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Top-Rated Medicare Advantage Plans in Puerto Rico for 2027

MCS Classicare, Triple S Advantage and Elevance Health (Anthem) have 2027 plans in Puerto Rico rated 4.5 stars or higher by Medicare in the 2027 CMS Star Ratings.

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2027 CMS Star Ratings

Top-rated Medicare Advantage plans in Puerto Rico (2027 CMS Star Ratings)

Of the 63 Medicare Advantage plans offered in Puerto Rico for 2027, 37 are rated 5 stars, 26 are rated 4.5 stars and 0 are rated 4 stars in the 2027 CMS Star Ratings, each plan counted once however many counties it serves.

2027 CMS Star Ratings of the Medicare Advantage plans offered in Puerto Rico, highest first (top 50 of 63)
PlanInsurerPlan type2027 overall rating
Ahorro Plus (HMO)Triple S AdvantageHMO5 out of 5
Ahorro Plus (HMO)Triple S AdvantageHMO5 out of 5
Ahorro Plus (HMO)Triple S AdvantageHMO5 out of 5
Brillante (HMO-POS)Triple S AdvantageHMO-POS5 out of 5
Contigo Plus (HMO C-SNP)Triple S AdvantageHMO C-SNP5 out of 5
ContigoEnMente (HMO C-SNP)Triple S AdvantageHMO C-SNP5 out of 5
Enlace Plus (HMO)Triple S AdvantageHMO5 out of 5
MCS Classicare Efectivo (HMO)MCS ClassicareHMO5 out of 5
MCS Classicare En Tu Hogar (HMO)MCS ClassicareHMO5 out of 5
MCS Classicare Essential (HMO-POS)MCS ClassicareHMO-POS5 out of 5
MCS Classicare Estrella (HMO)MCS ClassicareHMO5 out of 5
MCS Classicare Excede (HMO)MCS ClassicareHMO5 out of 5
MCS Classicare Excede (HMO)MCS ClassicareHMO5 out of 5
MCS Classicare Excede (HMO)MCS ClassicareHMO5 out of 5
MCS Classicare Firme (HMO)MCS ClassicareHMO5 out of 5
MCS Classicare Hero (HMO)MCS ClassicareHMO5 out of 5
MCS Classicare InteliCare (HMO)MCS ClassicareHMO5 out of 5
MCS Classicare Patriot (HMO)MCS ClassicareHMO5 out of 5 (health plan rating)
MCS Classicare Platino 202 (HMO D-SNP)MCS ClassicareHMO D-SNP5 out of 5
MCS Classicare Platino Ideal (HMO D-SNP)MCS ClassicareHMO D-SNP5 out of 5
MCS Classicare Platino Maximo (HMO D-SNP)MCS ClassicareHMO D-SNP5 out of 5
MCS Classicare Platino Maximo (HMO D-SNP)MCS ClassicareHMO D-SNP5 out of 5
MCS Classicare Platino Maximo (HMO D-SNP)MCS ClassicareHMO D-SNP5 out of 5
MCS Classicare Platino Progreso (HMO D-SNP)MCS ClassicareHMO D-SNP5 out of 5
MCS Classicare Platino Total (HMO D-SNP)MCS ClassicareHMO D-SNP5 out of 5
MCS Classicare Platino Ultra (HMO D-SNP)MCS ClassicareHMO D-SNP5 out of 5
MCS Classicare Primero (HMO C-SNP)MCS ClassicareHMO C-SNP5 out of 5
MCS Classicare RxMax (HMO)MCS ClassicareHMO5 out of 5
PLATINO ADVANCE (HMO D-SNP)Triple S AdvantageHMO D-SNP5 out of 5
PLATINO ADVANCE (HMO D-SNP)Triple S AdvantageHMO D-SNP5 out of 5
PLATINO ADVANCE (HMO D-SNP)Triple S AdvantageHMO D-SNP5 out of 5
Platino Enlace (HMO D-SNP)Triple S AdvantageHMO D-SNP5 out of 5
PLATINO PLUS (HMO D-SNP)Triple S AdvantageHMO D-SNP5 out of 5
PLATINO PLUS (HMO D-SNP)Triple S AdvantageHMO D-SNP5 out of 5
PLATINO PLUS (HMO D-SNP)Triple S AdvantageHMO D-SNP5 out of 5
Platino Uno (HMO D-SNP)Triple S AdvantageHMO D-SNP5 out of 5
Platino Vita Plus (HMO D-SNP)Triple S AdvantageHMO D-SNP5 out of 5
MMM Balance (HMO-POS)Elevance Health (Anthem)HMO-POS4.5 out of 5
MMM Balance (HMO-POS)Elevance Health (Anthem)HMO-POS4.5 out of 5
MMM Balance (HMO-POS)Elevance Health (Anthem)HMO-POS4.5 out of 5
MMM Combo Platino (HMO D-SNP)Elevance Health (Anthem)HMO D-SNP4.5 out of 5
MMM Deluxe (HMO-POS)Elevance Health (Anthem)HMO-POS4.5 out of 5
MMM Diamante Platino (HMO D-SNP)Elevance Health (Anthem)HMO D-SNP4.5 out of 5
MMM Dorado Platino (HMO D-SNP)Elevance Health (Anthem)HMO D-SNP4.5 out of 5
MMM Elite (HMO-POS)Elevance Health (Anthem)HMO-POS4.5 out of 5
MMM Estela (HMO-POS)Elevance Health (Anthem)HMO-POS4.5 out of 5
MMM Estela (HMO-POS)Elevance Health (Anthem)HMO-POS4.5 out of 5
MMM Estela (HMO-POS)Elevance Health (Anthem)HMO-POS4.5 out of 5
MMM Grandioso (HMO-POS)Elevance Health (Anthem)HMO-POS4.5 out of 5
MMM Mega Flex (HMO-POS)Elevance Health (Anthem)HMO-POS4.5 out of 5

Plans are offered county by county, so not every plan is available everywhere in Puerto Rico. Pick your county below for its plans, or use the plan finder on this page.

A plan without Part D drug coverage has no overall rating; its Part C summary rating (health plan rating) is shown instead, as CMS does.

Compare plans for your ZIP code in Medicare's Plan Finder on Medicare.gov.

Top-rated plans in your Puerto Rico county

2027 CMS Star Ratings by county
CountyPlans offeredRated 4 stars or higherHighest rating
Adjuntas Municipio42425 out of 5
Aguada Municipio44445 out of 5
Aguadilla Municipio44445 out of 5
Aguas Buenas Municipio40405 out of 5
Aibonito Municipio39395 out of 5
Anasco Municipio44445 out of 5
Arecibo Municipio43435 out of 5
Arroyo Municipio41415 out of 5
Barceloneta Municipio42425 out of 5
Barranquitas Municipio39395 out of 5
Bayamon Municipio40405 out of 5
Cabo Rojo Municipio42425 out of 5
Caguas Municipio40405 out of 5
Camuy Municipio44445 out of 5
Canovanas Municipio40405 out of 5
Carolina Municipio41415 out of 5
Catano Municipio40405 out of 5
Cayey Municipio39395 out of 5
Ceiba Municipio39395 out of 5
Ciales Municipio42425 out of 5
Cidra Municipio39395 out of 5
Coamo Municipio40405 out of 5
Comerio Municipio39395 out of 5
Corozal Municipio43435 out of 5
Culebra Municipio39395 out of 5
Dorado Municipio40405 out of 5
Fajardo Municipio40405 out of 5
Florida Municipio43435 out of 5
Guanica Municipio42425 out of 5
Guayama Municipio41415 out of 5
Guayanilla Municipio42425 out of 5
Guaynabo Municipio41415 out of 5
Gurabo Municipio40405 out of 5
Hatillo Municipio43435 out of 5
Hormigueros Municipio42425 out of 5
Humacao Municipio40405 out of 5
Isabela Municipio44445 out of 5
Jayuya Municipio42425 out of 5
Juana Diaz Municipio42425 out of 5
Juncos Municipio40405 out of 5
Lajas Municipio43435 out of 5
Lares Municipio42425 out of 5
Las Marias Municipio42425 out of 5
Las Piedras Municipio40405 out of 5
Loiza Municipio39395 out of 5
Luquillo Municipio39395 out of 5
Manati Municipio43435 out of 5
Maricao Municipio42425 out of 5
Maunabo Municipio39395 out of 5
Mayaguez Municipio43435 out of 5
Moca Municipio44445 out of 5
Morovis Municipio42425 out of 5
Naguabo Municipio39395 out of 5
Naranjito Municipio40405 out of 5
Orocovis Municipio42425 out of 5
Patillas Municipio41415 out of 5
Penuelas Municipio43435 out of 5
Ponce Municipio43435 out of 5
Quebradillas Municipio43435 out of 5
Rincon Municipio44445 out of 5
Rio Grande Municipio40405 out of 5
Sabana Grande Municipio42425 out of 5
Salinas Municipio40405 out of 5
San German Municipio42425 out of 5
San Juan Municipio41415 out of 5
San Lorenzo Municipio40405 out of 5
San Sebastian Municipio43435 out of 5
Santa Isabel Municipio40405 out of 5
Toa Alta Municipio41415 out of 5
Toa Baja Municipio41415 out of 5
Trujillo Alto Municipio41415 out of 5
Utuado Municipio43435 out of 5
Vega Alta Municipio43435 out of 5
Vega Baja Municipio43435 out of 5
Vieques Municipio40405 out of 5
Villalba Municipio43435 out of 5
Yabucoa Municipio39395 out of 5
Yauco Municipio43435 out of 5

What Medicare Star Ratings measure

CMS rates every Medicare Advantage contract from 1 to 5 stars each year. For 2027, the health plan (Part C) rating looks at five areas: staying healthy (screenings, tests and vaccines), managing chronic (long-term) conditions, members' experience with the plan, member complaints and changes in the plan's performance, and the plan's customer service. A plan with drug coverage is also rated on four drug plan (Part D) areas: customer service, member complaints and changes in performance, members' experience, and drug safety and accuracy of drug pricing.

The scores come from member surveys, information plans and providers report, and Medicare's own data such as complaints and appeals. The overall rating combines the health and drug plan measures; a plan without drug coverage has a Part C summary rating instead. Ratings are given per contract, so every plan under the same contract carries the same stars.

The 5-star Special Enrollment Period

Medicare's 5-star Special Enrollment Period lets you switch, once, to a plan with a 5-star overall rating that is offered where you live, outside the usual enrollment periods. For plans rated 5 stars for 2027, it runs from December 8, 2026 through November 30, 2027.

In Puerto Rico, 36 Medicare Advantage plans have a 5-star overall rating for 2027, so the 5-star Special Enrollment Period can apply here.

If you switch from a plan with drug coverage to a 5-star plan without it, you could lose your drug coverage, so check before you switch.

Every year, Medicare evaluates plans based on a 5-star rating system.

These ratings are CMS's, not ours, and we do not recommend plans. A rating does not tell you whether a plan covers your doctors and drugs or what it charges.

Source: CMS 2027 Star Ratings Data Tables (Summary Ratings), released October 8, 2026; plans offered: CMS CY2027 Medicare Advantage Landscape file.

More on Medicare Advantage in Puerto Rico

Plans changing or leaving Puerto Rico for 2027Top-rated Medicare Advantage plans in every state

Good to know

Top-rated plans in Puerto Rico: questions (2027)

Which Medicare Advantage plans in Puerto Rico have 5 stars for 2027?
In the 2027 CMS Star Ratings, 37 of the 63 Medicare Advantage plans offered in Puerto Rico have a rating of 5 out of 5 stars: Ahorro Plus (HMO) (Triple S Advantage); Ahorro Plus (HMO) (Triple S Advantage); Ahorro Plus (HMO) (Triple S Advantage); Brillante (HMO-POS) (Triple S Advantage); Contigo Plus (HMO C-SNP) (Triple S Advantage); and 32 more. Every year, Medicare evaluates plans based on a 5-star rating system. A rating does not tell you whether a plan covers your doctors and drugs or what it charges; compare plans for your ZIP code in Medicare's Plan Finder.
What do Medicare Star Ratings measure?
CMS rates every Medicare Advantage contract from 1 to 5 stars each year. For 2027, the health plan (Part C) rating looks at five areas: staying healthy (screenings, tests and vaccines), managing chronic (long-term) conditions, members' experience with the plan, member complaints and changes in the plan's performance, and the plan's customer service. A plan with drug coverage is also rated on four drug plan (Part D) areas: customer service, member complaints and changes in performance, members' experience, and drug safety and accuracy of drug pricing. The scores come from member surveys, information plans and providers report, and Medicare's own data such as complaints and appeals. The overall rating combines the health and drug plan measures; a plan without drug coverage has a Part C summary rating instead. Ratings are given per contract, so every plan under the same contract carries the same stars.
Can I switch to a 5-star Medicare Advantage plan in Puerto Rico outside open enrollment?
Medicare's 5-star Special Enrollment Period lets you switch, once, to a plan with a 5-star overall rating that is offered where you live, outside the usual enrollment periods. For plans rated 5 stars for 2027, it runs from December 8, 2026 through November 30, 2027. In Puerto Rico, 36 Medicare Advantage plans have a 5-star overall rating for 2027, so the 5-star Special Enrollment Period can apply here. If you switch from a plan with drug coverage to a 5-star plan without it, you could lose your drug coverage, so check before you switch. 36 such plans are listed on this page.
Does a higher star rating mean a plan is right for me?
Not by itself. A Star Rating is CMS's measure of a plan's quality and service; it does not tell you whether a plan covers your doctors, hospitals and prescriptions or what it charges. Compare those for your ZIP code in Medicare's Plan Finder, call 1-800-MEDICARE, or talk with a licensed agent. We do not recommend plans.
When does Medicare publish Star Ratings?
CMS publishes Star Ratings every October for the coming plan year. The 2027 ratings on this page were released October 8, 2026. Ratings can change from one year to the next. Every year, Medicare evaluates plans based on a 5-star rating system.
Medicare plans in your area changing for 2027 — check yoursCall