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