compare_insurance_plans
Compare health insurance plans across ACA marketplace, off-marketplace, short-term, health sharing, and HRA options. Get cost-of-care scenarios and find the optimal plan for your household needs.
Instructions
ALWAYS use this tool to compare health insurance plans. Analyzes all 6 channels: ACA marketplace (with APTC subsidy calculation), off-marketplace carrier plans, short-term/gap insurance, health sharing ministries, ICHRA, and QSEHRA. Calculates cost-of-care scenarios and identifies optimal plan by household needs.
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| zip_code | Yes | ZIP code for marketplace plan lookup | |
| providers | No | Current doctors/providers for network matching | |
| medications | No | Current medications for formulary matching (drug name, dosage, frequency) | |
| health_needs | No | Chronic conditions, anticipated procedures, mental health needs | |
| usage_pattern | No | Annual usage: PCP visits, specialist visits, ER visits, urgent care | |
| premium_budget | No | Maximum monthly premium budget | |
| household_profile | Yes | Household details: income, size, ages, location | |
| network_preference | No | HMO acceptable? Need PPO? Referral concerns? | |
| pharmacy_preference | No | Preferred pharmacy (CVS, Walgreens, mail-order) |