ZOzocdoc
insurance-reference

Get insurance plans

Get insurance plans

get/v1/insurance_plans

Request

  • Base URL
    https://api-developer-sandbox.zocdoc.com
  • Auth
    • OAuth 2
      Client credentials
      Token URL: https://auth.zocdoc.com/oauth/token
    • or OAuth 2
      Authorization code: https://auth.zocdoc.com/authorize
      Token URL: https://auth.zocdoc.com/oauth/token

Query parameters

pageinteger

The zero indexed page of results.

page_sizeinteger

The number of results to return per page. Default is 100.

status'inactive' | 'active' | 'deleted'

Status of the insurance plan

The status of the insurance plan. Default is active.

statestring
Example:NY

The two letter State code where the insurance plan has coverage.

network_type'hmo' | 'ppo' | 'pos' | 'epo' | 'indemnity' | 'aso' | 'aco' | 'acp' | 'medicare' | 'medicaid' | 'other' | 'uncategorized' | 'hmo_pos'

The type of insurance plan

  • HMO: Health Maintenance Organization
  • PPO: Preferred Provider Organization
  • POS: Point-of-Service
  • EPO: Exclusive Provider Organization
  • Indemnity: Traditional fee-for-service plans
  • ASO: Administrative Services Only
  • ACO: Accountable Care Organizations
  • ACP: Accountable Care Program
  • Medicare: Medicare Advantage plans
  • Medicaid: Medicaid Managed Care plans
  • Other
  • Uncategorized: Uncategorized insurance plans

The network type of the insurance plan.

program_type'commercial' | 'commercial_exchange' | 'medicare' | 'medicaid' | 'workers_compensation' | 'uncategorized' | 'medicare_advantage' | 'medicaid_managed_care' | 'federal'

We've categorized plan types offered by each carrier into their associated programs:

  • Commercial: The most common plans offered by private companies. Providers contract directly with the private insurance company.
  • ACA Marketplace (Commercial exchange): Plans available for patients to buy on online marketplaces under the Affordable Care Act. Providers contract with the insurance carrier offering the plan, not the marketplace itself.
  • Medicare: Medicare advantage plans, sometimes called “Part C” or “MA Plans,” are offered by private companies approved by Medicare. They provide coverage to individuals, families, and employer groups, typically through employer-sponsored plans.
  • Medicaid: Medicaid Managed Care plans provide Medicaid benefits through contracted arrangements between state Medicaid agencies and a managed care organization (MCOs).
  • Worker's Compensation: State-mandated programs for work-related injuries and illnesses. Providers contract with the employer or a state-designated agency.
  • Uncategorized: Uncategorized insurance plans

The program type of the insurance plan.

care_category'health' | 'dental' | 'vision'

The category of care for an insurance plan

  • Health: Health and Mental Health Care
  • Dental: Dental Care
  • Vision: Vision Care

The care type of the insurance plan.

Response

Success

request_idstring required

Unique request identifier for tracing

pageinteger required

The zero based index of the current page.

page_sizeinteger required

The size of the current page.

total_countinteger required

The total number of result items.

next_urlstring required

A link to the next page of results; null if this is the last page of results.

Example response

{
  "data": [
    {
      "ref_metadata": {
        "created_timestamp_utc": "2022-04-27T09:00:00-00:00",
        "last_updated_timestamp_utc": "2022-04-27T09:00:00-00:00"
      },
      "replacement_plan_id": "ip_5362"
    }
  ]
}

Changes

No recorded changes to this operation across all 1 revision of this API.