Medicare Advantage, Part D, Medicaid

PBP plan deductible (cleaned view)

medicare_semantic.vw_pbp_plan_deductible·live·semantic_view

Rows

163,670

Columns

History

N/A

Card

nocolumns only

Typed tools

What it is

1Plan-level deductible per plan, segment and plan year from PBP section D, era-normalized.

Grain

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

Columns (96)

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(26)
`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(18)
`benefit_amount_period_code`	varchar(6)
`benefit_amount_period_label`	varchar(8)
`benefit_amount_annualized`	double
`benefit_amount_pmpm`	double
`normalization_status`	varchar(30)
`normalization_basis`	varchar(31)
`aggregation_policy`	varchar(38)
`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)
`annual_deductible`	boolean
`annual_deductible_amount`	double
`annual_deductible_amount_type_code`	string
`annual_deductible_amount_type_label`	varchar(79)
`annual_deductible_benefit_groups`	string
`annual_deductible_combined_application_code`	string
`annual_deductible_combined_application_label`	varchar(61)
`annual_in_network_medicare_all_services`	boolean
`annual_in_network_medicare_categories`	string
`annual_in_network_non_medicare_all_services`	boolean
`annual_in_network_non_medicare_categories`	string
`annual_oon_zero_dollar_preventive_included`	boolean
`annual_out_of_network_non_medicare_all_services`	boolean
`annual_out_of_network_non_medicare_categories`	string
`applies_part_b_deductible`	boolean
`combined_deductible_benefit_groups`	string
`combined_in_network_medicare_all_services`	boolean
`combined_in_network_medicare_categories`	string
`combined_network_deductible`	boolean
`combined_network_deductible_amount`	double
`combined_out_of_network_medicare_all_services`	boolean
`combined_out_of_network_medicare_categories`	string
`combined_part_b_deductible`	boolean
`deductible_amount`	double
`deductible_amount_basis`	string
`deductible_amount_resolved`	double
`deductible_form`	varchar(30)
`deductible_scope`	varchar(33)
`differential_deductible`	boolean
`differential_deductible_categories`	string
`has_medical_deductible`	boolean
`in_network_deductible`	boolean
`in_network_deductible_amount`	double
`in_network_deductible_benefit_groups`	string
`in_network_medicare_all_services`	boolean
`in_network_medicare_categories`	string
`in_network_non_medicare_all_services`	boolean
`in_network_non_medicare_categories`	string
`in_network_part_b_deductible`	boolean
`mandatory_supplemental_deductible`	boolean
`mandatory_supplemental_deductible_categories`	string
`medical_deductible_amount`	double
`msa_deductible_amount`	double
`non_network_deductible`	boolean
`original_medicare_deductible_kind`	varchar(35)
`out_of_network_deductible`	boolean
`out_of_network_deductible_amount`	double
`out_of_network_deductible_benefit_groups`	string
`out_of_network_medicare_all_services`	boolean
`out_of_network_medicare_categories`	string
`out_of_network_part_b_deductible`	boolean
`part_a_deductible_amount_resolved`	double
`part_b_deductible_amount_resolved`	double
`plan_deductible_present`	boolean
`plan_deductible_sub_benefit`	string
`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_plan_deductible")     # the card, live
query_substrate(sql="SELECT * FROM medicare_semantic.vw_pbp_plan_deductible 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_plan_deductible")`
Raw door	Athena (read-only via query_substrate): medicare_semantic.vw_pbp_plan_deductible
Note	Cleaned PBP reasoning surface; register source cms_ma_pbp; raw is medicare_silver.pbp_section_d. Rows measured 2026-09-28 (Athena).

This page as markdown: /docs-md/data/medicare_semantic_vw_pbp_plan_deductible.md · every page in one file: /llms-full.txt