Extended Basic Plan in Minnesota
2024 Medicare Supplement Insurance Plan (Medigap)

 

Monthly Premium
$250-$665

 

Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

 

*Monthly costs shown do not include the standard Part B premium. 2024 Medicare Part B premium is $174.70 per month.


Coverage Overview

Part A - Hospital - Deductible

$0

(what you pay)
Part B - Medical - Deductible

$0

(what you pay)
Part B - Medical - Coinsurance

$0

(what you pay)

Coverage Details

Part A Coinsurance
(what you pay)
Hospital stays
Days 1-60: $0
Days 61-90: $0
Days 91-150: $0 while using your 60 lifetime reserve days
After 150 days: All costs
Skilled nursing facility (for Medicare-covered stays)
Day 1-20: $0
Days 21-120: $0
After 120 days: All costs
Blood (during a hospital stay)
First 3 pints: $0
After 3 pints: $0
Hospice care
$0
Part B Coinsurance
(what you pay)
Covered Part B services
First: $0
Then: $0
Preventive services (covered by Medicare)
$0 Generally for most preventive services Medicare covers
Preventive services (not covered by Medicare)
Balance after Medigap policy pays $120
Part B excess charges
$0
Blood (outside a hospital stay)
First 3 pints: $0
After 3 pints: $0
Tests for diagnostic services
$0
Physical therapy (when covered by Medicare)
$0
Outpatient mental health services (when covered by Medicare)
$0
Home Healthcare - Part A & B Services
(what you pay)
Home health care (for Medicare-approved services)
$0
Durable medical equipment (covered by Medicare)
First: $0
Then: $0
Extra Benefits
(what you pay)
Coverage while in a foreign country
20%
State-mandated benefits
Contact the company for details

Insurance Companies Offering This Plan

 

When Can I Sign Up for Medicare?

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