Puerto Rico · 2026 plan year

Medicare Advantage plans in Puerto Rico

Puerto Rico has 176 Medicare Advantage plans from 5 carriers, averaging 4.82 out of 5 stars across the 150 plans CMS has rated. The first real decision is HMO or PPO — how far you can go outside the plan’s network, and what that freedom costs.

176
Medicare Advantage plans
5
Carriers
78
Counties covered
4.8
Avg stars (150 of 176 rated)
A $0 plan premium is not a free plan. You still pay your Part B premium to Medicare, plus copays and coinsurance as you use care. CMS publishes star ratings per contract, so plans a carrier files under one contract all share a rating.

Puerto Rico has 104 five-star Medicare Advantage HMO plans.

Of the 146 HMO plans here, 104 carry CMS's top overall rating of 5 stars and 146 rate 4 or above. That matters beyond quality: a 5-star plan can be joined at almost any point in the year through a special enrollment period, rather than only during the autumn window.

By plan type

HMO and PPO in Puerto Rico, compared

Plan typePlansCarriersAvg starsAvg out-of-pocket max
HMO14634.86$6,425
PPO3033.50Not published
Also available

Other Medicare coverage

Every figure on this page covers HMO and PPO plans. A small number of PFFS and Cost plans are sold in some states and are not included above — there are too few nationally (71 across 17 states) to compare meaningfully. Standalone Part D drug plans and PACE programmes are different products entirely and are not Medicare Advantage; you can find any available on the full Puerto Rico plan list. Puerto Rico has 104 five-star plans, which can be joined outside the normal enrolment window.

Other states

Compare another state

All 51states → · Medicare Advantage vs Original Medicare

Stars are one signal.
Your care is the rest.

Simplivera scores every Puerto Rico plan against how much care you actually expect to use.

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