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