HL7 Terminology (THO)
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HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This guide is not an authorized publication; it is the continuous build for version 6.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

: Insuranceplan Plan Type - JSON Representation

Active as of 2024-12-21 Maturity Level: 1

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{
  "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" : "2024-12-21T22:01:38+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."
    }
  ]
}