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

This variable indicates whether the plan offers reduced cost sharing in the post out-of-pocket threshold (catastrophic) phase of the Part D benefit.

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