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