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Medicare in Minnesota

Need info on Medicare in Minnesota? Check here for costs, plans and more

Reviewed by: Malinda Cannon, Licensed Insurance Agent. Written by: Aaron Garcia.

Key Takeaways

  • Medicare in Minnesota is open to all legal U.S. citizens aged 65 and older.

  • How much you’ll pay for Medicare plans in Minnesota is based on several standard costs, as well as your income, work history and medical needs.

  • Original MedicareOriginal Medicare (Parts A and B) is fee-for-service health insurance available to all Americans aged 65 and older and some individuals with disabilities. Original Medicare is provided by the federal government and is made up of two parts: Part A (hospital insurance) and Part B (medical insurance). consists of Parts A and B. Part DMedicare Prescription Drug Plan (Part D) is prescription drug coverage for people enrolled in Medicare. Part D is optional and is offered by private insurance companies. and MedigapMedicare Supplement Insurance (Medigap) are policies designed to provide coverage that Original Medicare (Parts A and B) do not. Medigap policies are purchased in addition to Original Medicare and have their own monthly premiums you'll need to pay. can be added to control costs and provide medications. Medicare AdvantageMedicare Advantage is health insurance for Americans aged 65 and older that blends Medicare benefits with private health insurance. This typically includes a bundle of Original Medicare (Parts A and B) and Medicare Prescription Drug Plan (Part D). in Minnesota is a private insurance alternative and has Parts A and B that replace Original Medicare.

 

If you live in Minnesota, you’ve learned some things about living in The North Star State. You warm up your car at odd hours. You love a cold pop and you never, ever call a hot dish “casserole.”

But what about Medicare in Minnesota? If you’re approaching 65, or already enrolled, not knowing the differences between Medicare plans in Minnesota can be like confusing wind chill and temperature. To help you avoid these kinds of mistakes, here’s our guide to Medicare in Minnesota.

How Much Does Medicare Cost in Minnesota?

If you have Medicare in Minnesota, your premium starts with several standard costs. What you’ll actually pay depends on your needs and your policy details. Whether you’re new to Medicare or looking at options, here’s where to start when budgeting for Medicare plans in Minnesota.

Let’s start with the costs commonly associated with Original Medicare in Minnesota:

 

Medicare in MN: Part A

Premium:

  • If either of you worked 10 or more years, you probably don’t have a Part A monthly premium.
  • You or your spouse worked between 7.5 and 10 years: $259 a month
  • You or your spouse worked fewer than 7.5 years: $471 a month

Deductible:

  • $1,484 each plan benefit period

Copayments & coinsurance:

  • Hospital stays: $0 copay for Days 1-60 following deductible payment; daily charges for Days 61 and after
  • Skilled Nursing Facility: $0 for Days 1-20 (each plan period); daily charges for Days 21 and after

Medicare in MN: Part B

Premium:

  • Starts at $148.50 a month (income-based)

Deductible:

  • $203

Copayments & coinsurance:

  • $0: most preventative services
  • 20% coinsurance for Medicare-approved services

Medicare in MN: Part D

Premium:

  • Based on plan and income

Deductible:

  • Varies but capped at $445 in 2021

Copayments & coinsurance:

  • Varies by plan and medication

How Does Medicare Work in Minnesota?

Medicare is health insurance for all legal U.S. citizens aged 65 and older. As we mentioned above, selecting a Medicare plan in Minnesota comes down to choosing between two main options: Original Medicare (Parts A and B) and Medicare Advantage. Here’s how they compare:

Original Medicare

Original Medicare is made up of two main parts: A and B. They work separately to provide a base level of care.

  • Part A: Known as hospital coverage, Part A includes stays at hospitals, nursing homes, skilled nursing facilities, hospice care and some home health care.
  • Part B: This portion covers medically necessary services from doctors and providers, as well as preventive services

Being enrolled in only Original Medicare in Minnesota can leave you with high costs while leaving out prescription drug coverage. Instead, you may want to consider Medicare Prescription Drug Plan (Part D) and Medicare Supplement Insurance (Medigap).

Medicare Prescription Drug Plan (Part D)

Part D is a stand-alone plan that provides prescription drug coverage. Medicare Advantage plans in Minnesota often include Part D coverage.

Medicare Supplement Insurance (Medigap)

Medigap insurance is extra coverage that you can purchase separately to help with out-of-pocket costs. Minnesota has several Medigap plans to choose from, as well as a few options specific to The North Star State. For example, Minnesotans can choose to enroll in a Basic Plan or an Extended Basic Plan when they first sign up for Medicare Part B. [1]

Medicare Advantage (Part C)

Medicare Advantage (Part C) replaces Original Medicare (Part A & B), but offers the same Part A and B benefits or coverage as Original Medicare. Along with receiving Part A and B benefits, Medicare Part C often bundles additional services like dental, hearing, vision and prescription drug coverage.

How Do I Apply For Medicare in Minnesota?

There are several ways to enroll in Medicare in Minnesota, including:

  • Online with the Social Security Administration [2]
  • In-person at a Minnesota-based Social Security office [3]
  • Over the phone toll-free at 1-800-772-1213
  • Did you work for a railroad company? You may need to enroll in Medicare through the Railroad Retirement Board (RRB). Call the RRB at 1-877-772-5772 for more information.

Is Minnesota Care Medicare?

No, MinnesotaCare is not Medicare. Instead, it’s a state-run health insurance program for low-income residents of Minnesota. MinnesotaCare recipients can’t be enrolled in Parts A and B and must meet the income limits, among other requirements.

What Medigap Plans Are Available in Minnesota?

Minnesota’s Medicare Supplement Insurance structure is different from the other states, giving Minnesotans some unique Medigap choices. If you have Original Medicare in Minnesota, your options start with a pair of basic plans to help cover your out-of-pocket costs. There are also several riders you can add, as well as cost-sharing and high-deductible options to choose from when you’re enrolling in Medicare in Minnesota. Give GoHealth a call to see how Medigap options can work with Medicare in Minnesota.

What is a Medicare Cost Plan in Minnesota?

Medicare Cost Plans were offered to Minnesotans in the past. It was similar to Medicare Advantage but often allowed enrollees to see out-of-network doctors and providers. Minnesota began phasing out Medicare Cost Plans in 2019. To see what Medicare plans in Minnesota you can enroll in as an alternative to Medicare Cost, give GoHealth a call. Our licensed insurance agents will shop Medicare plans in Minnesota to find what works for you.

What Are the Top 5 Medicare Plans?

When people ask this question, they’re generally referring to Medicare Advantage in Minnesota since many different companies offer plans. It’s also important, though,t o know how those stack up against an Original Medicare plan with Medigap and Part D.

In other words, the answer here completely depends on your needs and budget. Here are some tools to help sort through your options:

  • Enrollment checklist: how to assess your budget, coverage needs and enrollment timing
  • Medicare Star Rating System: Providers and plans are graded on a five-star scale in several areas
  • Pros and Cons: Weighing Original Medicare versus Medicare Advantage in Minnesota? Here’s what to know.
  • Pro Tips: Little-known pointers you’ll want to know
  • Contact GoHealth: Our licensed insurance agents shop plans, answer questions and offer impartial advice about Medicare plans in Minnesota — no matter which one you’re looking at.

What Are the Top 3 Medicare Advantage Plans?

When it comes to ranking the top options for Medicare Advantage in Minnesota, there are no right answers. A plan that works for a loved one may not work for you. Instead, it’s best to know the different kinds of Medicare Advantage in Minnesota, and how they work. To create your own rankings, here are the four types of Medicare Advantage in Minnesota you can choose from:

Do Most Doctors Take Medicare Advantage?

Yes, but that doesn’t mean you can see any doctor. Medicare Advantage enrollees typically need to visit doctors within their plan’s provider network. Visiting out-of-network providers usually means higher copays. It’s important to know which providers you can visit if you’re enrolled in Medicare Advantage in Minnesota. If you have questions about your network, give GoHealth a call.

What is the Downside of Medicare Advantage?

A downside for one person may be a selling point for another. Choosing whether to enroll in Medicare Advantage or Original Medicare in Minnesota comes down to your budget, which services you need and where you live, among other details. To help explain, here’s a list of pros and cons to help make your decision.

Medicare in Minnesota by the Numbers

Thousands of older adults enroll in Medicare every day across the United States. The latest CMS data shows that 946,997 people are enrolled in Medicare in Minnesota. The total number of beneficiaries enrolled in Medicare Advantage in Minnesota is 599,978. The previous year, 579,668 enrolled in Medicare Advantage. Medicare Advantage participation in Minnesota went from 62.75% to 63.36% year over year. If you’d like to dive deeper into how Medicare in Minnesota breaks down across the state, we provide a glance at who is using Medicare, and how.

Outline of Minnesota
946,997
Beneficiaries with Part A & Part B
599,978
Medicare Advantage Beneficiaries
63.36%
Medicare Advantage Participation Rate
52.43%
% Female
47.57%
% Male
0.98
Average HCC Score
$9,980.92
Actual Per Capita Costs
25.28%
% Eligible for Medicaid
32.34%
% of Beneficiaries with an Emergency Department Visit
17.95%
Hospital Readmission Rate
88.17%
% Non-Hispanic White
4.37%
% African American
1.62%
% Hispanic
5.84%
% Other/Unknown

Table reflects the latest Beneficiary Demographics data: 2018, All Beneficiaries by State, Centers of Medicare & Medicaid Services (CMS)

Average HCC Score: The Hierarchical Condition Category score gauges a population’s overall health. The score is based on a value of 1.0. Populations with an HCC score of less than 1.0 are considered relatively healthy. The score can be used to estimate health costs.

Minnesota Medicare Resources & Contacts

Beneficiaries spend an average of $9,980.92 each year on Medicare in Minnesota. To be certain you are not leaving anything on the table, let us help. A GoHealth licensed insurance agent can assess your coverage or explain which Minnesota-based resources, like these, may be able to help:

Minnesota Commerce Department

1-651-539-1500
1-800-657-3602

https://mn.gov/commerce/

What Should I know about the Minnesota Commerce Department?

Where to apply for low-income programs like Medical Assistance MinnesotaCare.

Office of Ombudsman for Long-Term Care

1-651-431-2555
1-800-657-3591

https://mn.gov/dhs/people-we-serve/seniors/services/ombudsman/contact-us/

What should I know about the Office of Ombudsman for Long-Term Care?

Advocacy program for those in long-term care and receiving home care.

Minnesota Department of Health

1-651-201-5000
1-888-345-0823

https://www.health.state.mn.us/index.html

What Should I know about the Minnesota Department of Health?

Find your records, provider info and the latest news on health in Minnesota.

Minnesota Department of Veterans Affairs

1-651-556-8456
1-888-LinkVet (546-5838)

https://mn.gov/mdva/

What Should I know about the Minnesota Department of Veterans Affairs?

Veterans can connect with employment, educational and health benefits here.

Nationwide Resources

Speak with an insurance agent that is licensed in Minnesota about your Medicare questions.

1-855-792-0088 TTY: 711

Monday - Friday, 8 AM - 9 PM CT

Medicare & Medicaid

If you have general questions about Medicare in MN, or need help with current Medicare benefits.

1-800-MEDICARE (1-800-633-4227)

Social Security Administration

You can reach the SSA by phone for general questions. Not all questions can be answered over the phone.

Also, SSA.gov provides online resources for the following: Review information, apply for benefits, or manage your account online

Speak to SSA Representative, Monday - Friday, 8 AM - 7 PM ET

Medicare Learning Guides

Healthcare is personal. So is choosing insurance. If you are new to Medicare, a beneficiary researching options, or a caregiver, we have tailored Medicare Guides for you.

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New to Medicare Guide

Helpful information to get you started with enrolling in Medicare.

Medicare Beneficiary Guide

For those currently enrolled in Medicare.

Medicare Plans Guide

Costs, coverage and enrollment details for each Medicare plan.

Low Income & Medicare Guide

For individuals with a qualifying income status.

A Caregiver’s Guide

For those helping a loved one with Medicare.