Search / io.github.builtforai/coverage-exception
coverage-exception
R0· no sign-inWhy Medicare Part D restricts a drug, and the exception and appeal path to challenge it
v1.0.0 · active · repository · website · descriptor JSON · versions
Search / io.github.builtforai/coverage-exception
R0· no sign-inWhy Medicare Part D restricts a drug, and the exception and appeal path to challenge it
v1.0.0 · active · repository · website · descriptor JSON · versions
{
"mcpServers": {
"coverage-exception": {
"type": "http",
"url": "https://insurewith.ai/mcp"
}
}
}claude mcp add --transport http coverage-exception https://insurewith.ai/mcp[mcp_servers.coverage-exception]
url = "https://insurewith.ai/mcp"
{
"$schema": "https://opencode.ai/config.json",
"mcp": {
"coverage-exception": {
"type": "remote",
"url": "https://insurewith.ai/mcp",
"enabled": true
}
}
}{
"mcpServers": {
"coverage-exception": {
"type": "http",
"url": "https://insurewith.ai/mcp"
}
},
"deeplink": "cursor://anysphere.cursor-deeplink/mcp/install?name=coverage-exception&config=eyJ0eXBlIjoiaHR0cCIsInVybCI6Imh0dHBzOi8vaW5zdXJld2l0aC5haS9tY3AifQ%3D%3D"
}{
"servers": {
"coverage-exception": {
"type": "http",
"url": "https://insurewith.ai/mcp"
}
}
}{
"mcpServers": {
"coverage-exception": {
"httpUrl": "https://insurewith.ai/mcp"
}
}
}extensions:
"coverage-exception":
enabled: true
name: "coverage-exception"
type: streamable_http
uri: "https://insurewith.ai/mcp"
timeout: 300
protocol.modernnewest supported version is 2024-11-05; 2026-07-28 not supported, older versions are deprecated until 2027-07-28protocol.statelessonly applies to 2026-07-28 serversprotocol.transportstreamable HTTPprotocol.list_ttlonly applies to 2026-07-28 serversauth.prm, auth.as_metadata, auth.cimdno remote uses OAuthauth.secret_in_urlno templated URLtools.descriptionsevery tool has a descriptiontools.description_lengthdescriptions are concisetools.schemasevery tool has an object input schematools.annotationsno tool declares readOnlyHint or destructiveHint, so clients cannot tell safe calls from risky onestools.directory_hintsno tool declares all four of readOnlyHint, destructiveHint, idempotentHint and openWorldHint; missing: medicare_part_d_out_of_pocket_cap (readOnlyHint, destructiveHint, idempotentHint, openWorldHint); medicare_coverage_restriction_and_exception (readOnlyHint, destructiveHint, idempotentHint, openWorldHint)tools.token_costabout 500 tokens to load every tooltools.api_dumptools are not a one-to-one API dumpstability.changesno tool changes in 30 daysstability.rug_pullno tool changed its meaning under the same namedeps.known_vulns, deps.mcp_sdk_version, deps.resolvableno npm or PyPI packageNo tool definition changes recorded. A server's first observation is its baseline; later probes record what changes.
Checks run on what our credential-free, read-only probes observe; tools are never called and no code audit is performed. How it is computed.
+repository +namespace-matches-repo +website +reachable +uptime-98% ~updated-31d-ago -duplicate-repo(5 names)
Derived from observable signals (official registry feed and our own credential-free probes); no code audit performed. How it is computed.
| remote | auth | reachable | uptime 30d | p50 | protocol | last ok |
|---|---|---|---|---|---|---|
https://insurewith.ai/mcp streamable-http | none | yes | 98% | 222 ms | 2024-11-05 | 2026-10-19 |
medicare_coverage_restriction_and_exception | For a drug on Medicare Part D, name the coverage problem — covered, prior authorization, step therapy, quantity limit, or not on formulary — and give the exception and appeal path with the CMS-named levels of appeal, who must submit the request, and what to ask the plan and the prescriber. Returns per-plan flag counts across plans held. Plan-specific clinical criteria and appeal deadlines are NOT held and are never inferred; they are returned in an explicit "unavailable" block rather than guessed. |
medicare_part_d_out_of_pocket_cap | Project month-by-month Medicare Part D out-of-pocket spending against the statutory annual cap, identify the month the cap is reached, quantify what the cap itself saves, and compare normal payment timing against the Medicare Prescription Payment Plan — which spreads the SAME total across the year without reducing it. Supports plan years 2026 and 2027 and fails closed to 2026 for any unsupported year rather than extrapolating. This is a standard-benefit simulation, NOT a plan-specific pharmacy quote: plan negotiated prices and plan cost sharing are not held and are never inferred. |
Schemas: list_tools.
4 other active names share this repository: io.github.builtforai/generic-timeline, io.github.builtforai/loe-exposure, io.github.builtforai/part-d-cap, io.github.builtforai/procedure-coverage
{
"name": "io.github.builtforai/coverage-exception",
"$schema": "https://static.modelcontextprotocol.io/schemas/2025-12-11/server.schema.json",
"remotes": [
{
"url": "https://insurewith.ai/mcp",
"type": "streamable-http"
}
],
"version": "1.0.0",
"repository": {
"url": "https://github.com/builtforai/builtforai-healthcare",
"source": "github"
},
"websiteUrl": "https://insurewith.ai/",
"description": "Why Medicare Part D restricts a drug, and the exception and appeal path to challenge it"
}