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