Medicare Advantage · State · 2026 plan year
Medicare Advantage in Puerto Rico
According to the Centers for Medicare & Medicaid Services (CMS) 2026 plan-year files, 43 plans across 78 counties; find your county to compare every plan available where you live.
- 43
- Plans available
- 4.9★
- Avg CMS rating
- $0.38
- Avg premium/mo
- 33
- 5-star plans
The short answer
Puerto Rico ranks #40 of 49 by Medicare Advantage plan inventory (43 plans) but #1 by average CMS star (4.86★).
- #40
- inventory rank
- 43
- plans statewide
- #1
- avg star rank
- 4.86★
- mean CMS rating
Plan inventory and average star are independent CMS signals; a large catalog is not the same as the highest mean quality score.
Product mix · PR plans_unique
How 43 Puerto Rico plans split by CMS plan type
Exclusive CMS plan-type codes for this state's representative plans_unique rows, orthogonal to the star-bucket chart below. Source: CMS landscape, 2026.
Higher average CMS star band
Puerto Rico in the narrower-inventory third
Puerto Rico ranks #1 of 49 rated states by mean CMS star (4.86★) - top-third quality band. According to CMS 2026 plan-year filings, Puerto Rico beneficiaries can choose from 43 distinct Medicare Advantage plans marketed across 78 counties - a bottom-third inventory book (#40 of 49); county listings beat the state total here. 33 plans reached the top 5-star tier (year-round Special Enrollment rights for those contracts). County (FIPS) service areas still decide what is sold where you live - open a county below before the October 15 - December 7 Annual Election Period closes.
plans #40/49 · stars #1/49 · 78 counties · avg prem $0.38/mo
Higher-star MA quality band in Puerto Rico
Puerto Rico offers 43 Medicare Advantage plans across 78 counties. Mean star 4.9★ on a narrower inventory book (star rank #1/49); sparse markets make each county row more decisive. Confirm premiums and networks on <a class="underline" href="https://www.medicare.gov/plan-compare/" target="_blank" rel="external noopener">Medicare.gov Plan Compare</a>.
Where Puerto Rico sits on CMS quality
Average CMS star rating across the state's own Medicare Advantage plans, against every state and territory in the CMS file
4.86★ Top 1% higher than 100% of 49 states and territories
Each bar is a band; taller bars hold more states and territories. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Advantage Star Ratings 2026 · 2026-09-01
Counties in Puerto Rico
Click a county to see all Medicare Advantage plans available in your area.
Narrower markets: star ratings and county rows matter more than state totals.
Read our methodology - how this data is sourced, computed, and verified.
Using Puerto Rico's Medicare Advantage market
Plan availability and star ratings vary by county, not just by state.
- Puerto Rico beneficiaries can choose from 43 distinct Medicare Advantage plans across 78 counties (#40 of 49 states by plan count) - look up your own county for what's actually sold there. Browse by county
- The state's mean CMS star rating ranks #1 of 49 - see how star ratings are built before comparing plans. How star ratings work
- Weigh total cost, not just premium: compare plan details using Medicare.gov before you enroll. Medicare Plan Compare
State-level figures average every county's filings; the plans actually sold where you live can differ from the state total.
PlainMedicare is rendered directly from CMS Medicare Advantage and Part D public files, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a correction. Data current as of 2026-09-01.
CMS lists 131,985 Medicare Advantage and Part D plan records in the current public files. PlainMedicare refreshes this registry with each annual release.