Beneficiary LIS Part D Premium Percentage
BENE_LIS_PTD_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-LIS-PTD-PRM-PCT').value
- Coverage / Claim Type
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- PartD
- Source View
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V2_MDCR_BENE_LIS - Source Column
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BENE_LIS_PTD_PRM_PCT
Example
100Mappings
- 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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