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