CMS — Centers for Medicare & Medicaid Services Plans API

openapi: 3.0.3
info:
  title: CMS AB2D Articles Plans API
  description: 'AB2D delivers Medicare Parts A, B, and D claims data to Part D Prescription Drug Plan

    sponsors via the HL7 FHIR Bulk Data Access specification. Asynchronous $export returns

    ExplanationOfBenefit NDJSON for all enrolled Medicare beneficiaries since 2020.

    '
  version: '2.0'
  contact:
    name: AB2D Help
    url: https://ab2d.cms.gov/
    email: ab2d@cms.hhs.gov
  license:
    name: Public Domain (U.S. Government Work)
    url: https://www.usa.gov/government-works
servers:
- url: https://api.ab2d.cms.gov/api/v2
  description: Production
- url: https://sandbox.ab2d.cms.gov/api/v2
  description: Sandbox
security:
- BearerAuth: []
tags:
- name: Plans
paths:
  /plans/search:
    post:
      summary: Search Marketplace Plans
      operationId: searchPlans
      description: Search QHPs available to a household based on location, income, and household composition.
      tags:
      - Plans
      requestBody:
        required: true
        content:
          application/json:
            schema:
              type: object
              properties:
                household:
                  type: object
                place:
                  type: object
                market:
                  type: string
                  enum:
                  - Individual
                  - SHOP
                year:
                  type: integer
      responses:
        '200':
          description: List of matching plans
          content:
            application/json:
              schema:
                type: object
                properties:
                  total:
                    type: integer
                  plans:
                    type: array
                    items:
                      $ref: '#/components/schemas/Plan'
  /plans/{planId}:
    get:
      summary: Get Plan Details
      operationId: getPlan
      tags:
      - Plans
      parameters:
      - name: planId
        in: path
        required: true
        schema:
          type: string
      - name: year
        in: query
        schema:
          type: integer
      responses:
        '200':
          description: Plan details
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Plan'
components:
  schemas:
    Plan:
      type: object
      properties:
        id:
          type: string
        name:
          type: string
        issuer:
          type: object
        metal_level:
          type: string
          enum:
          - Bronze
          - Silver
          - Gold
          - Platinum
          - Catastrophic
        type:
          type: string
          enum:
          - HMO
          - PPO
          - EPO
          - POS
          - Indemnity
        premium:
          type: number
        deductibles:
          type: array
          items:
            type: object
        moops:
          type: array
          items:
            type: object
        benefits:
          type: array
          items:
            type: object
  securitySchemes:
    BearerAuth:
      type: http
      scheme: bearer
      bearerFormat: JWT
      description: AB2D uses SMART Backend Services with okta-issued JWT bearer tokens.