How Part D Deductible is Applied

SAS Name
DED_APPLY

This variable indicates whether the plan charges the Medicare-defined Part D deductible amount.

Comments

The CCW constructs the Plan Characteristics File from information submitted by Part D plan sponsors to CMS’s Health Plan Management System (HPMS).  

Employer and National Program of All-inclusive Care for the Elderly (PACE) plans are waived from reporting Plan Benefit Package information.  

For those plans that did not report, the value of this variable will be blank.

Source: CMS (HPMS Files)

Code Code value
1 Medicare-Defined Amount
2 Plan-Defined Amount
3 No Deductible