Minnesota Medicare Plans
Medicare is a federal run health insurance for Americans age 65 and older, persons with disability status established by the Social Security Administrations.
People with end stage renal disease and amyotrophic lateral sclerosis are also automatically eligible for the Medicare.
Medicare Cost and Medicare Supplement and Select insurance plans in the state are regulated and taken care of by Minnesota Department of Commerce and the federal government. As of now, 1,004,677 is the total number of citizens enrolled in Medicare in Minnesota. Similarly, the number of people enrolled in Medicare Advantage or other Medicare health plans in Minnesota is 581,822
Medicare Plan A:
Medicare Part A is an integral part of original Medicare program that offers beneficiaries coverage for Medicare inpatient care that involve a skilled nursing facility in hospital, and, in limited circumstances, at home.
Citizens over the age of 65 are automatically eligible for Medicare Part if they are receiving retirement benefits from the Social Security Administration or the Railroad Retirement Board. The person below 65 may get the coverage if they have a disability, end-stage renal disease (ESRD), or amyotrophic lateral sclerosis (ALS).
To subscribe the benefits of the plan, you must be either a United States citizen or a legal permanent resident of at least five continuous years.
Medicare Part A hospital care coverage:
Medicare Part A provides coverage for hospital expenses for inpatient care that includes a semi-private room, meals, nursing services, medications and any other critical services and supplies. Hospitals where these benefits are available include acute care hospitals, critical access hospitals, in-patient rehabilitation facilities and long-term care hospitals etc.
Medicare Part A home health care benefits:
Medicare Part A also includes benefits for home health care services that are required as ordered by your doctor. These benefits include part-time or intermittent skilled nursing care, physical therapy, speech-language pathology services and occupational therapy etc.
Medicare Plan B:
Medicare Part B is also called medical insurance. It’s another important part of original Medicare. The program offers coverage for medical services and supplies that are medically necessary during the treatment. Medicare Plan B coverage includes outpatient care, preventive services and ambulance services. In addition, the plan also covers part-time or intermittent home health and rehabilitative services.
If you’re eligible for premium-free Medicare Part A, he can enroll for Medicare Part B by enrolling and paying a monthly premium. If you don’t fulfill the criteria, you can qualify for Medicare Part B if you’re 65 years or older and must be U.S. citizen residing in the U.S for at least five continuous years. If you fulfill the disability clause, you will be automatically eligible for Medicare Part B enrollment.
Medicare Plan C or Medicare Advantage Plan:
A beneficiary who is receiving original Medicare Part A and Part B is eligible to enroll in Medicare Part C. The program is also called Medicare Advantage and offered by private health insurance companies. The plan is provided to the beneficiaries in the strict accordance with Medicare Part A and Part B benefits.
A Medicare Advantage plan covers everything that Original Medicare covers including emergency and urgent care needs. Original Medicare covers Hospice care and coverage and keeps the coverage on if the beneficiary has Medicare Advantage plan. The difference between original Medicare and Medicare advantage comes in form of the expenses that you pay and when you receive health care.
Some Medicare advantage plans also include routine vision, routine dental, and/or wellness programs. Moreover, there are some plans that also include prescription drug coverage as well. They are called Medicare Advantage Prescription Drug plans (MAPD). You can purchase different types of Medicare Advantage plans including:
- HMO (Health Maintenance Organization plan)
- PPO (Preferred Provider Organization plan)
- PFFS (Private Fee-for-Service plan)
- SNP (Special Needs Plans)
- HMO-POS (Health Maintenance Organization – Point of Service plan)
- Medical Savings Account plan
Medicare Plan D (Prescription Drug Coverage Plan):
Medicare Part D or Medicare prescription drug coverage is provided by Medicare-approved private insurance companies in the state. Beneficiaries who are availing Original Medicare, Part A and/or Part B, and are resides in the service area of a Medicare Prescription Drug Plan can enroll for Medicare Part D.
Medicare Part D coverage is not compulsory to purchase. But if you’re eligible but enroll after due date, you may end up with paying a late-enrollment penalty.
In case your Medicare part D has an annual deductible, beneficiary has to pay the full amount of prescription drug purchases until the deductible is met. Once the deductible is met, you have to pay a share of the costs according to the terms and structure of your purchased plan.
Medicare Supplement (Medigap) Plans
Medigap or Medicare supplement plans are meant to cover health costs not covered under Original Medicare. These costs not covered under original Medicare may include deductibles, copayments, coinsurance, and other out-of-pocket costs. In the state, you can buy Medigap policies in accordance with different Medicare Supplement Insurance plans with certain standardized benefits.
The best time to enroll for Medicare Supplement Insurance plan in Minnesota is during the Medigap Open Enrollment Period (OEP). It’s six-month period starting the day a Medicare beneficiary turns 65 and enrolls in Medicare Part B.