Your Medicare Community - MedicareFAQ

Minnesota Medicare Supplement Plans & Additional Riders

March 26, 2021 Lindsay
Your Medicare Community - MedicareFAQ
Minnesota Medicare Supplement Plans & Additional Riders
Show Notes Transcript

If you're a resident of Minnesota and eligible for Medicare, don't go anywhere! In this video, we discuss the Medigap plans available in your state.

Minnesota has two different types of Medigap plans, known as the Basic Plan and the Extended Basic Plan. Both of these plans include what are known as Basic Benefits.

The Basic Benefits both Minnesota Medigap plans include are:
• Coverage for any coinsurance that falls under Part A and Part B
• Coverage for the first three pints of blood per year
• Coverage for some hospice and home health services

Additionally, both Minnesota Medigap plans also include:
• 80% coverage for foreign travel emergencies
• 20% coverage for mental health care in an outpatient facility
• 20% coverage for physical therapy

Additionally, there are state-mandated benefits that come with both the Basic Plan and the Extended Basic Plan:
• Cancer screenings
• Reconstructive surgery
• Immunizations
• Diabetic equipment

The Basic plan includes the state-mandated benefits along with 100 days in a skilled nursing facility.

The Extended Basic plan comes with all of the previously mentioned benefits, plus some additional benefits as follows:
• Coverage for the deductibles that fall under Part A and Part B
• 20 extra days of skilled nursing facility care
• 80% coverage for usual and customary fees
• 80% coverage while in a foreign country

Additionally, on the Extended Basic Plan, once you spend $1k out-of-pocket, all benefits will be covered 100%.

With the Basic Plan (not the Extended Basic Plan), you can increase coverage by adding any of four riders. The four riders are as follows:
• Part A deductible rider
• Part B deductible rider – only available to those Medicare-eligible before 2020
• Usual and Customary Fees Rider
• Non-Medicare Preventive Care Rider

Good news for Minnesota residents: the state does not allow excess charges from doctors not accepting Medicare.

Although you can enroll in Medigap at any time, the best time to enroll in a Medigap plan is during your Medigap Open Enrollment Period.

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Hi Medicare Community. If you're a resident of Minnesota, don't go anywhere. In today's video we're going to discuss the different Medigap plans available in your state. Hi everyone. My name is Lindsey Engle. I'm the Medicare expert for Elite Insurance Partners and MedicareFAQ.com. Minnesota has two different types of Medigap plans. There are known as the basic plan and the extended basic plan. Both of these plans will include a set of what's known as basic benefits. The basic benefits included with both Minnesota Medigap plans include coverage for any coinsurance that falls under Part A and Part B, coverage for the first 3 pints of blood per year, as well as coverage for Hospice and Home Health Services. In addition to the basic benefits, both Minnesota Medigap plans will also include, 80% coverage for foreign travel emergencies, 20% coverage for mental health care in an outpatient facility, as well as 20% coverage for physical therapy. In addition to those benefits, there are also some state-mandated benefits that both the basic plan and extended basic plan will come with. The state-mandated benefits include, cancer screenings, reconstructive surgery, immunizations, and some diabetic equipment. If you go with a basic plan in Minnesota, it will include coverage for all the services previously mentioned as well as coverage for 100 days in a Skilled Nursing Facility. Now with the extended basic plan, you'll include coverage for all the basic benefits that were previously mentioned as well as some additional benefits. The additional benefits that come with the extended basic plan in Minnesota include coverage for the deductibles that fall under both Part A and Part B, an additional 20 extra days of Skilled Nursing Facility care, 80% coverage for usual and customary fees, as well as 80% coverage while in a foreign country. In addition with the extended basic plan, once you spend $1,000 out-of-pocket all benefits that initially only covered 80% will Now cover 100%. Now, this is only available with the extended basic plan. Now if you like the basic plan, you do have the option to customize it by adding additional Riders. You can only add these Riders if you go with the basic plan, you cannot add any Riders to the extended basic plan. You'll have for optional Riders to add on. The 4 Riders available that you can add onto it the basic plan in Minnesota include, the Part A deductible Rider, the Part B deductible Rider, the usual and customary fees Rider, and the non-medicare preventive care Rider. Now, the Part B deductible Rider is only available to those beneficiaries who were eligible for Medicare prior to 2020. Now that we've gone over both of the Medigap plans available in Minnesota. Let's go over some additional items that come along with the Medigap plans. In Most states, if a provider does not accept Medicare assignment, they have the option to charge you an additional 15% on top of the cost that you'll be responsible for. This is known as excess charges. The good news is for those that live in Minnesota, excess charges are prohibited so you won't have to worry about these. Now that you know this information, when do you enroll? With Minnesota Medigap plans the best time to enroll is during your 6 month open enrollment period. Your 6 month Medigap open enrollment period will begin with your Part B effective date. If you have creditable coverage and choose to delay enrolling in Part B, then your Medigap open enrollment period won't begin until you enroll in Part B later on. Or if you choose to go back to working and enroll in creditable employer coverage, then you'll get another 6 months Medigap open enrollment period once you leave your group employer coverage and enroll back into Part B. It's important to know that you Technically enroll in a Medigap plan at any time of the year. The only difference is during this 6 month window you're able to enroll with guaranteed-issue rights. Meaning that any current health issues will not impact your Medigap rates and the carrier must accept you into the plan. So to summarize, in Minnesota, you have 2 Medigap plans you can choose to enroll in. Both will include basic benefits. The first option is the basic plan. The second option is your extended basic plan. If you choose the basic plan, you can also add on 4 additional Riders to customize your plan. With the extended basic plan you get a lot more benefits but you cannot add on any additional Riders. With the extended basic plan, anything that covers only 80% will jump up 100% once you spend $1,000 out-of-pocket. Thank you so much for taking the time to watch this video today. We hope you found it helpful. And if you did make sure to subscribe to our YouTube channel. Don't forget to turn notifications on so you're notified each time we upload a new video. We also have a great Medicare community on Facebook. We'll make sure to include a link in the description below so you can join. Until next time. Bye.