Frequencies for first 10,000 rows of explanation variable in bencs2018 dataset : Benefit Explanation | Freq. Percent Cum. ----------------------------------------+----------------------------------- | 6,934 69.34 69.34 $150 calendar year deductible per mem.. | 1 0.01 69.35 $40 copay applies to first 2 illness-.. | 42 0.42 69.77 $50 copay applies to first 3 illness-.. | 2 0.02 69.79 12-exclusion period period for age 19.. | 2 0.02 69.81 12-month exclusion period for age 19 .. | 4 0.04 69.85 130 visits per applies to home visits.. | 82 0.82 70.67 180-day waiting period applies; limit.. | 1 0.01 70.68 30 Combined maximum visits for Occupa.. | 12 0.12 70.80 30 day supply Retail and Mail | 26 0.26 71.06 365-day waiting period applies; limit.. | 1 0.01 71.07 40% with a minimum of $90; up to a 90.. | 8 0.08 71.15 50% with a minimum of $125; up to a 9.. | 7 0.07 71.22 50% with a minimum of $150; up to a 9.. | 7 0.07 71.29 6 Month Waiting Period | 2 0.02 71.31 6-month exclusion period for age 19 a.. | 4 0.04 71.35 6-month exclusion period period for a.. | 2 0.02 71.37 A 'visit' is a session of treatment f.. | 26 0.26 71.63 A referral is required if the service.. | 11 0.11 71.74 Age 19+; services must be completed w.. | 56 0.56 72.30 Air and Ground transpiration benefit .. | 26 0.26 72.56 Air and Ground transpiration benefit .. | 56 0.56 73.12 Benefit is 1 per 5 years | 10 0.10 73.22 Benefit limited to initial purchase o.. | 82 0.82 74.04 Benefits are available up to the end .. | 10 0.10 74.14 Benefits are available up to the end .. | 314 3.14 77.28 Breast reconstruction allowed. | 82 0.82 78.10 Combined annual benefit maximum | 18 0.18 78.28 Combined maximum visits for Occupatio.. | 88 0.88 79.16 Combined maximum visits for Occupatio.. | 100 1.00 80.16 Coverage level is specific to the ser.. | 1 0.01 80.17 Covered if required for the member’s .. | 56 0.56 80.73 Covered only when the provider is lic.. | 82 0.82 81.55 Each member must have a referral for .. | 11 0.11 81.66 Each member must have a referral from.. | 7 0.07 81.73 Each member must have a referral from.. | 19 0.19 81.92 Each member must have a referral from.. | 7 0.07 81.99 Each member must have a referral from.. | 44 0.44 82.43 Examination once per 2 years. Other s.. | 8 0.08 82.51 For adults age 19 and over who are hi.. | 33 0.33 82.84 For adults age 19 and over who are hi.. | 11 0.11 82.95 Frequency limits apply to some servic.. | 112 1.12 84.07 Habilitative services is only covered.. | 26 0.26 84.33 High Plan Only | 2 0.02 84.35 If you designate a Primary Care Selec.. | 11 0.11 84.46 In Alabama, the only in-network indep.. | 2 0.02 84.48 In Alabama, the only in-network indep.. | 4 0.04 84.52 In Alabama, the only in-network indep.. | 12 0.12 84.64 In Alabama, the only in-network indep.. | 7 0.07 84.71 Includes eye exam and refraction for .. | 2 0.02 84.73 Inpatient hospice care up to a maximu.. | 82 0.82 85.55 Limitations may apply to certain type.. | 2 0.02 85.57 Limitations may apply to endodontic, .. | 2 0.02 85.59 Limited to 2 hours per year after ini.. | 44 0.44 86.03 Limited to Bariatric Surgery Network | 2 0.02 86.05 Limited to Blue Distinction Centers f.. | 44 0.44 86.49 Limited to Phase I Services | 11 0.11 86.60 Limited to Phase I services | 22 0.22 86.82 Limited to Phase I services. Each mem.. | 11 0.11 86.93 Medically Necessary Only | 4 0.04 86.97 Medically necessary repair of disabli.. | 56 0.56 87.53 One hospital visit; Well Baby Exams c.. | 56 0.56 88.09 One pair of orthotics or orthopedic s.. | 56 0.56 88.65 One pair per year, including frames, .. | 12 0.12 88.77 One per year | 8 0.08 88.85 Only Medically Necessary Orthodontics.. | 2 0.02 88.87 Only medically necessary orthodontia .. | 27 0.27 89.14 Outpatient rehabilitation/habilitatio.. | 224 2.24 91.38 Panoramic and Complete Series X-Rays .. | 2 0.02 91.40 Physician charges may apply. | 11 0.11 91.51 Precertification is required; if no p.. | 7 0.07 91.58 Quantitative limit on Donor costs onl.. | 26 0.26 91.84 Routine foot care when the member is .. | 26 0.26 92.10 See plan brochure for plan details an.. | 10 0.10 92.20 Services must be medically necessary .. | 82 0.82 93.02 The first 2 visits to a designated pr.. | 11 0.11 93.13 This plan requires each member to des.. | 22 0.22 93.35 Under age 19, 1 PCY; Over age 19 Not.. | 26 0.26 93.61 Under age 19; 1 pair of frames and le.. | 26 0.26 93.87 Unlimited if Medically Necessary only | 26 0.26 94.13 Up to 90 day supply Retail (copay tim.. | 26 0.26 94.39 Up to 90 day supply Retail (copay tim.. | 26 0.26 94.65 Up to 90 day supply Retail (copay tim.. | 26 0.26 94.91 Up to 90-day supply for retail and ma.. | 224 2.24 97.15 Up to a 30-day supply | 37 0.37 97.52 Up to a 30-day supply; Prime Therapeu.. | 7 0.07 97.59 Up to a 90-day supply | 96 0.96 98.55 Up to a 90-day supply; | 14 0.14 98.69 Visit limit for physical, speech, and.. | 52 0.52 99.21 Well Baby Exams covered for the first.. | 56 0.56 99.77 Well baby visits are covered for the .. | 12 0.12 99.89 You must visit your designated Primar.. | 11 0.11 100.00 ----------------------------------------+----------------------------------- Total | 10,000 100.00 by Jean Roth , jroth@nber.org , 8 Dec 2017