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HealthInsurancePlan

A Schema.org Type

This term is in the "new" area - implementation feedback and adoption from applications and websites can help improve our definitions.
Thing > Intangible > HealthInsurancePlan
A US-style health insurance plan, including PPOs, EPOs, and HMOs.
PropertyExpected TypeDescription
Properties from HealthInsurancePlan
benefitsSummaryUrl URL The URL that goes directly to the summary of benefits and coverage for the specific standard plan or plan variation.
contactPoint ContactPoint A contact point for a person or organization. Supersedes contactPoints.
healthPlanDrugOption Text TODO.
healthPlanDrugTier Text The tier(s) of drugs offered by this formulary or insurance plan.
healthPlanId Text The 14-character, HIOS-generated Plan ID number. (Plan IDs must be unique, even across different markets.)
healthPlanMarketingUrl URL The URL that goes directly to the plan brochure for the specific standard plan or plan variation.
includesHealthPlanFormulary HealthPlanFormulary Formularies covered by this plan.
includesHealthPlanNetwork HealthPlanNetwork Networks covered by this plan.
usesHealthPlanIdStandard Text  or
URL		 The standard for interpreting the Plan ID. The preferred is "HIOS". See the Centers for Medicare & Medicaid Services for more details.
Properties from Thing
additionalType Text  or
URL		 An additional type for the item, typically used for adding more specific types from external vocabularies in microdata syntax. This is a relationship between something and a class that the thing is in. Typically the value is a URI-identified RDF class, and in this case corresponds to the use of rdf:type in RDF. Text values can be used sparingly, for cases where useful information can be added without their being an appropriate schema to reference. In the case of text values, the class label should follow the schema.org style guide.
alternateName Text An alias for the item.
description Text  or
TextObject		 A description of the item.
disambiguatingDescription Text A sub property of description. A short description of the item used to disambiguate from other, similar items. Information from other properties (in particular, name) may be necessary for the description to be useful for disambiguation.
identifier PropertyValue  or
Text  or
URL		 The identifier property represents any kind of identifier for any kind of Thing, such as ISBNs, GTIN codes, UUIDs etc. Schema.org provides dedicated properties for representing many of these, either as textual strings or as URL (URI) links. See background notes for more details.
image ImageObject  or
URL		 An image of the item. This can be a URL or a fully described ImageObject.
mainEntityOfPage CreativeWork  or
URL		 Indicates a page (or other CreativeWork) for which this thing is the main entity being described. See background notes for details.
Inverse property: mainEntity
name Text The name of the item.
potentialAction Action Indicates a potential Action, which describes an idealized action in which this thing would play an 'object' role.
sameAs URL URL of a reference Web page that unambiguously indicates the item's identity. E.g. the URL of the item's Wikipedia page, Wikidata entry, or official website.
subjectOf CreativeWork  or
Event		 A CreativeWork or Event about this Thing.
Inverse property: about
url URL URL of the item.

Instances of HealthInsurancePlan may appear as a value for the following properties
PropertyOn TypesDescription
includedInHealthInsurancePlan Drug The insurance plans that cover this drug.

Source

https://github.com/schemaorg/schemaorg/issues/1062


Examples

Example 1
Copied
No Markup JSON-LD Structure
Example notes or example HTML without markup.
See JSON example.

Background, https://docs.google.com/document/d/1LNew5OEon4uir2D5Zzp0AkUPA7c9nO8reJ_M1pOy-3s/edit#
Example encoded as JSON-LD in a HTML script tag.
<script type="application/ld+json">

    {
        "@context": "http://health-lifesci.schema.org/",
        "@type": "HealthInsurancePlan",
        "usesHealthPlanIdType": "http://healthplan.schema.org/HealthPlanIdTypeHIOS",
        "healthPlanId": "12345XX9876543",
        "name": "Sample Gold Health Plan",
        "summaryUrl": "http://url/to/summary/benefits/coverage",
        "marketingUrl": "http://url/to/health/plan/information",
        "contactPoint": {
            "@type": "ContactPoint",
            "email": "email@address.com"
        },
        "healthPlanNetworkTiers": ["http://healthplan.schema.org/PreferredNetwork",
                                  "http://healthplan.schema.org/NonPreferredNetwork"],
        "includesHealthPlanFormulary": [
            {
                "@type": "HealthPlanFormulary",
                "healthPlanDrugTier": "http://healthplan.schema.org/DrugTierGeneric",
                "offersPrescriptionByMail": true,
                "healthPlanCostSharing": [
                    {
                        "@type": "HealthPlanCostSharingSpecification",
                        "healthPlanPharmacyType": "1-MONTH-IN-RETAIL",
                        "healthPlanCopay": {
                            "@type": "PriceSpecification",
                            "price": 20,
                            "currency": "USD"
                        },
                        "healthPlanCopayOption": "http://healthplan.schema.org/HealthPlanCopayAfterDeductable",
                        "healthPlanCoinsuranceRate": 0.1,
                        "healthPlanCoinsuranceOption": "http://healthplan.schema.org/HealthPlanCoinsuranceBeforeDeductable"
                    },
                    {
                       "@type": "HealthPlanCostSharingSpecification",
                        "healthPlanPharmacyType": "1-MONTH-IN-MAIL",
                         "healthPlanCopay": {
                            "@type": "PriceSpecification",
                            "price": 0,
                            "currency": "USD"
                        },
                        "healthPlanCopayOption": "http://healthplan.schema.org/HealthPlanCoPayNoCharge",
                        "healthPlanCoinsuranceRate": 0.2,
                        "healthPlanCoinsuranceOption": "http://healthplan.schema.org/HealthPlanCoinsuranceNone"
                    }
                ],
                "healthPlanDrugTier": "http://healthplan.schema.org/DrugTierBrand",
                "offersPrescriptionByMail": true,
                "healthPlanCostSharing": [
                    {
                       "@type": "HealthPlanCostSharingSpecification",
                        "healthPlanPharmacyType": "1-MONTH-IN-RETAIL",
                        "healthPlanCopay": {
                            "@type": "PriceSpecification",
                            "price": 15,
                            "currency": "USD"
                        },
                        "healthPlanCopayOption": "http://healthplan.schema.org/HealthPlanCopayNone",
                        "healthPlanCoinsuranceRate": 0,
                        "healthPlanCoinsuranceOption": "http://healthplan.schema.org/HealthPlanCoinsuranceNone"
                    },
                    {
                       "@type": "HealthPlanCostSharingSpecification",
                        "healthPlanPharmacyType": "1-MONTH-IN-MAIL",
                        "healthPlanCopay": {
                            "@type": "PriceSpecification",
                            "price": 20,
                            "currency": "USD"
                        },
                        "healthPlanCopayOption": "http://healthplan.schema.org/HealthPlanCopayAfterDeductible",
                        "healthPlanCoinsuranceRate": 0.1,
                        "healthPlanCoinsuranceOption": "http://healthplan.schema.org/HealthPlanCoinsuranceBeforeDeductible"
                    }
                ]
            }
        ]
    }

</script>
Structured representation of the JSON-LD example.