Medicare Special Needs Plans in Puerto Rico
Every Special Needs Plan in Puerto Rico for 2027, from the CMS plan landscape file. You can join one only if you fit its group: Medicare and Medicaid (D-SNP), a qualifying chronic condition (C-SNP) or nursing-home-level care (I-SNP). Pick your county to see the plans sold there.
Showing all 31 plans.
D-SNPs: Medicare and Medicaid
Sorted by CMS star rating, then by how closely the plan is integrated with Puerto Rico Medicaid, then by worst-case year. If Medicaid or the QMB program pays your Medicare cost sharing, the out-of-pocket maximum matters less than the network and how well the plan works with Medicaid.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | Platino Vita Plus (HMO D-SNP)Triple S Advantage · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharingAll 78 counties | $0 | $0 | $0 | 5★ |
| 2 | MCS Classicare Platino 202 (HMO D-SNP)MCS Classicare · HMO D-SNPHighly integrated (HIDE)All 78 counties | $0 | $3,400 | $3,400 | 5★ |
| 3 | MCS Classicare Platino Ideal (HMO D-SNP)MCS Classicare · HMO D-SNPHighly integrated (HIDE)All 78 counties | $0 | $3,400 | $3,400 | 5★ |
| 4 | MCS Classicare Platino Maximo (HMO D-SNP)MCS Classicare · HMO D-SNPHighly integrated (HIDE)17 of 78 counties | $0 | $3,400 | $3,400 | 5★ |
| 5 | MCS Classicare Platino Maximo (HMO D-SNP)MCS Classicare · HMO D-SNPHighly integrated (HIDE)17 of 78 counties | $0 | $3,400 | $3,400 | 5★ |
| 6 | MCS Classicare Platino Maximo (HMO D-SNP)MCS Classicare · HMO D-SNPHighly integrated (HIDE)44 of 78 counties | $0 | $3,400 | $3,400 | 5★ |
| 7 | MCS Classicare Platino Progreso (HMO D-SNP)MCS Classicare · HMO D-SNPHighly integrated (HIDE)All 78 counties | $0 | $3,400 | $3,400 | 5★ |
| 8 | MCS Classicare Platino Total (HMO D-SNP)MCS Classicare · HMO D-SNPHighly integrated (HIDE)All 78 counties | $0 | $3,400 | $3,400 | 5★ |
| 9 | MCS Classicare Platino Ultra (HMO D-SNP)MCS Classicare · HMO D-SNPHighly integrated (HIDE)39 of 78 counties | $0 | $3,400 | $3,400 | 5★ |
| 10 | PLATINO ADVANCE (HMO D-SNP)Triple S Advantage · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing46 of 78 counties | $0 | $3,650 | $3,650 | 5★ |
| 11 | PLATINO ADVANCE (HMO D-SNP)Triple S Advantage · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing23 of 78 counties | $0 | $3,650 | $3,650 | 5★ |
| 12 | PLATINO ADVANCE (HMO D-SNP)Triple S Advantage · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing9 of 78 counties | $0 | $3,650 | $3,650 | 5★ |
| 13 | Platino Enlace (HMO D-SNP)Triple S Advantage · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharingAll 78 counties | $0 | $3,650 | $3,650 | 5★ |
| 14 | PLATINO PLUS (HMO D-SNP)Triple S Advantage · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing46 of 78 counties | $0 | $3,650 | $3,650 | 5★ |
| 15 | PLATINO PLUS (HMO D-SNP)Triple S Advantage · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing23 of 78 counties | $0 | $3,650 | $3,650 | 5★ |
| 16 | PLATINO PLUS (HMO D-SNP)Triple S Advantage · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing9 of 78 counties | $0 | $3,650 | $3,650 | 5★ |
| 17 | Platino Uno (HMO D-SNP)Triple S Advantage · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing10 of 78 counties | $0 | $3,650 | $3,650 | 5★ |
| 18 | MMM Combo Platino (HMO D-SNP)Medicare y Mucho Mas (MMM) · HMO D-SNPHighly integrated (HIDE)All 78 counties | $0 | $3,250 | $3,250 | 4.5★ |
| 19 | MMM Diamante Platino (HMO D-SNP)Medicare y Mucho Mas (MMM) · HMO D-SNPHighly integrated (HIDE)All 78 counties | $0 | $3,250 | $3,250 | 4.5★ |
| 20 | MMM Dorado Platino (HMO D-SNP)Medicare y Mucho Mas (MMM) · HMO D-SNPHighly integrated (HIDE)13 of 78 counties | $0 | $3,250 | $3,250 | 4.5★ |
| 21 | MMM Preciso Platino (HMO D-SNP)Medicare y Mucho Mas (MMM) · HMO D-SNPHighly integrated (HIDE)42 of 78 counties | $0 | $3,250 | $3,250 | 4.5★ |
| 22 | MMM Preciso Platino (HMO D-SNP)Medicare y Mucho Mas (MMM) · HMO D-SNPHighly integrated (HIDE)19 of 78 counties | $0 | $3,250 | $3,250 | 4.5★ |
| 23 | MMM Preciso Platino (HMO D-SNP)Medicare y Mucho Mas (MMM) · HMO D-SNPHighly integrated (HIDE)17 of 78 counties | $0 | $3,250 | $3,250 | 4.5★ |
| 24 | MMM Relax Platino (HMO D-SNP)Medicare y Mucho Mas (MMM) · HMO D-SNPHighly integrated (HIDE)38 of 78 counties | $0 | $3,250 | $3,250 | 4.5★ |
| 25 | MMM Relax Platino (HMO D-SNP)Medicare y Mucho Mas (MMM) · HMO D-SNPHighly integrated (HIDE)10 of 78 counties | $0 | $3,250 | $3,250 | 4.5★ |
| 26 | MMM Relax Platino (HMO D-SNP)Medicare y Mucho Mas (MMM) · HMO D-SNPHighly integrated (HIDE)30 of 78 counties | $0 | $3,250 | $3,250 | 4.5★ |
| 27 | PMC Premier Platino (HMO D-SNP)Medicare y Mucho Mas (MMM) · HMO D-SNPHighly integrated (HIDE)All 78 counties | $0 | $3,250 | $3,250 | 4.5★ |
C-SNPs: chronic conditions
Sorted by worst-case year: 12 months of premiums plus the in-network out-of-pocket maximum. Each plan lists the conditions it serves; you need one of them, confirmed by your doctor or another clinician, to join.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | MMM Supremo (HMO C-SNP)Medicare y Mucho Mas (MMM) · HMO C-SNPCardiovascular disorders, Chronic heart failure, DiabetesAll 78 counties | $0 | $3,250 | $3,250 | 4.5★ |
| 2 | MCS Classicare Primero (HMO C-SNP)MCS Classicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, DiabetesAll 78 counties | $0 | $3,400 | $3,400 | 5★ |
| 3 | Contigo Plus (HMO C-SNP)Triple S Advantage · HMO C-SNPCardiovascular disorders, Chronic heart failure, DiabetesAll 78 counties | $0 | $4,200 | $4,200 | 5★ |
| 4 | ContigoEnMente (HMO C-SNP)Triple S Advantage · HMO C-SNPDementiaAll 78 counties | $0 | $4,200 | $4,200 | 5★ |
Worst-case year = 12 × monthly plan premium + in-network maximum out-of-pocket, for covered Part A and B services. Many D-SNP members pay $0 in premiums with Extra Help. Star ratings are CMS’s 2027 overall ratings for the contract behind each plan. Plans under CMS sanction aren’t listed. How we sort
Before you enroll: check the plan’s network and drug list in the official Medicare Plan Finder, and ask the plan whether you qualify. Free one-on-one help: your State Health Insurance Assistance Program.
Questions
How many Special Needs Plans are in Puerto Rico for 2027?
CMS lists 31: 27 D-SNPs (Medicare and Medicaid), 4 C-SNPs (chronic conditions) and 0 I-SNPs (institutional), from 3 parent companies. Not every plan is sold in every county; use the county filter.
Which D-SNPs in Puerto Rico are integrated with Medicaid?
27 of the 27 D-SNPs are fully integrated, highly integrated or applicable integrated plans, which cover or coordinate Medicaid benefits more closely. The rest are coordination-only plans. Integrated plans are listed first among plans with the same star rating.
Do Special Needs Plans include drug coverage?
Yes. Every Special Needs Plan must include Part D drug coverage.
Can I stay in a Special Needs Plan if I no longer qualify?
Only while you still meet the plan's rules. If you lose eligibility, you may get a Special Enrollment Period to join another plan.
Sources
- CMS, CY 2027 Medicare Advantage and Prescription Drug Plan Landscape (CY2027_Landscape_202609.csv), Special Needs Plan rows — cms.gov; star ratings from the CMS 2027 Star Ratings Data Tables — cms.gov.
- Medicare.gov, “Special Needs Plans” — medicare.gov.
Educational information, not a recommendation to join any plan. We are not an insurance agent or broker, and we are not connected with or endorsed by the U.S. government or the federal Medicare program. Plan details can change; confirm with the plan or Medicare.gov. · Advertiser disclosure
Keep going
- How Special Needs Plans work →
- General Medicare Advantage plans in Puerto Rico →
- Medicare Savings Programs →
- Extra Help with drug costs →
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