2027 Medicare Advantage plan

MMM Preciso Platino (HMO D-SNP): 2027 benefits and costs

Medicare y Mucho Mas (MMM) HMO D-SNP Special Needs Plan

CMS plan ID: H4004-076-3 · Plan year: 2027

MMM Preciso Platino (HMO D-SNP) is a 2027 Medicare Advantage plan offered by Medicare y Mucho Mas (MMM). It is listed in Puerto Rico.

2027 plan costs at a glance

Monthly plan premium$0.00

Drug deductible$700.00

In-network medical out-of-pocket maximum$3,250.00

Costs shown are before Medicaid or Extra Help; your costs depend on your eligibility and assistance.

Organization: Medicare y Mucho Mas (MMM)
Plan organization: MMM HEALTHCARE, LLC
Parent company: Elevance Health, Inc.
Plan type: HMO D-SNP
Part C premium: $0.00
Part D premium: $0.00
Prescription drug coverage: Yes
Special Needs Plan type: Dual-Eligible
2027 CMS Star Rating

Standard monthly Medicare Part B premium: $209.50 (estimated)
Monthly Part B premium after plan reduction: $167.50 (estimated)$209.50 standard premium less $42.00 plan reduction.

You must continue to pay your Medicare Part B premium.

In-network medical deductible: None
In-network medical maximum: $3,250.00

Part B premium reduction: $42.00

Who can join this Special Needs Plan?

This plan is for people who qualify for both Medicare and Medicaid. The plan must confirm the required Medicaid eligibility level. Your costs can depend on your assistance level.

Plan eligibility type: Dual-Eligible

2027 benefit summary

Doctor visits and medical care

Common medical services and member costs
Service	In-network	What to know
Primary care doctor	$0 Service-specific deductible No
Specialist visit	$0 Service-specific deductible No	Approval required Yes Referral required Yes
Telehealth	$0 Service-specific deductible No	Approval required Yes Referral required No
Emergency care	$0
Urgent care	$0
Home health	$0 Service-specific deductible No	Approval required Yes Referral required No
Dialysis	$0 Service-specific deductible No	Approval required Yes Referral required No
Part B chemotherapy and radiation drugs	$0 Deductible applies No	Approval required Yes
Other Part B drugs	$0 Deductible applies No	Approval required Yes
Kidney disease education services	$0 Service-specific deductible No	Approval required Yes Referral required No
Medicare-covered chiropractic	$0 Service-specific deductible No	Approval required Yes Referral required Yes
Medicare-covered foot care	$0 Service-specific deductible No	Approval required Yes Referral required Yes
Other health professionals	$0 Service-specific deductible No	Approval required Yes Referral required Yes

Hospital, outpatient surgery and observation care

Hospital, outpatient surgery and observation care and member costs
Service	In-network	What to know
Outpatient hospital care	$0 Service-specific deductible No
Hospital observation services	$0 Service-specific deductible No
Ambulatory surgical center	$0 Service-specific deductible No	Approval required Yes Referral required No
Outpatient blood	$0 Service-specific deductible No	Approval required Yes Referral required No

Tests, imaging and laboratory services

Tests, imaging and laboratory services and member costs
Service	In-network	What to know
Diagnostic procedures and tests	$0 Service-specific deductible No	Approval required Yes Referral required No
Laboratory services	$0 Service-specific deductible No	Approval required Yes Referral required No
Diagnostic radiology (CT, MRI)	$0 Service-specific deductible No	Approval required Yes Referral required No
Therapeutic radiology	$0 Service-specific deductible No	Approval required Yes Referral required No
X-rays	$0 Service-specific deductible No	Approval required Yes Referral required No

Mental health and substance use treatment

Mental health and substance use treatment and member costs
Service	In-network	What to know
Partial hospitalization	$0 Service-specific deductible No	Approval required Yes Referral required Yes
Intensive outpatient program	$0 Service-specific deductible No	Approval required Yes Referral required Yes
Substance use treatment, individual sessions	$0 Service-specific deductible No	Approval required Yes Referral required Yes
Substance use treatment, group sessions	$0 Service-specific deductible No	Approval required Yes Referral required Yes
Opioid treatment program	$0 Service-specific deductible No	Approval required Yes Referral required No
Mental health, individual sessions	$0 Service-specific deductible No	Approval required Yes Referral required Yes
Mental health, group sessions	$0 Service-specific deductible No	Approval required Yes Referral required Yes
Psychiatry, individual sessions	$0 Service-specific deductible No	Approval required Yes Referral required Yes
Psychiatry, group sessions	$0 Service-specific deductible No	Approval required Yes Referral required Yes

Therapy and rehabilitation

Therapy and rehabilitation and member costs
Service	In-network	What to know
Occupational therapy	$0 Service-specific deductible No	Approval required Yes Referral required Yes
Physical and speech therapy	$0 Service-specific deductible No	Approval required Yes Referral required No
Cardiac rehabilitation	$0 Service-specific deductible No	Approval required Yes Referral required Yes
Intensive cardiac rehabilitation	$0 Service-specific deductible No	Approval required Yes Referral required Yes
Pulmonary rehabilitation	$0 Service-specific deductible No	Approval required Yes Referral required Yes
Supervised exercise for peripheral artery disease	$0 Service-specific deductible No	Approval required Yes Referral required Yes

Ambulance, medical equipment and supplies

Ambulance, medical equipment and supplies and member costs
Service	In-network	What to know
Ground ambulance	$0 Service-specific deductible No	Approval required Yes
Air ambulance	$0 Service-specific deductible No	Approval required Yes
Durable medical equipment	0% to 10% coinsurance Service-specific deductible No	Approval required Yes
Prosthetic devices	20% coinsurance Service-specific deductible No	Approval required Yes
Medical supplies	20% coinsurance Service-specific deductible No	Approval required Yes
Diabetic supplies	$0 Service-specific deductible No	Approval required Yes
Diabetic shoes and inserts	$0 Service-specific deductible No	Approval required Yes
Diabetic monitors	$0 Service-specific deductible No	Approval required Yes

Dental benefits

Dental benefits and member costs
Service	In-network	What to know
Medicare-covered dental	$0
Restorative dental careAdditional plan benefit	$0
Removable dentures (prosthodontics)Additional plan benefit	$0
Dental implantsAdditional plan benefit	$0
Fixed dental restorations (prosthodontics)Additional plan benefit	$0
Other dental servicesAdditional plan benefit	$0

Vision benefits

Vision benefits and member costs
Service	In-network	What to know
Medicare-covered eye exams	$0 Service-specific deductible No	Approval required Yes Referral required No
Medicare-covered eyewear	$0 Service-specific deductible No	Approval required Yes Referral required No
Contact lensesAdditional plan benefit	$0	Approval required Yes Referral required No
Eyeglasses, lenses and framesAdditional plan benefit	$0	Approval required Yes Referral required No

Hearing benefits

Hearing benefits and member costs
Service	In-network	What to know
Medicare-covered hearing exams	$0 Service-specific deductible No	Approval required Yes Referral required No
Hearing aid fitting and evaluationAdditional plan benefit	$0	Approval required Yes Referral required No
Prescription hearing aids (all types)Additional plan benefit	$0 Service-specific deductible No	Approval required Yes Referral required No

Extra benefits

Extra benefits and member costs
Service	In-network	What to know
Supplemental acupunctureAdditional plan benefit	$0 Service-specific deductible No	Approval required Yes Referral required Yes
Over-the-counter health itemsAdditional plan benefit	$0 Service-specific deductible No
Limited-duration mealsAdditional plan benefit	$0 Service-specific deductible No	Approval required Yes Referral required Yes
Fitness benefitAdditional plan benefit	$0 Service-specific deductible No	Approval required Yes Referral required No

Allowances and optional benefits

OTC COMBINED PACKAGE

One shared limit covers the listed services, not a separate allowance for each service.

Services sharing this allowance: Over-the-counter health items; Fitness Benefit; Home and Bathroom Safety Devices and Modifications
How benefits are provided: Catalogue Purchase
Advance choice of benefits required: No
Shared benefit limit: $45.00
How often this limit applies: Every three months
Shared limit on visits or trips: No

Benefits for qualifying members

DEBIT CARD

The plan must confirm eligibility, including any qualifying condition.

Qualifying conditions: Chronic alcohol use disorder and other substance use disorders (SUDs); Autoimmune disorders; Cancer; Cardiovascular disorders; Chronic heart failure; Dementia; Diabetes mellitus; Overweight, obesity, and metabolic syndrome; Chronic gastrointestinal disease; Chronic kidney disease (CKD); Severe hematologic disorders; HIV/AIDS; Chronic lung disorders; Chronic and disabling mental health conditions; Neurologic disorders; Stroke; Post-organ transplantation; Immunodeficiency and Immunosuppressive disorders; Conditions associated with cognitive impairment; Conditions with functional challenges; Chronic conditions that impair vision, hearing (deafness), taste, touch, and smell; Conditions that require continued therapy services in order for individuals to maintain or retain functioning; Other 1; Other 2; Other 3; Other 4
Qualifying conditions: Chronic Hypertension
Qualifying conditions: Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%
Qualifying conditions: Osteoporosis
Qualifying conditions: Chronic Back Pain
Covered package services cost $0 until the package limit is reached: No
Benefits that apply to reduced cost sharing: Medicare-covered benefits
Medicare benefits that apply to reduced cost sharing: Durable Medical Equipment (DME); Prosthetic Devices; Medical Supplies
Some package benefits are exempt from the deductible: No
Do you offer reduced Coinsurance?: Yes
Types of benefits that apply to the coinsurance cost sharing: Medicare-covered benefits
Medicare-covered benefits that will receive reduced coinsurance: Durable Medical Equipment (DME); Prosthetic Devices; Medical Supplies
Minimum Coinsurance Percentage for Durable Medical Equipment (DME): 0%
Maximum Coinsurance Percentage for Durable Medical Equipment (DME): 0%
Minimum Coinsurance Percentage for Prosthetic Devices: 0%
Maximum Coinsurance Percentage for Prosthetic Devices: 0%
Minimum Coinsurance Percentage for Medical Supplies: 0%
Maximum Coinsurance Percentage for Medical Supplies: 0%
Service-specific deductible: No
Reduced Copayment?: No
Package limit: $175.00
How benefits are provided: Debit Card

Full package terms are not summarized here.

SSBCI Coverage

The plan must confirm eligibility, including any qualifying condition.

Qualifying conditions: Chronic alcohol use disorder and other substance use disorders (SUDs); Autoimmune disorders; Cancer; Cardiovascular disorders; Chronic heart failure; Dementia; Diabetes mellitus; Overweight, obesity, and metabolic syndrome; Chronic gastrointestinal disease; Chronic kidney disease (CKD); Severe hematologic disorders; HIV/AIDS; Chronic lung disorders; Chronic and disabling mental health conditions; Neurologic disorders; Stroke; Post-organ transplantation; Immunodeficiency and Immunosuppressive disorders; Conditions associated with cognitive impairment; Conditions with functional challenges; Chronic conditions that impair vision, hearing (deafness), taste, touch, and smell; Conditions that require continued therapy services in order for individuals to maintain or retain functioning; Other 1; Other 2; Other 3; Other 4
Qualifying conditions: Chronic Hypertension
Qualifying conditions: Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%
Qualifying conditions: Osteoporosis
Qualifying conditions: Chronic Back Pain
Included services: Over-the-counter health items; Food and produce; Additional meal benefits; Pest control; Transportation for non-medical needs; Indoor Air Quality Equipment and Services; Social support benefit; Support for daily living; Other 1 Non-Primarily Health Related Benefit; Other 3 Non-Primarily Health Related Benefit; Fitness Benefit; Home and Bathroom Safety Devices and Modifications; Oral Exams; Dental X-Rays; Other Diagnostic Dental Services; Restorative dental care; Root canal treatment (endodontics); Gum treatment (periodontics); Removable dentures (prosthodontics); Implant Services; Fixed dental restorations (prosthodontics); Oral and Maxillofacial Surgery; Adjunctive General Services; Contact Lenses; Eyeglasses (lenses and frames); Upgrades; Hearing aid fitting and evaluation; Prescription Hearing Aids (all types)
Some package benefits are exempt from the deductible: No
Package limit: $175.00
How often this limit applies: Every month
How benefits are provided: Debit Card
Services sharing the package limit: Over-the-counter health items; Food and produce; Additional meal benefits; Pest control; Transportation for non-medical needs; Indoor Air Quality Equipment and Services; Social support benefit; Support for daily living; Other 1 Non-Primarily Health Related Benefit; Other 3 Non-Primarily Health Related Benefit; Fitness Benefit; Home and Bathroom Safety Devices and Modifications; Oral Exams; Dental X-Rays; Other Diagnostic Dental Services; Restorative dental care; Root canal treatment (endodontics); Gum treatment (periodontics); Removable dentures (prosthodontics); Implant Services; Fixed dental restorations (prosthodontics); Oral and Maxillofacial Surgery; Adjunctive General Services; Contact Lenses; Eyeglasses (lenses and frames); Upgrades; Hearing aid fitting and evaluation; Prescription Hearing Aids (all types)

Full package terms are not summarized here.

Prescription drug coverage

Costs shown are for initial coverage.

This plan uses a non-tiered standard drug benefit; individual drug prices are not listed here.

Available prescription supply lengths, not price quotes
Pharmacy	Supply
Standard retail	30 days
Standard retail	90 days
Standard mail order	90 days
Out-of-network pharmacy	30 days
Long-term care pharmacy	31 days

Where this plan is offered

CMS lists this plan in 1 state or territory. Availability can vary by county and ZIP code.

View all locations 42 county listings across 1 state or territory