{
  "result": {
    "member": {
      "name": "Charlie Smith",
      "date_of_birth": "2013-03-04",
      "plan": "Gold PPO",
      "member_id": "CS-001-2024"
    },
    "medical_plan": {
      "name": "Gold PPO",
      "deductible": 1500,
      "deductible_met": 850,
      "out_of_pocket_max": 6000,
      "out_of_pocket_met": 1200,
      "coinsurance": "20%",
      "primary_care_copay": 25,
      "specialist_copay": 50,
      "emergency_room_copay": 250
    },
    "pharmacy_plan": {
      "tier_1_copay": 10,
      "tier_2_copay": 30,
      "tier_3_copay": 60,
      "tier_4_coinsurance": "30%",
      "mail_order_available": true
    },
    "mental_health": {
      "covered_visits_per_year": 20,
      "visits_used": 4,
      "telehealth": true,
      "in_network_providers": "https://taller-wox.fitlabs.dev/docs/mental-health-providers"
    },
    "wellness": {
      "gym_reimbursement_annual": 300,
      "gym_reimbursement_used": 150,
      "annual_checkup_covered": true,
      "preventive_care_100_percent": true,
      "flu_shot_covered": true
    },
    "tax_documents": {
      "form_1095_available": true,
      "form_1095_url": "https://taller-wox.fitlabs.dev/docs/1095-2025.pdf",
      "instructions": "Tu formulario 1095 está disponible en el portal del afiliado bajo Documentos > Impuestos. Si no lo puedes acceder, llama al 1-800-FIT-CARE."
    },
    "overdue_procedures": [
      {
        "procedure": "Annual Physical Exam",
        "last_date": "2024-05-15",
        "recommended_frequency_months": 12,
        "due_since_months": 12,
        "priority": "high"
      },
      {
        "procedure": "Dental Cleaning",
        "last_date": "2025-01-10",
        "recommended_frequency_months": 6,
        "due_since_months": 10,
        "priority": "medium"
      },
      {
        "procedure": "Vision Exam",
        "last_date": "2023-08-22",
        "recommended_frequency_months": 24,
        "due_since_months": 8,
        "priority": "medium"
      },
      {
        "procedure": "Blood Test - Cholesterol Panel",
        "last_date": "2024-11-04",
        "recommended_frequency_months": 12,
        "due_since_months": 6,
        "priority": "low"
      }
    ]
  }
}
