The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs)

PBP 2008 Data Entry System Screens

Section D – Plan Deductible (Combined) – Base 1 Screen

Section D – Plan Deductible (Combined) – Base 2 Screen

Section D – Plan Deductible (In-Network) Screen

Section D – Plan Deductible (Out-of-Network) Screen

Section D – Max Enrollee Cost Limit (Combined) – Base 1 Screen

Section D – Max Enrollee Cost Limit (Combined) – Base 2 Screen

Section D – Max Enrollee cost Limit (In-Network) Screen

Section D – Max Enrollee Cost Limit (Out-of-Network) Screen

Section D – Max Plan Benefit Coverage Screen

Section D –Plan Premium/ Rebate Reduction Screen

Section D – PFFS Balance Billing Screen

Section D –MSA Annual Deductible/Deposit Screen

Section D – MSA Demo plans Screen

Section D – Notes Screen

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