National Healthcare Directory Query
1.0.0-ballot - ballot

National Healthcare Directory Query, published by HL7 International - Patient Administration Work Group. This is not an authorized publication; it is the continuous build for version 1.0.0-ballot). This version is based on the current content of https://github.com/HL7/fhir-directory-query/ and changes regularly. See the Directory of published versions

## CodeSystem: Insurance Plan Type Code System

Official URL: http://hl7.org/fhir/us/directory-query/CodeSystem/InsurancePlanTypeCS | Version: 1.0.0-ballot
Active as of 2022-12-08 | Computable Name: InsurancePlanTypeCS

Categories of cost-sharing used by plans

This Code system is referenced in the content logical definition of the following value sets:

- InsurancePlanTypeVS

This code system `http://hl7.org/fhir/us/directory-query/CodeSystem/InsurancePlanTypeCS` defines the following codes:

Code | Display | Definition
platinum | Platinum-QHP | 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
gold | Gold-QHP | 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
silver | Silver-QHP | 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
bronze | Bronze-QHP | 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
catastrophic | Catastrophic-QHP | A plan with low monthly premiums and very high deductibles and are available only to those under 30 or with certain special exemptions.
lowdeductible | Low Deductible | A 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 Deductible | A 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 Plan | 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.