| AdultDental |
bool? |
Does the plan provide dental coverage for adults? |
[optional] |
| Age29Rider |
bool? |
True if the plan allows dependents up to age 29 |
[optional] |
| Ambulance |
string |
Benefits string for ambulance coverage |
[optional] |
| BenefitsSummaryUrl |
string |
Link to the summary of benefits and coverage (SBC) document. |
[optional] |
| BuyLink |
string |
Link to a location to purchase the plan. |
[optional] |
| CarrierName |
string |
Name of the insurance carrier |
[optional] |
| ChildDental |
bool? |
Does the plan provide dental coverage for children? |
[optional] |
| ChildEyewear |
string |
Child eyewear benefits summary |
[optional] |
| ChildEyeExam |
string |
Child eye exam benefits summary |
[optional] |
| CustomerServicePhoneNumber |
string |
Phone number to contact the insurance carrier |
[optional] |
| DurableMedicalEquipment |
string |
Benefits summary for durable medical equipment |
[optional] |
| DiagnosticTest |
string |
Diagnostic tests benefit summary |
[optional] |
| DisplayName |
string |
Alternate name for the Plan |
[optional] |
| DpRider |
bool? |
True if plan does not cover domestic partners |
[optional] |
| DrugFormularyUrl |
string |
Link to the summary of drug benefits for the plan |
[optional] |
| EffectiveDate |
string |
Effective date of coverage. |
[optional] |
| ExpirationDate |
string |
Expiration date of coverage. |
[optional] |
| EmergencyRoom |
string |
Description of costs when visiting the ER |
[optional] |
| FamilyDrugDeductible |
string |
Deductible for drugs when a family is on the plan. |
[optional] |
| FamilyDrugMoop |
string |
Maximum out-of-pocket for drugs when a family is on the plan |
[optional] |
| FamilyMedicalDeductible |
string |
Deductible when a family is on the plan |
[optional] |
| FamilyMedicalMoop |
string |
Maximum out-of-pocket when a family is on the plan |
[optional] |
| FpRider |
bool? |
True if plan does not cover family planning |
[optional] |
| GenericDrugs |
string |
Cost for generic drugs |
[optional] |
| HabilitationServices |
string |
Habilitation services benefits summary |
[optional] |
| HiosIssuerId |
string |
|
[optional] |
| HomeHealthCare |
string |
Home health care benefits summary |
[optional] |
| HospiceService |
string |
Hospice service benefits summary |
[optional] |
| HsaEligible |
bool? |
Is the plan HSA eligible? |
[optional] |
| Id |
string |
Government-issued HIOS plan ID |
[optional] |
| Imaging |
string |
Benefits summary for imaging coverage |
[optional] |
| InNetworkIds |
List<int?> |
List of NPI numbers for Providers passed in who accept this Plan |
[optional] |
| IndividualDrugDeductible |
string |
Deductible for drugs when an individual is on the plan |
[optional] |
| IndividualDrugMoop |
string |
Maximum out-of-pocket for drugs when an individual is on the plan |
[optional] |
| IndividualMedicalDeductible |
string |
Deductible when an individual is on the plan |
[optional] |
| IndividualMedicalMoop |
string |
Maximum out-of-pocket when an individual is on the plan |
[optional] |
| InpatientBirth |
string |
Inpatient birth benefits summary |
[optional] |
| InpatientFacility |
string |
Cost under the plan for an inpatient facility |
[optional] |
| InpatientMentalHealth |
string |
Inpatient mental helath benefits summary |
[optional] |
| InpatientPhysician |
string |
Cost under the plan for an inpatient physician |
[optional] |
| InpatientSubstance |
string |
Inpatient substance abuse benefits summary |
[optional] |
| Level |
string |
Plan metal grouping (e.g. platinum, gold, silver, etc) |
[optional] |
| LogoUrl |
string |
Link to a copy of the insurance carrier's logo |
[optional] |
| Name |
string |
Marketing name of the plan |
[optional] |
| NetworkSize |
int? |
Total number of Providers in network |
[optional] |
| NonPreferredBrandDrugs |
string |
Cost under the plan for non-preferred brand drugs |
[optional] |
| OnMarket |
bool? |
Is the plan on-market? |
[optional] |
| OffMarket |
bool? |
Is the plan off-market? |
[optional] |
| OutOfNetworkCoverage |
bool? |
Does this plan provide any out of network coverage? |
[optional] |
| OutOfNetworkIds |
List<int?> |
List of NPI numbers for Providers passed in who do not accept this Plan |
[optional] |
| OutpatientFacility |
string |
Benefits summary for outpatient facility coverage |
[optional] |
| OutpatientMentalHealth |
string |
Benefits summary for outpatient mental health coverage |
[optional] |
| OutpatientPhysician |
string |
Benefits summary for outpatient physician coverage |
[optional] |
| OutpatientSubstance |
string |
Outpatient substance abuse benefits summary |
[optional] |
| PlanMarket |
string |
Market in which the plan is offered (on_marketplace, shop, etc) |
[optional] |
| PlanType |
string |
Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity) |
[optional] |
| PreferredBrandDrugs |
string |
Cost under the plan for perferred brand drugs |
[optional] |
| PrenatalPostnatalCare |
string |
Inpatient substance abuse benefits summary |
[optional] |
| PreventativeCare |
string |
Benefits summary for preventative care |
[optional] |
| PremiumSubsidized |
decimal? |
Cumulative premium amount after subsidy |
[optional] |
| Premium |
decimal? |
Cumulative premium amount |
[optional] |
| PremiumSource |
string |
Source of the base pricing data |
[optional] |
| PrimaryCarePhysician |
string |
Cost under the plan to visit a Primary Care Physician |
[optional] |
| RehabilitationServices |
string |
Benefits summary for rehabilitation services |
[optional] |
| ServiceAreaId |
string |
Foreign key for service area |
[optional] |
| SkilledNursing |
string |
Benefits summary for skilled nursing services |
[optional] |
| Specialist |
string |
Cost under the plan to visit a specialist |
[optional] |
| SpecialtyDrugs |
string |
Cost under the plan for specialty drugs |
[optional] |
| UrgentCare |
string |
Benefits summary for urgent care |
[optional] |