March 20, 2010

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Health Net Farm Bureau – CFB Saver II $1,800 – CALIFORNIA

A comparison of the CFB Saver II $1,800 offered by Health Net Farm Bureau is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
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Network See Provider See Provider
Application CFB Saver II $1,800 Application CFB Saver II $1,800 Application
Brochure CFB Saver II $1,800 Brochure CFB Saver II $1,800 Brochure
Copay $40 (deductible waived) Not covered
Office Visit No charge after deductible is met 50% after deductible is met
Deductible $1,800 per member / $3,600 per family $1,800 per member / $3,600 per family
Coinsurance 100% after deductible is met 50% after deductible is met
Coinsurance Limit CFB Saver II $1,800 CFB Saver II $1,800
Out-of-Pocket Maximum $0 (Includes Deductible)Individual: $6,800 per member, Family: $13,600 per family
Lifetime Maximum $6,000,000 $6,000,000
Prescription Drugs No charge after deductible is met Not Covered
Emergency Room No charge after deductible is met 50% after deducible is met
Adult Preventative Care $40 copay (deductible waived) CFB Saver II $1,800
Child Preventative Care CFB Saver II $1,800 CFB Saver II $1,800
Lab / X-Ray No charge after deductible is met 50% after deductible is met
Maternity Not covered Not covered
Physical Therapy
  • Chiropractic Care- No charge after deductible is met (12 visits per calendar year combined with acupuncture, in-or out-of-network)
  • Acupuncture / Acupressure- No charge after deductible is met (12 visits per calendar year combined with chiropractic care, in- or out-of-network)
    		•
  • Chiropractic Care- 50% after deductible is met (12 visits per calendar year combined with acupuncture, in- or out-of-network)
  • Acupuncture / Acupressure- 50% after deductible is met (12 visits per calendar year combined with chiropractic care, in- or ou-of-network)
    		•
    Skilled Nursing CFB Saver II $1,800 CFB Saver II $1,800
    Home Health Care See benefits contract See benefits contract
    Mental Health
  • Inpatient- No charge after deductible is met (30 visits per calendar year / $300 maximum allowable per day in- or out-of-network)
  • Outpatient- No charge after deductible is met (20 visits per calendar year / $30 maximum payable per visit)
    		•
  • Inpatient- 50% after deductible is met (30 visits per calendar year / $300 maximum allowable per day in- or out-of-network)
  • Outpatient- Not covered
    		•
    Hospital Care
  • Inpatient Hospital- No charge after deductible is met
    		•
  • Inpatient Hospital- 50% after deductible is met
    		•
    Optional Benefits CFB Saver II $1,800 CFB Saver II $1,800