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