Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
MMM Flexi Platino is not offered under this ID in 2027
H4004Contract069Plan
HMO D-SNP · served 78 counties in Puerto Rico in 2026
Run by MMM Healthcare, LLC (contract H4004), sold as Medicare y Mucho Mas (MMM), owned by Elevance Health, Inc.
CMS crosswalk: members move into H4004-068
Folds into H4004-068
MMM Flexi Platino (H4004-069) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into MMM Combo Platino (H4004-068), which is sold in every county it served. 565 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 Combo Platino?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | MMM Flexi Platino | MMM Combo Platino | renamed |
| Drug deductible | $615 | $700 | ▲up $85 |
| Part B premium reduction, monthly | none | $43 | ▲added |
| Comprehensive dental, yearly limit | not offered | $1,000 a year | ▲added |
| Eyewear, yearly limit | not offered | $1,000 a year | ▲added |
| 12 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 |
| 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 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 Combo Platino 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.
- If you have Medicaid or Extra Help
- You can switch to a different drug plan, or leave a Medicare Advantage plan for Original Medicare with a drug plan, once a calendar month; the change starts the first day of the next month.
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 | 70 | moves into H4004-068 |
| Bayamon, PR | 42 | moves into H4004-068 |
| Ponce, PR | 33 | moves into H4004-068 |
| Carolina, PR | 27 | moves into H4004-068 |
| Caguas, PR | 18 | moves into H4004-068 |
| Toa Baja, PR | 18 | moves into H4004-068 |
| Trujillo Alto, PR | 15 | moves into H4004-068 |
| Barranquitas, PR | 14 | moves into H4004-068 |
| Cayey, PR | 14 | moves into H4004-068 |
| Guayama, PR | 14 | moves into H4004-068 |
| Vega Baja, PR | 14 | moves into H4004-068 |
| Toa Alta, PR | 12 | moves into H4004-068 |
| Aibonito, PR | 11 | moves into H4004-068 |
| Manati, PR | 11 | moves into H4004-068 |
| Adjuntas, PR | fewer than 11 | moves into H4004-068 |
| Aguada, PR | fewer than 11 | moves into H4004-068 |
| Aguadilla, PR | fewer than 11 | moves into H4004-068 |
| Aguas Buenas, PR | fewer than 11 | moves into H4004-068 |
| Anasco, PR | fewer than 11 | moves into H4004-068 |
| Arecibo, PR | fewer than 11 | moves into H4004-068 |
Show the other 58 counties
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Arroyo, PR | fewer than 11 | moves into H4004-068 |
| Barceloneta, PR | fewer than 11 | moves into H4004-068 |
| Cabo Rojo, PR | fewer than 11 | moves into H4004-068 |
| Camuy, PR | fewer than 11 | moves into H4004-068 |
| Canovanas, PR | fewer than 11 | moves into H4004-068 |
| Catano, PR | fewer than 11 | moves into H4004-068 |
| Ceiba, PR | fewer than 11 | moves into H4004-068 |
| Ciales, PR | fewer than 11 | moves into H4004-068 |
| Cidra, PR | fewer than 11 | moves into H4004-068 |
| Coamo, PR | fewer than 11 | moves into H4004-068 |
| Comerio, PR | fewer than 11 | moves into H4004-068 |
| Corozal, PR | fewer than 11 | moves into H4004-068 |
| Culebra, PR | fewer than 11 | moves into H4004-068 |
| Dorado, PR | fewer than 11 | moves into H4004-068 |
| Fajardo, PR | fewer than 11 | moves into H4004-068 |
| Florida, PR | fewer than 11 | moves into H4004-068 |
| Guanica, PR | fewer than 11 | moves into H4004-068 |
| Guayanilla, PR | fewer than 11 | moves into H4004-068 |
| Guaynabo, PR | fewer than 11 | moves into H4004-068 |
| Gurabo, PR | fewer than 11 | moves into H4004-068 |
| Hatillo, PR | fewer than 11 | moves into H4004-068 |
| Hormigueros, PR | fewer than 11 | moves into H4004-068 |
| Humacao, PR | fewer than 11 | moves into H4004-068 |
| Isabela, PR | fewer than 11 | moves into H4004-068 |
| Jayuya, PR | fewer than 11 | moves into H4004-068 |
| Juana Diaz, PR | fewer than 11 | moves into H4004-068 |
| Juncos, PR | fewer than 11 | moves into H4004-068 |
| Lajas, PR | fewer than 11 | moves into H4004-068 |
| Lares, PR | fewer than 11 | moves into H4004-068 |
| Las Marias, PR | fewer than 11 | moves into H4004-068 |
| Las Piedras, PR | fewer than 11 | moves into H4004-068 |
| Loiza, PR | fewer than 11 | moves into H4004-068 |
| Luquillo, PR | fewer than 11 | moves into H4004-068 |
| Maricao, PR | fewer than 11 | moves into H4004-068 |
| Maunabo, PR | fewer than 11 | moves into H4004-068 |
| Mayaguez, PR | fewer than 11 | moves into H4004-068 |
| Moca, PR | fewer than 11 | moves into H4004-068 |
| Morovis, PR | fewer than 11 | moves into H4004-068 |
| Naguabo, PR | fewer than 11 | moves into H4004-068 |
| Naranjito, PR | fewer than 11 | moves into H4004-068 |
| Orocovis, PR | fewer than 11 | moves into H4004-068 |
| Patillas, PR | fewer than 11 | moves into H4004-068 |
| Penuelas, PR | fewer than 11 | moves into H4004-068 |
| Quebradillas, PR | fewer than 11 | moves into H4004-068 |
| Rincon, PR | fewer than 11 | moves into H4004-068 |
| Rio Grande, PR | fewer than 11 | moves into H4004-068 |
| Sabana Grande, PR | fewer than 11 | moves into H4004-068 |
| Salinas, PR | fewer than 11 | moves into H4004-068 |
| San German, PR | fewer than 11 | moves into H4004-068 |
| San Lorenzo, PR | fewer than 11 | moves into H4004-068 |
| San Sebastian, PR | fewer than 11 | moves into H4004-068 |
| Santa Isabel, PR | fewer than 11 | moves into H4004-068 |
| Utuado, PR | fewer than 11 | moves into H4004-068 |
| Vega Alta, PR | fewer than 11 | moves into H4004-068 |
| Vieques, PR | fewer than 11 | moves into H4004-068 |
| Villalba, PR | fewer than 11 | moves into H4004-068 |
| Yabucoa, PR | fewer than 11 | moves into H4004-068 |
| Yauco, PR | fewer than 11 | moves into H4004-068 |
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