Medicare Advantage, Part D, Medicaid

PBP D-SNP cost-share flag (cleaned view)

medicare_semantic.vw_pbp_dsnp_cost_share·live·semantic_view

Rows

18,874

Columns

History

N/A

Card

nocolumns only

Typed tools

What it is

1The D-SNP zero-dollar cost-share flag (2017 on) and the legacy dual population code (2008-2016) per plan and plan year, from PBP section A.
2Filed design; not what a dual pays after Medicaid.

Grain

Key	Grain
N/A	1One row per (contract_id, plan_id, segment_id, report_year, quarter, benefit_category) cleaned row.

Columns (61)

Column	Type	Meaning
`contract_id`	string
`plan_id`	string
`segment_id`	string
`version`	double
`report_year`	double
`quarter`	double
`benefit_category`	string
`cost_share_string`	string
`copay_amount`	double
`coinsurance_pct`	double
`limit_text`	string
`auth_required`	boolean
`referral_required`	boolean
`network_type`	varchar(45)
`max_oop_applies`	boolean
`limit_quantity`	double
`limit_unit`	string
`limit_period_code`	string
`limit_period_label`	string
`limit_quantity_per_year`	double
`benefit_amount`	double
`benefit_amount_kind`	varchar(34)
`benefit_amount_period_code`	varchar(25)
`benefit_amount_period_label`	varchar(29)
`benefit_amount_annualized`	double
`benefit_amount_pmpm`	double
`normalization_status`	varchar(33)
`normalization_basis`	varchar(37)
`aggregation_policy`	varchar(35)
`offered_status`	varchar(15)
`numeric_amount_observability`	varchar(31)
`null_amount_reason`	varchar(30)
`annualization_policy`	varchar(17)
`combined_limit_policy`	varchar(29)
`consumer_document_reconciliation_status`	varchar(11)
`confidence_tier`	varchar(23)
`cost_share_reduced_to_zero_yn`	boolean
`dsnp_cost_share_offered`	boolean
`dsnp_cost_share_present`	boolean
`dsnp_cost_share_sub_benefit`	string
`dsnp_part_d_lics_buydown_attestation_code`	string
`dsnp_part_d_lics_buydown_attestation_label`	string
`dsnp_part_d_lics_buydown_code`	string
`dsnp_part_d_lics_buydown_label`	string
`dsnp_zero_dollar_cost_share_yn`	boolean
`dual_effective_coinsurance_pct`	double
`dual_effective_copay`	double
`dual_effective_cost_share`	double
`dual_effective_zero_basis`	string
`filed_zero_cost_share_raw_code`	string
`filed_zero_cost_share_source_field`	varchar(21)
`snp_population_code`	string
`snp_type_code`	string
`snp_type_label`	varchar(13)
`state_covers_all_medicare_cost_share_yn`	boolean
`zero_cost_share_scope`	varchar(33)
`source_pbp_section`	varchar(1)
`source_silver_table`	varchar(29)
`lmi_authorities`	string
`source_url`	string
`sha256_content_hash`	string

Query it

describe_data_source(source_fqn="medicare_semantic.vw_pbp_dsnp_cost_share")     # the card, live
query_substrate(sql="SELECT * FROM medicare_semantic.vw_pbp_dsnp_cost_share WHERE <filter> LIMIT 100")

Item	Value
Typed tools that read it	get_pbp_benefit
Identity key	`contract_id,plan_id,segment_id`
Join	`how_to_join(source_fqn="medicare_semantic.vw_pbp_dsnp_cost_share")`
Raw door	Athena (read-only via query_substrate): medicare_semantic.vw_pbp_dsnp_cost_share
Note	Cleaned PBP reasoning surface; register source cms_ma_pbp; raw is medicare_silver.pbp_section_a. Rows measured 2026-09-28 (Athena).

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