DaVinci PDEX Plan Net
0.3.0 - STU1

DaVinci PDEX Plan Net, published by HL7 Financial Management Working Group. This is not an authorized publication; it is the continuous build for version 0.3.0). This version is based on the current content of https://github.com/HL7/davinci-pdex-plan-net/ and changes regularly. See the Directory of published versions

CodeSystem: Insurance Plan Type

Summary

Defining URL:http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsurancePlanTypeCS
Version:0.3.0
Name:InsurancePlanTypeCS
Title:Insurance Plan Type
Status:Active
Content:All the concepts defined by the code system are included in the code system resource
Definition:

Codes for InsurancePlan plan types. Plans within a prouduct share coverage but differ in cost-sharing

Publisher:HL7 Financial Management Working Group
Content Mode:Complete
Source Resource:XML / JSON / Turtle

This Code system is referenced in the content logical definition of the following value sets:

This code system http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsurancePlanTypeCS defines the following codes:

CodeDisplayDefinition
Platinum Platinum-QHPPlan 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
Gold Gold-QHPPlan 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
Silver Silver-QHPPlan 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
Bronze Bronze-QHPPlan 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
LowDeductible Low DeductibleA plan that requires the insured to pay out of pocket a smaller proportion of incurred health care costs.
HighDeductible High DeductibleA plan that requires the insured to pay out of pocket a larger proportion of incurred health care costs than a traditional insurance plan.