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This variable is contained in the following files:
SAS Name
INCREASED_ICL
This variable indicates whether the plan offers reduced cost sharing in the Initial Coverage Limit (ICL) phase by offering an ICL that is higher than the year's predefined standard ICL amount.
| Code | Code value |
|---|---|
| Y | Yes |
| N | No |
| 9 | Not Applicable |
This variable applies ONLY to the Enhanced Alternative Plans that offer reduced costsharing (i.e., where variable called REDUCED_COST_SHARE='Y').
The Initial Coverage Limit (ICL) phase of the Part D benefit is also referred to as the coverage gap.
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)