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MMM Relax Platino (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for MMM Relax Platino (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on MMM Relax Platino (HMO D-SNP) in 2026, please refer to our full plan details page.
MMM Relax Platino (HMO D-SNP) is a HMO D-SNP plan offered by Elevance Health, Inc. available for enrollment in 2026 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 Relax Platino (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
MMM Relax Platino (HMO D-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 Relax Platino (HMO D-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 Relax Platino (HMO D-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 $92.10. 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 a $615.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
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 Relax Platino (HMO D-SNP) Medicare plan features an annual prescription drug deductible of $615. This deductible represents the amount you must pay out-of-pocket for your medications before the plan begins to cover its share of your prescription costs. Specific drug coverage tier details, such as copayments and coinsurance rates for different tiers, are currently unavailable for this plan. To determine your exact out-of-pocket expenses for specific medications, we recommend reviewing the plan's comprehensive drug formulary.
Additional Benefits
The MMM Relax Platino (HMO D-SNP) plan offers comprehensive coverage with no copay and no coinsurance for the vast majority of its core medical services. Members can access inpatient and outpatient hospital stays, primary care, specialist visits, preventive services, and home health care at no cost. For medical equipment, there is no copay, though durable medical equipment carries a 0% to 10% coinsurance and prosthetics require a 20% coinsurance. This plan also includes valuable supplemental benefits such as dental care up to a $2,000 yearly limit, vision hardware up to a $600 annual maximum, and hearing aids up to $600 every three years, all with no copays or coinsurance. Additionally, members benefit from up to 24 one-way transportation trips per year, acupuncture, and over-the-counter items at no extra cost.
Inpatient Hospital See details
MMM Relax Platino (HMO D-SNP) covers inpatient acute and psychiatric hospital stays with no copay and no coinsurance, subject to prior authorization. The benefit is partially covered, as additional days, non-Medicare-covered stays, and upgrades are not covered.
Outpatient Services See details
MMM Relax Platino (HMO D-SNP) covers outpatient services, including outpatient hospital, ambulatory surgical center, and blood services, with no copay and no coinsurance. Some outpatient substance abuse services are covered, but individual and group sessions are not covered.
Partial Hospitalization See details
Partial hospitalization is covered by MMM Relax Platino (HMO D-SNP) with no copay and no coinsurance, although prior authorization and a referral are required.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered by MMM Relax Platino (HMO D-SNP), offering transportation to plan-approved health-related locations with no copay and no coinsurance. While ambulance services and trips to any health-related location are not covered, members receive up to 24 one-way trips per year via rideshare, van, medical transport, or bus/subway.
Emergency Services See details
MMM Relax Platino (HMO D-SNP) covers emergency and urgently needed services with no copay and no coinsurance. Worldwide emergency services are partially covered up to a $500 maximum limit with no coinsurance and a $75 copay for emergency and urgent care, though worldwide emergency transportation is not covered.
Primary Care See details
MMM Relax Platino (HMO D-SNP) provides primary care, specialist, therapy, and telehealth services with no copay and no coinsurance. Chiropractic care is partially covered up to six routine visits per year, though other chiropractic services are not covered, and while some psychiatric and mental health specialty services are covered, individual and group sessions for these services are not.
Preventive Services See details
MMM Relax Platino (HMO D-SNP) provides partially covered preventive services with no copay and no coinsurance, although prior authorization is required for most benefits. Several sub-services are not covered under this plan, including annual physical exams, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, weight management, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, enhanced disease management, telemonitoring, and counseling services.
Hearing Services See details
Hearing services are partially covered under the MMM Relax Platino (HMO D-SNP) plan with no copay and no coinsurance, though prior authorization is required. Covered benefits include one hearing aid fitting evaluation per year and up to $600 every three years for prescription hearing aids, but routine hearing exams, OTC hearing aids, and inner, outer, or over-the-ear hearing aids are not covered.
Vision Services See details
MMM Relax Platino (HMO D-SNP) offers partially covered vision services with no copay and no coinsurance, although prior authorization is required. Covered eyewear includes contact lenses and eyeglasses (lenses and frames) up to a $600 annual maximum, but routine eye exams, other eye exam services, individual eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
MMM Relax Platino (HMO D-SNP) partially covers dental services with no copay and no coinsurance up to a $2,000 yearly limit for Medicare dental, restorative, implants, and prosthodontics, with prior authorization required. Routine preventive services (exams, cleanings, x-rays, fluoride), endodontics, periodontics, maxillofacial prosthetics, oral surgery, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are partially covered by MMM Relax Platino (HMO D-SNP) with no copay and no coinsurance, although prior authorization and step therapy are required. While Medicare Part B insulin drugs are covered, Medicare Part B chemotherapy/radiation drugs and other Medicare Part B drugs are not covered.
Dialysis Services See details
MMM Relax Platino (HMO D-SNP) covers Dialysis Services with no copay and no coinsurance, although prior authorization is required.
Medical Equipment See details
MMM Relax Platino (HMO D-SNP) covers medical equipment with no copays and required prior authorization, featuring 0% to 10% coinsurance for durable medical equipment and 20% coinsurance for prosthetics and medical supplies. While diabetic equipment is covered with no coinsurance, diabetic supplies and therapeutic shoes or inserts are not covered under this plan.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under MMM Relax Platino (HMO D-SNP) with no copay and no coinsurance, though prior authorization is required. Only some services are covered, as diagnostic procedures and tests, lab services, diagnostic radiological services, therapeutic radiological services, and outpatient X-ray services are not covered.
Home Health Services See details
Home Health Services are covered by MMM Relax Platino (HMO D-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
MMM Relax Platino (HMO D-SNP) offers some services under its Cardiac Rehabilitation Services benefit with no copay and no coinsurance, though prior authorization and referrals are required. However, standard Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD services are not covered.
Skilled Nursing Facility (SNF) See details
MMM Relax Platino (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no copay and no coinsurance, though prior authorization is required. While the plan allows for admission without a prior three-day inpatient hospital stay, additional days beyond standard Medicare-covered days are not covered.
Other Services See details
MMM Relax Platino (HMO D-SNP) covers other services including acupuncture, over-the-counter (OTC) items, and meals for chronic illnesses with no copay and no coinsurance. This benefit is partially covered, as Naloxone, certain drugs on the CMS OTC list, and highly integrated services for dual-eligible SNPs are not covered.
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