Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
MMM Unico is not offered under this ID in 2027
H4003Contract019Plan
HMO-POS · served 78 counties in Puerto Rico in 2026
Run by MMM Healthcare, LLC (contract H4003), sold as Medicare y Mucho Mas (MMM), owned by Elevance Health, Inc.
CMS crosswalk: renews as H4003-059
Renews as H4003-059
MMM Unico (H4003-019) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into MMM Estela (H4003-059) (the plan renews under a new ID), which is sold in every county it served. 794 people were enrolled in it in September 2026; they can also choose another plan during open enrollment, October 15 to December 7, 2026.
What changes for its members in MMM Estela?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | MMM Unico | MMM Estela | renamed |
| Monthly premium | $15 | $0 | ▼down $15 |
| Part B premium reduction, monthly (best in its area) | $3 | $73 | ▲up $70 |
| Comprehensive dental, yearly limit (best in its area) | $3,500 a year | $2,000 a year | ▼down $1,500 |
| Eyewear, yearly limit (best in its area) | $500 a year | $600 a year | ▲up $100 |
| Drug tier 3, preferred brand | $3 | $0 | ▼down $3 |
| Drug tier 4, non-preferred drug | $5 | $0 | ▼down $5 |
| Drug tier 5, specialty tier | 25% of the cost | 33% of the cost | ▲up 8 points |
| Drug tier 6, select care drugs | 33% of the cost | $0 | changed |
| 14 lines do not change | |||
| In-network out-of-pocket limit | $3,250 | $3,250 | no change |
| Drug deductible | $0 | $0 | no change |
| Primary care visit (best in its area) | $0 copay | $0 copay | no change |
| Specialist visit (best in its area) | $0 copay | $0 copay | no change |
| Emergency room (best in its area) | $75 copay | $75 copay | no change |
| Medical deductible, in network (best in its area) | none | none | no change |
| Hospital stay, in network (best in its area) | $0 a stay | $0 a stay | no change |
| Skilled nursing facility, in network (best in its area) | $0 a stay | $0 a stay | no change |
| Ground ambulance, in network (best in its area) | $0 copay | $0 copay | no change |
| Hearing aids, yearly limit for both ears (best in its area) | $416.67 a year | $416.67 a year | no change |
| Over-the-counter items, yearly (best in its area) | not offered | not offered | no change |
| Counties served | 78 | 78 | no change |
| Drug tier 1, preferred generic | $0 | $0 | no change |
| Drug tier 2, generic | $0 | $0 | no change |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Your plan's Annual Notice of Change is the letter that confirms your 2027 plan; confirm on Medicare Plan Finder.
What can members do, and by when?
- If you do nothing
- You are moved into MMM Estela on January 1, 2027.
- October 15 to December 7, 2026
- Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.
- January 1 to March 31, 2027
- Medicare Advantage open enrollment: switch once to another Medicare Advantage plan or to Original Medicare.
Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).
Where did its members live?
Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| San Juan, PR | 106 | moves into H4003-059 |
| Bayamon, PR | 69 | moves into H4003-059 |
| Carolina, PR | 67 | moves into H4003-059 |
| Ponce, PR | 30 | moves into H4003-059 |
| Caguas, PR | 29 | moves into H4003-059 |
| Cayey, PR | 29 | moves into H4003-059 |
| Aibonito, PR | 28 | moves into H4003-059 |
| Guaynabo, PR | 27 | moves into H4003-059 |
| Toa Baja, PR | 24 | moves into H4003-059 |
| Trujillo Alto, PR | 19 | moves into H4003-059 |
| Barranquitas, PR | 16 | moves into H4003-059 |
| Canovanas, PR | 16 | moves into H4003-059 |
| Rio Grande, PR | 16 | moves into H4003-059 |
| Cidra, PR | 15 | moves into H4003-059 |
| Juana Diaz, PR | 12 | moves into H4003-059 |
| Patillas, PR | 12 | moves into H4003-059 |
| Salinas, PR | 11 | moves into H4003-059 |
| Vega Baja, PR | 11 | moves into H4003-059 |
| Adjuntas, PR | fewer than 11 | moves into H4003-059 |
| Aguada, PR | fewer than 11 | moves into H4003-059 |
Show the other 58 counties
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Aguadilla, PR | fewer than 11 | moves into H4003-059 |
| Aguas Buenas, PR | fewer than 11 | moves into H4003-059 |
| Anasco, PR | fewer than 11 | moves into H4003-059 |
| Arecibo, PR | fewer than 11 | moves into H4003-059 |
| Arroyo, PR | fewer than 11 | moves into H4003-059 |
| Barceloneta, PR | fewer than 11 | moves into H4003-059 |
| Cabo Rojo, PR | fewer than 11 | moves into H4003-059 |
| Camuy, PR | fewer than 11 | moves into H4003-059 |
| Catano, PR | fewer than 11 | moves into H4003-059 |
| Ceiba, PR | fewer than 11 | moves into H4003-059 |
| Ciales, PR | fewer than 11 | moves into H4003-059 |
| Coamo, PR | fewer than 11 | moves into H4003-059 |
| Comerio, PR | fewer than 11 | moves into H4003-059 |
| Corozal, PR | fewer than 11 | moves into H4003-059 |
| Culebra, PR | fewer than 11 | moves into H4003-059 |
| Dorado, PR | fewer than 11 | moves into H4003-059 |
| Fajardo, PR | fewer than 11 | moves into H4003-059 |
| Florida, PR | fewer than 11 | moves into H4003-059 |
| Guanica, PR | fewer than 11 | moves into H4003-059 |
| Guayama, PR | fewer than 11 | moves into H4003-059 |
| Guayanilla, PR | fewer than 11 | moves into H4003-059 |
| Gurabo, PR | fewer than 11 | moves into H4003-059 |
| Hatillo, PR | fewer than 11 | moves into H4003-059 |
| Hormigueros, PR | fewer than 11 | moves into H4003-059 |
| Humacao, PR | fewer than 11 | moves into H4003-059 |
| Isabela, PR | fewer than 11 | moves into H4003-059 |
| Jayuya, PR | fewer than 11 | moves into H4003-059 |
| Juncos, PR | fewer than 11 | moves into H4003-059 |
| Lajas, PR | fewer than 11 | moves into H4003-059 |
| Lares, PR | fewer than 11 | moves into H4003-059 |
| Las Marias, PR | fewer than 11 | moves into H4003-059 |
| Las Piedras, PR | fewer than 11 | moves into H4003-059 |
| Loiza, PR | fewer than 11 | moves into H4003-059 |
| Luquillo, PR | fewer than 11 | moves into H4003-059 |
| Manati, PR | fewer than 11 | moves into H4003-059 |
| Maricao, PR | fewer than 11 | moves into H4003-059 |
| Maunabo, PR | fewer than 11 | moves into H4003-059 |
| Mayaguez, PR | fewer than 11 | moves into H4003-059 |
| Moca, PR | fewer than 11 | moves into H4003-059 |
| Morovis, PR | fewer than 11 | moves into H4003-059 |
| Naguabo, PR | fewer than 11 | moves into H4003-059 |
| Naranjito, PR | fewer than 11 | moves into H4003-059 |
| Orocovis, PR | fewer than 11 | moves into H4003-059 |
| Penuelas, PR | fewer than 11 | moves into H4003-059 |
| Quebradillas, PR | fewer than 11 | moves into H4003-059 |
| Rincon, PR | fewer than 11 | moves into H4003-059 |
| Sabana Grande, PR | fewer than 11 | moves into H4003-059 |
| San German, PR | fewer than 11 | moves into H4003-059 |
| San Lorenzo, PR | fewer than 11 | moves into H4003-059 |
| San Sebastian, PR | fewer than 11 | moves into H4003-059 |
| Santa Isabel, PR | fewer than 11 | moves into H4003-059 |
| Toa Alta, PR | fewer than 11 | moves into H4003-059 |
| Utuado, PR | fewer than 11 | moves into H4003-059 |
| Vega Alta, PR | fewer than 11 | moves into H4003-059 |
| Vieques, PR | fewer than 11 | moves into H4003-059 |
| Villalba, PR | fewer than 11 | moves into H4003-059 |
| Yabucoa, PR | fewer than 11 | moves into H4003-059 |
| Yauco, PR | fewer than 11 | moves into H4003-059 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in San Juan, PRThe plans you can join instead
- Medicare y Mucho Mas (MMM) plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans