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