
Ahorro Plus (HMO) is the top HMO in Penuelas, with 372 enrollees.
What is the number of HMO plans without Part D coverage in Penuelas?
1 HMO plans in Penuelas 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
- 11
- Average Monthly Premium
- $1.36/mo
- Total HMO-POS Enrollment
- 382
- $0 Premium HMO-POS Plans
- 10
- Average MOOP
- $3,350
- Top HMO-POS by Enrollment
- MMM Plenitud (HMO-POS) — 110 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| MCS Classicare Essential | $0 | $3,400 | $0 | H5577-008-0 | |
| MMM Balance | $0 | $3,250 | $0 | H4004-073-3 | |
| 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 typical premium for HMO-POS plans in Penuelas?
HMO-POS plans in Penuelas cost $1.36 per month on average.
Which HMO-POS plan has the most members in Penuelas?
The most popular HMO-POS plan in Penuelas is MMM Plenitud (HMO-POS), with 110 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Penuelas?
There are 0 HMO-POS plans in Penuelas without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Penuelas Municipio, PR (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 19 | 83% |
| 4 Stars (includes 5 Stars) | 22 | 96% |
| 3 Stars | 1 | 4% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 4.87 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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
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
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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.