Withdraw from RRB L 20% Co- insurance Tier 3 ALL COST SNF Skilled Nursing Facility No Networks In- Network Late Enrollment Penalty Tier 5 Must be eligible for Part A $435 Deductible (2020) Networks Prior Authorization Ambulatory Services Specialist IRMAA Vision Coverage Higher Premiums $0 Co- Insurance (1-60) Covers 80% MA Services $13.00 Beneficiary Deductible $352 Co- Insurance (61-90) Hospice Care N Premium Varies People with Certain Disabilities K Primary Care Physician Tier 4 $176 copay SNF (21-100) Home Health Care No enrollment Period One Card for Everything Tier 2 $144.60 Deductible (2020) $0 copay SNF (1-20) A $682 Co- Pay (91 until) Use with Original Medicare Red/Blue/ White Card Limited Outpatient RX Drugs PPO $0 Premium Plans Copayment C $9.10 Deductible Increase from 2019 190 days Impatient (psych) Dental Coverage D Cata- strophic Phase Quantity Limits F $1408 Deductible in 2020 B Usually earned by working RX @ Physician Offices Out-of - Network People With ESRD Red/Blue/ White Card $198 Beneficiary Deductible M $32.74 Late Enroll Premium HMO Outpatient Therapy Inpatient Care Referrals Deductible Phase Withdraw from Social Security Flexible Network Drug Plans Hearing Coverage 65 or older Co- insurance Must not have ESRD Travel the World Tier 1 Accepted by all Providers HMO- POS Fitness Benefit Durable Medical Equipment G 1% National Average Step Therapy Formulary Stand Alone RX plan Withdraw from RRB L 20% Co- insurance Tier 3 ALL COST SNF Skilled Nursing Facility No Networks In- Network Late Enrollment Penalty Tier 5 Must be eligible for Part A $435 Deductible (2020) Networks Prior Authorization Ambulatory Services Specialist IRMAA Vision Coverage Higher Premiums $0 Co- Insurance (1-60) Covers 80% MA Services $13.00 Beneficiary Deductible $352 Co- Insurance (61-90) Hospice Care N Premium Varies People with Certain Disabilities K Primary Care Physician Tier 4 $176 copay SNF (21-100) Home Health Care No enrollment Period One Card for Everything Tier 2 $144.60 Deductible (2020) $0 copay SNF (1-20) A $682 Co- Pay (91 until) Use with Original Medicare Red/Blue/ White Card Limited Outpatient RX Drugs PPO $0 Premium Plans Copayment C $9.10 Deductible Increase from 2019 190 days Impatient (psych) Dental Coverage D Cata- strophic Phase Quantity Limits F $1408 Deductible in 2020 B Usually earned by working RX @ Physician Offices Out-of - Network People With ESRD Red/Blue/ White Card $198 Beneficiary Deductible M $32.74 Late Enroll Premium HMO Outpatient Therapy Inpatient Care Referrals Deductible Phase Withdraw from Social Security Flexible Network Drug Plans Hearing Coverage 65 or older Co- insurance Must not have ESRD Travel the World Tier 1 Accepted by all Providers HMO- POS Fitness Benefit Durable Medical Equipment G 1% National Average Step Therapy Formulary Stand Alone RX plan
(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-Withdraw from RRB
S-L
B-20% Co-insurance
D-Tier 3
A-ALL COST
SNF
A-Skilled Nursing Facility
S-No Networks
C-In-Network
B-Late Enrollment Penalty
D-Tier 5
B-Must be eligible for Part A
D-$435
Deductible (2020)
C-Networks
D-Prior
Authorization
B-Ambulatory Services
C-Specialist
B-IRMAA
C-Vision Coverage
S-Higher Premiums
A-$0 Co-Insurance
(1-60)
B-Covers 80% MA
Services
B-$13.00 Beneficiary Deductible
A-$352 Co-Insurance
(61-90)
A-Hospice Care
S-N
D-Premium Varies
A-People with Certain Disabilities
S-K
C-Primary Care Physician
D-Tier 4
A-$176 copay
SNF
(21-100)
A-Home Health Care
S-No enrollment Period
C-One Card
for Everything
D-Tier 2
B-$144.60
Deductible
(2020)
A-$0 copay SNF
(1-20)
S-A
A-$682 Co-Pay
(91 until)
D-Use with Original Medicare
B-Red/Blue/
White
Card
B-Limited Outpatient
RX Drugs
C-PPO
C-$0
Premium
Plans
D-Copayment
S-C
B-$9.10
Deductible Increase from 2019
A-190 days Impatient (psych)
C-Dental
Coverage
S-D
D-Cata-strophic Phase
D-Quantity Limits
S-F
A-$1408 Deductible in 2020
S-B
A-Usually earned by working
B-RX @ Physician Offices
C-Out-of -Network
A-People With ESRD
A-Red/Blue/ White
Card
B-$198 Beneficiary
Deductible
S-M
D-$32.74
Late Enroll
Premium
C-HMO
B-Outpatient Therapy
A-Inpatient Care
C-Referrals
D-Deductible Phase
B-Withdraw from Social Security
S-Flexible Network
C-Drug Plans
C-Hearing
Coverage
A-65 or older
D-Co-insurance
C-Must not have ESRD
S-Travel the World
D-Tier 1
S-Accepted by all Providers
C-HMO-POS
C-Fitness Benefit
B-Durable Medical Equipment
S-G
D-1% National
Average
D-Step Therapy
D-Formulary
S-Stand Alone
RX plan