2019 Medicare Advantage Plans in
Morovis County Puerto Rico

There are 29 Medicare Advantage Plans available in Morovis County PR from 7 different health insurance providers. 19 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3250 and the highest out of pocket is $6700. Morovis County Puerto Rico residents can also pick from 23 Medicare Special Needs Plans. The highest rated plan available in Morovis County received a 4.5 overall star rating from CMS and the lowest rated plan is 3 stars


(Click the Plan Name for More Details)
(⇅ Click the Header to Sort)

Name ⇅ Premium Deductible MOOP Gap Click
for
Formulary
Plan
Rating
Sign
Up
Apollo @ Home Constellation Health (HMO)
$0 $0 $3,400 YesBrowse
Formulary
Apollo Constellation Health (HMO)
$0 $0 $3,400 YesBrowse
Formulary
Humana Gold Plus H4007-012 (HMO)
$0 $0 $5,000 NoBrowse
Formulary
Humana Gold Plus H4007-013 (HMO)
$0 $0 $6,700 NoBrowse
Formulary
Humana Gold Plus H4007-020 (HMO)
$0 $0 $5,000 NoBrowse
Formulary
HumanaChoice Value H2029-001 (PPO)
$43.00 $0 $6,700 NoBrowse
Formulary
Magno (HMO-POS)
$0 $0 $3,400 YesBrowse
Formulary
MCS Classicare Activo (HMO)
$0 $0 $3,400 YesBrowse
Formulary
MCS Classicare Essential (HMO-POS)
$0 $0 $3,400 YesBrowse
Formulary
MCS Classicare ExceD (HMO)
$0 $0 $3,400 YesBrowse
Formulary
MCS Classicare InteliCare (HMO)
$0 $0 $3,400 YesBrowse
Formulary
MCS Classicare MediCa$h (HMO)
$0 $415.00 $6,700 NoBrowse
Formulary
MMM Advantage (PPO)
$49.00 $0 $6,700 YesBrowse
Formulary
MMM Cero (HMO-POS)
$0 $0 $3,250 YesBrowse
Formulary
MMM Elite (HMO-POS)
$0 $0 $3,250 YesBrowse
Formulary
MMM Extra (HMO-POS)
$0 $0 $3,250 YesBrowse
Formulary
MMM Unico (HMO-POS)
$15.00 $0 $3,250 YesBrowse
Formulary
Olympus Constellation Health (PPO)
$70.00 $0 $3,400 YesBrowse
Formulary
NA
Olympus Prime Constellation Health (PPO)
$0 $0 $3,400 YesBrowse
Formulary
NA
Optimo Plus (PPO)
$121.00 $0 $6,700 YesBrowse
Formulary
Orion Constellation Health (HMO)
$0 $0 $3,400 YesBrowse
Formulary
PMC Max (HMO-POS)
$0 $0 $3,250 YesBrowse
Formulary
Royal (HMO)
$0 $0 $3,400 YesBrowse
Formulary
Royal Plus (HMO-POS)
$53.00 $0 $3,400 YesBrowse
Formulary
Titan (HMO-POS)
$0 $415.00 $6,700 NoBrowse
Formulary
Titan+ (HMO-POS)
$0 $415.00 $6,700 NoBrowse
Formulary


Return to 2019 Medicare Advantage Plans in Puerto Rico





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
Sign Up
Basic (HMO)
$0 Local HMO * $3,400
MCS Classicare MediOnlyNoRx (HMO)
$0 Local HMO * $3,400
Optimo (PPO)
$0 Local PPO * $6,700





2019 Medicare Special Needs Plans in Morovis county Puerto Rico

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Click
for
Formulary
Genesis @ Home Constellation Health (HMO SNP)
(H3054- 004)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
Genesis Constellation Health (HMO SNP)
(H3054- 001)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
Genesis Prime Constellation Health (HMO SNP)
(H3054- 003)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
Humana Gold Plus SNP-DE H4007-016 (HMO SNP)
(H4007- 016)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
Humana Gold Plus SNP-DE H4007-018 (HMO SNP)
(H4007- 018)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
Humana Gold Plus SNP-DE H4007-019 (HMO SNP)
(H4007- 019)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
MCS Classicare Platino Clasico (HMO SNP)
(H5577- 028)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
MCS Classicare Platino Comodo (HMO SNP)
(H5577- 027)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
MCS Classicare Platino Ideal (HMO SNP)
(H5577- 002)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
MCS Classicare Platino MasCash (HMO SNP)
(H5577- 029)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
MCS Classicare Platino OTC (HMO SNP)
(H5577- 036)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
MCS Classicare Platino Progreso (HMO SNP)
(H5577- 017)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
MMM Completo Platino (HMO SNP)
(H4003- 041)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
MMM Diamante Platino (HMO SNP)
(H4003- 017)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
MMM Relax Platino (HMO SNP)
(H4004- 061)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
MMM Supremo (HMO SNP)
(H4003- 009)
    $0 $0  Yes Chronic or Disabling ConditionBrowse
Formulary
MMM Valor Platino (HMO SNP)
(H4003- 047)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
Platino Advance (HMO SNP)
(H5774- 026)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
Platino Blindao (HMO SNP)
(H5774- 028)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
Platino Plus (HMO SNP)
(H5774- 024)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
Platino Ultra (HMO SNP)
(H5774- 025)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
PMC Premier Platino (HMO SNP)
(H4004- 048)
    $0 $415.0  No Dual-EligibleBrowse
Formulary
Vital Plus (HMO SNP)
(H5774- 022)
    $0 $0  Yes Chronic or Disabling ConditionBrowse
Formulary



Plan Type Is the type of organization offering the Medicare Plans.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescription Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type
  • (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard

GAP

In 2019 once you and your plan provider have spent $3820 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 25% of the plans cost for covered brand-name prescription drugs and 37% on generic drugs unless your plan offers additional coverage.

Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable



Source: CMS. Data as of September 5, 2018.
Star Rating as of October 10, 2018.
For More Information on Ratings Please See the CMS Tech Notes.
Plans are subject to change as contracts are finalized.
Includes 2019 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2019, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.


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