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Medicare Changes

Minnesota Cost Plans are Changing in 2019

If you have a Medicare Cost plan, and live in certain Minnesota counties, a new federal law will limit the availability of Medicare Cost plans beginning January 1, 2019.

Here's what you need to know about the change and how it may affect you.

Whats Changing?

If you are currently enrolled in Medica's Prime Solution plan, which is a Medicare Cost plan, starting in 2019, health insurance companies like Medica will no longer be able to offer Medicare cost plans in certain impacted counties in Minnesota. This change is due to a federal law that limits where Cost plans can be sold or renewed. This change affects 66 counties in Minnesota, including the Twin Cities metro area.

The change in federal law will not affect Cost plans in the remaining 21 counties in Minnesota, North Dakota, South Dakota, or Wisconsin.

 

View a special message from our Medicare Senior Vice President Tom Lindquist

 

 

 

 

 

 

 

 

 

 

 

Which Minnesota Counties are Affected?

66 Impacted Counties

Here is a list of the counties where Medicare Cost Plans will no longer be available January 1, 2019.

minnesota cost plan changes map

Anoka
Becker
Beltrami
Benton
Big Stone
Blue Earth
Brown
Carver
Cass
Chippewa
Chisago
Clay
Clearwater
Cottonwood
Crow Wing
Dakota
Dodge

Douglas
Faribault
Fillmore
Freeborn
Grant 
Hennepin
Houston
Hubbard
Isanti
Jackson
Kandiyohi
Kittson
Lac qui Parle
Lake of the Woods
Lincoln
Lyon
Mahnomen

Marshall
Martin

Morrison
Mower
Murray
Nicollet
Nobles
Norman
Olmsted
Otter Tail
Pennington
Polk 
Pope
Ramsey
Red Lake
Redwood
Renville

Roseau
Scott
Sherburne
Stearns
Steele
Swift
Todd
Wabasha
Wadena
Waseca
Washington
Watonwan
Wilkin
Winona
Wright

What Do You Need to Do?

It is important to know this change does not have an immediate impact on you or your health insurance coverage. Your Medicare Prime Solution plan will remain in effect through December 31, 2018. There's no need to take any actions or make decisions until fall/October.

If you do live in one of the 66 impacted Minnesota counties, we will contact you closer to the Annual Election Period (AEP). The AEP for 2019 is October 15 to December 7. Specific 2019 plan information will be available starting October 1, 2018.

You have our commitment: We'll keep you informed with more information and details in plenty of time to make informed decisions about your health plan needs for 2019.


Have More Questions?

Do you have additional questions or feel like your questions weren't answered above? Here's all the current information about the Medicare Cost plan changes in an easy Q&A format.

Many people in Minnesota who are currently enrolled in a Medicare Cost plan will need to change their health insurance coverage for 2019. This impacts residents in 66 Minnesota counties and includes any type of Cost plan offered by all health insurance companies.

Effective January 1, 2019, due to a change in federal law, health insurance companies that currently offer Medicare Cost plans in Minnesota will no longer be able to sell or renew these types of Medicare private insurance plans in impacted counties.

This change impacts 66 counties in Minnesota. Please refer to the Minnesota county map found in the fact sheet. If you are a resident in one of these counties, your Prime Solution Cost plan will no longer be available after December 31, 2018.

View Cost plan change fact sheet (PDF)

Yes. Medicare Cost plans will continue to be available to residents in 21 Minnesota counties including: Aitkin, Carlton, Cook, Goodhue, Itasca, Kanabec, Koochiching, Lake, Le Sueur, McLeod, Meeker, Mille Lacs, Pine, Pipestone, Rice, Rock, St. Louis, Sibley, Stevens, Traverse and Yellow Medicine. Please refer to the Minnesota county map.

No. If you live in one of the 66 impacted counties in Minnesota, rest assured that your Medica Prime Solution plan will continue to be in effect through December 31, 2018. You do not need to make a change now, but you will need to be aware of this change and take action during the Annual Election Period (AEP) this fall.

No. The limitation of Cost plan availability in these service area of North Dakota, South Dakota and Wisconsin is not impacted by the change in federal law. 

We intend to offer a variety of Medicare health insurance plans for 2019. There are regulations about what we can share with you until the new plans are approved by the Centers for Medicare and Medicaid Services (CMS) later this summer. Window shopping for 2019 plans begins October 1, 2018, when you can shop and compare benefits. Watch your mailbox for important mailings this fall.

This fall, we'll be contacting impacted members through important mailings. Be sure to keep an eye out for this information and take advantage of the many options we'll have available for support and guidance.

Medica is a Cost plan with a Medicare contract. Enrollment in Medica depends on contract renewal.

Last updated - 6/2018


Date: 7/21/2018 6:09:36 PM Version: 4.0.30319.42000 Machine Name: PWIVE-CMSWEB02