Frequencies for first 10,000 rows of explanation variable in bencs2017 dataset : Benefit Explanation | Freq. Percent Cum. ----------------------------------------+----------------------------------- | 7,009 70.09 70.09 $150 calendar year deductible per mem.. | 2 0.02 70.11 $40 copay applies to first 2 illness-.. | 42 0.42 70.53 $50 copay applies to first 3 illness-.. | 8 0.08 70.61 1 dental Check-Up per 6 months | 9 0.09 70.70 1. The patient must have a body-mass .. | 5 0.05 70.75 1. The physician must have determined.. | 5 0.05 70.80 12 mo exclusion period for age 19 and.. | 6 0.06 70.86 130 visits per applies to home visits.. | 90 0.90 71.76 180-day waiting period applies; limit.. | 2 0.02 71.78 30 day supply Retail and Mail | 26 0.26 72.04 30 day supply retail and mail | 4 0.04 72.08 365-day waiting period applies; limit.. | 1 0.01 72.09 365-day waiting period applies; limit.. | 1 0.01 72.10 40% with a minimum of $90; Generic dr.. | 4 0.04 72.14 6 Month Waiting Period | 4 0.04 72.18 6 mo exclusion period for age 19 and .. | 6 0.06 72.24 90 combined SNF and inpatient extende.. | 4 0.04 72.28 A 'visit' is a session of treatment f.. | 90 0.90 73.18 Age 19+; services must be completed w.. | 60 0.60 73.78 Air and Ground transpiration benefit .. | 30 0.30 74.08 Air and Ground transpiration benefit .. | 60 0.60 74.68 Benefit is 1 per 5 years | 10 0.10 74.78 Benefit limited to initial purchase o.. | 90 0.90 75.68 Benefits are available up to the end .. | 10 0.10 75.78 Benefits are available up to the end .. | 188 1.88 77.66 Benefits are limited to one (1) preve.. | 5 0.05 77.71 Benefits are payable for covered serv.. | 4 0.04 77.75 Benefits are payable for the services.. | 4 0.04 77.79 Benefits illustrated are in summary o.. | 30 0.30 78.09 Breast reconstruction allowed. | 90 0.90 78.99 Combined annual benefit maximum | 18 0.18 79.17 Combined maximum visits for Occupatio.. | 44 0.44 79.61 Combined maximum visits for Occupatio.. | 88 0.88 80.49 Coverage level is specific to the ser.. | 2 0.02 80.51 Covered if required for the member’s .. | 60 0.60 81.11 Covered only when the provider is lic.. | 90 0.90 82.01 Covered when dietary adjustment has a.. | 4 0.04 82.05 Following a mastectomy, the following.. | 4 0.04 82.09 For adults age 19 and over who are hi.. | 33 0.33 82.42 Frequency limits apply to some servic.. | 120 1.20 83.62 Generic drugs mandatory when availabl.. | 7 0.07 83.69 Generic drugs mandatory when availabl.. | 23 0.23 83.92 Generic drugs mandatory when avaliabl.. | 20 0.20 84.12 HMOs may limit chiropractic visits to.. | 4 0.04 84.16 Habilitative services is only covered.. | 90 0.90 85.06 Hearing aid devices limited to one pe.. | 4 0.04 85.10 If you designate a Primary Care Selec.. | 11 0.11 85.21 In Alabama, the only in-network indep.. | 2 0.02 85.23 In Alabama, the only in-network indep.. | 12 0.12 85.35 Includes eye exam and refraction for .. | 2 0.02 85.37 Infusion/IV Therapy in an Outpatient .. | 4 0.04 85.41 Inpatient hospice care up to a maximu.. | 90 0.90 86.31 Limit applies to Exams, Cleanings and.. | 12 0.12 86.43 Limit of 1 pair of glasses or contact.. | 5 0.05 86.48 Limit of 1 routine vision exam per ca.. | 10 0.10 86.58 Limit of 2 dental check-ups & cleanin.. | 5 0.05 86.63 Limitations may apply to certain type.. | 4 0.04 86.67 Limitations may apply to endodontic, .. | 4 0.04 86.71 Limited to 2 hours per year after ini.. | 33 0.33 87.04 Limited to Bariatric Surgery Network | 2 0.02 87.06 Limited to Blue Distinction Centers f.. | 33 0.33 87.39 Limited to Phase I Services | 11 0.11 87.50 Limited to Phase I services | 22 0.22 87.72 Medically Necessary Only | 6 0.06 87.78 Medically necessary orthodontia only | 2 0.02 87.80 Medically necessary repair of disabli.. | 60 0.60 88.40 Newborn benefits do not apply to the .. | 4 0.04 88.44 One hospital visit; Well Baby Exams c.. | 60 0.60 89.04 One pair of orthotics or orthopedic s.. | 60 0.60 89.64 Only Medically Necessary Orthodontics.. | 4 0.04 89.68 Only medically necessary orthodontia .. | 27 0.27 89.95 Panoramic and Complete Series X-Rays .. | 2 0.02 89.97 Private hospital rooms and/or private.. | 5 0.05 90.02 Quantitative limit on Donor costs onl.. | 30 0.30 90.32 Routine foot care when the member is .. | 30 0.30 90.62 See plan brochure for plan details an.. | 10 0.10 90.72 Services have a 12 month waiting period | 4 0.04 90.76 Services have a 6 month waiting period | 4 0.04 90.80 Services must be medically necessary .. | 90 0.90 91.70 Short-term rehabilitative therapy inc.. | 4 0.04 91.74 Supplementing with the federal defini.. | 4 0.04 91.78 The Plan covers hospice care services.. | 5 0.05 91.83 The Plan covers the initial purchase .. | 4 0.04 91.87 The first 2 visits to a designated pr.. | 4 0.04 91.91 The first 2 visits to a designated pr.. | 11 0.11 92.02 The first 3 primary care doctor visit.. | 4 0.04 92.06 Travel & lodging expenses are limited.. | 4 0.04 92.10 Under age 19, 1 PCY; Over age 19 Not.. | 26 0.26 92.36 Under age 19; 1 PCY ; Over age 19 not.. | 4 0.04 92.40 Under age 19; 1 pair of frames and le.. | 4 0.04 92.44 Under age 19; 1 pair of frames and le.. | 26 0.26 92.70 Unlimited if Medically Necessary Only | 4 0.04 92.74 Unlimited if Medically Necessary only | 26 0.26 93.00 Up to 90 Day supply Retail (copay tim.. | 4 0.04 93.04 Up to 90 Day supply Retail (copay tim.. | 4 0.04 93.08 Up to 90 Day supply Retail (copay tim.. | 4 0.04 93.12 Up to 90 day supply Retail (copay tim.. | 26 0.26 93.38 Up to 90 day supply Retail (copay tim.. | 11 0.11 93.49 Up to 90 day supply Retail (copay tim.. | 15 0.15 93.64 Up to 90 day supply Retail (copay tim.. | 26 0.26 93.90 Up to 90-day supply for retail and ma.. | 240 2.40 96.30 Up to a 30-day supply | 33 0.33 96.63 Up to a 90-day supply | 45 0.45 97.08 Visit limit for physical, speech, and.. | 180 1.80 98.88 Visit limit is for all therapy types .. | 9 0.09 98.97 Well Baby Exams covered for the first.. | 60 0.60 99.57 Well Child visits and immunizations a.. | 4 0.04 99.61 You must visit your designated Primar.. | 11 0.11 99.72 limit of service varies based upon pr.. | 28 0.28 100.00 ----------------------------------------+----------------------------------- Total | 10,000 100.00 by Jean Roth , jroth@nber.org , 8 Dec 2017