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

## : Insurance Plan Type Code System - XML Representation

Active as of 2022-12-08

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    <CodeSystem xmlns="http://hl7.org/fhir">
      <id value="InsurancePlanTypeCS"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p>This code system <code>http://hl7.org/fhir/us/directory-query/CodeSystem/InsurancePlanTypeCS</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="InsurancePlanTypeCS-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="InsurancePlanTypeCS-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="InsurancePlanTypeCS-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="InsurancePlanTypeCS-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="InsurancePlanTypeCS-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="InsurancePlanTypeCS-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="InsurancePlanTypeCS-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="InsurancePlanTypeCS-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>
      </text>
      <url
           value="http://hl7.org/fhir/us/directory-query/CodeSystem/InsurancePlanTypeCS"/>
      <version value="1.0.0-ballot"/>
      <name value="InsurancePlanTypeCS"/>
      <title value="Insurance Plan Type Code System"/>
      <status value="active"/>
      <experimental value="false"/>
      <date value="2022-12-08T23:00:33+00:00"/>
      <publisher value="HL7 International - Patient Administration Work Group"/>
      <contact>
        <name value="HL7 International - Patient Administration Work Group"/>
        <telecom>
          <system value="url"/>
          <value value="http://hl7.org/Special/committees/pafm"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="pafm@lists.hl7.org"/>
        </telecom>
      </contact>
      <description value="Categories of cost-sharing used by plans"/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="US"/>
        </coding>
      </jurisdiction>
      <caseSensitive value="true"/>
      <content value="complete"/>
      <count value="8"/>
      <concept>
        <code value="platinum"/>
        <display value="Platinum-QHP"/>
        <definition
                    value="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"/>
      </concept>
      <concept>
        <code value="gold"/>
        <display value="Gold-QHP"/>
        <definition
                    value="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"/>
      </concept>
      <concept>
        <code value="silver"/>
        <display value="Silver-QHP"/>
        <definition
                    value="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"/>
      </concept>
      <concept>
        <code value="bronze"/>
        <display value="Bronze-QHP"/>
        <definition
                    value="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"/>
      </concept>
      <concept>
        <code value="catastrophic"/>
        <display value="Catastrophic-QHP"/>
        <definition
                    value="A plan with low monthly premiums and very high deductibles and are available only to those under 30 or with certain special exemptions."/>
      </concept>
      <concept>
        <code value="lowdeductible"/>
        <display value="Low Deductible"/>
        <definition
                    value="A plan that requires the insured to pay out of pocket a smaller proportion of incurred health care costs than a traditional insurance plan."/>
      </concept>
      <concept>
        <code value="highdeductible"/>
        <display value="High Deductible"/>
        <definition
                    value="A plan that requires the insured to pay out of pocket a larger proportion of incurred health care costs than a traditional insurance plan."/>
      </concept>
      <concept>
        <code value="catastrophicplan"/>
        <display value="Catastrophic Plan"/>
        <definition
                    value="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."/>
      </concept>
    </CodeSystem>