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MMM Supremo (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for MMM Supremo (HMO C-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on MMM Supremo (HMO C-SNP) in 2026, please refer to our full plan details page.
MMM Supremo (HMO C-SNP) is a HMO C-SNP plan offered by Elevance Health, Inc. available for enrollment in 2025 to people living in Puerto Rico. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that MMM Supremo (HMO C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
MMM Supremo (HMO C-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about MMM Supremo (HMO C-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For MMM Supremo (HMO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $25.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has no drug deductible. Your prescription medication coverage will start immediately.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $3250.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The MMM Supremo (HMO C-SNP) Medicare plan features a $0 drug deductible, allowing your prescription drug coverage to begin immediately without any upfront out-of-pocket costs. Members will pay no copay for Tier 1 preferred generics, Tier 2 generics, Tier 3 preferred brands, and Tier 7 select care drugs when using standard pharmacies or standard mail order services. For higher-tier medications, Tier 4 non-preferred drugs carry a $20 copay for a one-month supply and a $40 copay for a three-month supply. Specialty prescriptions require coinsurance, with Tier 5 preferred specialty drugs costing 25% coinsurance and Tier 6 specialty drugs requiring 33% coinsurance for a one-month supply at standard pharmacies.
Additional Benefits
The MMM Supremo (HMO C-SNP) plan offers highly affordable coverage, with no copays and no coinsurance for many essential healthcare services. Members benefit from no copay on primary care, specialist visits, preventive care, home health services, and skilled nursing facility stays. Additionally, valuable supplemental benefits like routine dental care up to a $2,500 annual limit, vision eyewear up to $500 annually, and hearing aids up to $1,000 every three years are covered with no copays or coinsurance. For other medical needs, members can expect predictable out-of-pocket costs, such as a $25 copay for outpatient hospital services, a $75 copay for emergency room visits, and a 20% coinsurance for dialysis services. While many diagnostic labs, durable medical equipment, and up to 16 one-way transportation trips are fully covered with no copay, most specialized treatments and hospital stays require prior authorization.
Inpatient Hospital See details
Inpatient hospital services are partially covered by MMM Supremo (HMO C-SNP) with no coinsurance, requiring prior authorization for all stays. Acute inpatient stays feature no copay and cover unlimited additional days, while psychiatric stays require a $50 copay per admission, though upgrades and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services covered by MMM Supremo (HMO C-SNP) feature no coinsurance, with outpatient hospital services requiring a $25 copay and observation services costing a $0 to $50 copay per stay. Ambulatory surgical center and outpatient blood services are provided with no copay and no coinsurance. Outpatient substance abuse sessions have a $7 copay with no coinsurance, and prior authorization is required for most services.
Partial Hospitalization See details
MMM Supremo (HMO C-SNP) covers partial hospitalization services with no copay and no coinsurance, although prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered by MMM Supremo (HMO C-SNP), with ground and air ambulance services not covered under the plan. Transportation is covered with no copay and no coinsurance for up to 16 one-way trips per year to plan-approved health-related locations, though trips to any health-related location are not covered and prior authorization is required.
Emergency Services See details
MMM Supremo (HMO C-SNP) covers emergency services with a $75 copay (waived if admitted to the hospital within 24 hours) and no coinsurance, while urgently needed services have no copay or coinsurance. Worldwide emergency and urgent care are partially covered with a $100 copay and no coinsurance up to a $500 maximum benefit limit, but worldwide emergency transportation is not covered.
Primary Care See details
MMM Supremo (HMO C-SNP) provides primary care, specialist, telehealth, and podiatry services with no copay and no coinsurance. Physical and occupational therapy require a $4 copay with no coinsurance, while chiropractic care is partially covered with a $7 copay and no coinsurance, excluding other non-routine chiropractic services. Mental health and psychiatric services feature copays up to $7 with no coinsurance, and opioid treatment has a 10% coinsurance with no copay.
Preventive Services See details
MMM Supremo (HMO C-SNP) partially covers preventive services with no copay and no coinsurance, although prior authorization is required for certain benefits. While Medicare-covered preventive services, kidney disease education, and select alternative therapies are included, several services like annual physical exams, weight management programs, therapeutic massages, and in-home support are not covered.
Hearing Services See details
MMM Supremo (HMO C-SNP) covers hearing exams and prescription hearing aids with no copay and no coinsurance, subject to prior authorization. Hearing services are partially covered, as OTC hearing aids and inner ear, outer ear, and over the ear prescription hearing aids are not covered. Covered prescription aids are limited to a $1,000 maximum benefit every three years, with routine exams and fitting evaluations limited to one per year.
Vision Services See details
MMM Supremo (HMO C-SNP) provides partially covered vision services with no copay, no coinsurance, and no deductible, though prior authorization is required. The plan covers one routine eye exam per year and offers up to $500 annually for contact lenses and eyeglasses (lenses and frames), while other eye exam services, individual eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
MMM Supremo (HMO C-SNP) dental services are partially covered with no copay and no coinsurance for covered services, though prior authorization is required for most. While preventive and select comprehensive services are covered up to a $2,500 annual maximum, maxillofacial prosthetics and orthodontics are not covered.
Home Infusion bundled Services See details
MMM Supremo (HMO C-SNP) covers Home Infusion bundled Services with prior authorization and step therapy. Covered Medicare Part B insulin drugs require a $35 copay and no coinsurance, while other Part B drugs feature coinsurance ranging from no coinsurance to 20% and copays ranging from no copay to $20.
Dialysis Services See details
Dialysis Services are covered by MMM Supremo (HMO C-SNP) with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
MMM Supremo (HMO C-SNP) covers durable medical equipment with no copay and no coinsurance, though prior authorization is required. While some prosthetics, medical supplies, and diabetic equipment services are covered with no copay or coinsurance, specific sub-services like prosthetic devices, medical supplies, diabetic supplies, and therapeutic shoes or inserts are not covered.
Diagnostic and Radiological Services See details
MMM Supremo (HMO C-SNP) partially covers diagnostic and radiological services with no copay and no coinsurance, subject to prior authorization. Covered benefits include lab services and diagnostic radiological services, while diagnostic procedures or tests, therapeutic radiological services, and outpatient x-ray services are not covered.
Home Health Services See details
Home Health Services are covered under MMM Supremo (HMO C-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are offered under MMM Supremo (HMO C-SNP) with no copay and no coinsurance. However, only some services are covered, while cardiac, intensive cardiac, pulmonary, and SET for PAD services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by MMM Supremo (HMO C-SNP) with no copay and no coinsurance, although prior authorization is required. The plan allows admission without a prior three-day inpatient hospital stay, but additional days beyond the Medicare-covered limit are not covered.
Other Services See details
MMM Supremo (HMO C-SNP) partially covers other services, providing over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture, Naloxone, and other select services are not covered, and the meal benefit requires a referral and prior authorization.
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