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

This variable indicates the type of plan offered by the plan sponsor.

Comments

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
01
Health Maintenance Organization (HMO)
02
Health Maintenance Organization Point-of-Service (HMO POS)
04
Local Preferred Provider Organization (PPO)
07
Medical Savings Account (MSA)
09
PFFS
18
1876 Cost
20
National Program of All-inclusive Care for the Elderly (PACE)
29
Medicare Prescription Drug Plan (PDP)
30
Employer/Union Only Direct Contract PDP
31
Regional PPO
46
Limited Income Newly Eligible Transition Program (LINET)
48
Medicare-Medicaid Plan, Health Maintenance Organization (MMP HMO)
49
Medicare-Medicaid Plan, Health Maintenance Organization Point-of-Service (MMP HMOPOS)