FBHP Catastrophic C01CP

FBHP Catastrophic C01CP



About the Plan
Farm Bureau Catastrophic coverage features 100 percent coverage for inpatient, emergency room, specialist and preventative care but with high deductibles and out-of-pocket maximums. Coverage is ACA-compliant with full protection from health care tax penalties.

Farm Bureau Health Plans uses UnitedHealthcare Choice Plus Network. Please keep in mind that in-network payments are based on negotiated fees. If an out-of-network provider is used the member's liability will increase significantly. 

Please use this prescription drug list to identify the drugs covered by Farm Bureau Health Plans ACA-compliant plans. Use this as a guide to help manage the overall cost of prescription drug benefits.

Resources
Provider Network
Prescription Drug List
Summary Of Benefits and Coverage

Effective January 1, 2017 In-Network Out-of-Network
 Calendar Year Deductible  (Individual) $6,850 $13,700
 Calendar Year Deductible  (Family) $13,700 $27,400
 Out-of-Pocket (Individual) $6,850 $20,550
 Out-of-Pocket (Family) $13,700 $41,100

Effective January 1, 2017 In-Network Out-of-Network
 Coinsurance (except as otherwise listed) 0% (After Deductible Plan pays 100%) 0% (after deductible Plan pays 100%)
 Primary Care Visit to treat an injury or  illness $40 copay/visit for the first 3 visits. After the 3rd visit, 100% coinsurance after deductible. 50% coinsurance after deductible plus amounts over the allowed amount 
 Specialist visit

100% coinsurance after deductible

100% coinsurance after deductible

 Other practitioner office visit

100% coinsurance after deductible

50% coinsurance after deductible plus amounts over the allowed amount

 Preventive  care/screening/immunization

No Charge

100% coinsurance after deductible 

 Preventative Benefits 100% Plan pays 100% of the maximum allowable charge after deductible
 Inpatient

100% of the maximum allowable charge after deductible 

100% of the maximum allowable charge after deductible 

 Other Covered Services (After  Deductible) 100% of the maximum allowable charge after deductible  100% of the maximum allowable charge after deductible
 Routine Dental Pediatric dental check-up: 
No charge
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:
100% coinsurance after deductible

Preferred brand drugs: 
100% coinsurance after deductible

Non-preferred brand drugs: 
100% coinsurance after deductible
Generic: 
100% coinsurance after deductible, plus amounts over allowed amount

Preferred brand drugs: 
100% coinsurance after deductible, plus amounts over allowed amount

Non-preferred brand drugs: 
100% coinsurance after deductible, plus  amounts over allowed amount
 Emergency Room Services 100% coinsurance after deductible 100% coinsurance 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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