{
  "description": "Static FHIR R4 Bundles, one per Benefit Plan Standard example, each holding one InsurancePlan and the Organization it references. These are downloadable files, not a FHIR API or endpoint. Generated by scripts/to-insuranceplan.js in the benefit-plan-schema repository.",
  "profile": "http://hl7.org/fhir/us/insurance-card/StructureDefinition/sbc-insurance-plan",
  "package": "hl7.fhir.us.insurance-card#2.0.0-ballot",
  "profile_status": "draft, experimental; ballot-stage",
  "fhir_version": "4.0.1",
  "bps_repository": "https://github.com/Benefit-Plan-Standard/benefit-plan-schema",
  "converter_spec": "https://github.com/Benefit-Plan-Standard/benefit-plan-schema/blob/main/docs/specs/insuranceplan-converter.md",
  "plans": [
    {
      "id": "aetna-ppo-1500-80-50",
      "plan_name": "Aetna FL PPO 1500 80/50 CY V25",
      "carrier": "Aetna",
      "plan_type": "PPO",
      "plan_year": 2026,
      "bps_schema_version": "1.1.0",
      "bps_example": "examples/aetna_example.json",
      "path": "InsurancePlan/aetna-ppo-1500-80-50.json",
      "url": "https://benefitplanstandard.org/fhir/InsurancePlan/aetna-ppo-1500-80-50.json",
      "benefits_placed": 26,
      "benefits_unmapped": 1
    },
    {
      "id": "aetna-ppo-5000-80-50",
      "plan_name": "Aetna FL PPO 5000 80/50 CY V25",
      "carrier": "Aetna",
      "plan_type": "PPO",
      "plan_year": 2026,
      "bps_schema_version": "1.1.0",
      "bps_example": "examples/aetna_ppo5000_example.json",
      "path": "InsurancePlan/aetna-ppo-5000-80-50.json",
      "url": "https://benefitplanstandard.org/fhir/InsurancePlan/aetna-ppo-5000-80-50.json",
      "benefits_placed": 26,
      "benefits_unmapped": 1
    },
    {
      "id": "ambetter-ca-silver-94-hmo",
      "plan_name": "Health Net of CA: Silver 94 Ambetter HMO",
      "carrier": "Ambetter",
      "plan_type": "HMO",
      "plan_year": 2026,
      "bps_schema_version": "1.1.0",
      "bps_example": "examples/ambetter_example.json",
      "path": "InsurancePlan/ambetter-ca-silver-94-hmo.json",
      "url": "https://benefitplanstandard.org/fhir/InsurancePlan/ambetter-ca-silver-94-hmo.json",
      "benefits_placed": 27,
      "benefits_unmapped": 3
    },
    {
      "id": "flblue-blueoptions-505",
      "plan_name": "Florida Blue BlueOptions 505",
      "carrier": "FloridaBlue",
      "plan_type": "PPO",
      "plan_year": 2023,
      "bps_schema_version": "1.1.0",
      "bps_example": "examples/bluecross_example.json",
      "path": "InsurancePlan/flblue-blueoptions-505.json",
      "url": "https://benefitplanstandard.org/fhir/InsurancePlan/flblue-blueoptions-505.json",
      "benefits_placed": 27,
      "benefits_unmapped": 4
    },
    {
      "id": "cigna-oap-bowdoin",
      "plan_name": "Bowdoin College: Open Access Plus",
      "carrier": "Cigna",
      "plan_type": "OAP",
      "plan_year": 2026,
      "bps_schema_version": "1.1.0",
      "bps_example": "examples/cigna_example.json",
      "path": "InsurancePlan/cigna-oap-bowdoin.json",
      "url": "https://benefitplanstandard.org/fhir/InsurancePlan/cigna-oap-bowdoin.json",
      "benefits_placed": 26,
      "benefits_unmapped": 4
    },
    {
      "id": "gatorcare-prime-epo",
      "plan_name": "Florida Blue BlueOptions 03768 - Prime EPO Plan",
      "carrier": "GatorCare",
      "plan_type": "EPO",
      "plan_year": 2026,
      "bps_schema_version": "1.1.0",
      "bps_example": "examples/gatorcare_example.json",
      "path": "InsurancePlan/gatorcare-prime-epo.json",
      "url": "https://benefitplanstandard.org/fhir/InsurancePlan/gatorcare-prime-epo.json",
      "benefits_placed": 25,
      "benefits_unmapped": 4
    },
    {
      "id": "humana-gold-plus-h1036-025-hmo",
      "plan_name": "Humana Gold Plus H1036-025 (HMO)",
      "carrier": "Humana",
      "plan_type": "HMO",
      "plan_year": 2026,
      "bps_schema_version": "1.2.0",
      "bps_example": "examples/humana_example.json",
      "path": "InsurancePlan/humana-gold-plus-h1036-025-hmo.json",
      "url": "https://benefitplanstandard.org/fhir/InsurancePlan/humana-gold-plus-h1036-025-hmo.json",
      "benefits_placed": 26,
      "benefits_unmapped": 46,
      "label": "Medicare Advantage, keyed by hand from the CMS Summary of Benefits, validates against the v1.2.0 draft only."
    },
    {
      "id": "kaiser-ca-gold-80-hmo",
      "plan_name": "KAISER PERMANENTE® : Gold 80 HMO",
      "carrier": "Kaiser",
      "plan_type": "HMO",
      "plan_year": 2026,
      "bps_schema_version": "1.1.0",
      "bps_example": "examples/kaiser_example.json",
      "path": "InsurancePlan/kaiser-ca-gold-80-hmo.json",
      "url": "https://benefitplanstandard.org/fhir/InsurancePlan/kaiser-ca-gold-80-hmo.json",
      "benefits_placed": 28,
      "benefits_unmapped": 3
    },
    {
      "id": "scan-classic-hmo-los-angeles",
      "plan_name": "SCAN Classic (HMO)",
      "carrier": "SCAN Health Plan",
      "plan_type": "HMO",
      "plan_year": 2026,
      "bps_schema_version": "1.2.0",
      "bps_example": "examples/scan_example.json",
      "path": "InsurancePlan/scan-classic-hmo-los-angeles.json",
      "url": "https://benefitplanstandard.org/fhir/InsurancePlan/scan-classic-hmo-los-angeles.json",
      "benefits_placed": 22,
      "benefits_unmapped": 49,
      "label": "Medicare Advantage, keyed by hand from the CMS Summary of Benefits, validates against the v1.2.0 draft only."
    },
    {
      "id": "uhc-choice-plus-hsa-gold-1700",
      "plan_name": "UnitedHealthcare® UHC Choice Plus HSA Gold 1700-4",
      "carrier": "UnitedHealthcare",
      "plan_type": "POS",
      "plan_year": 2026,
      "bps_schema_version": "1.1.0",
      "bps_example": "examples/united_example.json",
      "path": "InsurancePlan/uhc-choice-plus-hsa-gold-1700.json",
      "url": "https://benefitplanstandard.org/fhir/InsurancePlan/uhc-choice-plus-hsa-gold-1700.json",
      "benefits_placed": 26,
      "benefits_unmapped": 3
    }
  ]
}