Late Enrollment Penalty Home Health Care Out-of - Network Referrals 190 days Impatient (psych) Limited Outpatient RX Drugs Prior Authorization In- Network Ambulatory Services Hearing Coverage Step Therapy Outpatient Therapy $0 Co- Insurance (1-60) Use with Original Medicare C $352 Co- Insurance (61-90) Usually earned by working HMO Travel the World $198 Beneficiary Deductible Vision Coverage ALL COST SNF $682 Co- Pay (91 until) K $435 Deductible (2020) $1408 Deductible in 2020 Withdraw from RRB Red/Blue/ White Care Quantity Limits Co- insurance Copayment D Tier 3 Fitness Benefit Specialist L 20% Co- insurance Formulary 1% National Average 65 or older IRMAA $32.74 Late Enroll Premium Tier 5 No Networks $0 copay SNF (1-20) Durable Medical Equipment No enrollment Period M Dental Coverage Must be eligible for Part A $13.00 Beneficiary Deductible One Card for Everything $0 Premium Plans B Flexible Network Tier 2 Skilled Nursing Facility PPO Higher Premiums $144.60 Deductible (2020) F People With ESRD Inpatient Care Covers 80% MA Services Accepted by all Providers A N Withdraw from Social Security RX @ Physician Offices G Premium Varies Tier 1 $9.10 Deductible Increase from 2019 $176 copay SNF (21-100) People with Certain Disabilities Tier 4 Deductible Phase HMO- POS Primary Care Physician Drug Plans Hospice Care Red/Blue/ White Card Networks Stand Alone RX plan Late Enrollment Penalty Home Health Care Out-of - Network Referrals 190 days Impatient (psych) Limited Outpatient RX Drugs Prior Authorization In- Network Ambulatory Services Hearing Coverage Step Therapy Outpatient Therapy $0 Co- Insurance (1-60) Use with Original Medicare C $352 Co- Insurance (61-90) Usually earned by working HMO Travel the World $198 Beneficiary Deductible Vision Coverage ALL COST SNF $682 Co- Pay (91 until) K $435 Deductible (2020) $1408 Deductible in 2020 Withdraw from RRB Red/Blue/ White Care Quantity Limits Co- insurance Copayment D Tier 3 Fitness Benefit Specialist L 20% Co- insurance Formulary 1% National Average 65 or older IRMAA $32.74 Late Enroll Premium Tier 5 No Networks $0 copay SNF (1-20) Durable Medical Equipment No enrollment Period M Dental Coverage Must be eligible for Part A $13.00 Beneficiary Deductible One Card for Everything $0 Premium Plans B Flexible Network Tier 2 Skilled Nursing Facility PPO Higher Premiums $144.60 Deductible (2020) F People With ESRD Inpatient Care Covers 80% MA Services Accepted by all Providers A N Withdraw from Social Security RX @ Physician Offices G Premium Varies Tier 1 $9.10 Deductible Increase from 2019 $176 copay SNF (21-100) People with Certain Disabilities Tier 4 Deductible Phase HMO- POS Primary Care Physician Drug Plans Hospice Care Red/Blue/ White Card Networks Stand Alone RX plan
(Print) Use this randomly generated list as your call list when playing the game. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.
B-Late Enrollment Penalty
A-Home Health Care
C-Out-of -Network
C-Referrals
A-190 days Impatient (psych)
B-Limited Outpatient
RX Drugs
D-Prior
Authorization
C-In-Network
B-Ambulatory Services
C-Hearing
Coverage
D-Step Therapy
B-Outpatient Therapy
A-$0 Co-Insurance
(1-60)
D-Use with Original Medicare
S-C
A-$352 Co-Insurance
(61-90)
A-Usually earned by working
C-HMO
S-Travel the World
B-$198 Beneficiary
Deductible
C-Vision Coverage
A-ALL COST
SNF
A-$682 Co-Pay
(91 until)
S-K
D-$435
Deductible (2020)
A-$1408 Deductible in 2020
B-Withdraw from RRB
A-Red/Blue/ White
Care
D-Quantity Limits
D-Co-insurance
D-Copayment
S-D
D-Tier 3
C-Fitness Benefit
C-Specialist
S-L
B-20% Co-insurance
D-Formulary
D-1% National
Average
A-65 or older
B-IRMAA
D-$32.74
Late Enroll
Premium
D-Tier 5
S-No Networks
A-$0 copay SNF
(1-20)
B-Durable Medical Equipment
S-No enrollment Period
S-M
C-Dental
Coverage
B-Must be eligible for Part A
B-$13.00 Beneficiary Deductible
C-One Card
for Everything
C-$0
Premium
Plans
S-B
S-Flexible Network
D-Tier 2
A-Skilled Nursing Facility
C-PPO
S-Higher Premiums
B-$144.60
Deductible
(2020)
S-F
A-People With ESRD
A-Inpatient Care
B-Covers 80% MA
Services
S-Accepted by all Providers
S-A
S-N
B-Withdraw from Social Security
B-RX @ Physician Offices
S-G
D-Premium Varies
D-Tier 1
B-$9.10
Deductible Increase from 2019
A-$176 copay
SNF
(21-100)
A-People with Certain Disabilities
D-Tier 4
D-Deductible Phase
C-HMO-POS
C-Primary Care Physician
C-Drug Plans
A-Hospice Care
B-Red/Blue/
White
Card
C-Networks
S-Stand Alone
RX plan