CARIN Digital Insurance Card
2.0.0 - STU 2.0

CARIN Digital Insurance Card, published by HL7 International / Payer/Provider Information Exchange Work Group. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/carin-digital-insurance-card/ and changes regularly. See the Directory of published versions

## ValueSet: SBC Plan Type Value Set (Experimental)

Official URL: http://hl7.org/fhir/us/insurance-card/ValueSet/sbc-plan-type | Version: 2.0.0
Standards status: Informative | Computable Name: SBCPlanTypeVS

Value set containing health insurance plan types for Summary of Benefits and Coverage documents

References

- SBC Insurance Plan Profile
- SBC Insurance Plan Profile

### Logical Definition (CLD)

- Include all codes defined in `http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-plan-type` version 📦2.0.0

### Expansion

Expansion performed internally based on codesystem SBC Plan Type Code System v2.0.0 (CodeSystem)

This value set contains 6 concepts

System | Code | Display (en) | Definition | JSON | XML
`http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-plan-type` | HMO | Health Maintenance Organization (HMO) | A type of health insurance plan that requires members to get health care services from doctors and hospitals in the plan's network, except in an emergency |  |
`http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-plan-type` | PPO | Preferred Provider Organization (PPO) | A type of health insurance plan where members pay less if they use providers in the plan's network, but can use out-of-network providers at higher cost |  |
`http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-plan-type` | POS | Point of Service (POS) | A type of health insurance plan where members pay less if they use doctors and hospitals in the plan's network and choose a primary care doctor to coordinate care |  |
`http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-plan-type` | EPO | Exclusive Provider Organization (EPO) | A type of health insurance plan where services are covered only if members use doctors and providers in the plan's network, except in an emergency |  |
`http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-plan-type` | HDHP | High Deductible Health Plan (HDHP) | A health insurance plan with a higher deductible than traditional plans, often paired with a Health Savings Account |  |
`http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-plan-type` | INDEMNITY | Indemnity Plan | A type of health insurance that allows members to see any doctor or hospital and pays a portion of the bill |  |

Explanation of the columns that may appear on this page:

Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System | The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code | The code (used as the code in the resource instance)
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition | An explanation of the meaning of the concept
Comments | Additional notes about how to use the code