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This variable is contained in the following files: Plan Characteristics File
SAS Name
INCREASED_ICL

This variable indicates whether the plan offers reduced cost sharing in the Initial Coverage Limit (ICL) phase by offering an ICL that is higher than the year's predefined standard ICL amount.

Comments

This variable applies ONLY to the Enhanced Alternative Plans that offer reduced costsharing (i.e., where variable called REDUCED_COST_SHARE='Y').

The Initial Coverage Limit (ICL) phase of the Part D benefit is also referred to as the coverage gap.

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

Source: CMS (HPMS Files)

CodeCode value
Y
Yes
N
No
9
Not Applicable