Medicare Advantage in Puerto Rico: what changes for 2027
Every fall, plans change. Here is how Puerto Rico’s Medicare Advantage plans for 2027 compare with 2026, from Medicare’s own plan files. Check your own plan’s Annual Notice of Change too.
- Plans available in 2027
- 45
- ▲ 2 more than 2026 (43)
- $0 monthly premium
- 100%
- of plans, vs 98% in 2026
- Insurance companies
- 3
- 0 new · 0 leaving
What this means for you
- 4 plans offered in 2026 are not offered again in Puerto Rico for 2027. If yours is one of them, your plan must send you a letter before Open Enrollment. Some members are moved into another plan from the same company; the letter says what happens to you, and you can choose a different plan during Open Enrollment.
- 6 plans are new in Puerto Rico for 2027. Some may be existing plans offered under a new plan number.
- Every county with plans has more than 3 to choose from in 2027. Plans still differ by county, so compare the ones offered where you live.
- The highest in-network out-of-pocket limit rose to $7,151 (from $6,751 in 2026). Compare the yearly limit, not just the monthly premium.
Insurance companies
New for 2027
None
Leaving after 2026
None
Staying (A–Z)
- Elevance Health, Inc. (17)
- Guidewell Mutual Holding Corporation (11)
- MHH Healthcare, L.P. (17)
Listed A–Z with 2027 plan counts by parent company. Not a ranking.
Costs and plan types: 2026 vs 2027
| Measure | 2026 | 2027 |
|---|---|---|
| Lowest out-of-pocket limit | $3,250 | $0 |
| Typical (median) limit | $3,400 | $3,400 |
| Highest limit | $6,751 | $7,151 |
| Special Needs Plans | 20 | 21 |
| HMO plans | 42 | 44 |
| PPO plans | 1 | 1 |
Next steps
Sources: CMS Medicare Advantage and Part D Landscape CY2026 (published 202609, retrieved Oct 25, 2026); CMS plan type and in-network yearly limit on what you pay (plan meta) CY2026 (publication date not recorded); CMS Medicare Advantage and Part D Landscape CY2027 (published 202610, retrieved Oct 25, 2026); CMS plan type and in-network yearly limit on what you pay (plan meta) CY2027 (published PY2027, retrieved Oct 25, 2026); PlanScout analysis. Counts are Medicare Advantage plans in Medicare’s Landscape files; stand-alone Part D plans are not included. A plan that is “not offered again” is a 2026 plan ID with no 2027 listing in Puerto Rico. No plan is ranked or recommended.