Get Membership

The Memberships endpoint allows ICHRA vendors to retrieve a member’s current coverage and eligibility details. This functionality is read-only and is used to check whether a member is enrolled, their coverage status, member demographic details, and their payment/effectuation state. This is the primary way for vendors to confirm a member’s enrollment status with Oscar after submitting an application.

When to Use

• Enrollment confirmation: After submitting an application, vendors can use the Memberships API to confirm that the member has an active coverage span.
• Eligibility checks: Vendors can verify whether a member is currently effectuated, terminated, or cancelled.
• Dependent coverage: When querying for any member of a family, the API will return the full family unit and their respective coverage spans.
• Payment status: Vendors can check whether a member’s coverage is paid, unpaid, or in grace period.

Endpoint

POST /ichra-api/v1/membership/get

See the Membership API Reference for full details.

Post Membership

Coming soon: Vendors can enroll or update member details with the Membership endpoint.