Understanding Medicare Supplement Plans in Minnesota: Why There’s No Plan G

Understanding Medicare Supplement Plans in Minnesota: Why There’s No Plan G

Jan 06, 2025

If you’re exploring Medicare Supplement (Medigap) plans in Minnesota, you may notice something unique about the state’s offerings. Unlike most other states, Minnesota doesn’t have standardized Plan G or other lettered Medigap plans. Instead, Minnesota has its own customized Medigap options designed to provide flexibility and comprehensive coverage. Here’s what you need to know.

Why Doesn’t Minnesota Offer Plan G?

Medicare Supplement plans are designed to fill the gaps in Original Medicare (Parts A and B), helping cover out-of-pocket expenses like deductibles, copayments, and coinsurance. In most states, these plans are standardized and labeled with letters such as Plan G, Plan F, and Plan N.

However, Minnesota (along with Massachusetts and Wisconsin) follows its own set of rules. The state has opted to create state-specific Medigap plans that are tailored to meet the needs of its residents, offering coverage comparable to the standardized plans.

Minnesota’s Unique Medigap Plans

Instead of Plan G, Minnesota offers two main types of Medicare Supplement coverage:

  1. The Basic Plan
  • Covers most of the gaps in Original Medicare, including:
  • Medicare Part A coinsurance and hospital costs
  • Medicare Part B coinsurance or copayments
  • Blood (first 3 pints)
  • Skilled nursing facility coinsurance
  • Part A hospice care coinsurance or copayments
  • Optional riders are available to enhance coverage, such as for Medicare Part B deductibles or foreign travel emergencies.
  1. The Extended Basic Plan
  • Provides even more comprehensive coverage than the Basic Plan, with fewer out-of-pocket costs for beneficiaries.
  • Includes everything in the Basic Plan, plus additional coverage for services like preventive care and more generous foreign travel emergency benefits.

How Do Minnesota Medigap Plans Compare to Plan G?

Plan G is often considered the most popular Medigap plan nationwide because it offers near-comprehensive coverage, excluding only the Medicare Part B deductible. In Minnesota, the Basic and Extended Basic Plans are comparable in terms of benefits but provide additional customization through optional riders.

Benefits of Minnesota’s Medigap Plans:

  • Flexibility: Optional riders let you tailor your plan to your specific needs.
  • Comprehensive Coverage: The Extended Basic Plan offers robust protection against unexpected medical costs.
  • No Network Restrictions: Like Plan G, Minnesota’s Medigap plans allow you to see any doctor or specialist who accepts Medicare.

Why Minnesota’s Approach Works

Minnesota’s customized Medigap system provides unique advantages for residents:

  1. Tailored Coverage: The flexibility to add riders ensures you only pay for the coverage you need.
  2. State Regulation: Minnesota’s plans are carefully regulated to ensure they meet high standards of affordability and quality.
  3. Wide Availability: These plans are offered by multiple insurers, giving you plenty of options to choose from.

What to Consider When Choosing a Minnesota Medigap Plan

When selecting a Medigap plan in Minnesota, it’s essential to:

  1. Evaluate Your Needs:
  • Do you want comprehensive coverage or just the essentials?
  • Would optional riders benefit your situation?
  1. Compare Costs:
  • Premiums can vary between providers, so shop around to find the best value.
  1. Seek Expert Guidance:
  • Navigating Medicare can be complicated, especially with Minnesota’s unique system. A local Medicare expert can help you compare plans and make the best choice.

How VitalShield Can Help

At VitalShield, we specialize in helping Minnesotans navigate their Medicare options. With over 20 years of experience and a deep understanding of the state’s unique Medigap plans, we can:

  • Explain the differences between the Basic and Extended Basic Plans.
  • Help you customize your plan with optional riders.
  • Compare premiums from top insurers to ensure you’re getting the best deal.

Take the Next Step

Choosing the right Medigap plan is a crucial decision, but you don’t have to make it alone. Whether you’re just starting Medicare or looking to switch plans, VitalShield is here to help.


📞 Call or message us today to schedule your free consultation. We’ll make Medicare simple, so you can focus on what matters most.

Final Thoughts


Minnesota’s Medigap plans may not have the familiar lettered labels, but they’re designed to provide flexibility and value for residents. By understanding your options and working with a trusted Medicare expert, you can confidently choose a plan that fits your needs and budget.


-Claire Matthews


Frequently Asked Questions About Medicare Plan G in Minnesota

Below are answers to the questions Minnesotans most often ask about Medicare Plan G and the state’s unique Medigap system.

Does Minnesota have Medicare Plan G?

No. Minnesota is one of three states (along with Massachusetts and Wisconsin) that has a federal waiver to standardize Medicare Supplement plans differently from the rest of the country. Instead of the lettered plans like Plan G, Plan N, and Plan F, Minnesota offers its own state-specific Medigap plans including Basic, Basic with riders, Extended Basic, and Medicare SELECT.

Why doesn’t Minnesota have Plan G?

Minnesota was granted a federal waiver predating the national lettered Medigap system, allowing the state to design its own Medicare Supplement framework. Rather than adopt the standard letter-based plans (A through N), Minnesota built a customizable system using a Basic plan and Extended Basic plan plus optional riders. The result is more flexibility to tailor coverage, but it means lettered plans like Plan G aren’t sold here.

What is the closest alternative to Plan G in Minnesota?

The Minnesota Extended Basic plan is the closest equivalent to Medicare Supplement Plan G. It covers most of the same services as Plan G — including Part A coinsurance, hospital costs, skilled nursing facility care, and Part B excess charges — though it does not include the Part B deductible. Adding the appropriate riders to a Basic plan can also build coverage similar to Plan G.

What Medicare Supplement (Medigap) plans are available in Minnesota?

Minnesota offers four core Medigap plan types: the Basic plan, the Basic plan with optional riders, the Extended Basic plan, and Medicare SELECT (a network-based version). Plan PBCO, Minnesota’s version of the national Plan N, is also widely sold and is one of the most popular options in the state thanks to its lower monthly premium and copay-based structure.

How is Minnesota’s Medigap system different from other states?

Minnesota uses community rating, meaning everyone with the same plan pays the same monthly premium regardless of age — unlike most states where Medigap premiums increase with age. Minnesota also extends the six-month Medigap open enrollment window to anyone enrolled in Medicare Part B regardless of age (federal rules limit this to people 65 and older), and added an annual guaranteed-issue Medigap enrollment window starting in fall 2023.

What riders are available on Minnesota Medigap plans?

Minnesota requires insurers to offer four mandatory riders that can be added to a Basic plan for additional premium: the Part A deductible rider, Part B deductible rider, usual and customary fee coverage rider, and non-Medicare preventive care rider. These riders let you customize a Basic plan to match the coverage level of higher-tier plans.

Can I keep my Medicare Plan G if I move to Minnesota?

If you have a Medigap Plan G from another state and move to Minnesota, you typically cannot keep that exact policy because lettered plans aren’t sold in Minnesota. You’ll need to switch to a Minnesota-specific plan such as the Extended Basic plan or a Basic plan with appropriate riders. Talk with a licensed Minnesota Medicare broker to compare your options before the move.

Still have questions about Minnesota Medigap?

Every situation is different. If you’re trying to figure out which Minnesota Medigap plan fits your situation — or whether to keep an out-of-state Plan G when relocating — reach out to VitalShield for a free, no-pressure conversation about your options.


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