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Medicare Advantage plans in Puerto Rico, 2027

45 Medicare Advantage plans are sold in Puerto Rico for 2027 (43 in 2026); 24 are open to everyone and 24 of those have a $0 premium everywhere they are sold. No plan ends in or leaves a Puerto Rico county for 2027.

What changes in Puerto Rico for 2027?

Individual Medicare Advantage plans with at least one county in Puerto Rico.
In the state20262027Change
Plans sold in the state4345up 2
Plans open to everyone2324up 1
Plans with a $0 premium everywhere they are sold2224up 2
Plans that lower the Part B premium1820up 2

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.

Which companies sell the most plans in Puerto Rico?

Plans open to everyone, by parent company and the brands it sells under, 2027

Elevance Health, Inc. · Medicare y Mucho Mas (MMM)10 plans
MHH Healthcare, L.P. · MCS Classicare10 plans
Guidewell Mutual Holding Corporation · Triple S Advantage, Triple-S Advantage4 plans

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Which Puerto Rico counties lose the most?

Plans end in or leave Puerto Rico counties 0 times for 2027. Counties with the most members in those plans come first; each links to its 2027 plan list.

78 counties
CountyPlans open to all$0 premiumPlans that end or leaveTheir members here
Adjuntas232300
Aguada242400
Aguadilla242400
Aguas Buenas212100
Aibonito212100
Anasco242400
Arecibo232300
Arroyo232300
Barceloneta232300
Barranquitas212100
Bayamon212100
Cabo Rojo232300
Caguas212100
Camuy242400
Canovanas222200
Carolina222200
Catano222200
Cayey212100
Ceiba212100
Ciales232300
Cidra212100
Coamo222200
Comerio212100
Corozal242400
Culebra212100
Dorado222200
Fajardo222200
Florida242400
Guanica232300
Guayama232300
Guayanilla232300
Guaynabo222200
Gurabo222200
Hatillo232300
Hormigueros232300
Humacao222200
Isabela242400
Jayuya232300
Juana Diaz232300
Juncos222200
Lajas242400
Lares232300
Las Marias232300
Las Piedras222200
Loiza212100
Luquillo212100
Manati242400
Maricao232300
Maunabo212100
Mayaguez232300
Moca242400
Morovis232300
Naguabo212100
Naranjito212100
Orocovis232300
Patillas232300
Penuelas242400
Ponce242400
Quebradillas232300
Rincon242400
Rio Grande222200
Sabana Grande232300
Salinas222200
San German232300
San Juan222200
San Lorenzo222200
San Sebastian232300
Santa Isabel222200
Toa Alta222200
Toa Baja222200
Trujillo Alto222200
Utuado232300
Vega Alta242400
Vega Baja242400
Vieques222200
Villalba242400
Yabucoa212100
Yauco242400

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 crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).

Which plans in Puerto Rico lower the Part B premium?

20 plans open to everyone and sold in at least one Puerto Rico county pay part of the Part B premium in 2027; the largest reduction comes first.

2027 planBrandMonthly reduction
MMM DeluxeH4003-055Medicare y Mucho Mas (MMM)$157
MCS Classicare HeroH5577-044MCS Classicare$131
MMM ValiosoH4004-066Medicare y Mucho Mas (MMM)$115
MMM ValienteH4004-075Medicare y Mucho Mas (MMM)$100
Enlace PlusH5774-038Triple S Advantage$80
MMM EstelaH4003-059Medicare y Mucho Mas (MMM)$73 best in its area
Ahorro PlusH5774-047Triple S Advantage$70 best in its area
MCS Classicare EstrellaH5577-060MCS Classicare$70
MCS Classicare ExcedeH5577-056MCS Classicare$70 best in its area
MCS Classicare EfectivoH5577-005MCS Classicare$55
MMM BalanceH4004-073Medicare y Mucho Mas (MMM)$52 best in its area
MMM PlenitudH4004-065Medicare y Mucho Mas (MMM)$45
BrillanteH5774-031Triple S Advantage$40
MCS Classicare InteliCareH5577-052MCS Classicare$40
MCS Classicare En Tu HogarH5577-043MCS Classicare$25
MCS Classicare RxMaxH5577-059MCS Classicare$20
MCS Classicare FirmeH5577-042MCS Classicare$10
MMM GrandiosoH4004-070Medicare y Mucho Mas (MMM)$8
MMM Mega FlexH4004-071Medicare y Mucho Mas (MMM)$5
PMC MaxH4004-056Medicare y Mucho Mas (MMM)$3

Source: CMS plan benefit package files, 2027 and 2026; CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

682,627 of Puerto Rico's 801,838 people with Medicare were in a Medicare Advantage plan in September 2026 (85%).

What else should you check?