Page 21 - APPENDICES for Steve Dickhaus

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

State Mutual Insurance Company  800-241-7598
Rural Smoker $2,580 $638 $104 $88 $6,187 $2,545 $1,253
Rural N/S $2,322 $574 $93 $78 $5,573 $2,290 $1,130
Urban Smoker $3,317 $820 $134 $113 $7,954 $3,272 $1,611
Urban N/S $2,985 $738 $120 $101 $7,165 $2,945 $1,453
United HealthCare AARP **  800-523-5800
®
Tobacco $2,208 $426 $82 $69 $2,917
N/S $2,007 $387 $75 $63 $2,652
United World Life Insurance Company  800-775-6000
Rural Smoker $3,489 $582 $0 $97 $6,546 $2,556
Rural N/S $3,036 $506 $0 $84 $5,695 $2,224
Urban 1 Smoker $4,049 $582 $0 $97 $7,597 $2,966
Urban 1 N/S $3,523 $506 $0 $84 $6,610 $2,581
Urban 2 Smoker $3,748 $582 $0 $97 $7,031 $2,745
Urban 2 N/S $3,261 $506 $0 $84 $6,117 $2,389

*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.

LINK TO A LOCAL AGING EXPERT

SeniorLinkAgeLine.com

2020 Minnesota Medicare Supplement Annual Premium Guide 63