Updated research request forms and data security approval requirement effective 4/24/23
SAS Name
PLAN_TOTAL_PREMIUM_NET_REBATE
This variable is the dollar amount of the Part D Total Premium (basic + supplemental) Rate (Net of Rebates).
The Part D Total Premium is the sum of the Basic and Supplemental Premiums (variables called PLAN_BASIC_PREMIUM_NET_REBATE and PLAN_SUPP_PREMIUM_NET_REBATE). This amount 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 sum of the basic and supplemental premiums due to negative basic or supplemental premiums.
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)