Medicare is government-sponsored health insurance offered to older adults over 65 and individuals with specific disabilities. Medicare enrollment exceeds one million among Minnesota’s population. Original Medicare is marginally more popular than Medicare Advantage programs, but enrollment is about equal, with 543,000 residents opting for Original Medicare and 496,000 opting for Advantage coverage. When searching for Medicare plans in Minnesota, it is easy to feel overwhelmed by the information available. That’s good news because it means you have many options.
Medicare in Minnesota: Details
Medicare coverage changes in Minnesota for the 2022 fiscal year, as published by the CMS:
- 1,065,474 people in Minnesota are now enrolled in Medicare.
- The typical monthly premium for Medicare Advantage in Minnesota dropped from $80.82 in 2021 to $76.92 in 2022.
- In 2022, Minnesotans can choose from 101 Medicare Advantage plans, up from 91 in 2021.
- Medicare recipients in Minnesota can shop for a Medicare Advantage plan, including some with zero monthly premiums.
- In 2022, Minnesota residents can choose from eight unique Medigap policies.
Medicare Plans in Minnesota
Medicare recipients at least 65 and legal U.S. residents in Minnesota have a few different plans from which to choose. You qualify if you’re under 65 and on Social Security Disability Insurance (SSDI) because of a long-term disability (24 months or more).
Let’s have a look at Medicare Plans in Minnesota.
Original Medicare: Part A and B are what make up Original Medicare’s coverage. Part A covers hospital, home, hospice, and nursing home care. Part B covers doctor visits, outpatient care, emergency, lab tests, preventative care, and medical supplies. It may also pay for prescriptions that a medical professional must give in a clinic or other institution.
Medicare Advantage: As an alternative to traditional Medicare, private insurance companies offer Medicare Advantage (Part C or M.A.). Additional Medicare Advantage coverage may include gym memberships, dental treatment, vision care, hearing aids, and even transportation to and from your doctor’s appointments.
Medigap: These plans are private insurance policies that supplement Original Medicare. These plans are intended to fill the coverage gaps left by Original Medicare.
Medicare Part D: Supplementing Original Medicare or Medicare Advantage with Medicare Part D provides coverage for prescription drugs. Medicare controls the plans supplied by private insurers.
When can people in Minnesota sign up for health insurance?
Within the first six months after your Medicare Part B effective date, as determined by the Centers for Medicare & Medicaid Services (CMS), you are eligible to enroll in any Medicare Supplement. You can sign up for anything at this time.
Under this window, insurance companies cannot refuse to provide you with the necessary coverage because of a pre-existing condition and must approve your Medigap application. Outside this period, applications will be subject to medical underwriting, and coverage determination may be declined due to pre-existing conditions.
Right Medicare Plans in Minnesota
Many Minnesotans rely on the foundational protections offered by Original Medicare, but certain individuals have needs that aren’t met by the standard plan. Older adults have more options if they construct a policy that matches their unique requirements. Individuals who need financial assistance might research Advantage plans and other insurance policies provided by private insurance providers.
Original Medicare Plan in Minnesota
CMS manages Original Medicare, available to persons 65 or older and those younger than 65 but with certain disabilities or end-stage kidney disease. There are two sections to it. Part A covers hospital, SNF, hospice, and home care. Moreover, Medicare Part B will pay for durable medical equipment, mental health treatments, and emergency medical transportation in a medical emergency.
Unlike with most commercial Medicare plans, a Medicare recipient can easily access care from any participating provider, regardless of where in the country they happen to be. Foreign medical care is typically not covered by Medicare.
This arrangement pays services on a “pay as you go” basis. In 2022, their yearly deductibles for Part A are $1,556, and for Part B, they are $233. They are responsible for this amount before Medicare pays their share (80%). The beneficiaries’ funds cover the remaining 20%.
Who Could Consider Original Medicare?
- Original Medicare could be a good choice for people who: Travel a lot within the U.S.
- You don’t need extra benefits like meals delivered to your home or coverage for over-the-counter drugs.
- Want to choose their coverage for prescription drugs
Medicare Advantage Plans in Minnesota 2022
While HMOs and PPOs tend to be the Medicare Advantage of choice in other states, Minnesota Cost Plans have historically been rather popular among local Medicare consumers in Minnesota. Many Minnesota older adults were forced to switch to Medicare Advantage, or Medicare Supplement plans in 2019 since their county no longer offered Medicare Cost Plans.
Here are some interesting facts for Minnesotans who have a Medicare Advantage Plan or are thinking about getting one:
- Counties with the highest populations: Minnesota’s Hennepin, Ramsey, and Dakota Counties
- Cost plan enrollment for Medicare Advantage in Minnesota is at a 70% rate.
- About 30% of Medicare beneficiaries in Minnesota enroll in a Medicare Advantage HMO or PPO.
- Blue Cross, UCare, and Medica are the three Medicare Advantage providers with the most members in Minnesota.
Medicare Cost Plans
Medicare Cost plans are more common in states with many rural areas, like Minnesota, because they provide more options than HMOs. Medicare Cost Plans function similarly to health maintenance organizations (HMOs) for covered medical services received inside the plan’s network. Medicare Cost Plans will pay for care received from an out-of-network provider just as much as Original Medicare Parts A and B would. A Medicare Advantage HMO often does not pay for out-of-network services that are not considered medical emergencies.
Medicare Cost Plans may benefit those who do not have ready access to a large healthcare network, such as those who reside in more rural locations or who just prefer to maintain their independence in seeking covered services. However, because they don’t require members to use providers within the network, they may not be as effective at keeping costs down as HMOs and other conventional network plans.
Dakota County, Hennepin County, and Ramsey County, the three largest counties in the state, are likely to lose their Cost Plans since they can choose from various other options. Some of the more remote counties are more inclined to preserve them for the time being because they don’t have many alternatives.
Affordable Medicare Advantage Plans in Minnesota
Minnesota Medicare recipients can pick and choose from a variety of Medicare plans. 44.80% (484,536) of the people with Medicare in Minnesota have Original Medicare (Part A and B). Medicare Advantage plans, offered by private organizations and insurance carriers that Medicare approves, are becoming increasingly popular, and 55.20% (597,125) of Minnesota’s Medicare population is choosing to participate in one of these plans.
- The average monthly premium in Minnesota is $47.56
- The average annual drug deductible in Minnesota is $370.72
- Minnesota’s average out-of-pocket spending limit for in-network care is $6,477.82.
- The average number of stars for local plans in Minnesota is 3.7. (Out of 5)
Medicare Supplement Plans in Minnesota
There may be substantial out-of-pocket payments for older adults even with Original Medicare because it only covers a portion of the total cost of medical care. Copayments, coinsurance, and deductibles are examples. Purchase of a Medigap policy may help older adults lower their out-of-pocket expenses. These policies are compatible exclusively with the traditional Medicare program. The sale of Medigap policies by private insurers to people with Medicare Advantage is prohibited by law.
The Top Medicare Supplement Companies of 2022 page is a great resource for older adults looking into Medigap coverage.
Who Might Benefit from Medicare Supplement Insurance?
Good prospects for Medigap may include persons who:
- Have health problems and costs that keep coming up
- Often travel abroad
- Need access to a larger network of healthcare providers?
- Expect to need health services that Original Medicare does not cover
How Much Does a Medicare Supplement Plan Cost in Minnesota?
A Medicare Supplement plan’s monthly premium will vary mostly with the policyholder’s age, gender, and geographic area. Your choice to use tobacco products is just one of many variables that could affect your premium. Because premiums will differ depending on the variables mentioned above, obtaining a quote tailored to your characteristics is essential.
Can I Change My Minnesota Medicare Supplement Plan?
In Minnesota, there is no specific time of year when you must apply to switch your Medicare Supplement. Suppose you are applying for or modifying your Medicare Supplement plan more than 6 months after your Medicare Part B effective date. In that case, you will be subject to medical underwriting. This implies that insurers can consider factors like age, gender, height, weight, and health status when selecting whether or not to provide coverage. Enrolling in a Medigap plan within your open enrollment period is crucial to ensure your acceptance because insurance companies may refuse coverage based on pre-existing conditions during medical underwriting.
What is the cost of Medicare in Minnesota?
- Original Medicare: The monthly premiums for Part A can be anywhere from $0 to $499. Medicare Part A’s hospital deductible for each benefit period amounts to $1,556. The typical monthly premium for Medicare Part B is $170.10. Part B has a $233 deductible.
- Medicare Advantage Plans: In 2022, a Medicare Advantage Plan in Minnesota will cost an average of $76.92 per month. The initial premium for certain plans is nothing.
- Part D plans: Medicare Part D coverage has monthly premiums starting at $6.80.
- Medigap plans: A 65-year-old woman who doesn’t smoke in St. Paul will pay between $200 and $550 for a new Medigap Extended Basic Plan.
Medicare in Minnesota: By Numbers
Original Medicare beneficiaries
|Average plan cost
||Minnesota’s annual spending on each recipient
||Spending per recipient compared to the average for the country
||Part A: $0 to $499 per month*
Part B: $170.10 **
To sum up, Part C of Medicare, often known as Medicare Advantage, is a type of supplementary insurance that provides all the advantages of traditional Medicare plus some. Medicare Part C is an excellent choice for those interested in coverage for prescription medicines, vision and dental care, and other services. The cost of a Medicare Part C plan relies on many variables, such as monthly and annual premiums, copayments, and your medical needs.
Reach out Today at NewMedicare, and get your quotes now!