Plan Type

SAS Name

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


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)

Code Code 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)
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