name = "Atlas Commons research objects — Medicare plans in District of Columbia, District of Columbia (CY2026)"
description = "CMS CY2026 Medicare Advantage and Part D plans available in District of Columbia, District of Columbia: plan count (AGGREGATED), premium range (RECORDED from CMS Landscape Files), CMS star ratings (DETERMINATION — CMS-issued institutional quality rating), and epistemic boundary (INTERPRETATION). Premiums are base plan premiums; actual cost depends on Part B premium, IRMAA, and LIS. Star ratings are CMS quality scores. This surface informs; it does not rank or advise. Use medicare.gov/plan-compare to enroll. CC0."
license = "CC0-1.0"
jsonld = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/dc/district-of-columbia.jsonld"

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/dc/district-of-columbia/plan-count"
warrant = "DERIVED"
name = "20 Medicare plans are available in District of Columbia, District of Columbia for contract year 2026"
text = "The CMS CY2026 Medicare Landscape Files record 20 Medicare Advantage and Part D plans available in District of Columbia, District of Columbia. Atlas Commons counted the rows; CMS published the underlying plan×county records, not this county-level total."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "occurred=TRUE: a faithful COUNT/SUM/total over the named record set that introduces NO modeling choice — it IS the case in the record. adjudged=FALSE: Atlas Commons computed the aggregate; CMS CY2026 Medicare Landscape Files published the underlying records, NOT this figure. Re-count it from the named source to verify. Distinct from a median/ratio/index (which picks a population, weighting, denominator, or threshold — a constructed statistic → 'derived', occurred=FALSE) and from an authority-published total (→ 'recorded', adjudged=TRUE)."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/dc/district-of-columbia/premium-range"
warrant = "RECORDED"
name = "Monthly premiums for Medicare plans in District of Columbia, District of Columbia range from $0.00/mo to $105.00/mo (CY2026)"
text = "The CMS CY2026 Medicare Landscape Files publish per-plan monthly consolidated premiums for District of Columbia, District of Columbia. Across the 20 plans with a published premium, the range is $0.00/mo to $105.00/mo. These are the plan's base monthly premium — your actual cost depends on income-related adjustments (IRMAA), any applicable Low Income Subsidy (LIS/Extra Help), and your Part B premium. A $0 plan premium does not mean $0 total cost."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "Verify in the CMS CY2026 Medicare Landscape Files for District of Columbia, District of Columbia. Falsified if the CMS-published per-plan premium figures differ."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/dc/district-of-columbia/star-ratings"
warrant = "PROJECTED"
name = "CMS assigned star ratings to 20 of 20 Medicare plans in District of Columbia, District of Columbia (CY2026); average overall: 3.8 stars"
text = "CMS issued Overall star ratings (1–5 stars) to 20 of 20 Medicare plans in District of Columbia, District of Columbia for CY2026. The unweighted average overall star rating across rated plans is 3.8. Star ratings are CMS quality scores — an institutional determination, not a measured event. A higher rating reflects better performance across CMS quality measures. Ratings cover the contract's overall performance, not this county specifically; a plan may be available in your county with a rating earned across its full service area."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "Verify CMS star ratings for these contract IDs at the CMS Medicare Plan Finder or the CMS star ratings dataset. Falsified if the CMS-published ratings for these contracts differ. Note: PDP-only plans and newly contracted plans may not have an overall star rating — the 0 unrated plans in this county are not rated, not unqualified."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/dc/district-of-columbia/boundary"
warrant = "INTERPRETATION"
name = "What these Medicare plan figures are — and are NOT — for District of Columbia, District of Columbia (the epistemic boundary)"
text = "This page lists Medicare Advantage (MA) and Part D Prescription Drug Plan (PDP) plans available in District of Columbia, District of Columbia for CY2026, with their CMS-published base premiums and CMS star ratings. The premiums shown are the PLAN's base monthly premium — your actual monthly cost depends on the Part B premium (deducted from Social Security for most enrollees), income-related premium adjustments (IRMAA), and any Low Income Subsidy (Extra Help). A star rating is CMS's quality score for the plan's overall performance — a higher rating is generally better, but the \"best\" plan depends on your specific prescriptions, preferred doctors, and budget. This surface informs and compares; it does NOT rank plans, recommend a \"best\" plan, or account for your individual situation. To compare plans with your specific drugs and providers and to enroll, use the official Medicare Plan Finder at medicare.gov/plan-compare. For free, unbiased help, contact your State Health Insurance Assistance Program (SHIP) or call 1-800-MEDICARE (1-800-633-4227)."
source = "Coverage Atlas framing (over the CMS facts above)"
sourceUrl = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/dc/district-of-columbia"
falsifier = "occurred=FALSE (a framing) and adjudged=FALSE (the atlas's reading, not a CMS verdict) — the LOWEST-warrant claim here."

[[medicarePlans]]
contract_plan_id = "H0710_032"
plan_name = "UHC Nursing Home Plan EX-F004 (PPO I-SNP)"
category = "SNP"
plan_type = "PPO I-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 27.8
overall_stars = 4.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2108_042"
plan_name = "HealthSpring Preferred (HMO)"
category = "MA-PD"
plan_type = "HMO"
organization = "HealthSpring"
monthly_premium_usd = 0
overall_stars = 3
moop_in_network_usd = 4250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2108_044"
plan_name = "HealthSpring Courage (HMO)"
category = "MA"
plan_type = "HMO"
organization = "HealthSpring"
monthly_premium_usd = "N/A"
overall_stars = 3
moop_in_network_usd = 6750
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2172_001"
plan_name = "Kaiser Permanente Medicare Advantage High DC (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Kaiser Permanente"
monthly_premium_usd = 105
overall_stars = 4.5
moop_in_network_usd = 5700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2172_005"
plan_name = "Kaiser Permanente Medicare Advantage Liberty (HMO)"
category = "MA"
plan_type = "HMO"
organization = "Kaiser Permanente"
monthly_premium_usd = "N/A"
overall_stars = 4.5
moop_in_network_usd = 5900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2172_020"
plan_name = "Kaiser Permanente Medicare Advantage Standard DC (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Kaiser Permanente"
monthly_premium_usd = 36
overall_stars = 4.5
moop_in_network_usd = 7400
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2172_027"
plan_name = "Kaiser Permanente Medicare Advantage Value DC (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Kaiser Permanente"
monthly_premium_usd = 0
overall_stars = 4.5
moop_in_network_usd = 7500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2406_053"
plan_name = "UHC Dual Choice DC-Y2 (PPO D-SNP)"
category = "SNP"
plan_type = "PPO D-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 19.7
overall_stars = 4
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2406_082"
plan_name = "AARP Medicare Advantage from UHC DC-0002 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "UnitedHealthcare"
monthly_premium_usd = 46
overall_stars = 4
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2406_099"
plan_name = "UHC Dual Choice DC-Q001 (PPO D-SNP)"
category = "SNP"
plan_type = "PPO D-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 22.5
overall_stars = 4
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3931_095"
plan_name = "Aetna Medicare Enhanced Plus (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Aetna Medicare"
monthly_premium_usd = 63
overall_stars = 3
moop_in_network_usd = 7500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_383"
plan_name = "HumanaChoice H5216-383 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 6750
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_386"
plan_name = "Humana USAA Honor Giveback (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = "N/A"
overall_stars = 3.5
moop_in_network_usd = 6750
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_389"
plan_name = "HumanaChoice H5216-389 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = 16.2
overall_stars = 3.5
moop_in_network_usd = 6750
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5521_015"
plan_name = "Aetna Medicare Premier (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Aetna Medicare"
monthly_premium_usd = 70
overall_stars = 4.5
moop_in_network_usd = 7500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5521_480"
plan_name = "Aetna Medicare Eagle Giveback (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Aetna Medicare"
monthly_premium_usd = "N/A"
overall_stars = 4.5
moop_in_network_usd = 6750
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7379_002"
plan_name = "CareFirst BlueCross BlueShield Advantage Complete (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "CareFirst BlueCross BlueShield Medicare Advantage"
monthly_premium_usd = 42
overall_stars = 3.5
moop_in_network_usd = 7300
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7379_003"
plan_name = "CareFirst BlueCross BlueShield Advantage Salute (PPO)"
category = "MA"
plan_type = "PPO"
organization = "CareFirst BlueCross BlueShield Medicare Advantage"
monthly_premium_usd = "N/A"
overall_stars = 3.5
moop_in_network_usd = 5900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7464_010"
plan_name = "UHC Dual Choice DC-Y001 (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 13.4
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7849_142"
plan_name = "HealthSpring True Choice Plus (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "HealthSpring"
monthly_premium_usd = 21
overall_stars = 3
moop_in_network_usd = 6500
snp = "No"
