Hospitalstay in-networkcostemergencymedicaltransportationin-networkcostfamilydeductiblein-networkdurablemedicalequipmentcosthospitalstay out-of-networkcostspecialistvisit in-networkcostOut-of-networkout-of-pocket limitIndividualDeductibleOut-of-networkskillednursing costout-of-networkemergencyroom visitcostservicesnotcoveredby planspecialtydrugs in-networkcostin-networkphysician/surgeonfeesIn-networkOutpatientMentalhealth carecostnon-preferredbrand drugsout ofnetwork costIn-networkinpatientmentalhealth staycostIn-networkUrgentCare visitcostGenericdrugs in-networkcostPrimarycare visitin-networkcostnon-preferredbrand drugsin-networkcostIn-networkpreventativecare/screeningcostOut-of-networkdiagnosistest costpreferredbrand RXout-of-network costIn-networkimagingcostspecialistvisit out-of-networkcostdo yourequire areferral tosee aspecialist?In-networkout-of-PocketlimitOut-of-pocketlimitexclusionsPlanTypecoinsuranceforanesthesiaCoveragePeriodHospitalstay in-networkcostemergencymedicaltransportationin-networkcostfamilydeductiblein-networkdurablemedicalequipmentcosthospitalstay out-of-networkcostspecialistvisit in-networkcostOut-of-networkout-of-pocket limitIndividualDeductibleOut-of-networkskillednursing costout-of-networkemergencyroom visitcostservicesnotcoveredby planspecialtydrugs in-networkcostin-networkphysician/surgeonfeesIn-networkOutpatientMentalhealth carecostnon-preferredbrand drugsout ofnetwork costIn-networkinpatientmentalhealth staycostIn-networkUrgentCare visitcostGenericdrugs in-networkcostPrimarycare visitin-networkcostnon-preferredbrand drugsin-networkcostIn-networkpreventativecare/screeningcostOut-of-networkdiagnosistest costpreferredbrand RXout-of-network costIn-networkimagingcostspecialistvisit out-of-networkcostdo yourequire areferral tosee aspecialist?In-networkout-of-PocketlimitOut-of-pocketlimitexclusionsPlanTypecoinsuranceforanesthesiaCoveragePeriod

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