The facilities for Medicare & Medicaid solutions (CMS) focus for buyers Critical information and Insurance Oversight (CCIIO) is definitely focused on expanding clearness into the medical care insurance swap. While wellness structure data such as features, copayments, charges, and geographic insurance is actually publicly available on health care.gov, websiste creation tool in addition posts online public incorporate documents (PUFs) making sure that experts as well as other stakeholders can more quickly availability Exchange facts.
The medical insurance policies trade Public utilize data files (change PUFs) are available for organize years 2014 to 2021 to back up appropriate advantages and rates research. It’s important to remember that the 2021 change PUFs could be refreshed routinely to reflect each plan data that people discover when shopping for an Exchange registered overall health approach (QHP). Facts for any 2021 Exchange PUFs had been imported to websiste creation tool software by April 28, 2021.
The swap PUFs integrate arrange and institution levels details for certified good fitness strategies (QHPs) and independent oral schemes (SADPs) agreed to people and small businesses through the Health Insurance trade. The swap PUFs contain information from countries engaging in the Federally Facilitated trades (FFE), condition collaboration deals (SPEs) and claims whose State-based swaps expect the federal it program for QHP eligibility and enrollment usability (SBE-FP). The PUFs also include facts on Multi-State design (MSPs) and certified off-exchange SADPs. The swap PUFs exclude data from SBEs who don’t depend upon the federal system for QHP eligibility and enrollment function.
The swap PUFs involve eleven individual data as characterized below.
- Value and value posting PUF (BenCS-PUF) organize variant-level records on necessary health and fitness benefits, insurance coverage restrictions, and cost revealing.
- Rates PUF (Rate-PUF) Plan-level information on personal rate determined a qualified subscribers generation, cigarette usage, and geographic area, and family-tier charges.
- Arrange elements PUF (Plan-PUF) Plan-level facts on optimal out of pocket expenses, deductibles, HSA qualification, formulary identification document, along with other program characteristics.
- Business guides PUF (BR-PUF) Plan-level facts on score sales principles, such as for instance allowed relationships (for example, wife, dependents) and tobacco incorporate.
- Solution community PUF (SA-PUF) Issuer-level info on geographical service countries including say, district, and zipcode.
- Network (Ntwrk-PUF) Issuer-level information identifying company network URLs.
- Approach identification document Crosswalk PUF (CW-PUF) Plan-level data mapping programs available in the prior structure season to design offered https://datingmentor.org/escort/st-louis/ in the present day plan 12 months.
- Machine-readable URL PUF (MR-PUF)Issuer-level URL areas for machine-readable strategy network vendor and formulary ideas.
- Transparency in Coverage PUF (TC-PUF) Issuer-level comments, appeals, and active Address info. The PY2021 PUF produced data from PY2019 for issuers engaging in the trade in PY2019.
- Premium PUF (Qual-PUF) High quality ratings data for projects in original shows. The PY2017 PUF is located below. The PY2018 PUF through PY2021 PUFs are observed right here.
- Nationwide standard score method PUF (NatQRS-PUF) excellent ratings records for schemes all over the country, contains State supported Exchanges (SBE). The PY2020 through PY2021 PUFs are found below.
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