2019 MMM Completo Platino (HMO SNP) H4003-41-0 in PR from MMM Healthcare | HealthPocket

MMM Completo Platino (HMO SNP)

$0/mo

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Zip Code00926
Applicant11/15/1983 Male
Coverage Start11/17/2018
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Benefits & Coverage

Insurance TypeMedicare Advantage Plan (Part C w/ RX)
Insurance ProviderMMM Healthcare
Plan IDH4003-41-0
Plan Year2019
CMS Rating
Plan TypeHMO SNP
Annual Deductible$415.00

What To Know About This Plan
  • This plan has health and drug coverage

Why We Like This Plan
  • has both Health and Drug Coverage
  • has no additional premium costs outside of your Medicare Part B premium

Costs and Other Important Information

Plan Year2019
Prescription Drugs Covered?Yes
Health Plan Deductible$415
Monthly Drug Plan Premium$0
Monthly Health Plan Premium$0

Coverage Area for MMM Completo Platino (HMO SNP)

StatePuerto Rico
CountySan Juan

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Colorectal cancer screening
Annual flu vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Adult BMI assessment

Managing Chronic Conditions

Special needs plan care management
Care for older adults – medication review
Care for older adults – functional status assessment
Care for older adults – Pain screening
Osteoporosis management in women who had a fracture
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Controlling blood pressure
Rheumatoid arthritis management
Reducing the risk of falling
Plan all-cause readmissions

Member Experience with Health Plan

Getting needed care
Getting appointments and care quickly
Customer service
Overall rating of health care quality
Overall rating of plan
Care Coordination

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Members choosing to leave the health plan
Beneficiary access and performance problems
Health plan quality improvement

Health Plan Customer Service

Plan makes timely decision about appeals
Reviewing appeals decisions
Call center – foreign language interpreter and TTY/TDD availability - Medical

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - Drugs
Appeals auto-forwardNot Rated
Appeals upheldNot Rated

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Members choosing to leave the drug plan
Beneficiary access and performance problems
Drug plan quality improvement

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugs

Drug Pricing and Patient Safety

MPF Price Accuracy
High risk medication
Part D medication adherence for diabetes
Part D medication adherence for hypertension
Part D medication adherence for cholesterol
Medication Therapy Management program completion rate

Physicians that accept MMM Completo Platino (HMO SNP) for Puerto Rico

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Diez-delgado, Ricardo
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Herrero Granda, Manuel
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Perez-cuevas, Hortensia
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Salinas-seine, Gloria
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Diaz Rivera, Rafael
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Pena Jimeno, Ivelisse
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Lizasoain Santiago, Aida
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Policlinica Rio Piedras
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Rodriguez Perez, Hector
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Alfonso, Gishlaine
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Rios, Waldemar
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Mendez, Celia
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Lopez-negron, Arturo
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Miro-diaz, Angel
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Lastra Aracil, Juan
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Melendez Ortiz, Eliut
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Ramirez-vazquez, Jose
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Mendoza Rodriguez, Olga
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Santos Gonzalez, Carlos
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Maldonado, Carlos
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Cott, Hector
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Cardona Campos, Rene
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Vera, Enrique
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Blasini, Aida
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Ricardo Diez-delgado, M.D.
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  • Phone Number
    (787) 763-1816
  • Office Locations
    124 Ave Winston Churchill
    San Juan, PR 00926
124 Ave Winston Churchill San Juan PR, 00926
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HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.

Medicare Plans Found

 

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.