Hougom Insurance Agency

Winona County, MN · Local Medicare Advisor

Medicare plans for Winona, MN residents

Minnesota uses its own state-standardized Medicare Supplement system — not the national Plan G or Plan N you'll read about on most websites. We're licensed in Minnesota, we have an office in Winona, and we compare every plan available to Winona County residents — including cross-border options for those who use La Crosse providers.

Winona office: 203 E 3rd St, Winona MN 55987 · Hours & directions →

Winona County, MN

49,721 residents

High blood pressure28.8%
Diabetes9.8%
Coronary heart disease5.4%
Any disability27.7%

CDC PLACES 2023 · cdc.gov/places

Minnesota Medicare Supplement

Minnesota Medigap: not Plan G, not Plan N

Minnesota is one of only three states with its own standardized Medicare Supplement (Medigap) system. If you've been researching "Plan G" or "Plan N" online, those are national plans that do not exist in Minnesota. Every Minnesota Medigap policy starts with the same two building blocks:

Required in all MN Medigap policies

Basic Plan

  • Part B coinsurance (the 20% Medicare doesn't cover)
  • Part A hospital coinsurance (days 61–150)
  • 365 additional lifetime hospital days after Medicare benefits end
  • First 3 pints of blood each year
  • Hospice care coinsurance and copayments
Optional — adds more coverage

Extended Basic Plan

  • Everything in the Basic Plan, plus:
  • Home health care (365 visits beyond Medicare's limit)
  • Preventive care not covered by Medicare
  • Outpatient mental health treatment coverage improvement

Additional Minnesota Medigap riders

On top of either plan, Winona County residents can add riders for:

Part A Deductible

Covers the $1,676 Part A hospital deductible per benefit period (2025)

Part B Deductible

Covers the $257 annual Part B deductible (grandfathered policies; limited availability for new enrollees)

Part B Excess Charges

Covers the 15% excess charge when providers don't accept Medicare assignment

Foreign Travel Emergency

Covers 80% of foreign emergency care costs (after $250 deductible) up to $50,000 lifetime

Preventive Care

Additional preventive screenings and services beyond standard Medicare

Short-Term At-Home Recovery

Home nursing care during recovery from illness, injury, or surgery

Minnesota vs. Wisconsin Medigap — what cross-border residents need to know

If you have family or a second home in Wisconsin, or if you're considering relocating across the river, both states use their own unique Medigap systems — neither uses the national A–N letter plans:

FeatureMinnesota MedigapWisconsin Medigap
Base planBasic Plan or Extended Basic PlanBasic Plan (always)
CustomizationOptional riders on top of baseOptional riders on top of Basic
Part A DeductibleOptional riderOptional rider ($1,676/2025)
Part B ExcessOptional riderOptional rider
National equivalentsNo Plan G/N — MN systemNo Plan G/N — WI system
Guaranteed issue window6 months from Part B enrollment at 656 months from Part B enrollment at 65

Your Medigap policy must match your state of residence. We're licensed in both MN and WI and can advise cross-border clients on either system.

Winona County, MN · CDC PLACES 2023 · cdc.gov/places

Winona County health data and your Medicare coverage

These are real population health statistics for Winona County's 49,721 residents — the same data we use when advising local clients on which Medicare plan fits their situation.

28.8% High blood pressure Hypertension — major driver of cardiac and stroke risk
9.8% Diabetes Ongoing specialist visits, drug costs, podiatry
33.8% Obesity Complicates nearly every other chronic condition
25.5% Depression Mental health parity matters in plan selection
5.4% Coronary heart disease High specialist and cardiac event cost exposure
2.8% Stroke Rehab and long-term care exposure
7.4% Cancer Oncology network and drug formulary critical
10.3% Asthma Pulmonologist access and inhaler formulary
5.4% COPD Chronic respiratory — frequent utilizer
27.7% Any disability Mobility, cognitive, hearing, and vision needs

What Winona County's health profile means for Medicare plan selection

High blood pressure (28.8%) + coronary heart disease (5.4%)

Cardiac conditions require regular cardiology visits and often specialized medications. On Medicare Advantage, confirm Winona Health's cardiology department and Mayo Clinic Health System–Winona are in-network. On Minnesota Medigap, any cardiologist accepting Medicare is covered regardless of network.

Diabetes (9.8%) — nearly 1 in 10 residents

Diabetes management involves endocrinology visits, podiatry, ophthalmology, and ongoing prescriptions. Part D formulary matching for diabetes medications (insulin, metformin, newer GLP-1 drugs) is critical — the difference between a plan covering your drugs at tier 1 vs. tier 3 can be hundreds of dollars annually.

Any disability (27.7%) — more than 1 in 4 residents

Mobility, cognitive, hearing, and vision disabilities all affect which Medicare plan works best. Minnesota Medigap has no network restrictions, making it easier to access the specific specialists disability conditions require. Medicare Advantage plans vary significantly in hearing and vision benefit generosity — we compare these benefits across all plans.

Cross-border care patterns

Many Winona County residents receive care at Gundersen Health System or Mayo Clinic in La Crosse, Wisconsin. Minnesota Medicare Advantage plans may or may not cover Wisconsin-based providers. If cross-border care matters to you, we prioritize plans that protect your existing provider relationships.

Medicare Advantage vs. Minnesota Medigap for Winona County

Medicare Advantage

Replaces Original Medicare with a private plan

  • Usually $0 or low monthly premium
  • Annual out-of-pocket maximum (2025 statutory max: $9,350 in-network)
  • Often includes drug coverage, dental, vision, hearing
  • One plan, one card

Watch for:

  • Provider networks — confirm Winona Health, Mayo Clinic Health System–Winona, and any La Crosse providers
  • Networks change every January 1
  • Referrals required on HMO plans
  • Switching back to Medigap later usually requires health underwriting

Minnesota Medigap + Part D

Original Medicare + state-standardized supplement

  • No provider networks — any Medicare-accepting provider in MN or WI
  • Predictable out-of-pocket costs
  • No referrals needed for specialists
  • Ideal for cross-border care (Winona–La Crosse)
  • Guaranteed issue during your 6-month OEP at 65

Watch for:

  • Higher monthly premium than Advantage
  • Separate Part D drug plan required
  • No extra benefits (dental, vision, hearing) included — need separate coverage

Neither path is universally better — the right choice depends on your providers, prescriptions, health conditions, and how much you value predictability vs. lower premiums. We compare every option available in Winona County at no cost.

Find Medicare Advantage plans in Winona, MN

Enter ZIP code 55987 to see every Medicare Advantage plan available in Winona County — premium, star rating, and max out-of-pocket.

Free · No signup required

Medicare Advantage Plan Finder

Enter your ZIP to see every plan in your county — premium, star rating, max out-of-pocket.

5-digit ZIP code

Winona County Medicare resources

Senior LinkAge Line (MN SHIP)

Minnesota's free, unbiased Medicare counseling service. Provides general information and helps you understand your options — but cannot compare specific plan premiums or help you enroll.

1-800-333-2433 · mn.gov/senior-linkage-line

Winona County Human Services

Local programs for seniors including transportation, meals, and connection to Medicare savings programs (Extra Help / LIS) for those who qualify.

507-457-2251

Medicare.gov Plan Finder

The official CMS tool for comparing plans nationwide. Use it alongside our local guidance — we can explain what the data means for your situation.

medicare.gov/plan-compare

Minnesota Commerce Department

Minnesota's insurance regulator oversees Medigap policies sold in the state. Licensed MN agents must follow state consumer protection rules.

mn.gov/commerce · 651-296-2488

Winona County Medicare FAQs

Does Minnesota have Plan G or Plan N for Medicare Supplement?

No. Minnesota does not use the federal A–N Medicare Supplement letter system. Minnesota has its own state-standardized Medigap structure: a Basic Plan (required in all MN Medigap policies) and an Extended Basic Plan, with optional riders added on top. This system predates the national standardization. If you've seen Plan G or Plan N mentioned, those are not available in Minnesota. We explain the exact Minnesota Medigap options and compare every carrier for Winona County.

Which hospitals and clinics are covered by Medicare Advantage plans in Winona?

The primary health systems serving Winona County are Winona Health (Community Memorial Hospital campus) and Mayo Clinic Health System — Winona. Some Winona residents also travel to Gundersen Health System or Mayo Clinic in Rochester for specialty care. Each Medicare Advantage plan has its own network — we verify your specific providers before you enroll. Provider networks change every January 1, so an annual review matters even if you're happy with your current plan.

I live in Winona but sometimes use providers across the river in La Crosse, WI. How does that affect my plan?

This cross-border situation is very common for Winona County residents. For Medicare Advantage, you need to verify that your Wisconsin providers (Gundersen, Mayo Clinic Health System) are in-network for any MN-based plan — many PPO-type Advantage plans cover out-of-state care, but HMO plans typically don't. For Original Medicare + Minnesota Medigap, there are no network restrictions — you can see any provider that accepts Medicare in either state, which is a significant advantage for cross-border residents.

What is the Senior LinkAge Line and how does it help Winona County residents?

The Senior LinkAge Line (1-800-333-2433) is Minnesota's free State Health Insurance Assistance Program (SHIP). It provides unbiased Medicare counseling and can help you understand your options. As a licensed independent agent, we complement this resource — we can compare specific plan premiums and formularies and help you enroll, which SHIP counselors cannot do. Both resources together give you the most complete picture.

Can I use a Wisconsin Medigap policy if I live in Winona, MN?

No. Your Medigap policy must match your state of residence. As a Minnesota resident, you purchase a Minnesota Medigap policy — which uses Minnesota's Basic Plan + optional riders system. Wisconsin Medigap (also a unique state system) applies to Wisconsin residents. If you move from Wisconsin to Winona, you will need to re-shop Medigap under Minnesota's rules. We're licensed in both states and can guide you through any cross-border transition.

When is the best time to enroll in Medicare in Winona, MN?

Your Initial Enrollment Period is a 7-month window centered on your 65th birthday month. Enrolling in the 3 months before your birthday month gives you coverage starting the first of your birthday month — no gap. For Medigap, Minnesota has a guaranteed-issue open enrollment period when you first enroll in Part B at 65. After that window closes, MN carriers can apply health underwriting. For Winona County residents enrolled in Medicare Advantage, the Annual Enrollment Period (October 15–December 7) is when you can change plans for the following year.

Winona, MN · Licensed in Minnesota & Wisconsin

Talk to a local Winona Medicare advisor

We have an office in Winona and we're licensed in both Minnesota and Wisconsin — so we understand cross-border care situations, Minnesota's Medigap system, and which plans actually cover Winona Health and Mayo Clinic Health System.

Schedule your free consultation →   (608) 799-8434

Also serving: La Crosse County, WI · Wisconsin Medigap · Medicare Advantage