Medigap Plans by State Mutual Insurance

There are 5 different Medigap Plans offered by State Mutual Insurance available to residents in Minnesota. This page outlines the Medicare Supplement insurance plans and benefits from State Mutual Insurance, as well as information to help you get an accurate quote.




Plan Type Under 65 Community Issued
Age
Attained
Age
Policy
Age
Enroll
Medigap Basic + Riders PoYesNoNoNoFeb 25 2013Enroll
Medigap Basic PolicyYesNoNoNoFeb 25 2013Enroll
Medigap Extended Basic PoYesNoNoNoFeb 25 2013Enroll
Medigap Policy F - High DYesNoNoNoFeb 25 2013Enroll
Medigap Policy NYesNoNoNoFeb 25 2013Enroll



*Under 65 -- If this plan is avaiable to people under the age of 65.

*Community Rated Pricing -- The base premium is the same for everyone in the area, regardless of age.

*Issue Age -- The premium is based on your age at issue. And the premium will only increase with the carriers state-wide increase.

*Attained Age -- The carrier will price the policy based on your age at issue and the premium will increase over time with your age. This is the most common pricing method that carriers use.


Medigap Plan A

All insurance companies including State Mutual Insurance that sell Medicare Supplement Plans Medicare Supplement Plans must offer Plan A. This is the most basic policy covering your expenses for Medicare Part A (Hospital Coverage) and Part B (Medical Insurance) and hospice care that the government doesn’t pay in MN.

Medigap Plan N

Plan N Medisupp Plan pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to a $50 copayment for emergency room visits that don’t result in an inpatient admission. You will be responsible for all Part B deductible and excess charges with Plan N



Plan Benefits

Benifits A B C D F G K L M N
Medicare Part A Coinsurance and Hospital Costs100%100%100%100%100%100%100%100%100%100%
Medicare Part B Coinsurance or Copayment100%100%100%100%100%100%50%75%100%100%
Blood (first 3 pints)100%100%100%100%100%100%50%75%100%100%
Part A Hospice Care Coinsurance or Copayment100%100%100%100%100%100%50%75%100%100%
Skilled Nursing Facility Care Coinsurance100%100%100%100%50%75%100%100%
Part A Deductible100%100%100%100%100%50%75%100%100%
Part B Deductible100%100%
Part B Excess Charges100%100%
Foreign Travel Emergency80%80%80%80%80%80%

* Plan K and L have a deductible. The 2020 out-of-pocket (OOP) limits for Medigap plans K & L are $5,880 and $2,940, respectively.

*Plan F is also offered as a high-deductible plan by some insurance companies. If you choose this option, you must pay for Medicare-covered costs (coinsurance, copayments, deductibles) up to the deductible amount of $2,300 in 2019 before your policy pays anything.

*Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to a $50 copayment for emergency room visits that don’t result in an inpatient admission.

*Excess Charges - If you see a provider that doesn’t participate in Medicare, the provider can charge up to 15% more than the standard Medicare rate. You will have to pay it out-of-pocket unless you have a Medigap plan that includes benefits for Part B excess charges.




Standard Premiums

Plan Type Premium
Plan A$53 - $121
Plan B$77 - $122
Plan C$133 - $171
Plan D$140 - $180
Plan F$111 - $245
Plan F High Deductible
Plan G
Plan K
Plan L
Plan M
Plan N

Starting January 1, 2020, Medigap plans sold to new people with Medicare won’t be allowed to cover the Part B deductible. Because of this, Plans C and F will no longer be available to people new to Medicare starting on January 1, 2020. If you already have either of these 2 plans (or the high deductible version of Plan F) or are covered by one of these plans before January 1, 2020, you’ll be able to keep your plan. If you were eligible for Medicare before January 1, 2020, but not yet enrolled, you may be able to buy one of these plans.

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