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Medicare Advantage & Part DSource-backed product
Medicare Advantage Plan Benefit Packages (PBP)
The complete benefit design of every Medicare Advantage plan: the copays, coinsurance, deductibles, and coverage limits for every service, from inpatient hospital to ambulance, dental, vision, and hearing, plus optional supplemental benefits. Exactly what a plan covers and what a member pays out of pocket.
What Vlada adds: Preserves the publisher data, normalizes schema eras and identifiers, and connects the product to compatible healthcare entities with measured join coverage.
- rows
- 8.4M
- rows
- datasets
- 32
- datasets
- cadence
- annual
- cadence
- coverage
- 2001-2026
- coverage
Publishers: Centers for Medicare & Medicaid Services
What's inside
Medicare Plan Finder benefit summary
One row per (contract, plan, segment, year, service category, service).
grain: One row per (contract, plan, segment, year, service category, service). Cost_share is human-readable (e.g. "$25 copay", "20% coinsurance", "$0 copay", "Not covered"). Includes Original Medicare baseline rows for FFS comparison. Categories f
2.8M rows
Section C — out-of-network cost sharing
Section C OON: Out-of-network cost-share detail.
grain: Section C OON: Out-of-network cost-share detail. Coverage: All years (plans with OON only).
659.0K rows
Section A — plan identity and characteristics
Plan universe.
grain: Plan universe. One row per (contract, plan, segment, version) per (year, quarter). Era-1 (pre-2010) rows synthesize segment_id='', version=0.
244.0K rows
Section D — Part D prescription drug benefit
Section D: Part D plan-level benefit detail.
grain: Section D: Part D plan-level benefit detail. 463 cols (widest single file). Pharma use case.
201.6K rows
Section B10 — ambulance and transportation
Section B10: Ambulance / transport cost-share.
grain: Section B10: Ambulance / transport cost-share. Coverage: All years.
201.5K rows
Section B11 — DME, prosthetics, orthotics, and supplies
Section B11: Durable medical equipment, prosthetics, orthotics, supplies.
grain: Section B11: Durable medical equipment, prosthetics, orthotics, supplies. Per-plan benefit detail (plaintiff use case).
201.5K rows
Section B12 — renal dialysis
Section B12: Renal dialysis cost-share.
grain: Section B12: Renal dialysis cost-share. Coverage: All years.
201.5K rows
Section B13 — other services
Medicare Plan Benefit Package (PBP) Section B13 "Other Services" silver table, built by pipelines/medicare/ingest/pbp_runner.py from the CMS PBP SAS source into a medicare_silver Iceberg table.
grain: One row per (contract_id, plan_id, segment_id, version, report_year, quarter) PBP segment record.
201.5K rows
Section B16 — dental benefits
Medicare Plan Benefit Package (PBP) Section B16 dental-benefit silver table, built by pipelines/medicare/ingest/pbp_runner.py from the CMS PBP SAS source into a medicare_silver Iceberg table.
grain: One row per (contract_id, plan_id, segment_id, version, report_year, quarter) PBP segment record.
201.5K rows
Section B17 — vision benefits
Medicare Plan Benefit Package (PBP) Section B17 eye-exam / eyewear silver table, built by pipelines/medicare/ingest/pbp_runner.py from the CMS PBP SAS source into a medicare_silver Iceberg table.
grain: One row per (contract_id, plan_id, segment_id, version, report_year, quarter) PBP segment record.
201.5K rows
Section B18 — hearing benefits
Medicare Plan Benefit Package (PBP) Section B18 hearing-exam / hearing-aid silver table, built by pipelines/medicare/ingest/pbp_runner.py from the CMS PBP SAS source into a medicare_silver Iceberg table.
grain: One row per (contract_id, plan_id, segment_id, version, report_year, quarter) PBP segment record.
201.5K rows
Section B2 — skilled nursing facility
Section B2: Skilled nursing facility cost-share.
grain: Section B2: Skilled nursing facility cost-share. Coverage: All years.
201.5K rows
+ 20 more datasets in this product