Package | hl7.fhir.us.directory-query |
Type | CodeSystem |
Id | InsurancePlanTypeCS |
FHIR Version | R4 |
Source | http://hl7.org/fhir/us/directory-query/https://build.fhir.org/ig/HL7/fhir-directory-query/CodeSystem-InsurancePlanTypeCS.html |
URL | http://hl7.org/fhir/us/directory-query/CodeSystem/InsurancePlanTypeCS |
Version | 1.0.0-ballot |
Status | active |
Date | 2022-12-08T23:00:33+00:00 |
Name | InsurancePlanTypeCS |
Title | Insurance Plan Type Code System |
Realm | us |
Authority | hl7 |
Description | Categories of cost-sharing used by plans |
Content | complete |
ValueSet | |
InsurancePlanTypeVS | Insurance Plan Type Value Set |
No resources found
Note: links and images are rebased to the (stated) source
This code system http://hl7.org/fhir/us/directory-query/CodeSystem/InsurancePlanTypeCS
defines the following codes:
{ "resourceType": "CodeSystem", "id": "InsurancePlanTypeCS", "text": { "status": "generated", "div": "<!-- snip (see above) -->" }, "url": "http://hl7.org/fhir/us/directory-query/CodeSystem/InsurancePlanTypeCS", "version": "1.0.0-ballot", "name": "InsurancePlanTypeCS", "title": "Insurance Plan Type Code System", "status": "active", "experimental": false, "date": "2022-12-08T23:00:33+00:00", "publisher": "HL7 International - Patient Administration Work Group", "contact": [ { "name": "HL7 International - Patient Administration Work Group", "telecom": [ { "system": "url", "value": "http://hl7.org/Special/committees/pafm" }, { "system": "email", "value": "pafm@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." } ] }