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

Indicates the type of Part D benefit structure used by the plan benefit package (Defined Standard, Actuarially Equivalent, Basic Alternative, or Enhanced Alternative).

Comments

The CCW constructs the Plan Characteristics File from information submitted by 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)

CodeCode value
0
No Benefit Plan Information (e.g., PACE and employer plans)
1
Defined Standard benefit
2
Actuarially Equivalent Standard
3
Basic Alternative
4
Enhanced Alternative
9
Part C only plan (no Part D benefit)