Durable Medical Equipment Red/Blue/ White Card Prior Authorization Usually earned by working Specialist Accepted by all Providers Inpatient Care $198 Beneficiary Deductible Covers 80% MA Services $9.10 Deductible Increase from 2019 Late Enrollment Penalty Withdraw from RRB M $13.00 Beneficiary Deductible A N Dental Coverage Outpatient Therapy $0 Co- Insurance (1-60) Copayment Referrals Quantity Limits C Formulary $1408 Deductible in 2020 IRMAA Networks Premium Varies 65 or older Stand Alone RX plan $32.74 Late Enroll Premium Tier 3 $435 Deductible (2020) PPO Use with Original Medicare Tier 1 RX @ Physician Offices No enrollment Period L Limited Outpatient RX Drugs Co- insurance 190 days Impatient (psych) Home Health Care Red/Blue/ White Care Drug Plans Tier 5 20% Co- insurance HMO $0 Premium Plans Step Therapy In- Network Must be eligible for Part A $352 Co- Insurance (61-90) G Tier 2 People with Certain Disabilities $0 copay SNF (1-20) $144.60 Deductible (2020) F Hospice Care D Out-of - Network K $682 Co- Pay (91 until) Ambulatory Services Primary Care Physician One Card for Everything Skilled Nursing Facility Flexible Network HMO- POS Travel the World People With ESRD Fitness Benefit Higher Premiums B Vision Coverage $176 copay SNF (21-100) No Networks Withdraw from Social Security ALL COST SNF Hearing Coverage Tier 4 Deductible Phase 1% National Average Durable Medical Equipment Red/Blue/ White Card Prior Authorization Usually earned by working Specialist Accepted by all Providers Inpatient Care $198 Beneficiary Deductible Covers 80% MA Services $9.10 Deductible Increase from 2019 Late Enrollment Penalty Withdraw from RRB M $13.00 Beneficiary Deductible A N Dental Coverage Outpatient Therapy $0 Co- Insurance (1-60) Copayment Referrals Quantity Limits C Formulary $1408 Deductible in 2020 IRMAA Networks Premium Varies 65 or older Stand Alone RX plan $32.74 Late Enroll Premium Tier 3 $435 Deductible (2020) PPO Use with Original Medicare Tier 1 RX @ Physician Offices No enrollment Period L Limited Outpatient RX Drugs Co- insurance 190 days Impatient (psych) Home Health Care Red/Blue/ White Care Drug Plans Tier 5 20% Co- insurance HMO $0 Premium Plans Step Therapy In- Network Must be eligible for Part A $352 Co- Insurance (61-90) G Tier 2 People with Certain Disabilities $0 copay SNF (1-20) $144.60 Deductible (2020) F Hospice Care D Out-of - Network K $682 Co- Pay (91 until) Ambulatory Services Primary Care Physician One Card for Everything Skilled Nursing Facility Flexible Network HMO- POS Travel the World People With ESRD Fitness Benefit Higher Premiums B Vision Coverage $176 copay SNF (21-100) No Networks Withdraw from Social Security ALL COST SNF Hearing Coverage Tier 4 Deductible Phase 1% National Average
(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-Durable Medical Equipment
B-Red/Blue/
White
Card
D-Prior
Authorization
A-Usually earned by working
C-Specialist
S-Accepted by all Providers
A-Inpatient Care
B-$198 Beneficiary
Deductible
B-Covers 80% MA
Services
B-$9.10
Deductible Increase from 2019
B-Late Enrollment Penalty
B-Withdraw from RRB
S-M
B-$13.00 Beneficiary Deductible
S-A
S-N
C-Dental
Coverage
B-Outpatient Therapy
A-$0 Co-Insurance
(1-60)
D-Copayment
C-Referrals
D-Quantity Limits
S-C
D-Formulary
A-$1408 Deductible in 2020
B-IRMAA
C-Networks
D-Premium Varies
A-65 or older
S-Stand Alone
RX plan
D-$32.74
Late Enroll
Premium
D-Tier 3
D-$435
Deductible (2020)
C-PPO
D-Use with Original Medicare
D-Tier 1
B-RX @ Physician Offices
S-No enrollment Period
S-L
B-Limited Outpatient
RX Drugs
D-Co-insurance
A-190 days Impatient (psych)
A-Home Health Care
A-Red/Blue/ White
Care
C-Drug Plans
D-Tier 5
B-20% Co-insurance
C-HMO
C-$0
Premium
Plans
D-Step Therapy
C-In-Network
B-Must be eligible for Part A
A-$352 Co-Insurance
(61-90)
S-G
D-Tier 2
A-People with Certain Disabilities
A-$0 copay SNF
(1-20)
B-$144.60
Deductible
(2020)
S-F
A-Hospice Care
S-D
C-Out-of -Network
S-K
A-$682 Co-Pay
(91 until)
B-Ambulatory Services
C-Primary Care Physician
C-One Card
for Everything
A-Skilled Nursing Facility
S-Flexible Network
C-HMO-POS
S-Travel the World
A-People With ESRD
C-Fitness Benefit
S-Higher Premiums
S-B
C-Vision Coverage
A-$176 copay
SNF
(21-100)
S-No Networks
B-Withdraw from Social Security
A-ALL COST
SNF
C-Hearing
Coverage
D-Tier 4
D-Deductible Phase
D-1% National
Average