Centers for Medicare and Medicaid Services · Schema

MOOP

maximum out-of-pocket

MedicareMedicaidHealthcareHealth InsuranceFHIRFederal GovernmentDrug SpendingProvider DataQuality MeasuresClaims Data

Properties

Name	Type	Description
amount	number
csr	object
family_cost	string
network_tier	object
type	string
individual	boolean	Applies to individuals
family	boolean	Applies to families
display_string	string	An optional human-readable description

View JSON Schema on GitHub

JSON Schema

{
  "$schema": "http://json-schema.org/draft-07/schema#",
  "title": "MOOP",
  "description": "maximum out-of-pocket",
  "properties": {
    "amount": {
      "type": "number"
    },
    "csr": {
      "$ref": "#/definitions/CostSharingReductionEnum"
    },
    "family_cost": {
      "type": "string",
      "enum": [
        "Individual",
        "Family",
        "Family Per Person"
      ]
    },
    "network_tier": {
      "$ref": "#/definitions/NetworkTierEnum"
    },
    "type": {
      "enum": [
        "Maximum Out of Pocket for Medical and Drug EHB Benefits (Total)",
        "Maximum Out of Pocket for Medical EHB Benefits",
        "Maximum Out of Pocket for Drug EHB Benefits"
      ],
      "type": "string"
    },
    "individual": {
      "description": "Applies to individuals",
      "type": "boolean"
    },
    "family": {
      "description": "Applies to families",
      "type": "boolean"
    },
    "display_string": {
      "type": "string",
      "description": "An optional human-readable description"
    }
  },
  "type": "object"
}