Medicare Supplement (Medigap) in St. Paul, Minnesota: A Clear 2027 Guide

Around 85,596 people in Ramsey County are 65 or older — many of whom pair Original Medicare with a Medigap policy for predictable costs. For anyone in St. Paul, Minnesota, this 2027 guide explains the standardized plans and what each covers.

New to Medicare around St. Paul? Start with one fact that clears up a lot of confusion: what's available to you is decided at the county level, and St. Paul falls in Ramsey County (part of St. Paul area).

There, 27 Medicare Advantage plans are available for 2027. About 60% of the county's Medicare members are in a Medicare Advantage plan rather than Original Medicare, among the roughly 85,596 residents who are 65 or older.

Below, we lay out the carriers serving the area, how Original Medicare, Advantage, Medigap and Part D relate, the 2027 numbers everyone shares, the enrollment calendar, and free help — all educational, with no plan rankings.

What Medigap does — and doesn't — cover

Think of Medigap as the layer that sits on top of Original Medicare to absorb the costs it leaves you: the deductibles, the 20% coinsurance, the copays that otherwise have no annual ceiling.

The catch that trips people up is that these plans are federally standardized — a Plan G from one insurer covers exactly what a Plan G from another does. So the letter defines the benefits, and price and service are what separate companies. Medigap doesn't include drug coverage, so most people in St. Paul, Minnesota pair it with a stand-alone Part D plan.

Below we break down what each standardized plan covers and the enrollment rights that matter most in St. Paul, Minnesota. It's a framework, not a ranking — and we don't quote premiums.

What Medicare costs in 2027

It helps to separate the costs everyone shares from the costs that vary by plan. The program-level numbers here are set nationally — the same whether you're in a big city or a rural county.

Part B premium. Most people pay the standard Part B premium of $202.90 a month in 2026 (2026 amount; 2027 figure will be posted when CMS releases it). Part A is premium-free for most people who worked and paid Medicare taxes long enough.

Part D drug costs. In 2027, a Part D plan's yearly deductible can be no more than $700, and a $2,400 cap limits what you pay out of pocket for covered prescriptions across the year — a real change for anyone with high drug costs.

Higher earners pay more for Parts B and D through an income-related adjustment called IRMAA, which for 2026 starts above $109,000 in annual income for an individual and is based on your 2024 tax return. Most people fall below that line and pay the standard amounts. The 2027 brackets will be posted when CMS releases them.

Plan-specific costs. What an individual plan charges — its premium, deductible, copays, and what it covers — varies by plan and changes yearly. We don't publish those figures or rank plans; Medicare's Plan Finder shows the current details for your situation, and a licensed agent can walk you through them.

Your Medicare enrollment calendar

The dates that follow are set federally, so they don't change from state to state — only your personal timing does.

It starts with your Initial Enrollment Period — the 7-month window around your 65th birthday month — the window around turning 65 when you first sign up. Missing it can mean late penalties that stick around, so it's the one not to sleep on.

After that, the big recurring window is the Annual Enrollment Period, October 15 – December 7, when anyone can join, switch, or drop an Advantage or Part D plan for a January 1 start. And if you're already in an Advantage plan, the Medicare Advantage Open Enrollment (January 1 – March 31) gives you one more chance to change course.

Life events — a move, a loss of other coverage — can also trigger a Special Enrollment Period. The calendar below shows the whole year at a glance.

Getting unbiased help in St. Paul

You never have to make these decisions alone, and you don't have to pay for good help. A few free, trustworthy starting points:

Medicare.gov and 1-800-MEDICARE (TTY 1-877-486-2048) are the official sources for plan details and the Plan Finder. Licensed agents can also compare options with you and handle enrollment.

And to be clear about who we are: MyMedicarePlans.org is a privately owned, independent educational resource. We are not Medicare, not a government agency, and not affiliated with one. We publish plain-language information to help you get oriented — then point you to the official sources and licensed professionals for decisions about specific plans.

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