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Farm Bureau Health Plans
Medicare Supplement Plans

Plan G

Plan G offers comprehensive coverage, including Medicare Part B excess charges. This plan does not cover the Medicare Part B deductible.

Guaranteed Renewable:

As long as you make premium payments on time, do not file claims with false or misleading information, and maintain your annual membership dues, you'll have the security of our Medicare Supplement coverage as long as you want it.

Money Back Guarantee:

If you are not 100 percent satisfied with your Farm Bureau Health Plans Medicare Supplement, return the EOC to us within 30 days after you receive it and we will gladly refund any payments you have made (less any benefits provided.)

Ready to Enroll?

Plan G covers these basic benefits:
Hospitalization

Part A coinsurance pays coverage for 365 additional days after Medicare benefits end

Medical Expenses

Part B coinsurance (generally 20% of Medicare-approved expenses)

Blood

First three pints of blood each year

Hospice

Part A coinsurance

HOSPITALIZATION*
Semiprivate room and board, general nursing and miscellaneous services and supplies
MEDICARE PAYS
PLAN G PAYS
YOU PAY
First 60 Days
MEDICARE PAYS
All but $1676
PLAN G PAYS
$1676 (Part A deductible)
YOU PAY
$0
61st thru 90th day
MEDICARE PAYS
All but $419 a day
PLAN G PAYS
$419 a day
YOU PAY
$0
91st day and after: -While using 60 lifetime reserve days
MEDICARE PAYS
All but $838 a day
PLAN G PAYS
$838 a day
YOU PAY
$0
Once lifetime reserve days are used: -Additional 365 days
MEDICARE PAYS
$0
PLAN G PAYS
100% of Medicare eligible expenses
YOU PAY
$0**
-Beyond additional 365 days
MEDICARE PAYS
$0
PLAN G PAYS
$0
YOU PAY
All costs
SKILLED NURSING FACILITY CARE
You must meet Medicare’s requirements, including having been in a hospital for at least 3 days and entered a Medicare approved facility within 30 days after leaving hospital
MEDICARE PAYS
PLAN G PAYS
YOU PAY
First 20 days
MEDICARE PAYS
All approved amounts
PLAN G PAYS
$0
YOU PAY
$0
21st thru 100th day
MEDICARE PAYS
All but $209.50 a day
PLAN G PAYS
Up to $209.50 a day
YOU PAY
$0
101st day and after
MEDICARE PAYS
$0
PLAN G PAYS
$0
YOU PAY
All costs
BLOOD
MEDICARE PAYS
PLAN G PAYS
YOU PAY
First 3 pints
MEDICARE PAYS
$0
PLAN G PAYS
3 pints
YOU PAY
$0
Additional amounts
MEDICARE PAYS
100%
PLAN G PAYS
$0
YOU PAY
$0
HOSPICE CARE
MEDICARE PAYS
PLAN G PAYS
YOU PAY
You must meet Medicare’s requirements, including a doctor’s certification of terminal illness
MEDICARE PAYS
All but very limited copayment/coinsurance for outpatient drugs and inpatient respite care
PLAN G PAYS
Medicare copayment/coinsurance
YOU PAY
$0

* A benefit period  begins on the first day you receive service as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 days in a row.

** NOTICE: When your Medicare Part A hospital benefits are exhausted, the insurer stands in the place of Medicare and will pay whatever amount Medicare would have paid for up to an additional 365 days as provided in the policy's "Core Benefits." During this time the hospital is prohibited from billing you for the balance based on any difference between its billed charges and the amount Medicare would have paid.

MEDICAL EXPENSES
IN OR OUT OF THE HOSPITAL AND OUTPATIENT HOSPITAL TREATMENT, such as Physician’s services, inpatient and outpatient medical and surgical services and supplies, physical and speech therapy, diagnostic tests, durable medical equipment
MEDICARE PAYS
PLAN G PAYS
YOU PAY
First $257 of Medicare Approved Amounts*
MEDICARE PAYS
$0
PLAN G PAYS
$0
YOU PAY
$257

Part B deductible

Remainder of Medicare Approved Amounts
MEDICARE PAYS
Generally 80%
PLAN G PAYS
Generally 20%
YOU PAY
$0
PART B EXCESS CHARGES
MEDICARE PAYS
PLAN G PAYS
YOU PAY
(ABOVE MEDICARE APPROVED AMOUNTS)
MEDICARE PAYS
$0
PLAN G PAYS
100%
YOU PAY
$0
BLOOD
MEDICARE PAYS
PLAN G PAYS
YOU PAY
First 3 pints
MEDICARE PAYS
$0
PLAN G PAYS
All costs
YOU PAY
$0
Next $257 of Medicare Approved Amounts*
MEDICARE PAYS
$0
PLAN G PAYS
$0
YOU PAY
$257

Part B deductible

Remainder of Medicare Approved Amounts
MEDICARE PAYS
80%
PLAN G PAYS
20%
YOU PAY
$0
CLINICAL LABORATORY SERVICES
MEDICARE PAYS
PLAN G PAYS
YOU PAY
Tests For Diagnostic Services
MEDICARE PAYS
100%
PLAN G PAYS
$0
YOU PAY
$0

* Once you  have been billed $257 of Medicare approved amounts for covered services (which are noted with an asterisk), your Part B deductible will have been met for the calendar year.

HOME HEALTHCARE
Medicare Approved Services
MEDICARE PAYS
PLAN G PAYS
YOU PAY
Medically necessary skilled care services and medical supplies
MEDICARE PAYS
100%
PLAN G PAYS
$0
YOU PAY
$0
Durable Medical Equipment

First $257 of Medicare Approved Amounts

MEDICARE PAYS
$0
PLAN G PAYS
$0
YOU PAY
$257

Part B deductible

Remainder of Medicare Approved Amounts
MEDICARE PAYS
80%
PLAN G PAYS
20%
YOU PAY
$0
FOREIGN TRAVEL - NOT COVERED BY MEDICARE
Medically necessary emergency care services beginning during fist 60 days of each trip outside US
MEDICARE PAYS
PLAN G PAYS
YOU PAY
First $250 each calendar year
MEDICARE PAYS
$0
PLAN G PAYS
$0
YOU PAY
$250
Remainder of charges
MEDICARE PAYS
$0
PLAN G PAYS
80% to a lifetime maximum benefit of $50,000
YOU PAY
20% and amounts over $50,000 lifetime maximum

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