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