Bryan,
There is no way to tell when the bearings are going to fail on an serpentine belt idler pulley. On my C 12, I had the bearings fail at 120,000 miles in one of the two idler pulleys, but the other idler pulley and the tensioner pulley are still running at 165,000 miles. I have seen new idler pulleys fail at 40,000 miles. So would I have been better to change both idlers and the tensioner when the first one failed? Who knows, but it is not practical to replace everything on a coach because something might fail. You just have to chose what you are comfortable with, and go with that.
Gerald