Usually they will either make a racket or start to wear the belt unevenly before giving out, but with 200k, you can be pretty sure that the grease is long gone You can pull the things and if still tight, you can take a grease needle and work it in around th eedge of the rubber seal of the bearings and squeeze as much grease in as the things will take rotate the bearing a bit to get it to suck the grease down. It doesn't hurt to poke the needle in , in a few spots to get ful coverage. I've extended teh life of idler pulley bearings and driveshaft carrier bearings oodles of miles that way
. The trickiest part is finding decent quality grease needles these days. most of them are pretty flimsy anymore and won't puncture teh plastic seal or work in around the edge without breaking. It's hard to find good ones.