out-of-networkemergencyroom visitcostIn-networkimagingcostIndividualDeductiblePrimarycare visitin-networkcostcoinsuranceforanesthesiaIn-networkpreventativecare/screeningcostOut-of-networkout-of-pocket limitIn-networkinpatientmentalhealth staycostIn-networkUrgentCare visitcostemergencymedicaltransportationin-networkcostspecialtydrugs in-networkcostCoveragePeriodhospitalstay out-of-networkcostdo yourequire areferral tosee aspecialist?specialistvisit in-networkcostHospitalstay in-networkcostOut-of-pocketlimitexclusionsPlanTypepreferredbrand RXout-of-network costservicesnotcoveredby planOut-of-networkskillednursing costfamilydeductiblenon-preferredbrand drugsout ofnetwork costin-networkdurablemedicalequipmentcostOut-of-networkdiagnosistest costIn-networkout-of-Pocketlimitnon-preferredbrand drugsin-networkcostspecialistvisit out-of-networkcostGenericdrugs in-networkcostin-networkphysician/surgeonfeesIn-networkOutpatientMentalhealth carecostout-of-networkemergencyroom visitcostIn-networkimagingcostIndividualDeductiblePrimarycare visitin-networkcostcoinsuranceforanesthesiaIn-networkpreventativecare/screeningcostOut-of-networkout-of-pocket limitIn-networkinpatientmentalhealth staycostIn-networkUrgentCare visitcostemergencymedicaltransportationin-networkcostspecialtydrugs in-networkcostCoveragePeriodhospitalstay out-of-networkcostdo yourequire areferral tosee aspecialist?specialistvisit in-networkcostHospitalstay in-networkcostOut-of-pocketlimitexclusionsPlanTypepreferredbrand RXout-of-network costservicesnotcoveredby planOut-of-networkskillednursing costfamilydeductiblenon-preferredbrand drugsout ofnetwork costin-networkdurablemedicalequipmentcostOut-of-networkdiagnosistest costIn-networkout-of-Pocketlimitnon-preferredbrand drugsin-networkcostspecialistvisit out-of-networkcostGenericdrugs in-networkcostin-networkphysician/surgeonfeesIn-networkOutpatientMentalhealth carecost

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