Minnesota Medigap plans have very unique rules! Medicare supplemental insurance is standardized in most states it is a wild ride in the Land of 10,000 Lakes. Minnesota has its own special Medigap model with an a la carte menu, community-rated pricing, and no excess charges allowed. We know this sounds like a lot but Senior65.com is here to help you figure out Medicare insurance in MN.

Minnesota's Medigap Rules

Minnesota Medigap plans are Community-rated

In most states, Medigap plans have three different ways their monthly premium rates are calculated: Age-attained, Issue-Age, and Community-rated. Minnesota, however, only has one. All MN Medigap plans are “community-rated” which means all Medigap enrollees from the same insurance provider pay the same rate, regardless of age or gender.

Minnesota Medigap community-rated plans are split between “rural” and “urban” areas. Rural enrollees pay less for their MN Medigap plan.

Side-by-side Minnesota Medigap Plans comparison chart

Below is the chart of Minnesota plans available after 2020. Don’t forget there are also riders you can add to the basic plan (we will explain these below). If you qualified for Medicare Part B before 2020, there may be additional plans that cover the Part B deductible costs. (source)

Benefits Basic Plan Extended Basic Plan High Deductible Plan 50% Plan 75% Plan 50% Part A Deductible Plan Copay Plan
Medicare Part A Deductible ($1,600) 100% 100% 50% 75% 50% 100%
Part B Deductible ($226)
Medicare Part A Hospital Coinsurance and 365 additional hospital days 100% 100% 100% 100% 100% 100% 100%
Medicare Part B Coinsurance 100% 100% 100% 50% 75% 100% You pay $20 and $50 copays
Medicare Preventive Care 100% 100% 100% 50% 75% 100% 100%
Preventive Care not covered by Medicare 100% up to $120
Skilled Nursing Facility Coinsurance 100 Days 100% 100% for 120 days 100% 50% 75% 100% 100%
Medicare Part B Excess Charges 100%
Out-Patient Mental Health 50% 50% 100% 50% 75% 100% You pay $20 and $50 copays
Physical Therapy 20% 20% 100% 50% 75% 100% You pay $20 and $50 copays
Foreign Healthcare -Emergency 80% 100% 100% 80% 80%
Foreign Healthcare -Hospital, Medical Expenses & Supplies 100%
Medigap Deductible $1,000 $2,700
Max Out-of-Pocket $6,940 $3,470

Minnesota Medigap Basic Plan with Riders

MN Medigap Basic Plan with Riders covers everything that the Basic Plan plus one or more of the following “riders”, which you pay for each separately:

To see the prices of each rider and to learn exactly what they cover, give us a call at 800-930-7956.

Minnesota doctors can NOT charge Part B Excess Charges

In some states, doctors can charge patients up to 15% extra in the form of Excess Charges. Minnesota does not allow for this.

You can purchase a Part B Excess Charges rider should you seek health services out of state. Only Minnesota doctors cannot charge Part B Excess Charges, but in other states, those Part B Excess charges apply. For instance, if you see a cardiologist in Texas, you could pay out of pocket 15% above the Medicare-approved amount, for each visit if you did not purchase the Part B Excess Charges Rider.

Minnesota Medigap Plans Discounts

There are two main Minnesota Medigap discounts available. Click on each link to learn more about how you can save $$$ on your new Medigap plan:

You CANNOT keep your MN Medigap plan if move out of state

Since Minnesota has its own Medigap plan model, when you move out of state you have to disenroll and enroll in one of your new state’s Medigap plans. Don’t worry! You will have a Medigap guaranteed issuance period.

Other states that have their own Medigap model:

Next Steps for Minnsota Medigap:

Due to the unique Minnesota Medigap model, we recommend that you call one of our licensed agents a call at 800-930-7956 to get a quote or leave a comment below for any questions.

Our agents can NOT charge you a fee for a quote or enrollment.