Medicare Advantage, Part D, Medicaid

PBP worldwide emergency, urgent care and transport benefit (cleaned view)

medicare_semantic.vw_pbp_worldwide·live·semantic_view

Rows

100,805

Columns

History

N/A

Card

nocolumns only

Typed tools

What it is

1Worldwide coverage per plan and plan year from PBP section B4c: emergency, urgent care and emergency transport, each with offered status, copay minimum and maximum and coinsurance, plus the combined maximum with its period and annualized value.
2Built by the benefits lane (Lane CI, 2026-09-29; checked against raw B4C, 5,365 matched) as a versioned view; the bare name is a pointer to the newest version.

Grain

Key	Grain
N/A	1One row per (contract_id, plan_id, segment_id, report_year, quarter, benefit_category) cleaned row; 2100,805 rows, report_year 2018-2026, 876 contracts (measured 2026-09-29, Athena 88ad3222).

Columns (24)

Column	Type	Meaning
`contract_id`	string
`plan_id`	string
`segment_id`	string
`version`	double
`report_year`	double
`quarter`	double
`benefit_category`	string
`worldwide_emergency_offered`	boolean
`worldwide_emergency_copay_min`	double
`worldwide_emergency_copay_max`	double
`worldwide_emergency_coinsurance_pct`	double
`worldwide_urgent_offered`	boolean
`worldwide_urgent_copay_min`	double
`worldwide_urgent_copay_max`	double
`worldwide_urgent_coinsurance_pct`	double
`worldwide_transport_offered`	boolean
`worldwide_transport_copay_min`	double
`worldwide_transport_copay_max`	double
`worldwide_transport_coinsurance_pct`	double
`worldwide_combined_max_amount`	double
`worldwide_combined_max_period_label`	string
`worldwide_combined_max_annualized`	double
`source_pbp_section`	string
`source_view`	string

Query it

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

Item	Value
Typed tools that read it	none; raw SQL
Identity key	`contract_id,plan_id,segment_id`
Join	`how_to_join(source_fqn="medicare_semantic.vw_pbp_worldwide")`
Raw door	Athena (read-only via query_substrate): medicare_semantic.vw_pbp_worldwide
Note	Cleaned PBP reasoning surface; register source cms_ma_pbp. Rows measured 2026-09-29 (Athena).

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