NEFB Dec. 30, 2020 NEFB Member Health Plans Portfolio

Prescription Drug Coverage To help keep your share of the costs at their lowest, our plans cover drugs on the Medica Drug List. The list includes drugs that provide the most value and have proven safety and effectiveness. Your cost will vary depending on which tier your drug belongs to. For your plan to cover a drug on the drug list, you need to visit a network pharmacy. To see what drugs are covered or to find a network pharmacy, use the online search tool at Medica.com/NEFBplans . Medica Privacy Notice Medica takes its responsibility of protecting your personal information seriously. Where possible, Medica de-identifies or encrypts personal information. We use and disclose personal information only to the extent necessary to conduct treatment, payment and health care operations, or to comply with legal, regulatory or accreditation requirements. Medica’s full Privacy Notice is available upon request by calling your insurance agent or by going to Medica.com/Privacy .

Short Term Policy Year Nebraska Farm Bureau Member Health Plan is a short- term medical policy. This means your coverage will last for 364 days. Coverage will start on December 30, 2020 and end December 29, 2021. About Short Term Coverage This coverage is not required to comply with certain federal market requirements for health insurance, principally those contained in the Affordable Care Act. Be sure to check your policy carefully to make sure you are aware of any exclusions or limitations regarding coverage of preexisting conditions or health benefits (such as hospitalization, emergency services, maternity care, preventative care, prescription drugs, and mental health and substance use disorder services). Your policy might also have lifetime and/or annual dollar limits on health benefits. If this coverage expires or you lose eligibility for this coverage, you might have to wait until an open enrollment period to get other health insurance coverage.

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