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