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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 prescription medications before your plan coverage begins to pay. Specific drug coverage tier details, including individual copays and coinsurance amounts, are currently unavailable for this plan. To determine how your specific medications are covered and what your final costs will be, you should consult the plan's comprehensive formulary.
Additional Benefits
The MMM Relax Platino (HMO D-SNP) plan offers comprehensive coverage with no copay and no coinsurance for essential medical needs, including inpatient hospital stays, primary care, specialist visits, and outpatient services. Beneficiaries also receive emergency services and up to 24 one-way transportation trips to approved health locations at no cost. While local emergency care has no copay, worldwide emergency services are covered with a 75 dollar copay up to a 500 dollar maximum. Supplemental benefits are highly accessible, featuring no copays, deductibles, or coinsurance for dental services up to a 2,000 dollar annual limit, vision care up to 600 dollars annually, and hearing aids up to 600 dollars every three years. Durable medical equipment is covered with no copay and zero to ten percent coinsurance, while prosthetic devices carry a twenty percent coinsurance. Additionally, acupuncture, over-the-counter items, and meal benefits for chronic illnesses are fully covered with no copay and no coinsurance.
Inpatient Hospital See details
MMM Relax Platino (HMO D-SNP) covers inpatient acute and psychiatric hospital stays with no copay and no coinsurance per admission, though prior authorization is required. This benefit is partially covered, as additional days, room upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services are covered by MMM Relax Platino (HMO D-SNP) with no copay and no coinsurance for outpatient hospital, ambulatory surgical center, and blood services. For outpatient substance abuse, some services are covered, but individual and group sessions are not covered.
Partial Hospitalization See details
MMM Relax Platino (HMO D-SNP) covers partial hospitalization services with no copay and no coinsurance. Prior authorization and a referral are required to access this benefit.
Ambulance and Transportation Services See details
Ambulance services are not covered under MMM Relax Platino (HMO D-SNP), but the plan does offer transportation benefits. Covered transportation includes up to 24 one-way trips per year to plan-approved health-related locations with no copay and no coinsurance, though prior authorization is required and transportation to any health-related location is not covered.
Emergency Services See details
MMM Relax Platino (HMO D-SNP) offers emergency and urgently needed services with no copay and no coinsurance. Worldwide emergency and urgent care are partially covered up to a $500 maximum with a $75 copay and no coinsurance, though worldwide emergency transportation is not covered.
Primary Care See details
MMM Relax Platino (HMO D-SNP) covers primary care, specialist, therapy, and telehealth services with no copay and no coinsurance. Routine chiropractic and podiatry services are partially covered for up to 6 visits per year at no cost, though individual and group sessions for psychiatric and mental health specialty services are not covered.
Preventive Services See details
MMM Relax Platino (HMO D-SNP) offers partially covered preventive services with no copay and no coinsurance, although prior authorization is required for most services. While benefits like health education, alternative therapies, and fitness are included, the plan does not cover annual physical exams, in-home safety assessments, personal emergency response systems, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, weight management, therapeutic massage, adult day health, palliative care, in-home support, caregiver support, disease management, telemonitoring, and counseling.
Hearing Services See details
Hearing services are covered by MMM Relax Platino (HMO D-SNP) with no copay and no coinsurance, including one annual hearing aid fitting evaluation and up to $600 every three years for prescription hearing aids with prior authorization. However, this benefit is only partially covered as routine hearing exams, OTC hearing aids, and inner-ear, outer-ear, or over-the-ear prescription hearing aids are not covered.
Vision Services See details
Vision services are partially covered by MMM Relax Platino (HMO D-SNP) with no copay, no coinsurance, and no deductible, though prior authorization is required. Contact lenses and eyeglasses (lenses and frames) are covered up to a $600 annual limit, but routine eye exams, other eye exam services, individual eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services are partially covered by MMM Relax Platino (HMO D-SNP) with no copay and no coinsurance for Medicare-covered dental, restorative, adjunctive, implant, and prosthodontic services, up to a $2,000 annual limit with prior authorization. However, routine preventive care (such as exams, cleanings, and x-rays), 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. Under this benefit, Medicare Part B insulin is covered with no copay and no coinsurance, but Medicare Part B chemotherapy, radiation, and other Part B drugs are not covered.
Dialysis Services See details
Dialysis Services are covered by MMM Relax Platino (HMO D-SNP) with no copay and no coinsurance, though prior authorization is required.
Medical Equipment See details
MMM Relax Platino (HMO D-SNP) covers durable medical equipment with no copay and 0% to 10% coinsurance, and prosthetic devices and medical supplies with no copay and 20% coinsurance. Diabetic equipment is partially covered with no copay and no coinsurance, though diabetic supplies and therapeutic shoes or inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by MMM Relax Platino (HMO D-SNP) with no copay and no coinsurance, though prior authorization is required. While some services are covered, diagnostic procedures, lab services, therapeutic and diagnostic radiological services, and outpatient X-rays are not covered.
Home Health Services See details
MMM Relax Platino (HMO D-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
MMM Relax Platino (HMO D-SNP) covers some cardiac rehabilitation services with no copay and no coinsurance, although prior authorization and referrals are required. However, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is partially covered by MMM Relax Platino (HMO D-SNP) with no copay and no coinsurance, though prior authorization is required. While the plan allows admission without a prior three-day hospital stay, additional days beyond Medicare-covered SNF stays are not covered.
Other Services See details
MMM Relax Platino (HMO D-SNP) covers acupuncture, over-the-counter (OTC) items, and meal benefits for chronic illnesses with no copay and no coinsurance. Acupuncture is limited to 6 treatments per year up to $500 and requires a referral and prior authorization, while Naloxone is not covered under the OTC benefit.
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