![]() If you use out-of-network doctors, you’ll face higher out-of-pocket costs except in emergencies. Health Maintenance Organization Point-of-Sale (HMO POS): With most HMO plans, you must use in-network doctors for your care.The different types of plans in Minnesota are: If you use non-network providers, costs will often be higher. Many of Minnesota’s Medicare Advantage plans work with networks of doctors and healthcare facilities to keep the costs of services more affordable. What Types of Medicare Advantage Plans Are Available in Minnesota? Most MA plans include Medicare prescription drug coverage and a limit on your out-of-pocket expenses. These plans are offered by private insurers that Medicare pays to provide at least the same coverage as Original Medicare except hospice care, which stays covered under Medicare Part A. One alternative could be a Medicare Advantage (MA) plan, or Medicare Part C. It also doesn’t limit your out-of-pocket costs. Original Medicare won’t cover all of your medical expenses or prescription drugs. If you qualify for Original Medicare, or Medicare Part A (hospital care) and Medicare Part B (outpatient care), you may be wondering if the federal program offers enough coverage. You can join a Medicare Advantage plan during one of the enrollment periods each year. Most Medicare Advantage plans in Minnesota provide prescription drug coverage. Not affiliated with or endorsed by any government agency.Įvery year, Medicare evaluates plans based on a 5-star rating system.Įnrollment in a plan may be limited to certain times of the year unless you qualify for a special period or you are in your Medicare Initial Election Period.Medicare Advantage plans have to offer the same basic protections as Original Medicare. You must continue to pay your Medicare Part B Premium. $0 premium plans are not available in all areas. Benefits may vary by carrier and location. ![]() Not all plans offer all of these benefits. Please contact or 1-800- MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Currently we represent organizations which offer products in your area. ![]() We do not offer every plan available in your area. Enrollment in plans depends on contract renewal. ![]() The Medicare plans represented are PDP, HMO, PPO or PFFS plans with a Medicare contract. Five stars are the most a plan can receive, and one is the least. These ratings are based on what plans do to keep their members healthy, how well chronic conditions are managed, how responsive the plan is to members’ needs, customer service and member complaints. The Medicare 5-star rating system awards Medicare Advantage and Medicare Part D prescription drug plans between one and five stars based on the plan’s performance. Also review changes in a plan’s prescription drug coverage and benefits each year to get a sense of your total predicted spending. You need to pay close attention to a plan's copays, coinsurance and deductibles. For many people, the premium is automatically deducted from their Social Security benefits. Your Part B premium can vary depending on your income. Keep in mind, however, that you have to continue to pay your Medicare Part B premium separately if you enroll in a Medicare Advantage plan because of this, a Medicare Advantage plan with a low monthly premium may end up being pricier than original Medicare in the long run. Many people have access to a Medicare Advantage plan with no premium. In 2023, the average monthly premium for Medicare Advantage plans is $18. A premium is the money you pay monthly to enroll in the plan. However, previous studies have found that Medicare Advantage members can save a lot of money – hundreds of dollars each year – by reviewing their plan options and switching plans. Does the plan cover your medications? According to a 2022 paper from the Kaiser Family Foundation, only 10% of Medicare Advantage members elected to switch plans during the annual open enrollment period in 2020.Is your doctor in the plan? If you want to keep your current doctor, make sure to choose a plan in which they participate.Remember, you can change your plan during the Medicare fall open enrollment period each year so you can adjust as your needs change. Here are some things to consider when choosing the right Medicare Advantage plan for your particular situation.
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