Test Sandbox APIs
Using Data
API Reference
Capability Statement

InsurancePlan

The InsurancePlan API provides a list of all Humana’s Medicare Individual, Medicare Group, and Medicaid insurance plans and their associated networks. This API functions in accordance with R4 FHIR specification.

URL


Sample Request

curl -X GET \
https://fhir.humana.com/api/InsurancePlan \
curl -X GET \
https://fhir.humana.com/api/InsurancePlan \

Sample Response


{
    "resourceType": "Bundle",
    "type": "searchset",
    "timestamp": "2025-01-13T15:06:39.252+00:00",
    "meta": {
        "lastUpdated": "2025-01-13T15:06:39.252+00:00",
        "versionId": "57840479-53b9-48b8-b31b-1cc5ae1b875e"
    },
    "entry": [
        {
            "fullUrl": "https://fhir.humana.com/api/InsurancePlan/3cba506f87593fbce9723ea7c187a5bf1474807e6fb21119287bb84259605fab",
            "search": {
                "mode": "match"
            },
            "resource": {
                "resourceType": "InsurancePlan",
                "id": "3cba506f87593fbce9723ea7c187a5bf1474807e6fb21119287bb84259605fab",
                "status": "active",
                "type": [
                    {
                        "coding": [
                            {
                                "system": "https://fhir.humana.com/documentation/glossary/PlanType",
                                "code": "PDP"
                            }
                        ]
                    }
                ],
                "name": "Employer Prescription Drug",
                "alias": [
                    "Employer Prescription Drug"
                ],
                "period": {
                    "start": "2021-01-01"
                },
                "ownedBy": {
                    "reference": "https://fhir.humana.com/api/Organization/67c29814ee1eb20b1be2c2c692cfdd2cfb84e919a867998eccd1762b7b785780",
                    "display": "Humana"
                },
                "administeredBy": {
                    "reference": "https://fhir.humana.com/api/Organization/67c29814ee1eb20b1be2c2c692cfdd2cfb84e919a867998eccd1762b7b785780",
                    "display": "Humana"
                },
                "plan": [
                    {
                        "identifier": [
                            {
                                "system": "https://fhir.humana.com/documentation/glossary/PlanId",
                                "value": "S2874-801-000-2021"
                            }
                        ],
                        "type": {
                            "coding": [
                                {
                                    "system": "https://fhir.humana.com/documentation/glossary/PlanType",
                                    "code": "MA",
                                    "display": "Plan offers medical benefits, no pharmacy benefits."
                                }
                            ]
                        }
                    }
                ],
                "meta": {
                    "versionId": "5decabe2-f7dc-413d-8fc2-d3eb5df83e38",
                    "lastUpdated": "2024-12-20T18:27:10.199+00:00"
                }
            }
        },
        {
            "fullUrl": "https://fhir.humana.com/api/InsurancePlan/26d90e3060fc1047f23356b7c1365bbf9c04992057e4fc92342920edbee113bb",
            "search": {
                "mode": "match"
            },
            "resource": {
                "resourceType": "InsurancePlan",
                "id": "26d90e3060fc1047f23356b7c1365bbf9c04992057e4fc92342920edbee113bb",
                "status": "active",
                "type": [
                    {
                        "coding": [
                            {
                                "system": "https://fhir.humana.com/documentation/glossary/PlanType",
                                "code": "HMO"
                            }
                        ]
                    }
                ],
                "name": "Employer HMO",
                "alias": [
                    "Employer HMO"
                ],
                "period": {
                    "start": "2021-01-01"
                },
                "ownedBy": {
                    "reference": "https://fhir.humana.com/api/Organization/67c29814ee1eb20b1be2c2c692cfdd2cfb84e919a867998eccd1762b7b785780",
                    "display": "Humana"
                },
                "administeredBy": {
                    "reference": "https://fhir.humana.com/api/Organization/67c29814ee1eb20b1be2c2c692cfdd2cfb84e919a867998eccd1762b7b785780",
                    "display": "Humana"
                },
                "coverageArea": [
                    {
                        "reference": "https://fhir.humana.com/api/Location/5a9595b5010375b276b5947a4eb837f71605059d81c8ee023e049248849f2dbf",
                        "display": "Macomb, MI"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/dae8acb9af9b2d07c2402cc5554e4c7b19b7d1d6c235b960ea8843a07b667571",
                        "display": "Oakland, MI"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/851384119b0f2021a10cb024c6ee626c3dbf28294a639cb2ddf4aec9502fa841",
                        "display": "Genesee, MI"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/b59f3a1ff8d02fe3c140efd5a863ee9ebd2de8ee3adf4ad934c435b48eb61603",
                        "display": "Livingston, MI"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/2e0e7d426d51225c4dff22175154e4902a7a7170f83c027b39a150778c06dea2",
                        "display": "Wayne, MI"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/9255fc9ead5111fc4d495f8db17a7c116df2e21835a31e935f790165e7930896",
                        "display": "Ingham, MI"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/df3a70fa88271d20eb14d66066fbae2c80565b11083e7020d1d34bdbc4888211",
                        "display": "Washtenaw, MI"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/5bd136477180057589053d9734158b29b7fdcd98f07267d8a4bbe833a902231b",
                        "display": "Kent, MI"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/5e2b2ecec1f5736b67f2d8a29da0404ffcd7493d06b5e1a82625db12cc5d3e53",
                        "display": "Muskegon, MI"
                    }
                ],
                "network": [
                    {
                        "reference": "https://fhir.humana.com/api/Organization/8cff4f8bc4a362f8436538b718998da46c3c3011ebec6230facc6078aabccbcc",
                        "display": "Employer HMO"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Organization/47831b23d2f8454842cfde8f361be2e530f878c0acf595525e9948cb2559bd07",
                        "display": "EyeMed Vision"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Organization/bb7a38c35d32f4f5efe01e642d982deb38bad8542cd494095650e224ff8d658b",
                        "display": "Humana Medicare Employer Plan (Medicare Group) Network"
                    }
                ],
                "plan": [
                    {
                        "identifier": [
                            {
                                "system": "https://fhir.humana.com/documentation/glossary/PlanId",
                                "value": "H8908-801-000-2021"
                            }
                        ],
                        "type": {
                            "coding": [
                                {
                                    "system": "https://fhir.humana.com/documentation/glossary/PlanType",
                                    "code": "MA-PD",
                                    "display": "Plan offers both medical and pharmacy benefits."
                                }
                            ]
                        }
                    }
                ],
                "meta": {
                    "versionId": "36556996-c7c0-4daa-a72c-1b412ea9638b",
                    "lastUpdated": "2024-12-20T18:27:10.162+00:00"
                }
            }
        },
        {
            "fullUrl": "https://fhir.humana.com/api/InsurancePlan/a1faa59c8abef0be79e339a527d34c08e4269bdffd922431932c952b9a153edb",
            "search": {
                "mode": "match"
            },
            "resource": {
                "resourceType": "InsurancePlan",
                "id": "a1faa59c8abef0be79e339a527d34c08e4269bdffd922431932c952b9a153edb",
                "status": "active",
                "type": [
                    {
                        "coding": [
                            {
                                "system": "https://fhir.humana.com/documentation/glossary/PlanType",
                                "code": "LPPO"
                            }
                        ]
                    }
                ],
                "name": "Medicare Employer PPO",
                "alias": [
                    "Medicare Employer PPO"
                ],
                "period": {
                    "start": "2021-01-01"
                },
                "ownedBy": {
                    "reference": "https://fhir.humana.com/api/Organization/67c29814ee1eb20b1be2c2c692cfdd2cfb84e919a867998eccd1762b7b785780",
                    "display": "Humana"
                },
                "administeredBy": {
                    "reference": "https://fhir.humana.com/api/Organization/67c29814ee1eb20b1be2c2c692cfdd2cfb84e919a867998eccd1762b7b785780",
                    "display": "Humana"
                },
                "coverageArea": [
                    {
                        "reference": "https://fhir.humana.com/api/Location/63b1390320005d05e86ef2cee78874382d9f5907757d56a4067b7b8fa7dbd95c",
                        "display": "Adjuntas, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/5f5275cb9effa6495b9668e6519c14e626a1eea9145b9d7698952beac5a1a6b6",
                        "display": "Aguada, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/57c9380157333696faa5ce3dd727d16ea8cfbf5b5c239396e99a20c966395f03",
                        "display": "Aguadilla, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/5ff8680e7d2f8b1c07cffaa9d4aa66e58ace8496ab7fa4602b9ab1d18393bbbe",
                        "display": "Aguas Buenas, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/3b0dd7c37e26078a24b41fbbbad445b890182ca4e7b7478ee4fd287730b68df6",
                        "display": "Aibonito, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/7d000ba823de21a5d323d0f676bb0a0cc4f21a0d5201674ae0a480f9ed297f9f",
                        "display": "Anasco, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/a007a88385a87ba9389579db0c1a00b7f6c07936c6665d929738eedf7fbdbfe3",
                        "display": "Arecibo, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/358d6feaa9fe3c906a765fa95156b26c804635d0ff006bfa7a7df2247bb88201",
                        "display": "Arroyo, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/4e53b22ee943ffdb82b05f66664d62462298dc73ce35d124fce9548ccc392183",
                        "display": "Barceloneta, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/b3c90a41f0bd5f033b437eb9e0e53db9bd80477fef9f0615535dda9389c7c63b",
                        "display": "Barranquitas, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/941fae79c77d269d5403fa68dd54e2ae79e801bba73d41f3fd9f8e8eb72494cc",
                        "display": "Bayamón, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/7b7fcddc25a49cf02293346fdc9e35261596c3d535a7d1a5b6bcf5d02450bbcc",
                        "display": "Cabo Rojo, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/0dd5aa199accb10ac5a6cd220b23ce707ff2542a7ede2143122694ea806ea9b6",
                        "display": "Caguas, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/c8fc122a4a0b31d543c128f465d9079b1eb899d7eb87f97e61fe975612e8eeea",
                        "display": "Camuy, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/ce78cfa093799fda5ef4cf6354fa4ccfe1e6498c1a25e0161e050364fc8c0483",
                        "display": "Canovanas, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/885ae930fd2468758ce84e0b6f42318fa6a778a380dae02cad43afb5e609dd06",
                        "display": "Carolina, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/d454102be846d1767c98928acc4fb5458b9409e6817a3155420feef46be443a4",
                        "display": "Catano, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/a5e9ea96ae1d2c565625ef46d29795bb144db859d0f3ce483dda7aa68b230118",
                        "display": "Cayey, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/f0d6e3a247b4c0fae1301ebe5f3721ccf4fadbfc90596259259e75376edc1ad2",
                        "display": "Ceiba, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/331d04478b39965bf6e47263822fdba2bdfb47e4aee08066e2b788b0ff81a980",
                        "display": "Ciales, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/172d5c8dfbc3704e824e8404cdb05aed54be70ea12f73ee87dc1c814f9763048",
                        "display": "Cidra, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/6aae1b76666d4a1e5b2296b2e6444c03405fb2f9a4355e65dac39534a65d1114",
                        "display": "Coamo, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/e033987c72fceb662d0e2059b33d6866005a69a7df810ba3302f3697fb2d07f7",
                        "display": "Comerío, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/5318266d3bf680c96cfb7fbd80db671f9f8279dda0b361caed8c31ad835ee666",
                        "display": "Corozal, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/b606d4e0ee8c873da580c0887607eba38d61579a4b1e3d793027e61335b2db49",
                        "display": "Culebra, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/e98e090ebe80a9dadb9385476ed6d9b626639387f3c43f12a83a01f74c1682a4",
                        "display": "Dorado, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/0591805770f7262bc85924412683fdf828088c28cdbd539ecabfae346db436d2",
                        "display": "Fajardo, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/1703a4b0d7ca21afadc794437fa4da88c138127b24a7dc5a7db07c30f258682f",
                        "display": "Florida, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/6a36bf3b9efa12be9d61d3477493f27e68524e1a4c07788455dc26c01ba44667",
                        "display": "Guayama, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/77a4b54fe3ae17efec2798b5809414d67d62a555e3446d56fbb96451a8d4c184",
                        "display": "Guayanilla, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/21bab1be2044b97ff3191ed712947e762d337687f487258a10df9c0ce6896f6d",
                        "display": "Guaynabo, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/13cd70f1e517b73ca6492c4ac46b96daf386c57666439d39738b3e4b98cdd75c",
                        "display": "Gurabo, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/c3140ca7133d1a9da4558ebfbb81ad96577b4454c755882b3e93f753a7d93859",
                        "display": "Guánica, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/30d3dcc8dac336db255a6477bff4fbedb43294a1bfed7eccf170d2315377a212",
                        "display": "Hatillo, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/f907ddba3f3d19cf030329563aed2fa7528e21cec05265ab217c94768f2cf9f3",
                        "display": "Hormigueros, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/61279a34cad10061d8854b5a8223cd9e78f58c13e129ff4438da96569e58726d",
                        "display": "Humacao, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/2fe193766a4ddcd379f2b281764e8d9ff3e87785c3e0dbcd3365b08ff0070e6c",
                        "display": "Isabela, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/9f54fa2ceb5e788b4c8e90e274c68e533ba5cad118e16d926f436cbd8ad515b0",
                        "display": "Jayuya, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/97b89318b809afd30fc31d9dd98eaa668350b4848d63c4fd09473e461c4e5b82",
                        "display": "Juana Díaz, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/df959c4d2be56f7dd24ef4796b7395f2f5722589ce6e409f0e7d0478feaa9071",
                        "display": "Juncos, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/52711f5ad926489480e0955ed3cda8c19287a87baf875a8b57c36263594d42d0",
                        "display": "Lajas, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/4ad239bacc0c7284601687a0e6bb53ca21b60a27c3816cb1591bbcb091503532",
                        "display": "Lares, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/79cfa83f08991b11e99d14588c6e29c2258d5c4b5eb7a364bc9b99a28b6d5a44",
                        "display": "Las Marías, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/9f8e8db72fe7ce75746a26b6ed6b62740b0fd8ae553e16ab2a1529d8925da8e5",
                        "display": "Las Piedras, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/caa883c92e164a5c6c43213bf2e6454f6f8731b533364f741ca536e95cf43f61",
                        "display": "Loiza, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/d6bdb0c7bb4a4200a5da797d9faf2fe841a3f6e4beaff19fad5bfed3defd4a16",
                        "display": "Luquillo, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/00367928ece54f2668ee62394733e157ec081ae79ed647802010640454c36a0d",
                        "display": "Manatí, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/8871060149f871b34818933117745e29922cc04d2bcb588a529972eb39d71c5b",
                        "display": "Maricao, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/39005503b00a44c676673fa719a4ca23da6cb72b3d9e21919e8353de5f8cfc1b",
                        "display": "Maunabo, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/b896c57bb740b0d4844282a0083ae96700daef25c67ff292249e298c9ed6537b",
                        "display": "Mayagüez, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/6432967a59e40f90b1904b4cd0f32d79059562238841550b558f144195a5ae04",
                        "display": "Moca, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/81945c0daa25ee3b89d287246df475be640a125c622abf9b8882c9215dc3bc0f",
                        "display": "Morovis, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/be0de8be1002a3c8b47ae1877bf9c9931f9bab36720ca5cc4a84c54c50201d0a",
                        "display": "Naguabo, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/de0d05fa5360ec0ffb0d50df0aaa14fe42cc483661abe37a0ba617aacfa31f92",
                        "display": "Naranjito, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/8d72c9d2268370eab54992c8056a7c2b783c7b9a46d21881f2a408530ffc27fc",
                        "display": "Orocovis, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/920b41244be4950300a4149ad730b75472f94bcea1b38aa98bb0acd3096ad3ce",
                        "display": "Patillas, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/cd8ab39999311586be40a5c5d35c4f7b0c697bb2777bd969b537161aabbd81f1",
                        "display": "Penuelas, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/bda89076054b94eecd2abf0656cb13a65b8347caa0337470a8756710d2855527",
                        "display": "Ponce, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/02c92a653ca3c1de849cd703231675b01d3899af2ed958d0149f819ae061ce9f",
                        "display": "Quebradillas, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/d5e6b6a0a27442a259ed23b5f72011f5df61ef995481eeb5a334135549677fe3",
                        "display": "Rincón, PR"
                    },
                    {
                        "reference": "https://fhir.humana.com/api/Location/6bf68676b354f480f079f40d1e16ce7d0acb1a17d109e5f4bd7173beaa0bdfdc",
                        "display": "Río Grande, PR"
                    },
                    {
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