MMM Balance (HMO-POS)
Available to residents of Loiza County, PR for 2026. Contract H4004, plan 073, segment 3.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $0.00 |
| Plan type | Medicare Advantage |
| Contract / plan | H4004-073-3 |
| Offered by | Medicare y Mucho Mas (MMM) |
| Parent organization | Elevance Health, Inc. |
| Formulary drugs | 3,597 |
CMS star ratings
- Overall
- 5 out of 5 stars for Overall
- Health plan (Part C)
- 5 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 5 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H4004 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $0.00 |
| Tier 3 | $6.00 |
| Tier 4 | $8.00 |
| Tier 5 | 25% |
| Tier 6 | 33% |
| Tier 7 | $0.00 |
Also available in 43 other PR counties
- Aguas Buenas
- Aibonito
- Arroyo
- Barranquitas
- Bayamon
- Caguas
- Canovanas
- Carolina
- Catano
- Cayey
- Ceiba
- Cidra
- Coamo
- Comerio
- Culebra
- Dorado
- Fajardo
- Guayama
- Guayanilla
- Guaynabo
- Gurabo
- Humacao
- Juana Diaz
- Juncos
- Las Piedras
- Luquillo
- Maunabo
- Naguabo
- Naranjito
- Patillas
- Penuelas
- Ponce
- Rio Grande
- Salinas
- San Juan
- San Lorenzo
- Santa Isabel
- Toa Alta
- Toa Baja
- Trujillo Alto
- Vieques
- Villalba
- Yabucoa
Plan facts come from the CMS quarterly prescription drug plan public use files.