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Farm Bureau Health Plans

Education & Resources

Farm Bureau Select Rx 2024 Farm Bureau Essential Rx 2024 How Medicare Works Formulary Medication Therapy Management (MTM) How to Appoint a Representative Quality Assurance Programs Documents & Forms
Part D Coverage Stages Transition Policy Coverage Determinations Appeals Enrollment/Disenrollment Filing a Grievance Fraud, Waste & Abuse Premium Payment Terms & Conditions Medicare's Extra Help Program Resources Medicare Complaint Form Medicare Prescription Drug Coverage Determinations Best Available Evidence for Low-Income Subsidy

Part D Coverage Stages

Deductible Stage

If you select the Farm Bureau Essential Rx plan with a deductible, you will pay all of your drug costs until you spend $545 in 2024. If you select the Farm Bureau Select Rx plan you do not have a deductible.

2024 Farm Bureau Select Rx Deductible - $0

2024 Farm Bureau Essential Rx Deductible - $545

Initial Coverage Stage

If your plan does not have a deductible, you start in the Initial Coverage Stage.  If your plan has a deductible, you enter the Initial Coverage Stage once your deductible is met.

During this stage, the plan pays its share of the cost of your drugs and you pay your share of the cost.  Depending on the Tier Level of your prescription drug, you will pay either a set co-payment or coinsurance.

You stay in this stage until your total drug costs for the year total $5,030 in 2024. Total drug costs are your payments plus the plan’s payments.

Coverage Gap Stage

During the Coverage Gap Stage, the Medicare Coverage Gap discount program provides 70% manufacturer discounts on brand name drugs.  This discount is automatically applied at the pharmacy.  The plan also provides some coverage for generic drugs during this stage.

Brand Name Drugs:
You pay 25% (plus a portion of the dispensing fee) and the plan pays the remaining 5%.

Generic Drugs:
You pay 25% of the price and the plan pays 75%.

You stay in the Coverage Gap Stage until your year-to-date out-of-pocket costs reach $8,000 in 2024. The out-of-pocket costs do not include what the plan has paid for your prescription drugs.

Catastrophic Stage

Plan Year 2024

Once you and others on your behalf have spent $8,000 in drug costs in Plan Year 2024, the plan pays the full cost of your covered Part D drugs and you pay nothing.