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Insurance Policy and Benefit Plan Graph Model

Run the Insurance Policy and Benefit Plan Graph Model MicroSim Fullscreen

About This MicroSim

This graph models how insurance coverage is structured. A payer OFFERS one or more benefit plans; each plan COVERS several coverage categories (hospital inpatient, prescription drugs, mental health); a policy is BASED_ON a plan; and members are ENROLLED_IN (or are dependents on) a policy. Storing benefits this way lets a single graph query answer eligibility questions like "is this member's mental-health care covered?" by traversing from member to policy to plan to category.

How to Use

Start from a member and follow ENROLLED_IN to their policy, BASED_ON to the benefit plan, and COVERS to the coverage categories that plan includes — that path is exactly the eligibility check. Compare the Gold PPO and Silver HMO plans the payer offers, and note how a dependent connects to the same policy as the subscriber. Drag nodes and use the navigation buttons to explore.

Iframe Embed Code

You can add this MicroSim to any web page by adding this to your HTML:

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<iframe src="https://dmccreary.github.io/modeling-healthcare-data/sims/insurance-policy-benefit-plan-graph-model/main.html"
        height="450px"
        width="100%"
        scrolling="no"></iframe>

Lesson Plan

Grade Level

9-12 (High School Geometry)

Duration

10-15 minutes

Prerequisites

TODO: List prerequisites.

Activities

  1. Exploration (5 min): TODO
  2. Guided Practice (5 min): TODO
  3. Assessment (5 min): TODO

Assessment

TODO: List assessment criteria.

References

  1. TODO: Add references.