🏥 Healthcare.gov Plan Scraper

Search and extract health insurance plan data from healthcare.gov by ZIP code without coding. Collect premiums, tax credits, deductibles, out-of-pocket maximums, benefits, issuer contact info, and quality ratings. Perfect for insurance shoppers, benefits consultants, researchers, and anyone building a healthcare marketplace comparison tool. Download healthcare.gov plan data as CSV, Excel, or JSON without navigating the website manually.

The Healthcare.gov Plan Scraper collects up to 50+ data fields per plan including premiums, deductibles, benefits, and quality ratings from federal marketplace plans in your ZIP code.

✨ What Does It Do

• 💰 Premium Amounts - Compare base premiums, tax-credit adjusted premiums, and APTC-eligible premiums to find the most affordable plan for your income level
• 🏛️ Plan Deductibles and Out-of-Pocket Maximums - Review deductibles by service type and network tier, plus annual out-of-pocket limits to budget for medical expenses
• 💊 Benefits with Cost-Sharing Details - Examine specific benefits like hospital stays, doctor visits, and prescriptions including copay amounts, coinsurance rates, and coverage limits
• 📋 Plan Classification and Features - Filter by metal level (Bronze, Silver, Gold, Platinum, Catastrophic), plan type (HMO, PPO, EPO, POS), HSA eligibility, and specialist referral requirements
• 🏢 Issuer Contact and Network Information - Extract insurance company phone numbers, TTY lines, website URLs, and service area details to contact insurers or explore provider networks
• ⭐ Quality and Coverage Ratings - Access star ratings for overall quality, clinical outcomes, enrollee satisfaction, and plan efficiency to compare health plan performance

🔧 Input

• ZIP Code - 5-digit ZIP code to search plans for (e.g. 75201). Federal marketplace (FFM) states supported include TX, FL, NC, OH, and others. State-run marketplaces like CA, NY, and WA are not available
• Plan Year - Select the plan year to search: 2024, 2025, or 2026
• Market Type - Choose between Individual plans (personal/family coverage) or SHOP plans (small business employee coverage)
• Household Income - Annual household income in USD, used to calculate APTC tax credit eligibility and subsidy amounts. Leave blank for default $52,000
• Household Members - Add each person in the household with their age, gender, and tobacco use status. Default is a single 35-year-old non-smoker
• Metal Level Filter - Optionally filter by plan tier: Bronze (lowest premiums, highest out-of-pocket), Silver, Gold, Platinum, or Catastrophic (emergency-only coverage)
• Plan Type Filter - Optionally filter by network structure: HMO (managed network, no out-of-network coverage), PPO (nationwide network, out-of-network allowed), EPO (preferred provider), or POS (hybrid HMO/PPO)
• HSA-Eligible Plans Only - When enabled, returns only plans compatible with Health Savings Accounts, which offer tax-advantaged savings for medical expenses
• Max Concurrency - Adjust parallel requests if you encounter rate limiting. Lower values are safer but slower. Default is 10, max 50

Example input JSON:

{
  "zipCode": "75201",
  "year": 2026,
  "market": "Individual",
  "householdIncome": 52000,
  "people": [
    {"age": 35, "gender": "Male", "usesTobacco": false}
  ],
  "metalLevel": "",
  "planType": "",
  "hsaEligible": false,
  "maxItems": 10,
  "maxConcurrency": 10
}

📊 Output

Each plan includes up to 50+ data fields. Download as JSON, CSV, or Excel.

🔑 Plan Identity	💰 Premium Data	🏥 Plan Classification
Plan ID	Base Premium	Metal Level
Plan Name	Premium With Tax Credit	Plan Type
Issuer Name	EHB Premium	Design Type
Issuer ID	Pediatric EHB Premium	Is Standardized Plan
Issuer Phone	APTC-Eligible Premium	Insurance Market
Issuer State	Out-of-Pocket Maximum	SHOP vs Individual
📋 Coverage Details	⭐ Quality Ratings	🔗 Plan Documents
Deductibles (by network)	Overall Star Rating	Benefits URL
Out-of-Pocket Limits (MOOP)	Clinical Quality Rating	Brochure URL
Covered Benefits (with limits)	Enrollee Experience Rating	Formulary (Drug List) URL
Cost-Sharing Details	Plan Efficiency Rating	Network Provider Directory
Disease Management Programs	👥 Network and Eligibility	📍 Service Area
✅ Plan Features	Specialist Referral Required	ZIP Code
HSA Eligible	Has National Network	County FIPS Code
3-Month Mail Pharmacy Order	Max Age for Child Coverage	Service Area ID
Tobacco Surcharge Lookback	Ineligible in This Area	Scraped Date
Issuer Website URL	Search Year	Error (if any)

💎 Why Choose the Healthcare.gov Scraper?

Feature	Our Actor	Similar Scrapers
Direct healthcare.gov Data Source	✔️	❌
APTC Tax Credit Calculation	✔️	❌
Household Income and Member Configuration	✔️	❌
Quality Star Ratings	✔️	❌
Plan Deductibles and Out-of-Pocket Data	✔️	Partial
Benefit Details with Cost-Sharing	✔️	Partial
Pharmacy Formulary and Network URLs	✔️	❌
Metal Level and Plan Type Filtering	✔️	✔️
HSA Eligibility Filter	✔️	❌
Multi-Year Support (2024-2026)	✔️	❌
Flexible Usage Plans	✔️	❌
Up to 1 Million Results per Run	✔️	❌

📋 How to Use

No technical skills required. Follow these simple steps:

1. Sign Up: Create a free account with $5 credit
2. Find the Tool: Search for "Healthcare.gov Plan Scraper" in the Apify Store and configure your ZIP code, household income, and plan preferences
3. Run It: Click "Start" and watch your results appear

That's it. No coding, no setup, no complicated configuration. Now you can export your data in CSV, Excel, or JSON format.

🎯 Business Use Cases

• 📊 Benefits Consultants - Monitor plan availability and premium changes across ZIP codes to advise clients on their annual enrollment options and identify the lowest-cost plans for their household situation
• 💼 Insurance Marketplace Builders - Collect plan data in bulk to power comparison tools, mobile apps, or broker platforms that help consumers find affordable health insurance
• 🔬 Healthcare Researchers - Analyze deductible and benefit trends across metal levels and states to study how plan design impacts affordability and access to care

❓ FAQ

🔍 How does it work? The scraper retrieves real-time plan data from the healthcare.gov federal marketplace. It calculates tax credits (APTC) based on household income and household size, then applies your filters to return only matching plans.

📊 How accurate is the data? Data comes directly from the official healthcare.gov marketplace, so it's as accurate as the source itself. We return all available fields including quality ratings, which are updated annually.

📅 Can I schedule this to run regularly? Yes. Use the Apify scheduler to run this actor weekly or monthly. Integrate with Slack or email to get alerts when new plans appear or premiums change.

⚖️ Is scraping healthcare.gov legal? Yes. Healthcare.gov is a federal website providing public health insurance data. You are responsible for complying with the platform's terms of service and any local laws applicable to your use of the data.

🛡️ Will healthcare.gov block my IP? Unlikely. This actor uses the official healthcare.gov data source, which is designed for public use and widespread access.

⚡ How long does a run take? A typical run with 10-100 plans takes 10-30 seconds. Larger runs (500+ plans) may take 1-3 minutes depending on your ZIP code and filters.

⚠️ Are there any limits? Free accounts can collect up to 100 results per run. Premium accounts can collect up to 1,000,000 results per run.

🔗 Integrate Healthcare.gov Plan Scraper with any app

• Make - Automate workflows
• Zapier - Connect 5000+ apps
• GitHub - Version control integration
• Slack - Get notifications
• Airbyte - Data pipelines
• Google Drive - Export to spreadsheets

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Browse our complete collection of data extraction tools for more.

🚀 Ready to Start?

Create a free account with $5 credit and collect your first 100 results for free. No coding, no setup.

🆘 Need Help?

• Check the FAQ section above for common questions
• Visit the Apify support page for documentation and tutorials
• Contact us to request a new scraper, propose a custom project, or report an issue at Tally contact form

⚠️ Disclaimer

This Actor is an independent tool and is not affiliated with, endorsed by, or sponsored by Healthcare.gov or the U.S. Centers for Medicare and Medicaid Services (CMS). All trademarks mentioned are the property of their respective owners.