_dta: 1. planreportsanctioned2015 data set up by Jean Roth , jroth@nber.org , 17 May 2015 2. Excel file Medicare Part D 2015 Plan Report 11042014.xls 3. Sheet Sanctioned Plans 4. Important Notes: 5. 1 This file includes contracts/plans as of September 5, 2014 (updated November 4, 2014). The data does not reflect information for Employer sponsored plans, Part B only plans, Medicare/Medicaid plans, or plans not offering a Part D drug benefit (Medicare Advantage only plans, HCCP Cost plans, etc.). 6. 2 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. 7. 3 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. 8. 4 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. 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. 9. 5 Part D Total Premium: 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 supplemental premium due to a negative basic premium. 10. 6 Part D Premium Obligation with Full Premium Assistance: This column indicates the total Part D premium a beneficiary receiving a full low-income subsidy would pay for a plan. If column M, with the header "Part D Basic Premium Below Regional Benchmark?" in the states tabs, is listed as "Below Regional Benchmark" and the Part D Premium Obligation with Full Premium Assistance is <$2.00, then that portion is waived by the plan. 11. 7 Tiers Not Subject to Deductible: In 2015, 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. 12. 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 $2,960). 13. 2015 Plan and Premium Information for Medicare Plans Offering Part D Coverage 14. Alabama to Montana. Includes contracts/plans as of September 2, 2014 (updated November 4, 2014). The data does not reflect information for Employer sponsored plans, Part B only plans, Medicare/Medicaid plans, or plans not offering a Part D drug benefit.1 15. * See next worksheet for important footnotes. obs: 247 vars: 25 17 May 2015 16:10 size: 71,630 (_dta has notes) ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- storage display value variable name type format label variable label ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- state str15 %15s State county str14 %14s County organizationname str35 %35s Organization Name planname str37 %37s Plan Name contractid str5 %9s Contract ID planid str3 %9s Plan ID segmentid str1 %9s Segment ID organizationtype str9 %9s Organization Type plantype str31 %31s Plan Type specialneedsplan str3 %9s Special Needs Plan specialneedsplantype str13 %13s Special Needs Plan Type benefittype str31 %31s Benefit Type partdbasicpremiumbelowregio str24 %24s Part D Basic Premium Below Regional Benchmark? nationalpdp str1 %9s National PDP partcpremium double %10.0g Part C Premium2 partdbasicpremium double %10.0g Part D Basic Premium3 partdsupplementalpremium double %10.0g Part D Supplemental Premium4 partdtotalpremium double %10.0g Part D Total Premium5 partdpremiumobligationwithf double %10.0g Part D Premium Obligation with Full Premium Assistance6 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 Deductible7 extracoverageingap str1 %9s Extra Coverage in Gap ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Sorted by: state county contractid planid segmentid