62E.07 QUALIFIED MEDICARE SUPPLEMENT PLAN.

205 words·~1 min read·/mn/chapter-62/62e-07

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

(a)Any plan which provides benefits may be certified as a qualified Medicare supplement plan if the plan is designed to supplement Medicare and provides coverage of 100 percent of the deductibles required under Medicare, with exclusion under paragraph

(b)for any part of the Medicare Part B deductible, and 80 percent of the charges for covered services described in section 62E.06, subdivision 1 , which charges are not paid by Medicare. The coverage shall include a limitation of $1,000 per person on total annual out-of-pocket expenses for the covered services.

(b)Any plan sold or issued to a newly eligible individual, as defined in section 62A.3099 , subdivision 18a, that provides benefits may be certified as a qualified Medicare supplemental plan if the plan is designed to supplement Medicare and provides coverage of 100 percent of the deductibles, with the exception of coverage of:

(1)100 percent or any portion of the Medicare Part B deductible; and

(2)80 percent of the charges for covered services, as provided under section 62E.06 , subdivision 6, that are charges not paid by Medicare.

The coverage must include a $1,000 per person limitation on total annual out-of-pocket expenses for the covered services.