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