High Deductible Plan in Minnesota 
2025 Medicare Supplement Insurance Plan (Medigap)
          
Monthly Premium
            $64-$107
          
          
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. 2025 Medicare Part B premium is $174.70 per month.
Coverage Overview
Part A - Hospital - Deductible
            $2,875
(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 21-100: $0
                After 100 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
            All costs
            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)
Foreign travel emergency
            $0
            State-mandated benefits
            Contact the company for details
            Insurance Companies Offering This Plan
- 
            
              
              Cigna Health & Life Insurance Company
 - 
            
              
              BlueCross BlueShield of Minnesota
 - 
            
              
              Washington National Insurance Company
 
- 
            
              
              Ace Property and Casualty Insurance Company
 - 
            
              
              Allstate Health Solutions
 - 
            
              
              Continental Life Insurance Company of Brentwood, Tennessee
 
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