2026 Medicare Special Needs Plans in San Sebastian Municipio, PR
Last update: . Enrollment data updated: May 2, 2026
For 2026, San Sebastian Municipio, PR includes 19 Medicare Special Needs Plans. Enrollment across these plans totals approximately 5,829, with 100% rated 4 stars or higher.
Special Needs Plans (SNPs) are designed for specific healthcare or eligibility situations. Other options may also be available. Visit Medicare Options in San Sebastian Municipio, PR to explore additional plan types and coverage choices.
Dual Eligible Special Needs Plans (D-SNPs)
Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid. Plan availability varies by county.
- Total D-SNP Plans
- 15
- Average Monthly Premium
- $0.00/mo
- Beneficiaries Enrolled
- 5,707
- $0 Premium Plans
- 15
- Zero Cost Plans
- 0
- Top D-SNP by Enrollment
- MCS Classicare Platino Maximo (D-SNP) — 2,008 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| MCS Classicare Platino 185 | $0 | 3400.00 | $615 | H5577-062-0 | |
| MCS Classicare Platino Ideal | $0 | 3400.00 | $615 | H5577-002-0 | |
| MCS Classicare Platino Maximo | $0 | 3400.00 | $615 | H5577-054-1 | |
| MCS Classicare Platino Progreso | $0 | 3400.00 | $615 | H5577-017-0 | |
| MCS Classicare Platino Total | $0 | 3400.00 | $615 | H5577-046-0 | |
| MMM Combo Platino | $0 | 3250.00 | $615 | H4004-068-0 | |
| MMM Diamante Platino | $0 | 3250.00 | $615 | H4003-017-0 | |
| MMM Dorado Platino | $0 | 3250.00 | $615 | H4003-058-0 | |
| MMM Flexi Platino | $0 | 3250.00 | $615 | H4004-069-0 | |
| MMM Relax Platino | $0 | 3250.00 | $615 | H4004-072-1 | |
| PMC Premier Platino | $0 | 3250.00 | $615 | H4004-048-0 | |
| PLATINO ADVANCE | $0 | 3650.00 | $615 | H5774-041-1 | |
| Platino Blindao | $0 | 3650.00 | $615 | H5774-028-0 | |
| Platino Enlace | $0 | 3650.00 | $615 | H5774-035-0 | |
| PLATINO PLUS | $0 | 3650.00 | $615 | H5774-043-1 |
What is the average monthly premium for D-SNP plans in San Sebastian Municipio?
D-SNP plans in San Sebastian Municipio cost $0.00 per month.
Which D-SNP plan has the highest enrollment in San Sebastian Municipio?
The most popular D-SNP plan in San Sebastian Municipio is MCS Classicare Platino Maximo (D-SNP), with 2,008 enrollees.
How many D-SNP plans are available in San Sebastian Municipio?
In 2026, San Sebastian Municipio offers 15 D-SNP plans with 5,707 enrollees.
Medicare Chronic Condition Special Needs Plans (C-SNPs)
Chronic Condition Special Needs Plans (C-SNPs) are Medicare Advantage plans that limit enrollment to beneficiaries with certain chronic conditions identified under CMS eligibility guidelines.
- Total C-SNP Plans
- 4
- Average Monthly Premium
- $0.00/mo
- Beneficiaries Enrolled
- 122
- $0 Premium C-SNPs
- 4
- Average MOOP
- $7,525
- Most Popular C-SNP
- MCS Classicare Primero (C-SNP) with 83 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| MCS Classicare Primero | $0 | 3400.00 | $0 | H5577-038-0 | |
| MMM Supremo | $0 | 3250.00 | $0 | H4003-009-0 | |
| Contigo Plus | $0 | 4200.00 | $0 | H5774-022-0 | |
| Triple S Advantage ContigoEnMente | $0 | 4200.00 | $0 | H5774-046-0 |
What is the most popular C-SNP plan in San Sebastian Municipio?
MCS Classicare Primero (C-SNP) is the top C-SNP in San Sebastian Municipio, with 83 enrollees.
What is the total number of C-SNP plans in San Sebastian Municipio?
There are 4 C-SNP plans in 2026, covering 122 enrollees.
- 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 Medicare Special Needs Plans (SNP) only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 24 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 22 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.