DaVinci PDEX Plan Net
0.2.0 - 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 0.2.0). 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 Product Type

Summary

Defining URL:http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS
Version:0.2.0
Name:InsuranceProductTypeCS
Title:Insurance Product Type
Status:Active
Content:All the concepts defined by the code system are included in the code system resource
Definition:

Insurance Product Type

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/InsuranceProductTypeCS defines the following codes:

CodeDisplayDefinition
CommercialPPO Commercial PPOHealth insurance provided through a Preferred Provider Organization (PPO)
CommercialHDHP Commercial HDHPHealth insurance provided through a High Deductible Health Plan (HDHP)
CommercialPOS Commercial POSHealth insurance provided through a Point-of-Service (POS) Plan
CommercialHMO Commercial HMOHealth insurance provided through a Health Maintenance Organization (HMO)
CommercialEPO Commercial EPOHealth insurance provided through a Exclusive Provider Organization(EPO)
Medicaid MedicaidHealth insurance provided to eligible adults and children under the Federal Medicaid program
MedicaidHMO Medicaid HMOHealth insurance provided to eligible adults and children under the Federal Medicaid program through a Health Maintenance Organization (HMO)
MedicareAdvantage Medicare AdvantageHealth insurance provided by a private company that contracts with Medicare to provide all Medicare Part A and Part B benefits.
MedicareAdvantageHMO Medicare Advantage HMOHealth insurance offered by a private company that contracts with Medicare to provide all Medicare Part A and Part B benefits through a Health Maintenance Organization (HMO)
MedicareA Medicare Part AHealth insurance provided under the Federal Medicare program covering inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
MedicareB Medicare Part BHealth insurance provided under the Federal Medicare program covering certain doctors' services, outpatient care, medical supplies, and preventive services.
MedicareD Medicare Part DHealth insurance provided under the Federal Medicare program covering prescription drugs.
MedicareAB Medicare A/BHealth insurance provided under the Federal Medicare program covering inpatient hospital stays, care in a skilled nursing facility, hospice care, some home health care, certain doctors' services, outpatient care, medical supplies, and preventive services..
QHP Qualified Health PlanHealth insurance provided through and certified by the Health Insurance Marketplace that provides essential health benefits (EHBs), follows established limits on cost sharing, and meets other requirements outlined within the application process.
IHS Indian Health ServiceHealth care program provided to United States American Indians and Alaska Natives.
FEP Federal Employee ProgramHealth insurance provided to employees of the Federal government.
TRICARE TRICAREHealth care program provided to uniformed service members, retirees, and their families around the world.
VA Veterans Affairs PlanHealth care program provided to eligible veterans.
Dental Dental PlanHealth insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the oral cavity.
DentalHMO Dental HMOHealth insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the oral cavity provided through a Health Maintenance Organization (HMO).
Vision Vision PlanHealth insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the eyes.
VisionHMO Vision HMOHealth insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the eyes provided through a Health Maintenance Organization (HMO).