OTHER IMPORTANT INFORMATION Eligibility and Requirements
Prior Approvals and Excluded Services Some services and procedures require prior approval from Medica before they are covered. Services not covered include, but are not limited to, custodial care, adult eyewear, most dental services, cosmetic services, refractive eye surgery, costs covered by a drug manufacturer savings card, those received while on military duty and services that are investigational or not medically necessary. For a complete list see a Medica certificate of coverage available on Medica.com/ NEFBplans or call your insurance agent. Health Savings Account The HSA plan can be paired with a health savings account (HSA) — which is a special savings account for IRS-approved medical expenses. Learn more about the benefits of an HSA or how to open an account by visiting Medica.com/HSA . Deductible and Out-Of-Pocket Maximum Details The deductible and out-of-pocket maximum are subject to a “cost of living” increase on a yearly basis. This increase is tied to the Consumer Price Index.
To qualify for a Nebraska Farm Bureau Health Plan, 50 percent of your gross income must be in production agriculture or agribusiness, and your Principal Business must have less than 50 employees. You must be a Nebraska Farm Bureau member in good standing since August 31, 2020. You also must maintain your Nebraska Farm Bureau membership throughout your coverage period. You must live within your selected network's service area to enroll in and remain in the plan. Understanding Benefits and Coverage Details This brochure is a brief overview of the plans. For complete benefit details, limitations, and exclusions please see a Medica policy of coverage. This can be found by visiting Medica.com/NEFBplans or request a paper copy by calling your insurance agent. Member Complex Case Management We have services and programs designed to help members with certain health conditions manage their overall care and treatment. Find more information about the programs and services available by visiting Medica.com .
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