Sometimes people need help with learning their Medicare
options. In Minnesota it can get quite confusing because of all the different
possibilities you can choose for your Medicare Supplement Plan.
What’s even trickier is that plan options
here are different than most other states.
At Boomer Benefits, we represent numerous insurance
companies. Therefore, we are not partial to any particular company. Instead, we
are able to look at multiple plans and prices to find what’s most suitable for
you.
Basic & Extended Benefits of Minnesota Supplement Plans
There are minimum benefits that Minnesota is required to
provide in their supplement plans. These include: Part A and Part B
coinsurance, the first three pints of blood each year, Part A hospice and
respite cost sharing, Part A and Part B home health services and supplies cost
sharing.
In Minnesota there are two main types of supplement plans,
the Basic Plan and the Extended Basic Plan. Figure A is a chart we have
designed for you to see the differences between the Basic and Extended Basic
plan options.
With the Extended Basic Plan there are a few items that have
an out-of-pocket cap. Once you pay $1,000 in these items, your plan will then
begin paying 100% of those costs. These include: Coverage while in a foreign
country along with emergency and usual and customary fees.
There are also versions of regular supplement plans that
Minnesota offers. Minnesota has forms of Plan K, L, M, N, and a high-deductible
F. You can view the normal versions of these
plans at our website.
Optional Riders in Minnesota
Riders are options you can opt into adding to your Medigap plan
in Minnesota. There are four total and you can add just one or all four if
you’d like. They each come at an additional fee.
Minnesota offers riders for Part A inpatient hospital
deductible, Part B deductible, usual and customary fees, and non-medicare
preventative care. Because you have these options, you are able to mix and
match with your plan to build the policy you want.
In Minnesota you have additional coverage in the way of
excess charges. Excess charges are basically when your doctor believes the
rates that Medicare charges should be higher. In some states the doctor has the
right to add an extra 15% to your bill that you would be responsible for. State
law in Minnesota doesn’t allow this. Therefore, you are covered from seeing
excess charges.
Minnesota Advantage Plans
Unlike supplement plan in Minnesota, their advantage
plans are quite similar to all the other state’s advantage plans. These
plans come in usually two versions, HMO and PPO. With each of these you will
seek care from within a network of providers, making it a little more difficult
to see all your normal doctors. It’s a good idea to check ahead of time to see
if your doctors participate in the plan you want before you enroll.
Even though these plans are restrictions, they are usually
much cheaper than supplement plans.
A good thing about advantage plans is that instead of paying
for all your coverage for all items in one lump sum, you pay as you go. You
will pay copays and coinsurance as the time occurs that you need that specific
benefit.
We Can Help
If all these options and considerations overwhelm you, contact us
so that we can give you some clarity. Having someone on your side while dealing
with Medicare will benefit you in the long run.
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