Minnesotans have a number of options when it comes to Medicare Advantage plans. However, there’s a lot to consider when selecting the right option. See the top plans offered in the state, and quickly compare your plan options online.
If Original Medicare ( Medicare Part A and Part B ) doesn’t leave you feeling secure in your health insurance coverage, you may be considering a Medicare Advantage plan, also known as an MA plan or Medicare Part C. Unlike traditional Medicare coverage, MA plans can provide Medicare Part D drug coverage and other benefits like dental, vision, and fitness programs.
MA plans are provided by private insurance companies, so the costs of each plan vary. Plan availability also depends on which county in Minnesota you live in. Learning about the different types of plans available and the top plans for 2021 can prepare you for talking with an insurance agent about enrollment.
Want to examine the MA plans available in your service area? Try the Insurify Medicare comparison tool to compare your options.
Below are the top MA plans available in the state. These top plans were determined by factors such as their Medicare star rating, monthly premiums, plan deductibles, and out-of-pocket maximums.
1. Gundersen MN Quartz Med Advantage Core
2.Gundersen MN Quartz Med Advantage Elite
3. Gundersen MN Quartz Med Advantage Value
4. Blue Cross Medicare Advantage Choice
5. Blue Cross Medicare Advantage Complete
6. Blue Cross Medicare Advantage Core
7. HealthPartners Journey Dash
8. HealthPartners Journey Pace
Here are some of the plans that are highly rated:
More details on each plan are available on the plan providers’ websites, including a formulary of covered medications and availability of extra benefits, like nursing home care and outpatient services.
Monthly premium: $0
Plan deductible: $0
Out-of-pocket maximum: $5,600
Counties where plan is available: Fillmore, Houston, Wabasha, and Winona
This five-star health plan offers a $0 deductible for prescription drug plan coverage and a low $3–$9 co-pay for Tier 1 drugs. Plan benefits also include a $0 co-pay for preventive care, $25 for primary care visits, and $50 for specialist visits. This plan also offers $0 co-pays for dental and vision benefits as well as higher costs for hearing, mental health, rehabilitation services, and wellness program coverage.
Monthly premium: $143
Plan deductible: $0
Out-of-pocket maximum: $3,000
Counties where plan is available: Fillmore, Houston, Wabasha, and Winona
This Quartz Medicare Advantage plan also has a five-star rating. With a higher co-pay than the Core D plan, this one also offers a $3–$9 cost for Tier 1 drugs and no drug plan deductible. This plan offers a $0 co-pay for preventive care in addition to low doctor visit costs—just $5 for primary care visits and $30 for specialist visits. Like the Core D plan, this one also has low or no costs for hearing, vision, and dental visits.
If you pick this plan, you’ll get some additional benefits, including coverage for mental health services, nursing facility care, rehab services, and wellness program coverage.
Monthly premium: $40
Plan deductible: $0
Out-of-pocket maximum: $3,450
Counties where plan is available: Fillmore, Houston, Wabasha, and Winona
This five-star plan is a nice mid-tier plan compared to the other two Quartz Medicare Advantage plans on the list. It features no drug plan deductible and $3–$9 costs for Tier 1 drugs. The plan also has $15 co-pays for primary care visits and $40 for specialist visits. Preventive care co-pays are $0, and the plan offers dental, vision, and hearing benefits.
The plan also offers wellness program benefits in addition to mental health and rehabilitation service coverage.
Monthly premium: $119.50
Plan deductible: $300
Out-of-pocket maximum: $3,100
Counties where plan is available: Blue Earth, Dodge, Faribault, Fillmore, Freeborn, Houston, Martin, Mower, Nicollet, Olmsted, Wabasha, Waseca, Watonwan, and Winona
Unlike the Quartz Medicare Advantage plans, this 4.5-star plan has a $300 drug plan deductible, in addition to Tier 1 drug costs that can range from $0 to $30.
In-network primary care visits for this plan range from $0 to $20, and specialist visits range from $20 to $30. Preventive care co-pays are also $0 for in-network care, and the plan includes some additional benefits, such as hearing, vision, limited dental, and wellness program coverages.
Monthly premium: $157.20
Plan deductible: $0
Out-of-pocket maximum: $7,200
Counties where plan is available: Chisago, Ramsey, Washington, Dakota, Hennepin, Scott, Isanti, Anoka, and Carver
This 4.5-star plan features the highest monthly premium of any plan on the list, as well as the highest out-of-pocket max. This plan doesn’t have a drug plan deductible, and its Tier 1 drug costs range from $0 to $26.
Its in-network primary care visit co-pays can cost up to $20, with a $20 co-pay for specialist visits, too. The preventive care co-pay is $0 in-network, and the plan offers hearing, limited dental, and vision benefits, among others.
Monthly premium: $38.40
Plan deductible: $445
Out-of-pocket maximum: $6,700
Counties where plan is available: Nicollet, Waseca, Winona, Freeborn, Dodge, Fillmore, Houston, Martin, Mower, Olmsted, Steele, Wabasha, Watonwan, Blue Earth, and Faribault
This 4.5-star plan offers one of the lowest monthly premiums. While it does have a $445 drug plan deductible, Tier 1 drugs have $0 co-pays. In-network preventive care has a $0 co-pay, and doctor visits require a $0–$20 co-pay for primary care and a $20–$50 co-pay for specialists.
Enrollees can also expect a number of additional benefits, including vision, hearing, and some dental coverage.
Monthly premium: $91
Plan deductible: $300
Out-of-pocket maximum: $3,600
Counties where plan is available: Anoka, Benton, Carver, Chisago, Dakota, Hennepin, Isanti, Morrison, Ramsey, Scott, Todd, Washington, Wright, and Stearns
If you select this 4.5-star plan, be prepared to meet a $300 deductible for drug plan coverage and pay a $5–$15 co-pay for Tier 1 drugs. Like other plans on the list, preventive care has a $0 co-pay in-network. Doctor visits are also cost-effective, with a $5 in-network co-pay for primary care and $30 for specialist visits.
The plan also includes hearing and vision benefits, as well as more comprehensive dental benefits than many other plans on the list.
Monthly premium: $0
Plan deductible: $300
Out-of-pocket maximum: $6,100
Counties where plan is available: Anoka, Benton, Carver, Chisago, Dakota, Hennepin, Isanti, Morrison, Ramsey, Scott, Stearns, Todd, Washington, and Wright
The final plan, with 4.5 stars, has a $300 drug plan deductible and Tier 1 drug co-pays between $8 and $24. Like other plans on the list, preventive care has a $0 co-pay for in-network visits. In-network primary care visits have a $25 co-pay, and specialist visits have a $50 co-pay.
While this plan does offer hearing benefits, it includes no preventive or comprehensive dental benefits. The only vision benefit for the plan is a $0 co-pay for in-network routine eye exams.
On average, enrollees spend about $1,252.50 in premiums and $333.99 in drug plan deductibles per year. Monthly plan costs amount to $104.37 on average. That being said, what you’ll pay will depend on several factors, including:
The plan you choose
The health conditions you treat
The size and accessibility of your network
And remember that the monthly premium is not the only expense you’ll pay. You’ll also need to cover the cost of coinsurance, copayments, deductibles, and the total cost of any uncovered care received.
Below is a table comparing the total annual costs of top Medicare Advantage plans in Minnesota to give you a better sense of what each plan costs.
There are four most common plan types, each with different benefits and best suited for different Medicare beneficiaries. See what’s generally provided with each plan type.
HMO plans typically:
Require you to use an in-network provider, except for emergencies
Require a primary care physician
Require a referral for specialists
Provide prescription drug coverage
PPO plans typically:
Cover more costs for in-network over out-of-network medical assistance
Don’t require a primary care physician
Don’t require a referral for specialists
Provide Medicare Part D drug coverage
PFFS plans:
May allow you to see any provider or, if the plan has a provider network, any in-network provider who agrees to always treat plan members
May allow you to see out-of-network providers who agree to treat plan members
Usually don’t require a primary care physician
Usually don’t require a referral for specialists
May or may not provide prescription drug coverage
SNPs:
Only offer membership to those with certain diseases or characteristics
Have required in-network providers (unless it’s an emergency or special circumstances)
Usually require a primary care physician or care coordinator
Usually require referrals for specialists
Must offer prescription drug coverage
Are you wondering which Medicare Advantage plans in your coverage area fit your budget? Try out the Insurify Medicare comparison tool to start comparing costs.
No, you can’t use benefits from MA plans and Medicare Supplement plans simultaneously. If you already have a Medigap plan and join an MA plan, consider dropping your Medigap since the MA plan won’t pay any of your co-payments, coinsurance, deductibles, or premiums.
No, a cost plan is a different type of Medicare coverage, though the same private insurers might provide both. Visit Medicare.gov to learn more about cost plan options.
Generally, you are eligible for an MA plan if the plan is offered in your county and if you already have Original Medicare coverage. You can also sign up for a plan without having Original Medicare if you have end-stage renal disease (ESRD) (beginning January 2021). You may be eligible for a Special Enrollment Period outside of Annual Open Enrollment. Visit Medicare.gov for contact details (phone and TTY) to discuss your possible eligibility.
You may be eligible for both an MA plan and Medicaid services. You can learn more about dual enrollment at Medicare.gov. If you’re already enrolled in an MA plan or Medicare Part A and Medicare Part B, check your Medicare contract for more information on limitations.
When choosing the right MA plan, it’s important to look at the entire Medicare cost and compare it to your health needs and budget. You also must consider that not every plan is available to residents in your county.
Take a closer look at your unique plan options to pick the right one. Compare plans today using the Insurify Medicare comparison tool.
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