Page 19 - APPENDICES for Steve Dickhaus
P. 19
2020 Minnesota Medigap Annual Premium Guide
Additional plan options may be added and rates may vary due to rounding, discounts or fees and may be
revised at various times throughout the year (see page 19 for coverage details). Rates listed are current as
of publication and are provided by the Minnesota Department of Commerce.
Contact the insurance company to confirm policy rates and find out premium rates for pre-MACRA plans.
See page 35 for more information about MACRA.
$20 and
Basic Part A 100% Extended $50 High 50%
Company Part B Prevention Part A 50% 75%
Plan Deductible Excess Basic* Copay Ded. Ded.
Part B
BlueCross & BlueShield of Minnesota 855-579-7658
Smoker $2,452 $432 $12 $48 $3,803 $2,859 $1,170 $1,849 $2,460
N/S $2,106 $432 $12 $48 $2,982 $2,383 $942 $1,588 $2,099
Catholic United Financial** 800-568-6670
Rural Tobacco $1,836 $308 $36 $79 $4,379 $1,824
Rural N/S $1,597 $268 $32 $68 $3,810 $1,586
Urban 1 Tobacco $2,038 $342 $40 $87 $4,860 $2,025
Urban 1 N/S $1,722 $297 $35 $76 $4,229 $1,761
Urban 2 Tobacco $2,167 $363 $43 $93 $5,167 $2,152
Urban 2 N/S $1,819 $316 $37 $81 $4,495 $1,872
Cigna 800-997-1654
Rural Tobacco $1,761 $281 $23 $57 $2,457 $1,708 $730
Rural N/S $1,601 $255 $21 $51 $2,220 $1,553 $663
Urban Tobacco $1,926 $307 $25 $62 $2,688 $1,869 $798
Urban N/S $1,751 $279 $23 $56 $2,429 $1,699 $726
Colonial Penn Life Insurance Company 877-877-8052
Smoker $2,770 $841 $86 $62 $3,942 $2,257 $899 $3,041 $1,304 $2,242
N/S $2,384 $723 $74 $53 $3,392 $1,942 $774 $2,616 $1,122 $1,929
Combined Insurance Company of America 800-490-1322
Tobacco $3,079 $314 $183 $67 $7,460
N/S $2,665 $272 $158 $67 $6,455
Continental Life Insurance Company of Brentwood Tennessee 800-264-4000
Smoker $2,426 $578 $108 $80 $2,384 $1,903 $935
N/S $2,147 $511 $97 $72 $2,089 $1,686 $827
HealthPartners 800-247-7015
Smoker $2,286 $507 $15 $35 $3,157
N/S $1,968 $436 $12 $30 $3,157
Humana Insurance Company 888-310-8482
Rural 1 Smoker $3,542 $837 $89 $120 $5,730 $3,402 $1,522 $1,857 $2,687
Rural 1 N/S $3,016 $701 $74 $107 $4,903 $3,001 $1,304 $1,593 $2,306
Rural 2 Smoker $3,289 $777 $83 $110 $5,320 $3,158 $1,414 $1,726 $2,496
Rural 2 N/S $2,801 $651 $69 $99 $4,553 $2,787 $1,212 $1,480 $2,142
Urban Smoker $3,757 $888 $94 $120 $6,078 $3,608 $1,613 $1,969 $2,849
Urban N/S $3,198 $744 $79 $113 $5,201 $3,182 $1,382 $1,688 $2,445
*Extended Basic premiums listed are for newly eligible Medicare beneficiaries. This includes people who turn 65
or become eligible due to age, disability or ESRD on or after 01/01/2020. For these policies, the Medicare Part
B deductible cannot be covered by the policy. For new Medicare beneficiaries effective on 1/1/2020, the Part B
deductible does not count toward the cost sharing or meeting the maximum out-of-pocket costs.
**Group Plan policy with requirements.
2020 Minnesota Medicare Supplement Annual Premium Guide 61
