Indicates whether of not the Part D plan offers some cost sharing in the gap for tiers 1-6.
Comments
This variable was new in 2008. There are a different number of variables each year to describe tiers, due to variation in the formulary tiers over time. There are different variables to describe all possible tiers in the coverage gap benefit phase. See GAP_TIER_01 - GAP_TIER_07.In 2011 and later, there were only six tiers (i.e., variable called GAP_TIER_07 waws not applicable after 2010).The coverage gap is technically referred to as the initial coverage limit (ICL) for the Part D benefit.The CCW constructs the Plan Characteristics File from information submitted by Part D 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.
This variable was new in 2008. There are a different number of variables each year to describe tiers, due to variation in the formulary tiers over time. There are different variables to describe all possible tiers in the coverage gap benefit phase. See GAP_TIER_01 - GAP_TIER_07.In 2011 and later, there were only six tiers (i.e., variable called GAP_TIER_07 waws not applicable after 2010).The coverage gap is technically referred to as the initial coverage limit (ICL) for the Part D benefit.The CCW constructs the Plan Characteristics File from information submitted by Part D 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.