specialtydrugs in-networkcostnon-preferredbrand drugsout ofnetwork costfamilydeductiblepreferredbrand RXout-of-network costservicesnotcoveredby planIn-networkOutpatientMentalhealth carecostGenericdrugs in-networkcostPrimarycare visitin-networkcostOut-of-networkout-of-pocket limitout-of-networkemergencyroom visitcostIn-networkUrgentCare visitcostIn-networkinpatientmentalhealth staycostspecialistvisit out-of-networkcostOut-of-pocketlimitexclusionsHospitalstay in-networkcostIn-networkimagingcostOut-of-networkskillednursing costhospitalstay out-of-networkcostOut-of-networkdiagnosistest costIn-networkout-of-PocketlimitCoveragePeriodnon-preferredbrand drugsin-networkcostcoinsuranceforanesthesiain-networkphysician/surgeonfeesIndividualDeductiblePlanTypeIn-networkpreventativecare/screeningcostdo yourequire areferral tosee aspecialist?emergencymedicaltransportationin-networkcostspecialistvisit in-networkcostin-networkdurablemedicalequipmentcostspecialtydrugs in-networkcostnon-preferredbrand drugsout ofnetwork costfamilydeductiblepreferredbrand RXout-of-network costservicesnotcoveredby planIn-networkOutpatientMentalhealth carecostGenericdrugs in-networkcostPrimarycare visitin-networkcostOut-of-networkout-of-pocket limitout-of-networkemergencyroom visitcostIn-networkUrgentCare visitcostIn-networkinpatientmentalhealth staycostspecialistvisit out-of-networkcostOut-of-pocketlimitexclusionsHospitalstay in-networkcostIn-networkimagingcostOut-of-networkskillednursing costhospitalstay out-of-networkcostOut-of-networkdiagnosistest costIn-networkout-of-PocketlimitCoveragePeriodnon-preferredbrand drugsin-networkcostcoinsuranceforanesthesiain-networkphysician/surgeonfeesIndividualDeductiblePlanTypeIn-networkpreventativecare/screeningcostdo yourequire areferral tosee aspecialist?emergencymedicaltransportationin-networkcostspecialistvisit in-networkcostin-networkdurablemedicalequipmentcost

Summary Benefit Card Bingo - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. 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.


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
  1. specialty drugs in-network cost
  2. non-preferred brand drugs out of network cost
  3. family deductible
  4. preferred brand RX out-of-network cost
  5. services not covered by plan
  6. In-network Outpatient Mental health care cost
  7. Generic drugs in-network cost
  8. Primary care visit in-network cost
  9. Out-of-network out-of-pocket limit
  10. out-of-network emergency room visit cost
  11. In-network Urgent Care visit cost
  12. In-network inpatient mental health stay cost
  13. specialist visit out-of-network cost
  14. Out-of-pocket limit exclusions
  15. Hospital stay in-network cost
  16. In-network imaging cost
  17. Out-of-network skilled nursing cost
  18. hospital stay out-of-network cost
  19. Out-of-network diagnosis test cost
  20. In-network out-of-Pocket limit
  21. Coverage Period
  22. non-preferred brand drugs in-network cost
  23. coinsurance for anesthesia
  24. in-network physician/ surgeon fees
  25. Individual Deductible
  26. Plan Type
  27. In-network preventative care/screening cost
  28. do you require a referral to see a specialist?
  29. emergency medical transportation in-network cost
  30. specialist visit in-network cost
  31. in-network durable medical equipment cost