FBHP Silver S01CP

FBHP Silver S01CP



About the Plan
Farm Bureau Health Plan's ACA-compliant Silver coverage offers full coverage with lower level deductibles and out-of-pocket maximums. You are protected from ACA healthcare tax penalties and receive all essential benefits.


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) $2,500 $5,000
Calendar Year Deductible (Family) $5,000 $10,000
Out-of-Pocket (Individual) $5,500 $16,500
Out-of-Pocket (Family) $11,000 $33,000

Effective January 1, 2017 In-Network Out-of-Network
Coinsurance (except as otherwise listed) 20% (Plan pays 80%) 50% (Plan pays 50%)
Primary Care Visit to treat an injury or illness $30 copay/visit for the first 4 visits. After the 4th visit, 20% coinsurance after deductible 50% coinsurance after deductible plus amounts over the allowed amount
Specialist Visit 20% coinsurance after deductible 50% coinsurance after deductible plus amounts over the allowed amount
Other Practitioner Office Visit 20% coinsurance after deductible 50% coinsurance after deductible plus amounts over the allowed amount
Preventative care/screening/immunization No charge 50% coinsurance after deductible plus amounts over the allowed amount
Preventative Benefits 0% (Plan pays 100%) 50% (Plan pays 50%)
Inpatient (After Deductible) 20% (Plan pays 80%) 50% (Plan pays 50%)
Other Covered Services (After Deductible) 20% (Plan pays 80%) 50% (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

Preferred brand:
$35 copay after deductible

Non-preferred brand: 
$150 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 the allowed amount 

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

Non-preferred brand: 
50% coinsurance after deductible plus amounts over the allowed amount 
Emergency Room Services $75 copay/visit after deductible $75 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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