{ "$schema": "https://json-schema.org/draft/2020-12/schema", "$id": "schema:HealthInsurancePlan", "title": "HealthInsurancePlan", "description": "A US-style health insurance plan, including PPOs, EPOs, and HMOs.", "type": "object", "allOf": [ { "description": "A utility class that serves as the umbrella for a number of 'intangible' things such as quantities, structured values, etc.", "$ref": "schema:Intangible" } ], "properties": { "benefitsSummaryUrl": { "description": "The URL that goes directly to the summary of benefits and coverage for the specific standard plan or plan variation.", "type": "string", "format": "uri" }, "contactPoint": { "description": "A contact point for a person or organization.", "oneOf": [ { "$ref": "schema:ContactPoint" }, { "type": "array", "items": { "$ref": "schema:ContactPoint" } } ] }, "healthPlanDrugOption": { "description": "TODO.", "oneOf": [ { "type": "string" }, { "type": "array", "items": { "type": "string" } } ] }, "healthPlanDrugTier": { "description": "The tier(s) of drugs offered by this formulary or insurance plan.", "type": "string" }, "healthPlanId": { "description": "The 14-character, HIOS-generated Plan ID number. (Plan IDs must be unique, even across different markets.)", "type": "string" }, "healthPlanMarketingUrl": { "description": "The URL that goes directly to the plan brochure for the specific standard plan or plan variation.", "type": "string", "format": "uri" }, "includesHealthPlanFormulary": { "description": "Formularies covered by this plan.", "oneOf": [ { "$ref": "schema:HealthPlanFormulary" }, { "type": "array", "items": { "$ref": "schema:HealthPlanFormulary" } } ] }, "includesHealthPlanNetwork": { "description": "Networks covered by this plan.", "oneOf": [ { "$ref": "schema:HealthPlanNetwork" }, { "type": "array", "items": { "$ref": "schema:HealthPlanNetwork" } } ] }, "usesHealthPlanIdStandard": { "description": "The standard for interpreting the Plan ID. The preferred is \"HIOS\". See the Centers for Medicare & Medicaid Services for more details.", "anyOf": [{ "type": "string", "format": "uri" }, { "type": "string" }] } } }