Original Medicare vs a plan · Wabasha County, MN · 2027 plan year
Original Medicare vs Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO)
Medicare.gov compares Medicare Advantage plans with each other. This page also shows Original Medicare, so you can see the full trade-off: premiums, copays, the yearly limit, extra benefits, and the rules about doctors and approvals.
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Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO)
- Plan premium
- $0 a month
- Yearly limit, in network
- $7,150
- 2027 star rating
- 4.5 of 5
- Prior authorization needed for
- 12 services
In Minnesota, you get one more chance at Medigap only up to age 70
You can buy any Medigap plan with no health questions in the 6 months that start when you are 65 or older and have Part B. After that, a Medigap company in Minnesota can ask about your health and can say no. Minnesota gives people aged 65 to 70 one more chance. If you never had Medigap, you can buy it one time without health questions. Apply from October 15 to December 7 or from January 1 to March 31. Your price then stays 15% to 35% higher for as long as you keep the plan.
One exception is the trial right. If you joined Medicare Advantage when you first got Medicare at 65, or you left a Medigap plan to try Medicare Advantage for the first time, you can switch back within 12 months. Then you can buy a Medigap plan with no health questions.
Read about Medigap rights on Medicare.govYour yearly cost, side by side
Move the controls to match your year. Totals include premiums, the Part B premium, copays, and drug costs.
Medigap plan with Original Medicare
Minnesota sets its own Medigap plans: the Basic Plan and the Extended Basic Plan, with optional riders. Minnesota also sells its own versions of Plans K, L, M, and N. A high-deductible plan is open only to people who were eligible for Medicare before 2020. We have no prices for these plans, so the totals show Original Medicare without Medigap. Without Medigap you pay 20% of most costs, with no yearly limit. Check Medigap plans and prices for ZIP 55041 on Medicare.gov
Want to check your exact drugs? Medicare.gov lets you enter each drug and shows what each plan charges for it. Enter your drugs on Medicare.gov
Original Medicare
With no Medigap and AARP Medicare Rx Saver from UHC (PDP)
$6,015 a year
- Premiums
- $2,638
- Medical costs
- $1,616
- Drugs
- $1,762
No yearly limit on what you pay for medical care.
Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO)
HMO from Quartz Medicare Advantage (HMO)
$6,679 a year
- Premiums
- $2,514
- Medical costs
- $2,629
- Drugs
- $1,536
Most you can pay in a bad year, before drugs: $9,664.
With these settings, Original Medicare costs about $664 less a year than Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO).
These are estimates, not quotes. Check every number with Medicare (Medicare.gov or 1-800-MEDICARE) and with the plan before you choose. What you pay depends on your doctors and hospitals, your drugs and pharmacy, and the care you use. Drug costs use typical prices for generic and brand-name drugs. Original Medicare amounts are 2027 projections from the 2026 Medicare Trustees Report. CMS sets the final amounts in November.
Text us about this comparisonWhat you pay each time you get care
In-network costs for one visit or one stay. The Original Medicare amounts follow your Medigap choice above: no Medigap.
Primary doctor visit
Original Medicare, no Medigap
20%
after the $292 yearly Part B deductible
Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO)
$55
Specialist visit
Original Medicare, no Medigap
20%
after the $292 yearly Part B deductible
Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO)
$75
Lab tests
Original Medicare, no Medigap
$0
most Medicare-covered tests
Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO)
$60
Prior authorization
MRI or CT scan
Original Medicare, no Medigap
20%
after the $292 yearly Part B deductible
Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO)
$350
Emergency room
Original Medicare, no Medigap
20%
after the $292 yearly Part B deductible
Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO)
$130
Urgent care
Original Medicare, no Medigap
20%
after the $292 yearly Part B deductible
Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO)
$50
Outpatient surgery
Original Medicare, no Medigap
20%
after the $292 yearly Part B deductible
Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO)
$0-$375
Ground ambulance
Original Medicare, no Medigap
20%
after the $292 yearly Part B deductible
Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO)
$350
Prior authorization
Hospital stay, 5 days
Original Medicare, no Medigap
$1,788
Part A deductible each benefit period; $447 a day for days 61-90
Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO)
$1,675
for a 5-day stay
Prior authorization
See every cost in one table
| What you pay in network | Original Medicare, no Medigap | Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO) |
|---|---|---|
| Monthly premium | Part B $209.50 + drug plan $10.30 | $0 + Part B $209.50 |
| Yearly limit on what you pay | No yearly limit | $7,150 in network |
| Medical deductible | $292 Part B; $1,788 Part A each benefit period | $0 |
| Primary doctor visit | 20%, after the $292 yearly Part B deductible | $55 copay |
| Specialist visit | 20%, after the $292 yearly Part B deductible | $75 copay |
| Lab tests | $0, most Medicare-covered tests | $60 copayPrior authorization |
| MRI or CT scan | 20%, after the $292 yearly Part B deductible | $350 copay |
| X-rays | 20%, after the $292 yearly Part B deductible | $85 copay |
| Emergency room | 20%, after the $292 yearly Part B deductible | $130 copay |
| Urgent care | 20%, after the $292 yearly Part B deductible | $50 copay |
| Outpatient hospital | 20%, after the $292 yearly Part B deductible | $0-$375 copayPrior authorization |
| Surgery center | 20%, after the $292 yearly Part B deductible | $0-$375 copay |
| Ground ambulance | 20%, after the $292 yearly Part B deductible | $350 copayPrior authorization |
| Hospital stay | $1,788, Part A deductible each benefit period; $447 a day for days 61-90 | $335 per day for days 1-7; $0 per day for days 8-90Prior authorization |
| Skilled nursing facility | $0, days 1-20, then $223.50 a day for days 21-100 | $0 per day for days 1-20; $221 per day for days 21-100Prior authorization |
| Mental health visit | 20%, after the $292 yearly Part B deductible | $65 copay |
| Physical therapy | 20%, after the $292 yearly Part B deductible | $75 copayPrior authorization |
| Home health care | $0, Medicare-covered home health | $0 copayPrior authorization |
| Medical equipment | 20%, after the $292 yearly Part B deductible | 23% coinsurancePrior authorization |
| Part B drugs | 20% after the $292 Part B deductible | 0%-20% coinsurancePrior authorization |
| Drug deductible (Part D) | $700 with AARP Medicare Rx Saver from UHC (PDP) | $270 |
| Drug tiers (one month, retail) | Preferred Generic: $0 copayGeneric: $5 copayPreferred Brand: 18% coinsuranceNon-Preferred Drug: 38% coinsuranceSpecialty Tier: 25% coinsurance | Preferred Generic: $0 copayGeneric: $10 copayPreferred Brand: 20% coinsuranceNon-Preferred Drug: 35% coinsuranceSpecialty Tier: 28% coinsuranceSelect Care Drugs: $0 copay |
Not sure which of these costs apply to you?
Text us what you have now. We will help you read this comparison and check it with Medicare.gov.
A higher drug plan premium is not, by itself, a reason to switch
With Original Medicare, you buy a separate drug plan. In Minnesota, 9 drug plans are for sale for 2027, from $5.30 to $222.90 a month. Half of them cost $33.30 a month or less.
- Every 2027 drug plan limits what you pay for covered drugs to $2,400 a year. The drug coverage in Medicare Advantage plans has the same limit.
- The premium is one part of your yearly cost. The calculator above adds premiums, medical costs, and drug costs, so you can see the whole year.
- A Medicare Advantage plan can cost less in a light year. But you also take on its network and prior authorization rules, and you may not be able to get Medigap later.
- If your income is limited, Extra Help can pay most of your drug plan premium and drug costs. Check Extra Help at SSA.gov
Doctors, referrals, and prior authorization
Cost is one side. The other side is how you get care. These rules come from the CMS plan files. Prior authorization means the plan must approve a service before you get it.
Original Medicare
- Any doctor or hospital in the U.S. that takes Medicare
- No referrals
- Prior authorization only for a short list of services
Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO)
HMO
- You use doctors and hospitals in the plan network. Outside the network, the plan pays for emergencies and urgent care.
- No referral needed to see a specialist.
Prior authorization for 12 services
Diagnostic tests, Outpatient hospital, Ambulance, Physical therapy, Occupational therapy, Home health, Partial hospitalization, Medical equipment, Prosthetics, Hospital stay, Skilled nursing, Part B drugs
Extra benefits
| Extra benefit | Original Medicare | Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO) |
|---|---|---|
| Dental | No | Preventive only |
| Eye exam | No | Yes |
| Glasses or contacts | No | No |
| Hearing aids | No | No |
| Over-the-counter allowance | No | No |
| Fitness benefit | No | No |
| Rides to care | No | No |
| Meals after a hospital stay | No | No |
| Emergency care abroad | No, unless your Medigap plan pays for it | Yes |
| Part B premium giveback | No | No |
What changed for 2027
Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO)
Renewal Plan · 2026 plan H9834-007-0
- In-network out-of-pocket maximum up from $6,700 to $7,150
- Primary doctor visit: $30 copay to $55 copay
- Diagnostic radiology (MRI, CT): $300 copay to $350 copay
- Inpatient hospital: $300 per day for days 1-7; $0 per day for days 8-90 to $335 per day for days 1-7; $0 per day for days 8-90
- Skilled nursing facility: $0 per day for days 1-20; $215 per day for days 21-100 to $0 per day for days 1-20; $221 per day for days 21-100
- Eyewear removed
- Overall star rating up from 4 to 4.5
More 2027 plans in Wabasha County
- Medica Advantage Salute (PPO), H8889-009 (page for Pennington County, SD)
- Gundersen MN Quartz Med Advantage Value D (w/Rx) (HMO), H9834-003
- Gundersen MN Quartz Med Advantage Core D (w/Rx) (HMO), H9834-006
- Gundersen MN Quartz Med Advantage Elite D (w/Rx) (HMO), H9834-001
- Gundersen MN Quartz Med Advantage Value (HMO), H9834-004
- Medica Advantage Essential (PPO), H8889-023 (page for Olmsted County, MN)
- Medica Advantage Select (PPO), H8889-024 (page for Olmsted County, MN)
County guide: 2027 plans in Wabasha CountyState guide: Minnesota
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Sources and method
Plan data comes from the CMS 2027 Plan Benefit Package and landscape files. The data is from 2026-10-10. We checked a sample of plans field by field against Medicare.gov. Original Medicare amounts are the 2027 projections in the 2026 Medicare Trustees Report (Tables V.E1 and V.E2). CMS sets the final amounts in November. Minnesota sets its own Medigap plans: the Basic Plan and the Extended Basic Plan, with optional riders. Minnesota also sells its own versions of Plans K, L, M, and N. A high-deductible plan is open only to people who were eligible for Medicare before 2020. We have no prices or cost model for these plans, so the totals show Original Medicare without Medigap. You can look up Medigap plans and prices for ZIP 55041 on Medicare.gov. Totals use typical Medicare-allowed amounts for each service and typical drug prices.
- Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO) on Medicare.gov · plan website · drug list · doctor directory
- Medigap prices for ZIP 55041 on Medicare.gov
- Medigap plans in Minnesota: Medicare.gov, Choosing a Medigap Policy (2026), Section 7
- CMS Plan Benefit Package files, 2027
- CMS 2027 landscape files (premiums and limits)
- CMS 2027 plan crosswalk
- CMS 2027 Star Ratings
- 2026 Medicare Trustees Report: projected 2027 Part A and Part B amounts (Tables V.E1 and V.E2)
- CMS 2026 Part A and Part B amounts
- Medicare.gov: Medigap guaranteed issue rights
These are estimates, not quotes, and they are for education only. Check every number with Medicare and with the plan before you choose. What you pay depends on your doctors and hospitals, your drugs and pharmacy, and the care you use. Plans can change their benefits, premiums, drug lists, and networks each year.
Pinnie is not an insurance agent or broker and does not sell Medicare plans. Pinnie is not connected with or endorsed by the U.S. government or the federal Medicare program. For all your options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048.