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Get Exchange Plan Profile

get_exchange_plan_profile
Read-onlyIdempotent

One ACA Marketplace (healthcare.gov / HIX) plan's profile for a plan year, every field tagged with the CCIIO PUF it came from. Give plan_id (the 14-character HIOS standard component id, e.g. 38344AK1060001) for the plan: issuer, metal level, plan type (HMO/PPO/EPO/POS), Individual vs SHOP, on/off exchange, network, county footprint, premium benchmarks at age 21/40/60 (min across the plan's rating areas, plus the age-40 max), the per-age premium curve from the Rate PUF (include_rate_curve, default true), headline cost shares (PCP / specialist / ER / urgent care / generic drug copay, inpatient coinsurance), CMS quality stars, and the issuer's individual-market MLR. Or give state (+ optional plan_year, metal_level, issuer_id, plan_type, on_off_exchange) for the bounded list of that state's plans, cheapest age-40 premium first. plan_year defaults to the latest year held (PY2014-2026). Deductible / MOOP are returned as not_available (not in the composed profile). FFM states only: a state-based marketplace (CA, NY, PA, GA, ...) is absent at source and the tool says so rather than returning nothing silently.

Input Schema

TableJSON Schema
NameRequiredDescriptionDefault
limitNo
stateNo
plan_idNo
issuer_idNo
plan_typeNo
plan_yearNo
metal_levelNo
on_off_exchangeNo
include_rate_curveNo

Output Schema

TableJSON Schema
NameRequiredDescriptionDefault
unitNo
as_ofNo
valueNo
sourceNo
statusNocomplete
caveatsNo
failureNo
qualityNo
refusalNo
vintageNo
explanationNo
methodologyNo
tool_versionNounknown
response_hashNo
freshness_stateNounknown
semantic_versionNo
invariants_appliedNo

Schema Changelog

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