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