{
  "schemaVersion": 1,
  "preparedAt": "2026-10-24",
  "contractYear": 2027,
  "description": "Frozen MPL example excerpts and CMS row locators. This is derived public data, not an insurer coverage document.",
  "normalizedSnapshotSha256": "f4813cbbe4f3c5b5a865934ce9a62b89ad44f3def88e487716fcd02abea5bee3",
  "sources": {
    "pbp": {
      "name": "CMS PBP Benefits-2027 tabular",
      "page": "https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-advantagepart-d-contract-and-enrollment-data/benefits-data/pbp-benefits-2027",
      "download": "https://www.cms.gov/files/zip/pbp-benefits-2027.zip",
      "filename": "pbp-benefits-2027.zip",
      "release": "PBP Benefits-2027 approved extract",
      "sha256": "6d8430e2ecb51acf3cc8547f12dd73506aa73f0dccf034cc3c3393868576ff47",
      "dictionaryMember": "PBP_Benefits_2027_dictionary.xlsx",
      "dictionarySha256": "48de37dabe5297e52d2476a82ec3990221978a0d3616d162e74b08f322c69c78"
    },
    "landscape": {
      "name": "CMS CY2027 Landscape",
      "page": "https://www.cms.gov/medicare/coverage/prescription-drug-coverage",
      "download": "https://www.cms.gov/files/zip/cy2027-landscape-202609-1.zip",
      "filename": "cy2027-landscape-202609-1.zip",
      "release": "CY2027 Landscape 202609.1",
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      "csvMember": "CY2027_Landscape_202609.1/CY2027_Landscape_202609.csv",
      "csvSha256": "a9680a525fd77028844497eb6f2247b5d63374dc6f9ab6abf45dfe6b947605f0"
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  },
  "verification": {
    "cmsArchivesMatchRetainedHashes": true,
    "checkedAt": "2026-10-24",
    "scope": "Original CMS download hashes and selected raw source-row fingerprints matched the retained extract. No new insurer-document or human coverage review is asserted.",
    "rowHashMethod": "SHA-256 of UTF-8 JSON of nonempty raw fields, sorted keys, separators comma/colon, ensure_ascii=false. Data-record positions exclude the header."
  },
  "records": {
    "H5216-435-002": {
      "identity": {
        "contractYear": 2027,
        "code": "H5216-435-002",
        "contractId": "H5216",
        "planId": "435",
        "segmentId": "002",
        "planName": "Humana Essentials Plus Giveback (PPO)",
        "organization": "Humana",
        "kind": "medical",
        "planType": "Local PPO",
        "employerOnly": false,
        "offersPartD": true,
        "geography": "AZ, CO, NM"
      },
      "normalizedRecord": {
        "asset": "/data/2027/contracts/H5216.part-004.json",
        "assetSha256AtPreparation": "c0ba3c70c7bf95fd7904d3940fb1384a151c1050f436c4923e33afcec6a199dc",
        "selector": {
          "code": "H5216-435-002",
          "contractYear": 2027
        }
      },
      "values": {
        "premium": {
          "consolidated": 0,
          "givebackNote": "CMS reports a Part B premium reduction of $97 per month.",
          "partBReduction": {
            "amount": 97,
            "offered": true,
            "sourceFields": {
              "pbp_d_mco_pay_reduct_amt": "97.00",
              "pbp_d_mco_pay_reduct_yn": "1"
            },
            "status": "available"
          },
          "partC": 0,
          "partCSource": "PBP Section D A/B premium",
          "partDTotal": 0,
          "status": "available"
        },
        "moop": {
          "status": "available",
          "inNetwork": 7850,
          "combined": 13900,
          "outOfNetwork": null,
          "caps": {
            "combined": {
              "amountField": "pbp_d_comb_max_enr_amt",
              "flagField": "pbp_d_comb_max_enr_amt_yn",
              "state": "numeric"
            },
            "inNetwork": {
              "amountField": "pbp_d_out_pocket_amt",
              "flagField": "pbp_d_out_pocket_amt_yn",
              "state": "numeric"
            },
            "outOfNetwork": {
              "amountField": "pbp_d_oon_max_enr_oopc_amt",
              "flagField": "pbp_d_oon_max_enr_oopc_yn",
              "state": "no_cap"
            }
          }
        },
        "inpatient": {
          "status": "available",
          "tiers": [
            {
              "chargedDayTotal": {
                "amount": 2325,
                "days": 5
              },
              "flatShares": [],
              "medicareDefinedComponents": [],
              "ranges": [
                {
                  "amount": 465,
                  "endDay": 5,
                  "sourceScope": "Medicare-covered stay",
                  "startDay": 1,
                  "type": "copay"
                },
                {
                  "amount": 0,
                  "endDay": 90,
                  "sourceScope": "Medicare-covered stay",
                  "startDay": 6,
                  "type": "copay"
                }
              ],
              "sourceFields": {
                "pbp_b1a_copay_mcs_amt_int1_t1": "465.00",
                "pbp_b1a_copay_mcs_amt_int2_t1": "0.00",
                "pbp_b1a_copay_mcs_bgnd_int1_t1": "1",
                "pbp_b1a_copay_mcs_bgnd_int2_t1": "6",
                "pbp_b1a_copay_mcs_endd_int1_t1": "5",
                "pbp_b1a_copay_mcs_endd_int2_t1": "90"
              },
              "tier": 1
            }
          ],
          "terms": {
            "pbp_b1a_auth_yn": {
              "label": "Authorization required for this benefit?",
              "raw": "1",
              "value": "Yes"
            },
            "pbp_b1a_bendesc_ad_up_nmcs": {
              "label": "Enhanced benefits (1a)",
              "raw": "010",
              "value": [
                "Additional Days"
              ]
            },
            "pbp_b1a_bendesc_yn": {
              "label": "Does the plan provide Inpatient Hospital-Acute Services as a supplemental benefit under Part C?",
              "raw": "1",
              "value": "Yes"
            },
            "pbp_b1a_coins_yn": {
              "label": "Is there a coinsurance?",
              "raw": "2",
              "value": "No"
            },
            "pbp_b1a_copay_lrd_int_num_t1": {
              "label": "Tier 1: Day intervals for Medicare-covered lifetime reserve days",
              "raw": "1",
              "value": "Zero (No Copayment per Day)"
            },
            "pbp_b1a_copay_mcs_amt_int1_t1": {
              "label": "Copayment Amt Interval 1",
              "raw": "465.00",
              "value": "465.00"
            },
            "pbp_b1a_copay_mcs_amt_int2_t1": {
              "label": "Copayment Amt Interval 2",
              "raw": "0.00",
              "value": "0.00"
            },
            "pbp_b1a_copay_mcs_amt_t1": {
              "label": "Copayment for Medicare-covered stay",
              "raw": "0.00",
              "value": "0.00"
            },
            "pbp_b1a_copay_mcs_bgnd_int1_t1": {
              "label": "Begin Day Interval 1",
              "raw": "1",
              "value": "1"
            },
            "pbp_b1a_copay_mcs_bgnd_int2_t1": {
              "label": "Begin Day Interval 2",
              "raw": "6",
              "value": "6"
            },
            "pbp_b1a_copay_mcs_endd_int1_t1": {
              "label": "End Day Interval 1",
              "raw": "5",
              "value": "5"
            },
            "pbp_b1a_copay_mcs_endd_int2_t1": {
              "label": "End Day Interval 2",
              "raw": "90",
              "value": "90"
            },
            "pbp_b1a_copay_mcs_int_num_t1": {
              "label": "Number of day intervals for Medicare-covered stay",
              "raw": "3",
              "value": "Two"
            },
            "pbp_b1a_copay_yn": {
              "label": "Is there a copayment?",
              "raw": "1",
              "value": "Yes"
            },
            "pbp_b1a_cost_discharge_yn": {
              "label": "Do you charge cost sharing on the day of discharge?",
              "raw": "2",
              "value": "No"
            },
            "pbp_b1a_cost_vary_tiers_yn": {
              "label": "Does this plan's Medicare-covered benefit cost sharing vary by hospital(s) in which an enrollee obtains care?",
              "raw": "2",
              "value": "No"
            },
            "pbp_b1a_ded_yn": {
              "label": "Is there a deductible?",
              "raw": "2",
              "value": "No"
            },
            "pbp_b1a_hosp_ben_period": {
              "label": "What is the Inpatient Hospital-Acute benefit period?",
              "raw": "3",
              "value": "Per Admission or Per Stay"
            },
            "pbp_b1a_maxenr_yn": {
              "label": "Does this plan have a service specific maximum enrollee out-of-pocket cost (MOOP)?",
              "raw": "2",
              "value": "No"
            },
            "pbp_b1a_mc_copay_cstshr_yn_t1": {
              "label": "Do you charge the Medicare-defined cost share for tier 1?",
              "raw": "2",
              "value": "No"
            },
            "pbp_b1a_refer_yn": {
              "label": "Referral required for this benefit?",
              "raw": "2",
              "value": "No"
            }
          },
          "sourceTable": "pbp_b1a_inpat_hosp.txt",
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        "drugDeductible": {
          "amount": 450,
          "excludedTiers": [
            "Tier 1",
            "Tier 2"
          ],
          "landscapeCrossCheck": true,
          "someTiersExcluded": true,
          "sourceMode": "No, enter amount",
          "status": "available"
        },
        "drugBenefitStatus": "available"
      },
      "cmsRows": {
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            "pbp_a_plan_identifier": "435",
            "segment_id": "2",
            "pbp_a_ben_cov": "1",
            "pbp_a_plan_type": "04",
            "orgtype": "01",
            "bid_id": "H5216_435_2",
            "version": "6",
            "pbp_a_BPT_MA_date_time": "08/05/2026 02:30:22 PM Eastern Standard Time",
            "pbp_a_BPT_PD_date_time": "07/30/2026 04:07:34 PM Eastern Standard Time",
            "pbp_a_contract_partd_flag": "1",
            "pbp_a_org_name": "HUMANA INSURANCE COMPANY",
            "pbp_a_org_marketing_name": "Humana",
            "pbp_a_org_website": "www.humana.com/medicare",
            "pbp_a_plan_name": "Humana Essentials Plus Giveback (PPO)",
            "pbp_a_org_type": "01",
            "pbp_a_plan_geog_name": "AZ, CO, NM",
            "pbp_a_segment_name": "Colorado",
            "pbp_a_eghp_yn": "2",
            "pbp_a_continue_yn": "2",
            "pbp_a_special_need_flag": "2",
            "pbp_a_pharmacy_website": "https://www.humana.com/pharmacy/",
            "pbp_a_formulary_web_addr": "https://www.humana.com/pharmacy/medicare-drug-list",
            "pbp_a_phys_web_addr": "https://www.humana.com/find-care?cm_mmc=provider_Medicare_gov-_-Medicare_gov_link-_-Vanity-_-Link",
            "pbp_a_curmbr_phone": "(800)457-4708",
            "pbp_a_curmbr_loc_phone": "(800)457-4708",
            "pbp_a_prombr_phone": "(888)873-0686",
            "pbp_a_prombr_loc_phone": "(888)873-0686",
            "pbp_a_pd_curmbr_phone": "(800)457-4708",
            "pbp_a_pd_curmbr_loc_phone": "(800)457-4708",
            "pbp_a_pd_prombr_phone": "(888)873-0686",
            "pbp_a_pd_prombr_loc_phone": "(888)873-0686",
            "pbp_a_ttytdd_curmbr_phone": "711",
            "pbp_a_ttytdd_cur_loc_phone": "711",
            "pbp_a_ttytdd_prombr_phone": "711",
            "pbp_a_ttytdd_pro_loc_phone": "711",
            "pbp_a_pd_ttytdd_curmbr_phone": "711",
            "pbp_a_pd_ttytdd_cur_loc_phone": "711",
            "pbp_a_pd_ttytdd_prombr_phone": "711",
            "pbp_a_pd_ttytdd_pro_loc_phone": "711",
            "pbp_a_ffs_bid_b_yn": "2",
            "pbp_a_ffs_bid_b_auth_yn": "1",
            "pbp_a_ffs_bid_b_auth_cats": "1a;1a1;1b;2;3-1;3-2;3-3;3-4;5a;5b;6;7b;7c;7d;7e1;7e2;7f;7f_2;7g;7h1;7h2;7i;7k;8a1;8a2;8b1;8b2;8b3;9a1;9a2;9b;9c1;9c2;9d;10a1;10a2;11a;11b1;11b2;11c1;11c2;11c3;12;13a;13c;15-1-I;15-2;15-3;16a;16c1;16c2;16c3;16c7;16c8;16c10;17a;17a1;17b;17b1;17b2;18a;18a1;18a2;",
            "pbp_a_ffs_bid_b_ref_yn": "2",
            "pbp_a_ffs_bid_c_yn": "2",
            "pbp_a_ffs_bid_c_auth_yn": "2",
            "pbp_a_ffs_bid_c_ref_yn": "2",
            "pbp_a_ffs_bid_d_yn": "2",
            "pbp_a_tier_yn": "2"
          }
        },
        "pbp_Section_D.txt": {
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          "fields": {
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            "pbp_a_plan_identifier": "435",
            "segment_id": "2",
            "pbp_a_ben_cov": "1",
            "pbp_a_plan_type": "04",
            "orgtype": "01",
            "bid_id": "H5216_435_2",
            "version": "6",
            "pbp_d_ann_deduct_yn": "1",
            "pbp_d_ann_deduct_amt_type": "4",
            "pbp_d_ann_deduct_amt": "100.00",
            "pbp_d_ann_deduct_14a_yn": "2",
            "pbp_d_ann_deduct_bens": "010",
            "pbp_d_ann_deduct_inn_mc_yn": "2",
            "pbp_d_ann_deduct_inn_mc_cats": "1a;1b;2;3-1;3-2;3-3;3-4;5a;5b;6;7k;8a1;8b1;8b2;8b3;9a1;9a2;9b;9c1;9c2;11b1;11b2;11c2;12;",
            "pbp_d_diff_deduct_yn": "2",
            "pbp_d_nmc_deduct_yn": "2",
            "pbp_d_out_pocket_amt_yn": "1",
            "pbp_d_out_pocket_amt_type": "2",
            "pbp_d_out_pocket_amt": "7850.00",
            "pbp_d_inn_max_enr_oopc_bens": "11",
            "pbp_d_inn_max_enr_m_yn": "1",
            "pbp_d_inn_max_enr_m_cat_ex": "1a;1b;2;3-1;3-2;3-3;3-4;4a;4b;5a;5b;6;7a;7b;7c;7d;7e1;7e2;7f;7g;7h1;7h2;7i;7j;7k;8a1;8a2;8b1;8b2;8b3;9a1;9a2;9b;9c1;9c2;9d;10a1;10a2;11a;11b1;11b2;11c1;11c2;11c3;12;14a;14d;14e1;14e2;14e4;14e5;15-1-I;15-2;15-3;16a;17a;17b;18a;",
            "pbp_d_inn_max_enr_nm_yn": "2",
            "pbp_d_inn_max_enr_nm_cat_ex": "4c1;4c2;4c3;",
            "pbp_d_comb_max_enr_amt_yn": "1",
            "pbp_d_comb_max_enr_amt": "13900.00",
            "pbp_d_comb_max_enr_oopc_bens": "0111",
            "pbp_d_comb_max_enr_inn_m_yn": "1",
            "pbp_d_comb_max_enr_inn_mcat_ex": "1a;1b;2;3-1;3-2;3-3;3-4;4a;4b;5a;5b;6;7a;7b;7c;7d;7e1;7e2;7f;7g;7h1;7h2;7i;7j;7k;8a1;8a2;8b1;8b2;8b3;9a1;9a2;9b;9c1;9c2;9d;10a1;10a2;11a;11b1;11b2;11c1;11c2;11c3;12;14a;14d;14e1;14e2;14e4;14e5;15-1-I;15-2;15-3;16a;17a;17b;18a;",
            "pbp_d_comb_max_enr_inn_nm_yn": "2",
            "pbp_d_comb_max_enr_inn_nmcatex": "4c1;4c2;4c3;",
            "pbp_d_comb_max_enr_oon_m_yn": "1",
            "pbp_d_comb_max_enr_oon_mcat_ex": "1a;1b;2;3-1;3-2;3-3;3-4;5a;5b;6;7a;7b;7c;7d;7e1;7e2;7f;7g;7h1;7h2;7i;7k;8a1;8a2;8b1;8b2;8b3;9a1;9a2;9b;9c1;9c2;9d;10a1;10a2;11a;11b1;11b2;11c1;11c2;11c3;12;14a;14d;14e1;14e2;14e4;14e5;15-1-I;15-2;15-3;16a;17a;17b;18a;",
            "pbp_d_oon_max_enr_oopc_yn": "2",
            "pbp_d_mplusc_premium": "0.00",
            "pbp_d_mco_pay_reduct_yn": "1",
            "pbp_d_mco_pay_reduct_amt": "97.00",
            "pbp_d_rics_yn": "2",
            "pbp_d_combo_supp_ben_yn": "2"
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            "segment_id": "2",
            "pbp_a_ben_cov": "1",
            "pbp_a_plan_type": "04",
            "orgtype": "01",
            "bid_id": "H5216_435_2",
            "version": "6",
            "pbp_b1a_bendesc_yn": "1",
            "pbp_b1a_bendesc_ad_up_nmcs": "010",
            "pbp_b1a_bendesc_amo_ad": "2",
            "pbp_b1a_bendesc_lim_ad": "1",
            "pbp_b1a_maxenr_yn": "2",
            "pbp_b1a_cost_vary_tiers_yn": "2",
            "pbp_b1a_coins_yn": "2",
            "pbp_b1a_ad_cost_vary_tiers_yn": "2",
            "pbp_b1a_ded_yn": "2",
            "pbp_b1a_copay_yn": "1",
            "pbp_b1a_mc_copay_cstshr_yn_t1": "2",
            "pbp_b1a_copay_mcs_amt_t1": "0.00",
            "pbp_b1a_copay_mcs_int_num_t1": "3",
            "pbp_b1a_copay_mcs_amt_int1_t1": "465.00",
            "pbp_b1a_copay_mcs_bgnd_int1_t1": "1",
            "pbp_b1a_copay_mcs_endd_int1_t1": "5",
            "pbp_b1a_copay_mcs_amt_int2_t1": "0.00",
            "pbp_b1a_copay_mcs_bgnd_int2_t1": "6",
            "pbp_b1a_copay_mcs_endd_int2_t1": "90",
            "pbp_b1a_copay_lrd_int_num_t1": "1",
            "pbp_b1a_copay_ad_intrvl_num_t1": "2",
            "pbp_b1a_copay_ad_amt_int1_t1": "0.00",
            "pbp_b1a_copay_ad_bgnd_int1_t1": "91",
            "pbp_b1a_copay_ad_endd_int1_t1": "999",
            "pbp_b1a_hosp_ben_period": "3",
            "pbp_b1a_cost_discharge_yn": "2",
            "pbp_b1a_auth_yn": "1",
            "pbp_b1a_refer_yn": "2"
          }
        },
        "pbp_mrx.txt": {
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          "fields": {
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            "pbp_a_plan_identifier": "435",
            "segment_id": "2",
            "pbp_a_ben_cov": "1",
            "pbp_a_plan_type": "04",
            "orgtype": "01",
            "bid_id": "H5216_435_2",
            "version": "6",
            "mrx_form_model_type": "5F",
            "mrx_drug_ben_yn": "1",
            "mrx_benefit_type": "4",
            "mrx_partd_network_loc": "110101",
            "mrx_ltc_attest_flag": "1",
            "mrx_first_fill": "2",
            "mrx_otc_meds_pay_ump_yn": "2",
            "mrx_formulary_tiers_num": "5",
            "mrx_tier_form_ex": "4",
            "mrx_tier_form_ex_2_yn": "2",
            "mrx_form_model_desc": "Preferred Generic, Generic, Preferred Brand, Non-Preferred Drug, Specialty Tier",
            "mrx_alt_ded_charge": "2",
            "mrx_alt_ded_amount": "450.00",
            "mrx_alt_ded_type_yn": "2",
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          ],
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        "geography": "Select counties in IA MN ND NE SD WI"
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        "fields": {
          "Monthly Consolidated Premium (Part C + D)": "Not Applicable",
          "Part C Premium": "Not Applicable",
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}
