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