FHIR IG Statistics: CodeSystem/InsurancePlanTypeCS

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Source

{
  "resourceType": "CodeSystem",
  "id": "InsurancePlanTypeCS",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/davinci-pdex-plan-net/ImplementationGuide/hl7.fhir.us.davinci-pdex-plan-net"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsurancePlanTypeCS",
  "version": "1.2.0",
  "name": "InsurancePlanTypeCS",
  "title": "Insurance Plan Type",
  "status": "active",
  "experimental": false,
  "date": "2025-02-25T16:58:03+00:00",
  "publisher": "HL7 International / Financial Management",
  "contact": [
    {
      "name": "HL7 International / Financial Management",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fm"
        },
        {
          "system": "email",
          "value": "fm@lists.HL7.org"
        }
      ]
    }
  ],
  "description": "Categories of cost-sharing used by plans",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "caseSensitive": true,
  "content": "complete",
  "count": 8,
  "concept": [
    {
      "code": "platinum",
      "display": "Platinum-QHP",
      "definition": "Plan with highest monthly premium and lowest costs when you need care\tA 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\tA 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\tA 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\tA 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."
    }
  ]
}