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