FBHP Bronze B02CP

FBHP Bronze B02CP



The new Bronze plan for 2017 offers some of the FBHP’s lowest rates with a higher deductible and out-of-pocket maximum. It delivers a full menu of essential coverage, ACA-compliance and protection from the health care tax penalty, at a most affordable price.

Resources
Provider Network
Prescription Drug List
Summary Of Benefits and Coverage

FBHP Bronze B02CP
Effective January 1, 2017 In-Network Out-of-Network
Calendar Year Deductible (Individual) $6,500 $13,000
Calendar Year Deductible (Family) $13,000 $26,000
Out-of-Pocket (Individual) $7,150 $21,450
Out-of-Pocket (Family) $14,300 $42,900

Effective January 1, 2017 In-Network Out-of-Network
Coinsurance (except as otherwise listed) 30% (Plan pays 70%) 50% coinsurance after deductible plus amounts over the allowed amount
Primary Care Visit to treat an injury or illness 30% coinsurance after deductible 50% coinsurance after deductible plus amounts over the allowed amount
Specialist visit 30% coinsurance after deductible 50% coinsurance after deductible plus amounts over the allowed amount
Other practitioner office visit 30% coinsurance after deductible 50% coinsurance after deductible plus amounts over the allowed amount
Preventive care/screening/immunization No Charge 50% coinsurance after deductible plus amounts over the allowed amount
Preventative Benefits 0% (Plan pays 100%) 50% after deductible (Plan pays 50%)
Inpatient (After Deductible) 30% (Plans pays 70%) 50% after deductible (Plan pays 50%)
Other Covered Services (After Deductible) 30% (Plans pays 70%) 50% after deductible (Plan pays 50%)
Routine Dental Pediatric dental check-up: 
No charge
Pediatric dental check-up: 
50% coinsurance after deductible plus amounts over the allowed amount
Routine Vision Pediatric eye exam:
No charge
Pediatric eye exam:
No charge
Prescription Drug Coverage Generic:
$3 copay after deductible

Generic and Preferred specialty:
$300 copay after deductible

Non-preferred specialty:
$350 copay after deductible

Generic and Preferred specialty
$300 copay after deductible

Non-preferred specialty
$350 copay after deductible
Generic: 
50% coinsurance after deductible, plus amounts over allowed amount

Preferred brand drugs: 
50% coinsurance after deductible, plus amounts over allowed amount

Non-preferred brand drugs: 
50% coinsurance after deductible, plus amounts over allowed amount
Emergency Room Services $150 copay/visit after deductible $150 copay/visit after deductible

Ready to Enroll?

Farm Bureau Health Plans is proud to offer quality coverage at an affordable cost.

Medicare Supplements Insured by TRH Health Insurance Company, Columbia, TN.
TRHH-POST-POLA-FL14-174; TRHH-POST-POLB-FL14-175; TRHH-POST-POLC-FL14-176; TRHH-POST-POLD-FL14-177; 
TRHH-POST-POLF-FL14-178; TRHH-POST-POLG-FL14-179; TRHH-POST-POLM-FL14-180; TRHH-POST-POLAN-FL14-181
Not connected with or endorsed by the U.S. or state government. This is a solicitation of insurance. A representative of TRH Health Insurance Company may contact you. Benefits not provided for expenses incurred while coverage under the policy is not in force, expenses payable by Medicare, non- Medicare eligible expenses or any Medicare deductible or copayment/coinsurance or other expenses not covered under the policy.

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