preferredbrand RXout-of-network costIndividualDeductiblecoinsuranceforanesthesiaspecialistvisit out-of-networkcostIn-networkUrgentCare visitcostHospitalstay in-networkcostPrimarycare visitin-networkcostemergencymedicaltransportationin-networkcostCoveragePeriodOut-of-networkskillednursing costout-of-networkemergencyroom visitcostPlanTypefamilydeductibleservicesnotcoveredby planhospitalstay out-of-networkcostIn-networkpreventativecare/screeningcostnon-preferredbrand drugsin-networkcostIn-networkimagingcostOut-of-networkout-of-pocket limitOut-of-pocketlimitexclusionsGenericdrugs in-networkcostIn-networkOutpatientMentalhealth carecostIn-networkout-of-PocketlimitIn-networkinpatientmentalhealth staycostin-networkdurablemedicalequipmentcostdo yourequire areferral tosee aspecialist?specialistvisit in-networkcostspecialtydrugs in-networkcostnon-preferredbrand drugsout ofnetwork costOut-of-networkdiagnosistest costin-networkphysician/surgeonfeespreferredbrand RXout-of-network costIndividualDeductiblecoinsuranceforanesthesiaspecialistvisit out-of-networkcostIn-networkUrgentCare visitcostHospitalstay in-networkcostPrimarycare visitin-networkcostemergencymedicaltransportationin-networkcostCoveragePeriodOut-of-networkskillednursing costout-of-networkemergencyroom visitcostPlanTypefamilydeductibleservicesnotcoveredby planhospitalstay out-of-networkcostIn-networkpreventativecare/screeningcostnon-preferredbrand drugsin-networkcostIn-networkimagingcostOut-of-networkout-of-pocket limitOut-of-pocketlimitexclusionsGenericdrugs in-networkcostIn-networkOutpatientMentalhealth carecostIn-networkout-of-PocketlimitIn-networkinpatientmentalhealth staycostin-networkdurablemedicalequipmentcostdo yourequire areferral tosee aspecialist?specialistvisit in-networkcostspecialtydrugs in-networkcostnon-preferredbrand drugsout ofnetwork costOut-of-networkdiagnosistest costin-networkphysician/surgeonfees

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.


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