Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
MMM Combo Platino, 2027
H4004Contract068Plan
HMO D-SNP · special needs plan, dual-eligible · 78 counties in Puerto Rico
Run by MMM Healthcare, LLC (contract H4004), sold as Medicare y Mucho Mas (MMM), owned by Elevance Health, Inc.
MMM Combo Platino (H4004-068) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $3,250. It takes in the members of H4004-069.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Drug deductible | $615 | $700 | ▲up $85 |
| Part B premium reduction, monthly | $50 | $43 | ▼down $7 |
| 14 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| In-network out-of-pocket limit | $3,250 | $3,250 | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Specialist visit | $0 copay | $0 copay | no change |
| Emergency room | $0 copay | $0 copay | no change |
| Medical deductible, in network | none | none | no change |
| Hospital stay, in network | $0 a stay | $0 a stay | no change |
| Skilled nursing facility, in network | $0 a stay | $0 a stay | no change |
| Ground ambulance, in network | $0 copay | $0 copay | no change |
| Comprehensive dental, yearly limit | $1,000 a year | $1,000 a year | no change |
| Eyewear, yearly limit | $1,000 a year | $1,000 a year | no change |
| Hearing aids, yearly limit for both ears | not offered | not offered | no change |
| Over-the-counter items, yearly | not offered | not offered | no change |
| Counties served | 78 | 78 | no change |
Source: 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; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.
How does it compare with plans sold where it is?
In the counties it serves, 17 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 1 plan has a lower out-of-pocket limit, 5 the same, 10 a higher one. On the premium, 16 the same.
Out-of-pocket limits of the 17 dual-eligible special needs plans
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Where is it sold, and what does it cost there?
The premium and the out-of-pocket limit are the same in all 78 counties: $0 a month and $3,250.
Puerto Rico
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Which 2026 plans move into it, and what changes for their members?
For 2027 this plan takes in the members of 1 other plan, beside its own 7,498 members. In 2027 it costs $0 a month with a $3,250 limit; each row compares that with the plan its members had in 2026.
| 2026 plan | Members, Sept. 2026 | Members who move | Premium 2026 | Premium change | Limit 2026 | Limit change |
|---|---|---|---|---|---|---|
| MMM Flexi PlatinoH4004-069 | 565 | 313 | $0 | no change | $3,250 | no change |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision). Each moving plan's own page lists every line that changes for its members.
Who runs this plan?
- Plan ID
- H4004-068
- Legal name of the contract
- MMM Healthcare, LLC
- Sold as
- Medicare y Mucho Mas (MMM)
- Parent company
- Elevance Health, Inc.
- Plan type
- HMO D-SNP
- 2026 star rating of the contract
- 5 of 5 overall; health plan 5 of 5, drug plan 5 of 5
- Members, September 2026
- 7,498
- Plan website, as filed with CMS
- www.mmmpr.com
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.
What else should you check?
- Other 2027 plans in San Juan, PRWhere most of its members live; premiums and limits side by side
- Every Medicare y Mucho Mas (MMM) plan for 2027Its contracts, counties and plans that end
- The other 10 plans of contract H4004Same company, same contract
- Is your prescription covered?Coverage share and tier for 2,259 drugs
Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.