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