- Entity
- county:puerto-rico-ponce-72113
- 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/ponce/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 24
- PPO Plans
- 1
- HMO Plans
- 11
- HMO-POS Plans
- 12
- PFFS Plans
- 0
- Average Monthly Premium
- 0
- Average MOOP
- 3593.79
- Average Part D Deductible
- 0
- $0 Premium Plans
- 24
- 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
- 109
- PPO $0 Premium Plans
- 1
- PPO Plans Without Part D Coverage
- 0
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 3545.45
- HMO Enrollment
- 8586
- HMO $0 Premium Plans
- 11
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 3341.67
- HMO-POS Enrollment
- 3253
- HMO-POS $0 Premium Plans
- 12
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:puerto-rico-ponce-72113
- 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/ponce/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-puerto-rico-ponce-72113-landscape-stats
- Plans Indexed
- 24
- 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 Estrella
H5577-060-0 -
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
H4004-073-3 -
MMM Deluxe
H4003-055-0 -
MMM Elite
H4003-034-0 -
MMM Estela
H4003-059-2 -
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
- 11948
2027 Medicare Advantage Plans in Ponce Municipio, PR
Last update: .
Ponce Municipio, PR has 24 Medicare Advantage plans available in 2027. These include 24 plans with no monthly premium, and roughly (2027 Star Ratings Coming Soon) are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Ponce Municipio, PR. Or explore all Medicare Options available in Ponce Municipio, PR.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 1
- Average Monthly Premium $0.00/mo
- Total PPO Enrollment 109
- $0 Premium PPO Plans 1
- Average MOOP $7,151
- Top PPO by Enrollment Óptimo Plus (PPO) — 109 enrollees
- PPO Plans Without Drug Coverage 0
| 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 most popular PPO plan in Ponce?
Óptimo Plus (PPO) is the top PPO in Ponce, with 109 enrollees.
What is the number of PPO plans without Part D coverage in Ponce?
There are 0 PPO plans in Ponce without prescription drug coverage.
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
- 11
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 8,586
- $0 Premium HMO Plans
- 11
- Average MOOP
- $3,545
- Top HMO by Enrollment
- MCS Classicare Firme (HMO) — 4,234 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 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 |
What is the typical premium for HMO plans in Ponce?
HMO plans in Ponce cost $0.00 per month on average.
Which HMO plan do most beneficiaries choose in Ponce?
The most popular HMO plan in Ponce is MCS Classicare Firme (HMO), with 4,234 enrollees.
How many HMO options are offered without prescription drug coverage in Ponce?
There are 1 HMO plans in Ponce 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 3,253
- $0 Premium HMO-POS Plans 12
- Average MOOP $3,342
- Top HMO-POS by Enrollment MMM Plenitud (HMO-POS) — 1,037 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 | H4004-073-3 | |
| MMM Deluxe | $0 | $3,250 | $0 | H4003-055-0 | |
| MMM Elite | $0 | $3,250 | $0 | H4003-034-0 | |
| MMM Estela | $0 | $3,250 | $0 | H4003-059-2 | |
| 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 Ponce?
In 2027, Ponce has 12 HMO-POS plans with 3,253 enrollees.
How much do HMO-POS plans cost in Ponce?
The typical HMO-POS premium in Ponce is $0.00, and 12 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Ponce 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
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — 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.