_dta: 1. planreport2007 data set up by Jean Roth , jroth@nber.org , 17 May 2015 2. Excel file Medicare Part D 2007 Plan Report 12-06-06.xls 3. Sheet Medicare Plan Report 4. Important Notes: 5. 1 This file includes contracts/plans as of December 06, 2006. The data does not reflect information for Employer sponsored plans, Part B only plans, or plans not offering a Part D drug benefit (Medicare Advantage only plans, HCCP Cost plans, etc.). 6. 2 Part D Payment Reinsurance Demo: The Part D Payment Demonstration reduces identified disincentives for providing enhanced alternative coverage. Enhanced alternative coverage includes supplemental benefits such as eliminating the deductible or filling in part of the coverage gap. For more detailed information see: 7. www.cms.hhs.gov/DrugCoverageClaimsData/Downloads/partdpymntdemo.pdf 8. 3 Part C Premium: The Part C premium for Medicare Advantage Plans, Cost Plans, and Demonstrations covers Medicare medical and hospital benefits, and supplemental benefits, where offered. Beneficiaries generally are also responsible for the Part B premium. 9. 4 Part D Basic Premium: The Part D Basic Premium covers the basic prescription benefit only and does not cover enhanced drug benefits, medical benefits, or hospital benefits. Note: the Part D Basic Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage plans. Beneficiaries are also responsible for their Part B premium and any premiums for Medigap coverage to meet their individual needs. 10. 5 Part D Supplemental Premium: The Part D Supplemental Premium covers any enhanced benefits that may be offered by a plan above and beyond the basic (standard) Part D benefit. These benefits may include extra coverage in the coverage gap, lower copayments than the standard benefit, coverage of non-Part D drugs (e.g. benzodiazepines), etc. Note: the Part D Supplemental Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage plans. 11. 6 Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage plans; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums. 12. 7 Part D Premium Obligation with Full Premium Assistance: This column indicates the total Part D premium a beneficiariy receiving a full low-income subsidy would pay for a plan. An asterisk (*) next to the premium amount indicates the entire basic portion of the Part D premium is subsidized because it is less than the regional de minimus amount. 13. 8 Increased Initial Coverage Limit: The Increased Initial Coverage Limit column specifies (with a "Yes") any plans that have increased the initial coverage limit applicable to Part D drugs (from the standard $2,400). Plans that have eliminated the intial coverage limit entirely are not displayed as "Yes" in this column, but are denoted as "All Formulary Drugs" as the type of coverage offed in the coverage gap. 14. Plan and Premium Information for Medicare Plans Offering Part D Coverage 15. Includes contracts/plans as of December 06, 2006. The data does not reflect information for Employer sponsored plans, Part B only plans, or plans not offering a Part D drug benefit.1 16. * See next worksheet for important footnotes. obs: 49,206 vars: 29 17 May 2015 16:19 size: 20,568,108 (_dta has notes) ------------------------------------------------------------------------------------------------------------------------------------------------- storage display value variable name type format label variable label ------------------------------------------------------------------------------------------------------------------------------------------------- state str24 %24s State county str31 %31s County organizationname str50 %50s Organization Name planname str42 %42s Plan Name contractid str5 %9s Contract ID planid str3 %9s Plan ID segmentid str1 %9s Segment ID organizationtype str12 %12s Organization Type plantype str37 %37s Plan Type specialneedsplan str3 %9s Special Needs Plan specialneedsplantype str30 %30s Special Needs Plan Type benefittype str31 %31s Benefit Type partdbasicpremiumbelowregio str24 %24s Part D Basic Premium Below Regional Benchmark or De minimus Amount? nationalpdp str1 %9s National PDP partdpaymentreinsurancedemon str1 %9s Part D Payment Reinsurance Demonstration2 partdpaymentreinsurancedemo str25 %25s Part D Payment Reinsurance Demonstration Type partcpremium double %10.0g Part C Premium3 partdbasicpremium double %10.0g Part D Basic Premium4 partdsupplementalpremium double %10.0g Part D Supplemental Premium5 partdtotalpremium double %10.0g Part D Total Premium6 partdpremiumobligationwithf double %10.0g Part D Premium Obligation with Full Premium Assistance7 partdpremiumobligationwiths str1 %9s Entire basic portion of the Part D premium is subsidized partdpremiumobligationwith75prem double %10.0g Part D Premium Obligation with 75% Premium Assistance partdpremiumobligationwith50prem double %10.0g Part D Premium Obligation with 50% Premium Assistance partdpremiumobligationwith25prem double %10.0g Part D Premium Obligation with 25% Premium Assistance partddrugdeductible int %10.0g Part D Drug Deductible increasedinitialcoveragelimit str1 %9s Increased Initial Coverage Limit8 extracoverageingap str1 %9s Extra Coverage in Gap typeofextracoverageinthega str29 %29s Type of Extra Coverage in the Gap ------------------------------------------------------------------------------------------------------------------------------------------------- Sorted by: state county contractid planid segmentid