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Resource CodeSystem/FHIR Server from package hl7.terminology#current (32 ms)

Package hl7.terminology
Type CodeSystem
Id Id
FHIR Version R5
Source http://terminology.hl7.org/https://build.fhir.org/ig/HL7/UTG/CodeSystem-insuranceplan-plan-type.html
Url http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type
Version 1.0.0
Status active
Date 2024-11-19T17:21:55+00:00
Name InsuranceplanPlanType
Title Insuranceplan Plan Type
Experimental False
Realm uv
Authority hl7
Description This code system defines a set of codes for Insuranceplan Plan Type.
Copyright This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license
Content complete
valueSet http://terminology.hl7.org/ValueSet/insuranceplan-plan-type

Resources that use this resource

ValueSet
insuranceplan-plan-type Insuranceplan Plan Type

Resources that this resource uses

No resources found



Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: CodeSystem insuranceplan-plan-type

Last updated: 2020-04-09 21:10:28+0000

Profile: Shareable CodeSystem

This case-sensitive code system http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type defines the following codes:

CodeDisplayDefinition
platinum Platinum-QHPPlan with highest monthly premium and lowest costs when you need care. A Qualified Health Plan with the highest monthly premiums and smallest out-of-pocket costs for the member in comparison to other metal-category plans.
gold Gold-QHPPlan with high monthly premium and low costs when you need care. A Qualified Health Plan with the higher monthly premiums and smaller out-of-pocket costs for the member in comparison to other metal-category plans.
silver Silver-QHPPlan with moderate monthly premium and moderate costs when you need care. A Qualified Health Plan with the lower monthly premiums and larger out-of-pocket costs for the member in comparison to other metal-category plans.
bronze Bronze-QHPPlan with lowest monthly premium and highest costs when you need care. A Qualified Health Plan with the lowest monthly premiums and largest out-of-pocket costs for the member in comparison to other metal-category plans.
catastrophic Catastrophic-QHPA plan with low monthly premiums and very high deductibles and are available only to those under 30 or with certain special exemptions.
lowdeductible Low DeductibleA plan that requires the insured to pay out of pocket a smaller proportion of incurred health care costs than a traditional insurance plan.
highdeductible High DeductibleA plan that requires the insured to pay out of pocket a larger proportion of incurred health care costs than a traditional insurance plan.
catastrophicplan Catastrophic PlanA plan that requires the insured to pay out of pocket a much larger proportion of incurred health care costs than a traditional insurance plan.

Source

{
  "resourceType" : "CodeSystem",
  "id" : "insuranceplan-plan-type",
  "meta" : {
    "lastUpdated" : "2020-04-09T21:10:28.568+00:00",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem insuranceplan-plan-type</b></p><a name=\"insuranceplan-plan-type\"> </a><a name=\"hcinsuranceplan-plan-type\"> </a><a name=\"insuranceplan-plan-type-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2020-04-09 21:10:28+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/R5/shareablecodesystem.html\">Shareable CodeSystem</a></p></div><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">platinum<a name=\"insuranceplan-plan-type-platinum\"> </a></td><td>Platinum-QHP</td><td>Plan with highest monthly premium and lowest costs when you need care. A Qualified Health Plan with the highest monthly premiums and smallest out-of-pocket costs for the member in comparison to other metal-category plans.</td></tr><tr><td style=\"white-space:nowrap\">gold<a name=\"insuranceplan-plan-type-gold\"> </a></td><td>Gold-QHP</td><td>Plan with high monthly premium and low costs when you need care. A Qualified Health Plan with the higher monthly premiums and smaller out-of-pocket costs for the member in comparison to other metal-category plans.</td></tr><tr><td style=\"white-space:nowrap\">silver<a name=\"insuranceplan-plan-type-silver\"> </a></td><td>Silver-QHP</td><td>Plan with moderate monthly premium and moderate costs when you need care. A Qualified Health Plan with the lower monthly premiums and larger out-of-pocket costs for the member in comparison to other metal-category plans.</td></tr><tr><td style=\"white-space:nowrap\">bronze<a name=\"insuranceplan-plan-type-bronze\"> </a></td><td>Bronze-QHP</td><td>Plan with lowest monthly premium and highest costs when you need care. A Qualified Health Plan with the lowest monthly premiums and largest out-of-pocket costs for the member in comparison to other metal-category plans.</td></tr><tr><td style=\"white-space:nowrap\">catastrophic<a name=\"insuranceplan-plan-type-catastrophic\"> </a></td><td>Catastrophic-QHP</td><td>A plan with low monthly premiums and very high deductibles and are available only to those under 30 or with certain special exemptions.</td></tr><tr><td style=\"white-space:nowrap\">lowdeductible<a name=\"insuranceplan-plan-type-lowdeductible\"> </a></td><td>Low Deductible</td><td>A plan that requires the insured to pay out of pocket a smaller proportion of incurred health care costs than a traditional insurance plan.</td></tr><tr><td style=\"white-space:nowrap\">highdeductible<a name=\"insuranceplan-plan-type-highdeductible\"> </a></td><td>High Deductible</td><td>A plan that requires the insured to pay out of pocket a larger proportion of incurred health care costs than a traditional insurance plan.</td></tr><tr><td style=\"white-space:nowrap\">catastrophicplan<a name=\"insuranceplan-plan-type-catastrophicplan\"> </a></td><td>Catastrophic Plan</td><td>A plan that requires the insured to pay out of pocket a much larger proportion of incurred health care costs than a traditional insurance plan.</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "pa"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 1
    }
  ],
  "url" : "http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type",
  "version" : "1.0.0",
  "name" : "InsuranceplanPlanType",
  "title" : "Insuranceplan Plan Type",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-11-19T17:21:55+00:00",
  "publisher" : "Health Level Seven International",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org"
        },
        {
          "system" : "email",
          "value" : "hq@HL7.org"
        }
      ]
    }
  ],
  "description" : "This code system defines a set of codes for Insuranceplan Plan Type.",
  "copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license",
  "caseSensitive" : true,
  "valueSet" : "http://terminology.hl7.org/ValueSet/insuranceplan-plan-type",
  "content" : "complete",
  "concept" : [
    {
      "code" : "platinum",
      "display" : "Platinum-QHP",
      "definition" : "Plan with highest monthly premium and lowest costs when you need care. A Qualified Health Plan with the highest monthly premiums and smallest out-of-pocket costs for the member in comparison to other metal-category plans."
    },
    {
      "code" : "gold",
      "display" : "Gold-QHP",
      "definition" : "Plan with high monthly premium and low costs when you need care. A Qualified Health Plan with the higher monthly premiums and smaller out-of-pocket costs for the member in comparison to other metal-category plans."
    },
    {
      "code" : "silver",
      "display" : "Silver-QHP",
      "definition" : "Plan with moderate monthly premium and moderate costs when you need care. A Qualified Health Plan with the lower monthly premiums and larger out-of-pocket costs for the member in comparison to other metal-category plans."
    },
    {
      "code" : "bronze",
      "display" : "Bronze-QHP",
      "definition" : "Plan with lowest monthly premium and highest costs when you need care. A Qualified Health Plan with the lowest monthly premiums and largest out-of-pocket costs for the member in comparison to other metal-category plans."
    },
    {
      "code" : "catastrophic",
      "display" : "Catastrophic-QHP",
      "definition" : "A plan with low monthly premiums and very high deductibles and are available only to those under 30 or with certain special exemptions."
    },
    {
      "code" : "lowdeductible",
      "display" : "Low Deductible",
      "definition" : "A plan that requires the insured to pay out of pocket a smaller proportion of incurred health care costs than a traditional insurance plan."
    },
    {
      "code" : "highdeductible",
      "display" : "High Deductible",
      "definition" : "A plan that requires the insured to pay out of pocket a larger proportion of incurred health care costs than a traditional insurance plan."
    },
    {
      "code" : "catastrophicplan",
      "display" : "Catastrophic Plan",
      "definition" : "A plan that requires the insured to pay out of pocket a much larger proportion of incurred health care costs than a traditional insurance plan."
    }
  ]
}

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