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Minnesota Medicare Supplement Plans

 
Minnesota is unique in their Medicare Supplement offerings. They do not offer the same Standardized plans that are available in most states. Instead, Minnesota offers a “Basic Plan” with the ability to add riders and an Extended Basic Plan

Basic Plan

  • Out-of-Pocket Costs under this plan:
    • Part A Inpatient Hospital Deductible
    • Part B Deductible
    • Part B Excess (“Reasonable and Customary”)
      • Providers are allowed to charge up to 15% more than the Medicare allowable rates for their services.

Available Riders to add to Basic Plan

  • Part A deductible
    • Covers the Part A deductible at 100%
  • Part B deductible
    • Covers the Part B outpatient deductible at 100%
    • Only available if Medicare eligible before 1/1/2020
  • Part B excess charge
    • Covers the 15% Medicare Excess charge
  • Preventative Care Rider
    • Pays up to $120/year for certain preventative medical services not covered by Medicare 

Extended Basic Plan

  • Out-of-Pocket Costs under this plan:
    • Part B Deductible of $240 in 2024 (only if you become Medicare eligible after 1/1/2020)
    • Part B Excess (“Reasonable and Customary”)
      • Covers the allowable charge of  up to 15% more than the Medicare allowable rates for their services.

Plan N Co-Payment (PBCO)

  • Out-of-Pocket Costs under this plan:
    • Part B Deductible of $240 in 2024 (only if you became Medicare eligible after 1/1/2020)
    • Co-pays; $20 for each doctor’s visit of $50 for each Emergency Room visit
    • Part B Excess (“Reasonable and Customary”)
      • Covers the allowable charge of  up to 15% more than the Medicare allowable rates for their services.

High Deductible Plan 

  • Out of Pocket Costs under this plan:
    • This plan caps your Medicare eligible out of pocket expenses at $2,800/calendar year (in 2024). 
    • You will have Original Medicare coverage only until you have hit the out of pocket cap, then this plan pays 100% of your Medicare eligible expenses for the remainder of the calendar year.
    • Available to those Medicare eligible before 1/1/2020.

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