In the state of Minnesota, there are state laws which supersede the federal rules for Medicare supplements. Therefore, the Medicare supplement plans in Minnesota are different than in most other states.
Here are the benefits you should know about that are available in Minnesota:
Benefits Covered Medigap Plans in Minnesota
There are two types of Medicare Supplement plans in Minnesota. They are called the Basic plan and the Extended Basic plan. Both Medicare supplements in Minnesota all cover a set of basic benefits. These benefits include the coinsurance for Part A and Part B, 3 pints of blood per year and some hospice and home health services.
Both plans also cover 20% for outpatient mental healthcare and 20% for physical therapy. There are some state-mandated benefits or other things as well, like flu shots and immunizations, various screenings for cancer and diabetes-related equipment.
The Basic Medicare Supplement Plan in Minnesota
The Basic plan covers everything mentioned above, as well as 100 days of skilled nursing facility care.
Any beneficiary enrolling in Medigap can rest assured that these minimum benefits are included no matter which Medigap plan you purchase and no matter which insurance company you buy that plan from.
The Extended Basic Medicare Supplement Plan in Minnesota
The Minnesota Extended Basic plan includes all the same benefits of the Basic Plan with some additional benefits added. People who want their Part A hospital and Part B outpatient deductibles covered may want to consider the Extended Plan. Prices vary among carriers, so working with an independent insurance agent who specializes in Medigap products is an easy way to compare prices.
The Extended Basic plan also covers 20 extra days in a skilled nursing facility. Under this plan, you’ll also have access to a few other benefits you won’t find in the Basic plan, such as 80% coverage for usual and customary fees and 80% coverage in a foreign country. After you have spent $1,000 out of pocket for the year with an Extended Basic plan, that 80% coverage for these benefits turns to 100% coverage.
Legislation has passed making it illegal for carriers to sell plans to new Medicare enrollees that cover the Part B deductible. After December 31, 2019, the Part B deductible benefit will be delete from the Extended Basic plan in Minnesota. The additional rider will also go away if you are a new Medicare enrollee in 2020 or later.
Additional Riders You Can Add to Medicare Supplements in Minnesota
There are four mandatory riders that insurance carriers in Minnesota much offer at an additional price. These rides can be added to any Basic plan in Minnesota. The four riders are the Part A deductible, the Part B deductible, usual and customary fee coverage, and non-Medicare preventive care coverage.
Note that Minnesota also offers plans similar to Medigap plans K, L, M, and N.
No Medicare Excess Charges in Minnesota
Medicare excess charges occur when a Medicare provider does not accept Medicare’s assigned rates. They can charge you an extra 15% in some states. However, in Minnesota, state law prohibits doctors from charging excess charges. This means you don’t have to worry about any excess charges from providers in your state.
Medicare Advantage Plans in Minnesota
If Medicare supplement plans in Minnesota are out of your budget, you might look at Medicare Advantage plans. Also called Part C plans, Advantage plans are private health insurance which pays for your Medicare services. Most plans have a network, such as an HMO or PPO network. You treat with in-network providers, so your monthly premiums are lower than Medigap.
You’ll instead pay copays for services as you go along. Medicare Advantage plans in Minnesota often include Part D drug coverage rolled into the plan. Some plans also have extras like routine vision, dental, hearing, and gym memberships. Each plan works a little differently. We can run a list of plans available in your county to help you review all options.
Find Most Cost-Effective for You
Because we represent 25+ carriers around the nation, we can help compare each type of plan available in your area from multiple carriers all at once. Call us at 855-732-9055 or hit the button below to speak with a Minnesota licensed Boomer Benefits agent today.