Minnesota Medicare Supplement Plans (Medigap)
Medicare Supplement Plans are purchasable for Medicare beneficiaries living in Minnesota. Private insurance companies offer these supplement insurance policies across the country to provide benefits for what’s not covered by Original Medicare.
Out of pocket (OOP) costs associated with deductibles, copayments and coinsurance are included in these plans. The Supplement Plans and Traditional Medicare are separated into parts and plans and will be broken down here.
Minnesota Medicare Plans Explained
Hospital Portion – Medicare Part A includes your hospital coverage and costs associated with inpatient care.
Doctors Portion – Medicare Part B includes you outpatient benefits such as doctors visits and diagnostic testing.
Medicare Advantage – Medicare Part C is considered a Medicare Replacement Plan. This plan takes over coverage of Original Medicare Part A and Part B but comes with policy limitations.
And lastly there is Medicare Part D, or your Prescription Drug Plan (PDP), which provides coverage for your prescription medications.
Next are the Minnesota Medicare Supplement Plans or Medigap Plans. There are 2 plans in Minnesota that offer coverage associated with benefits and cost not provided by your Traditional Medicare.
What Benefits Does Medicare Cover in Minnesota
Whether using your insurance benefits from Medicare Part A or Medicare Part B, both only provide 80% coverage. The 20% coinsurance will be leftover for the Medicare beneficiary to pay.
This can quickly add up which is why it’s smart and financially beneficial to obtain a Medicare Supplement Plan. Minnesota Medicare Supplement Plans can help provided more extensive coverage as well as lower your OOP expenses each month.
Qualifying for Minnesota Medicare Supplement Plans
Medicare Supplement Plans have requirements for eligibility. First, you must be of age 65 and second, currently enrolled in Medicare Part B.
Your Open Enrollment Period (OEP) starts the three months prior to your 65th birthday, the month of your birthday and three months after, leaving you a total of 7 months to obtain coverage.
Failure to enroll during your OEP will result in a penalization. The Part B penalty increases your monthly premiums and an added fee will be included depending on how long you went without coverage.
This can quickly increase the $134.00 a month premium so make sure to obtain coverage during your OEP to avoid any additional OOP costs.
Another way to qualify for a Medicare Supplement Plan in Minnesota is if you return to work and elect to have your employers health care coverage and therefore drop your Medicare Plan B benefits.
Additionally, once you retire and re-elect to enroll in Medicare Part B you become eligible. Either case scenario qualifies you for an additional 6 months of OEP.
Medicare Eligibility for Disabled Individuals Under 65 in Minnesota
Federal law doesn’t require the individual insurance companies to offer Medicare Supplement plans but some state laws do.
Minnesota is one of the states that the law allows for Medicare Supplement Plans. Call today and one of our licensed insurance agents can help you find the best insurance plan if your disabled and residing in Minnesota.
How to Enroll in Medicare Supplement in Minnesota in 2018
During the 7 months of your OEP is the best time to obtain a Medicare Supplement Plan. In addition, during this time you have what is called is called your Guaranteed Issue (GI) right in which you cannot be denied insurance coverage regardless of any pre-existing health issues.
Enrolling outside of your GI, you are subject to the underwriting process which can result in higher monthly premiums or coverage denial due to current health conditions.
Medigap Premiums in Minnesota
Individual insurance premiums are determined by the insurance carriers. Determining factors for premium costs include age, gender and location. Thus meaning, individual plans for a Minneapolis man can vary from an older female residing in Saint Paul.
Additionally, there are 3 different pricing methods used when calculating premium costs. Community rated pricing, issue-age rated pricing and attained-age-rated pricing are the different options your state uses and you can learn more about each method here.
Minnesota Medicare Supplement Plans
Minnesota is 1 of 3 states that carry their own version of Medicare Supplement Plans. There are 2 supplement categories, the Basic Plan and the Basic Extended Plan, both of which carry the standard insurance coverage.
Minnesota Standard Insurance Benefits include:
- Part A coinsurance for inpatient hospital care
- Part B coinsurance for the 20% of Medicare approved medical costs after Medicare pays their 80%
- First 3 pints of blood for a medical procedure
- Part A hospice and respite care cost sharing
- Parts A and B home health services and supplies cost sharing
- Basic benefits listed above
- Part A coinsurance for skilled nursing facility (provides 100 days of care)
- 80% of any emergency care outside of the United States
- 50% of outpatient mental health care
- Preventive care
- 20% of physical therapy
- State mandated benefits
- Diabetic equipment and supplies
- Routine cancer screening
- Reconstructive surgery
Minnesota Medicare Extended Basic Plan Includes:
- Basic benefits
- Inpatient hospital deductible – Part A
- Skilled nursing facility coinsurance (provides 120 days of care) – Part A
- Part B: deductible
- 80% of foreign travel (100% is covered after you reach $1,000 in out of pocket expenses)
- 50% of outpatient mental health
- 80% of excess charges (100% is covered after you reach $1,000 in out of pocket expenses)
- Medicare cover preventive care
- 20% of physical therapy care
- 80% coverage while in a foreign country (100% is covered after you reach $1,000 in out of pocket expenses)
- State mandated benefits for diabetic equipment and supplies, routine cancer screening, reconstructive surgery and immunizations.
The Medigap Extended Basic Plan also pays 100% after you spend $1,000 in out-of-pocket costs. This benefit is effective each calendar year.
Vital Plan Information
There is some additional plan information regarding the insurance benefits in Minnesota. Furthermore, your state offers a modified version of Medigap plan options K, L, M, N and high deductible F.
Additionally, the private insurance companies can offer 4, “optional riders”, that can be added to the Basic Plan benefits. Minnesota optional rider benefits include:
- Part A deductible
- Part B deductible
- Usual and customary fees (Part B excess charges are not allowed in MN)
- Preventive health services
Medicare Advantage Plans in Minnesota
Medicare Part C or Medicare Advantage plans are also offered by the individual insurance carriers. This plan provides the exact same coverage as Medicare Parts A and B.
While typically cheaper than a Medicare Supplement Plan it also has its disadvantages like coverage limitations, cancellation restrictions and in-network providers just to name a few.
While those stipulations may seem minimal, overtime your OOP costs inevitably offsets any money saved with the lower premiums offered.
Once realized, most seniors then opt to purchase a Medicare Supplement Plan over an Advantage Plan as it provides better coverage and costs less overall.
Minnesota Prescription Drug Plans for Medicare
It is essential to obtain a Medicare Part D, or Prescription Drug Plan (PDP), as neither Traditional Medicare or the Supplement Plans offer prescription drug coverage.
Another downside, other than the steep OOP costs associated with prescription medications, is the Part D penalty.
Penalization begins after your IEP has expired and will be added to your monthly premium. Furthermore, The added cost will be determinate on how long you go without drug coverage.
To avoid yet another additional OOP charge it’s essential to obtain drug coverage as soon as you’re eligible for the Medicare coverage.
Learn More About Minnesota Medicare Plans
Medicare Supplement Plans in MN provide the additional help needed to cover the gaps not covered by your Traditional Medicare benefits.
Not only are seniors usually on a fixed income but the research process can be confusing to say the least.
Let us help put your mind at ease and lessen some of the financial burden associated with insurance coverage and cost.
As always, our services are always 100% free and our licensed agents are ready to answer any of your questions. Call or fill out the online form today!
Medicare Resources in Minnesota
The federal Medicare program has free counseling and financial aid available for seniors in need. Most of all, there are national programs like the Centers for Medicare and Medicaid that can provide assistance.
Furthermore, each individual state has their own program that can be found at the SHIP (Senior Health Insurance Counseling Program) Center. To find out more information about Medicare resources in Minnesota you can use your state’s specific program called MinnesotaHelp.
Minnesota Medicare FAQs
- Does Original Medicare in Minnesota pay for preventive doctor visits? Original Medicare covers your one-time, “Welcome to Medicare” visit and your yearly wellness visit at 100%. Any preventive/screening services are covered under your Medicare Part B and all services must be performed by a qualified Medicare provider.
- What does Medicare Part B cover in Minnesota? Medicare Part B covers your doctors office visits, any outpatient procedures/surgeries, labs, medically necessary DME and diagnostic imaging at 80%
- Does Blue Cross Blue Shield have Medicare Plans available in Minnesota? Yes, BCBS offers Medicare Supplement Plans to residents of MN. Furthermore, you can get more information regarding BCBS as well as other insurance carriers offering coverage in MN by contacting us today.
- Where can I compare Medicare Supplement premiums for Minneapolis, MN? Simply call our 800 number or fill out the online form. We can help with price comparison and also guide you to the perfect plan based on your individual needs.