emergencymedicaltransportationin-networkcostIn-networkOutpatientMentalhealth carecostfamilydeductiblein-networkphysician/surgeonfeesOut-of-networkout-of-pocket limitCoveragePeriodHospitalstay in-networkcostIn-networkpreventativecare/screeningcostnon-preferredbrand drugsin-networkcostspecialistvisit in-networkcostspecialistvisit out-of-networkcostGenericdrugs in-networkcostspecialtydrugs in-networkcostIn-networkimagingcostdo yourequire areferral tosee aspecialist?Out-of-networkskillednursing costOut-of-networkdiagnosistest costout-of-networkemergencyroom visitcostPrimarycare visitin-networkcostPlanTypein-networkdurablemedicalequipmentcostIn-networkout-of-PocketlimitIn-networkinpatientmentalhealth staycostOut-of-pocketlimitexclusionshospitalstay out-of-networkcostIndividualDeductibleservicesnotcoveredby plannon-preferredbrand drugsout ofnetwork costcoinsuranceforanesthesiaIn-networkUrgentCare visitcostpreferredbrand RXout-of-network costemergencymedicaltransportationin-networkcostIn-networkOutpatientMentalhealth carecostfamilydeductiblein-networkphysician/surgeonfeesOut-of-networkout-of-pocket limitCoveragePeriodHospitalstay in-networkcostIn-networkpreventativecare/screeningcostnon-preferredbrand drugsin-networkcostspecialistvisit in-networkcostspecialistvisit out-of-networkcostGenericdrugs in-networkcostspecialtydrugs in-networkcostIn-networkimagingcostdo yourequire areferral tosee aspecialist?Out-of-networkskillednursing costOut-of-networkdiagnosistest costout-of-networkemergencyroom visitcostPrimarycare visitin-networkcostPlanTypein-networkdurablemedicalequipmentcostIn-networkout-of-PocketlimitIn-networkinpatientmentalhealth staycostOut-of-pocketlimitexclusionshospitalstay out-of-networkcostIndividualDeductibleservicesnotcoveredby plannon-preferredbrand drugsout ofnetwork costcoinsuranceforanesthesiaIn-networkUrgentCare visitcostpreferredbrand RXout-of-network cost

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