Validated Healthcare Directory, published by HL7 International - Patient Administration Work Group. This guide is not an authorized publication; it is the continuous build for version 0.2.0 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

• Narrative Content
• XML
• JSON

: VhDir Plan Type - XML Representation

Raw xml | Download

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="plan-type"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Include these codes as defined in <a href="CodeSystem-payercharacteristics.html"><code>http://hl7.org/fhir/uv/vhdir/CodeSystem/payercharacteristics</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="CodeSystem-payercharacteristics.html#payercharacteristics-cat">cat</a></td><td style="color: #cccccc">Catastrophic</td><td>'Catastrophic' health insurance plans have low monthly premiums and very high deductibles. They may cover worst-case scenarios, like getting seriously sick or injured. Patient pays most routine medical expenses.</td></tr><tr><td><a href="CodeSystem-payercharacteristics.html#payercharacteristics-bronze">bronze</a></td><td style="color: #cccccc">Bronze</td><td>'Bronze' type plan defines the estimated split costs of the plan, where patient is responsible for 40% of their healthcare cost while 60% is covered by the plan.</td></tr><tr><td><a href="CodeSystem-payercharacteristics.html#payercharacteristics-bronzeexp">bronzeexp</a></td><td style="color: #cccccc">Expanded Bronze</td><td>The 'extended bronze' plan is an addition to the bronze metal level which establishes the de minimis variation range for the actuarial value (AV) level of coverage to allow variation in the AV to -4/+2 percentage points.</td></tr><tr><td><a href="CodeSystem-payercharacteristics.html#payercharacteristics-silver">silver</a></td><td style="color: #cccccc">Silver</td><td>'Silver' type plan defines the estimated split costs of the plan, where patient is responsible for 30% of their healthcare cost while 70% is covered by the plan.</td></tr><tr><td><a href="CodeSystem-payercharacteristics.html#payercharacteristics-gold">gold</a></td><td style="color: #cccccc">Gold</td><td>'Gold' type plan defines the estimated split costs of the plan, where patient is responsible for 20% of their healthcare cost while 80% is covered by the plan.</td></tr><tr><td><a href="CodeSystem-payercharacteristics.html#payercharacteristics-platinum">platinum</a></td><td style="color: #cccccc">Platinum</td><td>'Platinum' type plan defines the estimated  split costs of the plan, where patient is responsible for 10% of their healthcare cost while 90% is covered by the plan.</td></tr><tr><td><a href="CodeSystem-payercharacteristics.html#payercharacteristics-lowded">lowded</a></td><td style="color: #cccccc">Low deductible</td><td>A health insurance plan with higher premiums and lower out of pocket cost than a traditional health plan.</td></tr><tr><td><a href="CodeSystem-payercharacteristics.html#payercharacteristics-highded">highded</a></td><td style="color: #cccccc">High deductible</td><td>A health insurance plan with lower premiums and higher out of pocket cost than a traditional health plan.</td></tr></table></li></ul></div>
  </text>
  <url value="http://hl7.org/fhir/uv/vhdir/ValueSet/plan-type"/>
  <version value="0.2.0"/>
  <name value="VhDirPlanType"/>
  <title value="VhDir Plan Type"/>
  <status value="active"/>
  <date value="2018-02-21"/>
  <publisher value="HL7 International - Patient Administration Work Group"/>
  <contact>
    <name value="HL7 International - Patient Administration Work Group"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/pafm"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="pafm@lists.HL7.org"/>
    </telecom>
  </contact>
  <description
               value="This value set defines a set of codes that indicate the type of a plan."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <copyright
             value="Used by permission of HL7 International all rights reserved Creative Commons License"/>
  <compose>
    <include>
      <system
              value="http://hl7.org/fhir/uv/vhdir/CodeSystem/payercharacteristics"/>
      <concept>
        <code value="cat"/>
      </concept>
      <concept>
        <code value="bronze"/>
      </concept>
      <concept>
        <code value="bronzeexp"/>
      </concept>
      <concept>
        <code value="silver"/>
      </concept>
      <concept>
        <code value="gold"/>
      </concept>
      <concept>
        <code value="platinum"/>
      </concept>
      <concept>
        <code value="lowded"/>
      </concept>
      <concept>
        <code value="highded"/>
      </concept>
    </include>
  </compose>
</ValueSet>