A Medicare Supplement plan, otherwise known as Medigap coverage, from Texas Farm Bureau Health Plans will help pay for many costs not covered by Medicare. Because people have different needs, circumstances, expectations and budgets, Texas Farm Bureau Health Plans offers four Medicare Supplement plans. Each plan has varying levels of supplemental coverage.

The charts below outline the coverage of Medicare Supplement Plan G. This plan offers comprehensive coverage, including Medicare Part B excess charges. Plan G does not cover the Medicare Part B deductible.

Guaranteed Renewable

As long as you make premium payments on time and do not file claims with false or misleading information you’ll have the security of Texas Farm Bureau Health Plans’ Medicare Supplement plan.

Premiums are adjusted each year with the first billing following your birthday. Any premium change will be made only when Texas Farm Bureau Health Plans changes the premium for all certificates in the same plan. Premiums will never be changed due to a change in health, the number of claims filed, or type of work.

Money Back Guarantee

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

Plan G Details

Note: The benefits and costs shown are for plans effective on or after January 1, 2023.

Plan G covers these basic benefits:

Hospitalization
Part A coinsurance plus coverage for 365 additional days after Medicare benefits end		 Medical Expenses
Part B coinsurance (generally 20% of Medicare-approved expenses) or copayments for hospital outpatient services
Blood
First three pints 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 All but $1,600 $0 $1,600
61st through 90th day All but $400 a day $400 a day $0
91st day and after:
-While using 60
lifetime reserve days		 All but $800 a day $800 a day $0
Once lifetime reserve
days are used: -Additional 365 days		 $0 100% of Medicare
eligible expenses		 $0**
-Beyond additional 365
days		 $0 $0 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 All approved amounts $0 $0
21st through 100th day All but $200.00 a day $0 Up to $200.00 a day
101st day and after $0 $0 All costs

BLOOD

Medicare Pays Plan G Pays You Pay
First 3 pints $0 3 pints $0
Additional amounts 100% $0 $0

HOSPICE CARE

Medicare Pays Plan G Pays You Pay
You must meet Medicare’s requirements, including a doctor’s certification of terminal illness. All but very limited copayment/coinsurance for outpatient drugs and inpatient respite care Medicare copayment/coinsurance $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 $226 of Medicare Approved Amounts* $0 $0 $226
Remainder of Medicare Approved Amounts Generally 80% Generally 20% $0

PART B EXCESS CHARGES

Medicare Pays Plan G Pays You Pay
(ABOVE MEDICARE APPROVED AMOUNTS) $0 All costs $0

BLOOD

Medicare Pays Plan G Pays You Pay
First 3 pints $0 All costs $0
Additional amounts 100% $0 $0

CLINICAL LABORATORY SERVICES

Medicare Pays Plan G Pays You Pay
Tests For Diagnostics Services $0
*Once you have been billed $226 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 100% $0 $0
Durable Medical Equipment $0 $0 $226
(Part B Deductible)
Remainder of Medicare Approved Amounts 80% 20% $0

FOREIGN TRAVEL
NOT COVERED BY MEDICARE Medically necessary emergency care services beginning during first 60 days of each trip outside U.S.

MEDICARE PAYS PLAN G PAYS YOU PAY
First $250 each calendar year $0 $0 $250
Remainder of charges $0 80% to a lifetime maximum benefit of $50,000 20% and amounts over $50,000 lifetime maximum

Ready to Enroll?

For more information, call
877.500.0140