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