Validated Healthcare Directory, published by HL7 International / Patient Administration. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/VhDir/ and changes regularly. See the Directory of published versions
Generated Narrative: InsurancePlan insuranceplan1
identifier: HIOS product ID/1234567891 (use: official, )
status: Active
type: Bronze
name: Patriot PPO Standard
alias: Patriot Plus
period: 2018-06-06 --> 2019-01-01
ownedBy: Homeland Health Insurance
administeredBy: Homeland Health Insurance
coverageArea: Washington, DC metro area
contact
purpose: General information
telecom: ph: 202-123-5555, info@homelandinc.org
endpoint: patriot plan endpoint hub
network:
coverage
type: Coverage related to medical inpatient, outpatient, diagnostic, and preventive care
network: Patriot Preferred Provider Network
benefit
type: Primary care visit to treat an injury or illness
requirement: N/A
Limits
Code unlimited
coverage
type: Coverage related to dental care
network: Patriot Dental Provider Network
benefit
type: Periodic oral checkup
requirement: N/A
Limits
Value Code 2 visit/yr biannual oral checkup
plan
identifier: HIOS plan ID/123456789101112 (use: official, )
type: Bronze
coverageArea: Washington, DC metro area
network: Patriot Dental Provider Network
generalCost
type: Deductible
groupSize: 1
Costs
Value Currency 6200 United States dollar comment: Includes all prescription and medical costs for in-network providers
specificCost
category: Medical
benefit
type: Primary care visit to treat an injury or illness
Costs
Type Applicability Qualifiers Value Copay In Network in-network preferred provider 50 dollars (Details: unknown codeUSD = 'United States dollar') specificCost
category: Dental
benefit
type: Basic Dental Care – Adult
Costs
Type Applicability Qualifiers Value Coinsurance In Network in-network provider 10 percent