_dta: 1. planreporta_to_m2010 data set up by Jean Roth , jroth@nber.org , 17 May 2015 2. Excel file Medicare Part D 2010 Plan Report 09-14-09.xls 3. Sheet Alabama to Montana 4. Important Notes: 5. 1 This file includes contracts/plans as of September 14, 2009. 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. 13. 8 Tiers Not Subject to Deductible: In 2010, plans can indicate tiers where the deductible does not apply. This is a flag to capture instances where the plan has some tiers that are exempt from the deductible. 14. 9 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 $2,830). 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. 15. 2010 Plan and Premium Information for Medicare Plans Offering Part D Coverage 16. Alabama to Montana. Includes contracts/plans as of September 14, 2009. The data does not reflect information for Employer sponsored plans, Part B only plans, or plans not offering a Part D drug benefit.1 17. * See next worksheet for important footnotes. obs: 26,328 vars: 29 17 May 2015 16:14 size: 11,031,432 (_dta has notes) ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- storage display value variable name type format label variable label ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- state str14 %14s State county str25 %25s County organizationname str50 %50s Organization Name planname str60 %60s Plan Name contractid str5 %9s Contract ID planid str3 %9s Plan ID segmentid str2 %9s Segment ID organizationtype str13 %13s Organization Type plantype str36 %36s 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? nationalpdp str1 %9s National PDP partdpaymentreinsurancedemon str3 %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 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 tiersnotsubjecttodeductible byte %10.0g Tiers Not Subject to Deductible8 increasedinitialcoveragelimit str1 %9s Increased Initial Coverage Limit9 extracoverageingap str1 %9s Extra Coverage in Gap typeofextracoverageinthega str25 %25s Type of Extra Coverage in the Gap ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Sorted by: state county contractid planid segmentid