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Beneficiary LIS Part D Premium Percentage

BENE_CMBND_DEEMD_PRM_PCT

Identifies the portion of the Part D premium subsidized, based on a sliding scale linked to the Federal Poverty Level (FPL) percentage. If the person is under 135% FPL the premium subsidy percent will be 100%. If the person is 136-140% FPL the premium subsidy percent will be 75%. If the person is 141-145% FPL the premium subsidy will be 50%. If the person is 146-149% FPL the premium subsidy will be 25%.

Field Metadata

FHIR Resource
Coverage
FHIRPath
Coverage.extension.where(
  url = 'https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-CMBND-DEEMD-PRM-PCT'
).value
Coverage / Claim Type
  • PartD
Source View
V2_MDCR_BENE_CMBND_LIS
Source Column
BENE_CMBND_DEEMD_PRM_PCT

Example

100

Mappings

CCW
  • CST_SHR_GRP_CD_01
  • CST_SHR_GRP_CD_02
  • CST_SHR_GRP_CD_03
  • CST_SHR_GRP_CD_04
  • CST_SHR_GRP_CD_05
  • CST_SHR_GRP_CD_06
  • CST_SHR_GRP_CD_07
  • CST_SHR_GRP_CD_08
  • CST_SHR_GRP_CD_09
  • CST_SHR_GRP_CD_10
  • CST_SHR_GRP_CD_11
  • CST_SHR_GRP_CD_12

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