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