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