Out-of-networkskillednursing costIn-networkOutpatientMentalhealth carecostspecialistvisit in-networkcostOut-of-networkout-of-pocket limitin-networkdurablemedicalequipmentcostPrimarycare visitin-networkcostfamilydeductibleservicesnotcoveredby planout-of-networkemergencyroom visitcostpreferredbrand RXout-of-network costIn-networkUrgentCare visitcostOut-of-pocketlimitexclusionsemergencymedicaltransportationin-networkcostPlanTypeGenericdrugs in-networkcostspecialistvisit out-of-networkcostdo yourequire areferral tosee aspecialist?In-networkimagingcostIndividualDeductibleCoveragePeriodIn-networkout-of-PocketlimitIn-networkpreventativecare/screeningcostnon-preferredbrand drugsin-networkcostspecialtydrugs in-networkcostHospitalstay in-networkcostIn-networkinpatientmentalhealth staycostOut-of-networkdiagnosistest costnon-preferredbrand drugsout ofnetwork costcoinsuranceforanesthesiahospitalstay out-of-networkcostin-networkphysician/surgeonfeesOut-of-networkskillednursing costIn-networkOutpatientMentalhealth carecostspecialistvisit in-networkcostOut-of-networkout-of-pocket limitin-networkdurablemedicalequipmentcostPrimarycare visitin-networkcostfamilydeductibleservicesnotcoveredby planout-of-networkemergencyroom visitcostpreferredbrand RXout-of-network costIn-networkUrgentCare visitcostOut-of-pocketlimitexclusionsemergencymedicaltransportationin-networkcostPlanTypeGenericdrugs in-networkcostspecialistvisit out-of-networkcostdo yourequire areferral tosee aspecialist?In-networkimagingcostIndividualDeductibleCoveragePeriodIn-networkout-of-PocketlimitIn-networkpreventativecare/screeningcostnon-preferredbrand drugsin-networkcostspecialtydrugs in-networkcostHospitalstay in-networkcostIn-networkinpatientmentalhealth staycostOut-of-networkdiagnosistest costnon-preferredbrand drugsout ofnetwork costcoinsuranceforanesthesiahospitalstay out-of-networkcostin-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. Out-of-network skilled nursing cost
  2. In-network Outpatient Mental health care cost
  3. specialist visit in-network cost
  4. Out-of-network out-of-pocket limit
  5. in-network durable medical equipment cost
  6. Primary care visit in-network cost
  7. family deductible
  8. services not covered by plan
  9. out-of-network emergency room visit cost
  10. preferred brand RX out-of-network cost
  11. In-network Urgent Care visit cost
  12. Out-of-pocket limit exclusions
  13. emergency medical transportation in-network cost
  14. Plan Type
  15. Generic drugs in-network cost
  16. specialist visit out-of-network cost
  17. do you require a referral to see a specialist?
  18. In-network imaging cost
  19. Individual Deductible
  20. Coverage Period
  21. In-network out-of-Pocket limit
  22. In-network preventative care/screening cost
  23. non-preferred brand drugs in-network cost
  24. specialty drugs in-network cost
  25. Hospital stay in-network cost
  26. In-network inpatient mental health stay cost
  27. Out-of-network diagnosis test cost
  28. non-preferred brand drugs out of network cost
  29. coinsurance for anesthesia
  30. hospital stay out-of-network cost
  31. in-network physician/ surgeon fees