Insurance
20 columns
200 rows
8 formats

Health Insurance Plan Comparison

This dataset provides a comprehensive comparison of synthetic health insurance plans, including premiums, deductibles, copays, coverage details, network size, and plan features across US states. It enables robust analysis for recommendation engines, consumer research, and market benchmarking by offering granular, standardized plan attributes.

last updated 21 Jul 2025
by GoMask

The brief that made it

Building health insurance recommendation engines for consumers

Sample rows

preview · 8 of 200 rows · all 20 columns

plan_idstring	plan_typestring	annual_deductiblefloat	prescription_coverageboolean	provider_namestring	plan_namestring	monthly_premiumfloat	individual_out_of_pocket_maxfloat	family_out_of_pocket_maxfloat	primary_care_copayfloat	specialist_copayfloat	emergency_room_copayfloat	network_sizeinteger	statestring	metal_tierstring	plan_yearinteger	telemedicine_coverageboolean	dental_coverageboolean	vision_coverageboolean	coverage_descriptionstring
PLN001	HMO	3600	true	HealthFirst	Bronze Essentials HMO	184.45	6500	13000	35	75	350	1430	TX	Bronze	2025	true	false	false	Basic coverage with primary care, emergency, and generic prescriptions.
PLN002	PPO	2600	true	BlueCare	Silver Standard PPO	362.9	5400	10800	25	60	280	4500	CA	Silver	2024	true	true	true	Enhanced PPO coverage with access to wide provider network.
PLN003	POS	900	true	WellLife	Gold Advantage POS	489.1	3200	6400	15	35	150	2650	FL	Gold	2026	true	true	true	Premium POS plan with low out-of-pocket and full prescription coverage.
PLN004	PPO	80	true	UnitedCare	Platinum Plus PPO	812	1400	2800	0	0	0	12000	NY	Platinum	2025	true	true	true	Platinum coverage with no copays or deductibles for most services.
PLN005	Catastrophic	9000	false	MedSecure	Catastrophic Core Plan	86.7	13000	26000	120	250	1200	210	NV	Catastrophic	2023	false	false	false	Minimal coverage for severe illness or injury, very high deductible.
PLN006	EPO	3200	true	CareTrust	Bronze Family Secure EPO	210.85	6700	13400	30	70	330	1210	AZ	Bronze	2026	true	false	false	Affordable EPO plan for families, covers essential health needs.
PLN007	PPO	2300	true	HealthFirst	Silver Choice PPO	415.1	5100	10200	20	55	250	4100	GA	Silver	2027	true	true	true	Popular PPO plan with moderate premium and comprehensive benefits.
PLN008	HDHP	6900	false	BlueCare	HDHP Saver 2025	132.3	8700	17400	180	320	1800	720	IL	Bronze	2025	false	false	false	High-deductible health plan for lower premiums and HSA eligibility.
PLN009	POS	650	true	WellLife	Gold Plus POS	510.5	2600	5200	10	30	95	2980	MN	Gold	2026	true	true	true	POS plan with expanded specialist access and low copays.
PLN010	EPO	3000	true	UnitedCare	Silver Direct EPO	340.7	5800	11600	22	58	270	1600	OH	Silver	2023	true	true	false	Direct access EPO plan with strong coverage and moderate deductible.
PLN011	Catastrophic	12500	false	MedSecure	Catastrophic Essential	62.1	15500	31000	170	340	2000	110	CO	Catastrophic	2022	false	false	false	Catastrophic only, for major accidents or serious illness.
PLN012	HMO	3300	true	CareTrust	Bronze Saver 65+	199.2	6400	12800	33	70	345	1350	PA	Bronze	2025	true	false	false	Bronze plan for seniors, with prescription and emergency coverage.
PLN013	POS	2700	true	HealthFirst	Silver Balanced POS	344.15	5400	10800	28	65	285	1860	MI	Silver	2024	true	false	false	Balanced POS plan with coverage for prescriptions and specialists.
PLN014	HDHP	7300	false	BlueCare	HDHP Flex 2024	117.6	8700	17400	170	315	1600	800	WA	Bronze	2024	false	false	false	Flexible HDHP with low premiums and HSA compatible.
PLN015	EPO	500	true	WellLife	Gold Premier EPO	594	2100	4200	12	25	70	3480	NC	Gold	2027	true	true	true	EPO plan with gold tier benefits and low copays.
PLN016	PPO	45	true	UnitedCare	Platinum Family Choice	859.45	900	1800	0	0	0	12400	NJ	Platinum	2026	true	true	true	Top-tier coverage, ideal for families seeking full benefits.
PLN017	Catastrophic	11000	false	MedSecure	Catastrophic Select	97.1	15500	31000	150	320	1700	305	OR	Catastrophic	2024	false	false	false	For adults under 30 or hardship exemption, very high deductible.
PLN018	HMO	4000	true	CareTrust	Silver Direct Access HMO	299.8	7000	14000	40	85	360	1180	MA	Silver	2025	true	false	false	Silver HMO, prescription coverage, direct access to primary care.
PLN019	HMO	3800	true	HealthFirst	Bronze Young Adult HMO	157	6500	13000	36	77	355	950	IN	Bronze	2023	true	false	false	Affordable HMO plan for young adults, covers essential health.
PLN020	PPO	2900	true	BlueCare	Silver Prime PPO	332.15	6200	12400	25	59	265	4350	MI	Silver	2027	true	true	true	Prime PPO with flexible provider choice and strong prescription coverage.

What the 200 rows show

from the 200-row sample

Catastrophic (plan type) stands out: mean annual_deductible is 12,589, against 3,572 for the rest.

73%prescription_coverage = true
3,700median annual_deductible
5metal tiers
51states
226.4median monthly_premium
6,950median individual_out_of_pocket_max

Mean annual_deductible by plan_type200 rows

annual_deductible200 rows, in bands of 2,000

Median 3,700, from 0 to 15,000.

provider_name200 rows · 6 values

BlueCare38
CareTrust36
MedSecure33
HealthFirst32
UnitedCare32
WellLife29

20 columns by typefrom the column list below

string 7
integer 2
float 7
boolean 4

Columns

20 columns in three groups

blueprint · 20 columns
column	type	description	example
Text 7 columns
`plan_id`	string	Unique identifier for each health insurance planunique	PLN001
`plan_name`	string	Name of the health insurance plan	Bronze Essentials HMO
`provider_name`	string	Name of the insurance provider offering the plan6 names	HealthFirst
`plan_type`	string	Type of plan (e.g., HMO, PPO, EPO, POS, HDHP)6 values	HMO
`coverage_description`	string	Detailed description of what is covered by the planoptional	Basic coverage with prima…
`state`	string	US state where the plan is available (2-letter abbreviation)	TX
`metal_tier`	string	Plan's metal tier classification (e.g., Bronze, Silver, Gold, Platinum, Catastrophic)Bronze · Silver · Gold · Platinum · Catastrophic	Bronze
Numbers 9 columns
`monthly_premium`	float	Monthly premium cost for the plan in USD0 or more	184.45
`annual_deductible`	float	Annual deductible amount in USD0 or more	3600
`individual_out_of_pocket_max`	float	Maximum annual out-of-pocket cost for an individual in USD0 or more	6500
`family_out_of_pocket_max`	float	Maximum annual out-of-pocket cost for a family in USD0 or more	13000
`primary_care_copay`	float	Copay amount for primary care visits in USD0 or more	35
`specialist_copay`	float	Copay amount for specialist visits in USD0 or more	75
`emergency_room_copay`	float	Copay amount for emergency room visits in USD0 or more	350
`network_size`	integer	Number of providers (doctors, hospitals) in the plan's network0 or more	1430
`plan_year`	integer	Year for which the plan is valid2,000 to 2,100	2025
True or false 4 columns
`prescription_coverage`	boolean	Indicates whether the plan includes prescription drug coverage	true
`telemedicine_coverage`	boolean	Indicates if telemedicine services are covered under the plan	true
`dental_coverage`	boolean	Indicates if dental services are included in the plan	false
`vision_coverage`	boolean	Indicates if vision services are included in the plan	false

Use it for

An insurance dashboard
The prescription_coverage rate, annual_deductible by plan_type and a breakdown of provider_name. Excel, Power BI or Tableau.
Why do the 22 Catastrophic rows have a mean annual_deductible of 12,589?
A root-cause class exercise
Hand out the rows and one question. The answer is in the data, not in the brief.
Plans200
PLN0013600HMO
PLN0022600PPO
PLN0059000Catastro…
A software demo
Believable plans with plan_name, provider_name and plan_type to fill a screen in front of a buyer.

This dataset200 rows20 columns

Yours1,000 rows20 columnsstate: UK only

blueprint · health-insurance-plan-comparison

Behind this dataset

Same schema. As many rows as you need.

These 200 rows came out of a blueprint — 20 columns with generation rules behind each one. Open it in Data Factory to retune a column, add your own, wire in foreign keys, and run it at the size you actually need.

Rules it was built with

Each plan linked to provider and region
Premium, deductible, and copay fields
Coverage limits and exclusions provided
Network size and tier simulated
Flag plans as subsidized or not

Rows1,000 rows10,000 rows100,000 rows1,000,000 rows

Open the blueprint in Data Factory

1 credit per row. Preview 20 rows free. Buy rows for the full run.

Exports: CSV, JSON, JSONL, Parquet, SQL, Excel, TSV, XML
Licence: yours to use, including commercially
API slug: health-insurance-plan-comparison

What should your data show?

No signup. No card.

Sample rows

What the 200 rows show

Columns

Use it for

An insurance dashboard

A root-cause class exercise

A software demo

Make it yours.

Same schema. As many rows as you need.

More in Insurance

What should your data show?