_dta: 1. maa_to_m2015 data set up by Jean Roth , jroth@nber.org , 17 May 2015 2. Excel file 2015LandscapeSource file MA 11042014.xls 3. Sheet MA (States A to M) 4. 2015 Medicare Advantage, and Cost Plans 5. Data as of September 2, 2014 (updated on November 4, 2014). Includes 2015 approved contracts/plans. PACE, Special Needs Plans, Part B Only Plans, and Employer sponsored plans (800 series) are excluded. Plans under sanction are not shown. Medicare/Medicaid plans are shown in a separate Landscape file. 6. Notes: Data are subject to change as contracts are finalized. For 2015, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit. 7. * Indicates plan does not offer Part D drug coverage. 8. ** MOOP is defined as: Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. N/A is defined as Not Applicable 9. man_to_w2015 data set up by Jean Roth , jroth@nber.org , 17 May 2015 10. Sheet MA (states N to W) 11. planreporta_to_m2015 data set up by Jean Roth , jroth@nber.org , 17 May 2015 12. Excel file Medicare Part D 2015 Plan Report 11042014.xls 13. Sheet Alabama to Montana 14. Important Notes: 15. 1 This file includes contracts/plans as of September 5, 2014 (updated November 4, 2014). The data does not reflect information for Employer sponsored plans, Part B only plans, Medicare/Medicaid plans, or plans not offering a Part D drug benefit (Medicare Advantage only plans, HCCP Cost plans, etc.). 16. 2 Part C Premium: The Part C premium for Medicare Advantage Plans, Cost Plans, and Demonstrations covers Medicare medical and hospital benefits, and supplemental benefits, where offered. Beneficiaries generally are also responsible for the Part B premium. 17. 3 Part D Basic Premium: The Part D Basic Premium covers the basic prescription benefit only and does not cover enhanced drug benefits, medical benefits, or hospital benefits. Note: the Part D Basic Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage plans. Beneficiaries are also responsible for their Part B premium and any premiums for Medigap coverage to meet their individual needs. 18. 4 Part D Supplemental Premium: The Part D Supplemental Premium covers any enhanced benefits that may be offered by a plan above and beyond the basic (standard) Part D benefit. These benefits may include extra coverage in the coverage gap, lower copayments than the standard benefit, coverage of non-Part D drugs. Note: the Part D Supplemental Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage plans. 19. 5 Part D Total Premium: Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium 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 supplemental premium due to a negative basic premium. 20. 6 Part D Premium Obligation with Full Premium Assistance: This column indicates the total Part D premium a beneficiary receiving a full low-income subsidy would pay for a plan. If column M, with the header "Part D Basic Premium Below Regional Benchmark?" in the states tabs, is listed as "Below Regional Benchmark" and the Part D Premium Obligation with Full Premium Assistance is <$2.00, then that portion is waived by the plan. 21. 7 Tiers Not Subject to Deductible: In 2015, plans can indicate tiers where the deductible does not apply. This is a flag to capture instances where the plan has some tiers that are exempt from the deductible. 22. 8 Increased Initial Coverage Limit: The Increased Initial Coverage Limit column specifies (with a "Yes") any plans that have increased the initial coverage limit applicable to Part D drugs (from the standard $2,960). 23. 2015 Plan and Premium Information for Medicare Plans Offering Part D Coverage 24. Alabama to Montana. Includes contracts/plans as of September 2, 2014 (updated November 4, 2014). The data does not reflect information for Employer sponsored plans, Part B only plans, Medicare/Medicaid plans, or plans not offering a Part D drug benefit.1 25. * See next worksheet for important footnotes. 26. planreportn_to_w2015 data set up by Jean Roth , jroth@nber.org , 17 May 2015 27. Sheet Nebraska to Wyoming obs: 70,042 vars: 35 17 May 2015 16:21 size: 31,658,984 (_dta has notes) ------------------------------------------------------------------------------------------------------------------------------------------------- storage display value variable name type format label variable label ------------------------------------------------------------------------------------------------------------------------------------------------- state str24 %24s State county str21 %21s County organizationname str50 %50s Organization Name planname str72 %72s Plan Name typeofmedicarehealthplan str14 %14s Type of Medicare Health Plan monthlyconsolidatedpremiumi double %14.2f Monthly Consolidated Premium (Includes Part C + D) annualdrugdeductible int %14.2f Annual Drug Deductible drugbenefittype str8 %9s Drug Benefit Type additionalcoverageofferedin str3 %9s Additional Coverage Offered in the Gap drugbenefittypedetail str2 %9s Drug Benefit Type Detail contractid str5 %9s Contract ID planid str3 %9s Plan ID segmentid str1 %9s Segment ID innetworkmoopamount int %10.0g In-network MOOP Amount ** overallstarrating double %10.0g Overall Star Rating overallstarratingstr str27 %27s Overall Star Rating organizationtype str13 %13s Organization Type plantype str31 %31s Plan Type specialneedsplan str3 %9s Special Needs Plan specialneedsplantype str30 %30s Special Needs Plan Type benefittype str31 %31s Benefit Type partdbasicpremiumbelowregio str24 %24s Part D Basic Premium Below Regional Benchmark? nationalpdp str1 %9s National PDP partcpremium double %10.0g Part C Premium2 partdbasicpremium double %10.0g Part D Basic Premium3 partdsupplementalpremium double %10.0g Part D Supplemental Premium4 partdtotalpremium double %10.0g Part D Total Premium5 partdpremiumobligationwithf double %10.0g Part D Premium Obligation with Full Premium Assistance6 partdpremiumobligationwith75prem double %10.0g Part D Premium Obligation with 75% Premium Assistance partdpremiumobligationwith50prem double %10.0g Part D Premium Obligation with 50% Premium Assistance partdpremiumobligationwith25prem double %10.0g Part D Premium Obligation with 25% Premium Assistance partddrugdeductible int %10.0g Part D Drug Deductible tiersnotsubjecttodeductible byte %10.0g Tiers Not Subject to Deductible7 increasedinitialcoveragelimit str1 %9s Increased Initial Coverage Limit8 extracoverageingap str1 %9s Extra Coverage in Gap ------------------------------------------------------------------------------------------------------------------------------------------------- Sorted by: state county contractid planid segmentid