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If you live in Minnesota

You have guaranteed issue rights to buy a Medigap policy, but the policies are different.

Basic benefits 

  • Inpatient hospital care: covers the Part A coinsurance
  • Medical costs: covers the Part B coinsurance (generally 20% of the Medicare-approved amount)
  • Blood: covers the first 3 pints of blood each year
  • Part A hospice and respite care cost sharing
  • Parts A and B home health services and supplies cost sharing

Medigap plans

The Basic and Extended Basic benefits are available when you enroll in Part B, regardless of your age or health problems. If you return to work and drop Part B to elect your employer's health plan, you’ll get another 6-month Medigap Open Enrollment Period after you retire from that employer when you can elect Part B again.

Basic Plan

Covers:

  • Basic benefits
  • Part A: skilled nursing facility (SNF) coinsurance (provides 100 days of SNF care)
  • 80% of foreign travel emergency
  • 50% of outpatient mental health
  • Medicare-covered preventive care
  • 20% of physical therapy
  • State-mandated benefits (diabetic equipment and supplies, routine cancer screening, reconstructive surgery, and immunizations)

Doesn't Cover:

  • Part A: inpatient hospital deductible
  • Part B: deductible
  • Usual and customary fees
  • Coverage while in a foreign country

Extended Basic Plan

Basic benefits:

  • Part A: inpatient hospital deductible
  • Part A: skilled nursing facility (SNF) coinsurance (provides 120 days of SNF care)
  • Part B: deductible
  • 80%* of foreign travel emergency
  • 50% of outpatient mental health
  • 80%* of usual and customary fees
  • Medicare-covered preventive care
  • 20% of physical therapy
  • 80%* of coverage while in a foreign country
  • State-mandated benefits (diabetic equipment and supplies, routine cancer screening, reconstructive surgery, and immunizations)

* The plan pays 100% after you spend $1,000 in out-of-pocket costs for a calendar year.

Compare these plans side-by-side

If a "yes" appears, the plan covers the described benefit 100%. If a row lists a percentage, the policy covers that percentage of the described benefit. If a "no" appears, the policy doesn't cover that benefit.

Medigap Benefits Medigap Plans
Basic Plan Extended Basic Plan
Basic benefits Yes Yes
Part A: inpatient hospital deductible No Yes
Part A: skilled nursing facility coinsurance Yes (Provides 100 days of SNF care) Yes (Provides 120 days of SNF care)
Part B: deductible No Yes
Foreign travel emergency 80% 80%*
Outpatient mental health 50% 50%
Usual and customary fees No 80%*
Medicare-cover preventative care Yes Yes
Physical therapy 20% 20%
Coverage while in a foreign country No 80%*
State-mandated benefits (diabetic equipment and supplies, routine cancer screening, reconstructive surgery, and immunizations) Yes Yes

* The plan pays 100% after you spend $1,000 in out-of-pocket costs for a calendar year.

Important plan information

Minnesota versions of Medigap Plans K, L, M, N, and high deductible F are available.

Insurance companies can offer 4 additional riders that can be added to a Basic Plan. You may choose any or all of these riders to design a Medigap policy that meets your needs:

  • Part A: inpatient hospital deductible
  • Part B: deductible
  • Usual and customary fees
  • Non-Medicare preventive care