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The 2023 Medicare Advantage Plans in San German County PR.
2022 San German County Puerto Rico
Medicare Advantage Plans
There are 25 Medicare Advantage Plans available in San German County PR from 5 different health insurance providers. 18 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. San German County Puerto Rico residents can also pick from 26 Medicare Special Needs Plans. The best Medicare Advantage plan in San German County Puerto Rico received a 4.5 overall star rating from CMS and the lowest rated plan is 4.5 stars.
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Return to 2022 Medicare Advantage Plans in Puerto Rico
San Juan County Medicare Advantage
Medicare Advantage Health Plans Without Drug Coverage
| Plan Name ⇅ | Premium | Type | MOOP | Overall Rating |
|---|---|---|---|---|
| Basic (HMO) (H5774-003) | $0 | Local HMO * | $3,400 | |
| MCS Classicare MediOnly (HMO) (H5577-016) | $0 | Local HMO * | $3,400 |
2022 Medicare Special Needs Plans in San German county Puerto Rico
| Plan Name ⇅ | Monthly Premium |
Part D Deductible |
Gap | Special Needs Type |
Overall Rating |
|---|---|---|---|---|---|
| Contigo Plus (HMO C-SNP) | $0 | $0 | Many | Chronic or Disabling Condition | |
| Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Humana Gold Plus SNP-DE H4007-022 (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| MCS Classicare CeroCeroCero (HMO C-SNP) | $0 | $0 | Many | Chronic or Disabling Condition | |
| MCS Classicare Platino @Home (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| MCS Classicare Platino Ideal (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| MCS Classicare Platino MasCa$h (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| MCS Classicare Platino Progreso (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| MCS Classicare Platino Recarga (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| MCS Classicare Platino Solido (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| MCS Classicare Primero (HMO C-SNP) | $0 | $0 | Many | Chronic or Disabling Condition | |
| MMM Bono Platino (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| MMM Diamante Platino (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| MMM Grande Platino (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| MMM Integral (HMO C-SNP) | $0 | $0 | Some | Chronic or Disabling Condition | |
| MMM Relax Platino (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| MMM Supremo (HMO C-SNP) | $0 | $0 | Some | Chronic or Disabling Condition | |
| MMM Valor Platino (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Platino Advance (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Platino Alcance (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Platino Blindao (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Platino Plus (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Platino Ultra (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible | |
| PMC Premier Platino (HMO D-SNP) | $0 | $480.0 | No Gap Coverage | Dual-Eligible |
Plan Type Is the type of organization offering the Medicare Plan.
- 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
- Many - Many Generics and Some Brands
- Some - Some Generics and Few Brands
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 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, 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.