Mismatch between healthcare.gov Insurance Plan Finder and reality

[dportnoy]

As noted by Dan Ross on 4/27/2015

Data pulled back from API calls were checked against

• Prominent Plans offered in Arlington, VA (CareFirst is missing)
• List of plans offered for state of TX (Should be > 4)

[dportnoy]

Crated page for full use case specifications and solution: http://hhs.ddod.us/wiki/Use_Case_28

[dportnoy]

Verified that there's a potential discrepancy in Plan Finder API. Contacted Health Data Lead for help in finding data owner.

[dportnoy]

Still working on getting response from program owners for Plan Finder within CMS's CCIIO group. Unfortunately, they haven't been responsive for the past 2+ weeks.

[betshsu]

Wiki has been updated with info regarding PlanFinder: http://hhs.ddod.us/wiki/Use_Case_28

Short answer -- PlanFinder is not meant to comprehensive search of all healthcare plans. It is only intended for off-exchange plans, and even then it may be missing plans for a number of reasons.

[dportnoy]

Received POC from the HC.gov team. May want to confirm some assumptions and update documentation.

[betshsu]

Source PUF added on wiki; also confirmed via HC.gov team that data returned from PlanFinder API is the same as that returned by the front end website.