Page 20 - APPENDICES for Steve Dickhaus
P. 20
2020 Minnesota Medigap Annual Premium Guide
$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
Individual Assurance Company 888-524-3629
Rural Tobacco $2,262 $432 $24 $76 $3,448 $2,428
Rural N/S $1,967 $375 $21 $66 $2,999 $2,111
Urban Tobacco $2,559 $488 $27 $86 $3,902 $2,747
Urban N/S $2,226 $425 $23 $75 $3,393 $2,389
Loyal American Life Insurance Company 866-459-4272
Rural Smoker $2,363 $541 $70 $87 $3,254 $2,724
Rural N/S $1,890 $433 $56 $70 $2,603 $2,179
Urban Smoker $2,625 $601 $78 $97 $3,615 $3,027
Urban N/S $2,100 $481 $62 $78 $2,892 $2,421
Medica Health Plans 877-704-7864
Smoker $2,286 $537 $12 $30 $3,147 $2,506 $1,233
N/S $1,964 $467 $11 $27 $2,736 $2,180 $1,072
National Health Insurance Company Phone number not available
Rural Tobacco $1,868 $323 $27 $65 $2,851 $1,835 $868
Rural N/S $1,653 $286 $24 $57 $2,523 $1,624 $768
Urban Tobacco $2,065 $357 $30 $72 $3,151 $2,028 $959
Urban N/S $1,827 $316 $27 $63 $2,788 $1,795 $849
Omaha Insurance Company 877-230-9529
Rural Smoker $2,412 $398 $0 $74 $5,198
Rural N/S $2,099 $346 $0 $65 $4,523
Urban 1 Smoker $2,591 $398 $0 $74 $5,583
Urban 1 N/S $2,254 $346 $0 $65 $4,857
Urban 2 Smoker $2,799 $398 $0 $74 $6,032
Urban 2 N/S $2,435 $346 $0 $65 $5,248
Philadelphia American Life Insurance Company 800-552-7879
Rural Tobacco $1,725 $285 $31 $67 $3,961 $1,702
Rural N/S $1,568 $259 $61 $28 $3,601 $1,547
Urban Tobacco $1,880 $311 $34 $73 $4,317 $1,855
Urban N/S $1,709 $282 $31 $67 $3,925 $1,687
Puritan Life Insurance Company of America 888-474-9519
Tobacco $2,181 $422 $51 $64 $2,630 $2,359 $1,141
N/S $1,897 $367 $44 $56 $2,287 $2,051 $992
Renaissance Life & Health Insurance Company of America 844-202-4150
Rural Smoker $2,021 $361 $63 $81 $4,283 $2,045
Rural N/S $1,758 $314 $54 $70 $3,726 $1,779
Urban Smoker $2,243 $401 $70 $90 $4,754 $2,270
Urban N/S $1,951 $349 $60 $78 $4,136 $1,975
Sanford Health Plan of Minnesota 888-605-9277
Tobacco $3,407 $895 $73 $120 $4,820 $3,895 $2,203
N/S $3,066 $806 $55 $120 $4,358 $3,505 $1,983
State Farm Mutual Automobile Insurance Company 800-782-8332
Rural Tobacco $2,329 $630 $30 $62 $6,776 $2,036
Rural N/S $2,117 $572 $27 $56 $6,160 $1,851
Urban Tobacco $2,425 $653 $31 $62 $7,049 $2,117
Urban N/S $2,204 $593 $28 $56 $6,408 $1,924
62 2020 Minnesota Medicare Supplement Annual Premium Guide
