Centers for Medicare and Medicaid Services · Schema

PlanSearchFilter

plan search filter

MedicareMedicaidHealthcareHealth InsuranceFHIRFederal GovernmentDrug SpendingProvider DataQuality MeasuresClaims Data

Properties

Name	Type	Description
disease_mgmt_programs	array
division	object
issuer	string	Issuer name
issuers	array	A List of Issuers names
metal_levels	array	A list of Metalic Levels
metal_level	object
metal_design_types	array	A list of Plan Design Type / Metalic Level Combinations
design_types	array	A list of Plan Design Types
premium	number
type	object
types	array	a list of plan types
deductible	number
hsa	boolean	HSA eligibilty
oopc	number	Out of Pocket Costs
child_dental_coverage	boolean	Only show plans with child dental coverage
adult_dental_coverage	boolean	Only show plans with adult dental coverage
drugs	array	A list of RXCUIs
providers	array	A list of NPIs
quality_rating	number	Quality ratings for a plan
simple_choice	boolean
premium_range	object
deductible_range	object

View JSON Schema on GitHub

JSON Schema

{
  "$schema": "http://json-schema.org/draft-07/schema#",
  "title": "PlanSearchFilter",
  "description": "plan search filter",
  "properties": {
    "disease_mgmt_programs": {
      "type": "array",
      "items": {
        "$ref": "#/definitions/DiseaseMgmtProgramsEnum"
      }
    },
    "division": {
      "$ref": "#/definitions/ProductDivisionEnum"
    },
    "issuer": {
      "description": "Issuer name",
      "type": "string"
    },
    "issuers": {
      "description": "A List of Issuers names",
      "type": "array",
      "items": {
        "type": "string"
      }
    },
    "metal_levels": {
      "description": "A list of Metalic Levels",
      "type": "array",
      "items": {
        "$ref": "#/definitions/MetalLevelEnum"
      }
    },
    "metal_level": {
      "$ref": "#/definitions/MetalLevelEnum"
    },
    "metal_design_types": {
      "description": "A list of Plan Design Type / Metalic Level Combinations",
      "type": "array",
      "items": {
        "$ref": "#/definitions/MetalDesignType"
      }
    },
    "design_types": {
      "description": "A list of Plan Design Types",
      "type": "array",
      "items": {
        "$ref": "#/definitions/DesignTypeEnum"
      }
    },
    "premium": {
      "type": "number"
    },
    "type": {
      "$ref": "#/definitions/PlanTypeEnum"
    },
    "types": {
      "type": "array",
      "items": {
        "$ref": "#/definitions/PlanTypeEnum"
      },
      "description": "a list of plan types"
    },
    "deductible": {
      "type": "number"
    },
    "hsa": {
      "description": "HSA eligibilty",
      "type": "boolean"
    },
    "oopc": {
      "description": "Out of Pocket Costs",
      "type": "number"
    },
    "child_dental_coverage": {
      "description": "Only show plans with child dental coverage",
      "type": "boolean"
    },
    "adult_dental_coverage": {
      "description": "Only show plans with adult dental coverage",
      "type": "boolean"
    },
    "drugs": {
      "description": "A list of RXCUIs",
      "type": "array",
      "items": {
        "type": "string",
        "pattern": "^[0-9]{5,7}$"
      }
    },
    "providers": {
      "description": "A list of NPIs",
      "type": "array",
      "items": {
        "type": "string",
        "pattern": "^[0-9]{10}$"
      }
    },
    "quality_rating": {
      "description": "Quality ratings for a plan",
      "type": "number"
    },
    "simple_choice": {
      "type": "boolean"
    },
    "premium_range": {
      "$ref": "#/definitions/Range"
    },
    "deductible_range": {
      "$ref": "#/definitions/Range"
    }
  },
  "type": "object"
}