Da Vinci PDex Plan Net
2.0.0-ballot - STU2 United States of America flag

Da Vinci PDex Plan Net, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. 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

ValueSet: Insurance Product Type VS

Official URL: http://hl7.org/fhir/us/davinci-pdex-plan-net/ValueSet/InsuranceProductTypeVS Version: 2.0.0-ballot
Standards status: Trial-use Computable Name: InsuranceProductTypeVS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.28.48.12

A distinct package of health insurance coverage benefits that are offered using a particular product network type.

References

Logical Definition (CLD)

 

Expansion

Expansion performed internally based on codesystem Insurance Product Type v1.0.0 (CodeSystem)

This value set contains 22 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://terminology.hl7.org/CodeSystem/insurance-product-type  commppoCommercial PPOHealth insurance provided through a Preferred Provider Organization (PPO).
http://terminology.hl7.org/CodeSystem/insurance-product-type  commhdhpCommercial HDHPHealth insurance provided through a High Deductible Health Plan (HDHP).
http://terminology.hl7.org/CodeSystem/insurance-product-type  commposCommercial POSHealth insurance provided through a Point-of-Service (POS) Plan.
http://terminology.hl7.org/CodeSystem/insurance-product-type  commhmoCommercial HMOHealth insurance provided through a Health Maintenance Organization (HMO).
http://terminology.hl7.org/CodeSystem/insurance-product-type  commepoCommercial EPOHealth insurance provided through a Exclusive Provider Organization(EPO)
http://terminology.hl7.org/CodeSystem/insurance-product-type  mediMedicaidHealth insurance provided to eligible adults and children under the Federal Medicaid program
http://terminology.hl7.org/CodeSystem/insurance-product-type  medihmoMedicaid HMOHealth insurance provided to eligible adults and children under the Federal Medicaid program through a Health Maintenance Organization (HMO).
http://terminology.hl7.org/CodeSystem/insurance-product-type  mediadvMedicare AdvantageHealth insurance provided by a private company that contracts with Medicare to provide all Medicare Part A and Part B benefits.
http://terminology.hl7.org/CodeSystem/insurance-product-type  mediadvhmoMedicare 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).
http://terminology.hl7.org/CodeSystem/insurance-product-type  mediaMedicare 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.
http://terminology.hl7.org/CodeSystem/insurance-product-type  medibMedicare Part BHealth insurance provided under the Federal Medicfare program covering certain doctors' services, outpatient care, medical supplies, and preventive services.
http://terminology.hl7.org/CodeSystem/insurance-product-type  medidMedicare Part DHealth insurance provided under the Federal Medicare program covering prescription drugs.
http://terminology.hl7.org/CodeSystem/insurance-product-type  mediabMedicare 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.
http://terminology.hl7.org/CodeSystem/insurance-product-type  qhpQualified 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.
http://terminology.hl7.org/CodeSystem/insurance-product-type  ihsIndian Health ServiceHealth care program provided to United States American Indians and Alaska Natives.
http://terminology.hl7.org/CodeSystem/insurance-product-type  fepFederal Employee ProgramHealth insurance provided to employees of the Federal government.
http://terminology.hl7.org/CodeSystem/insurance-product-type  triTRICAREHealth care program provided to uniformed service members, retirees, and their families around the world.
http://terminology.hl7.org/CodeSystem/insurance-product-type  vaVeterans Affairs PlanHealth care program provided to eligible veterans.
http://terminology.hl7.org/CodeSystem/insurance-product-type  dentDental PlanHealth insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the oral cavity.
http://terminology.hl7.org/CodeSystem/insurance-product-type  denthmoDental 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).
http://terminology.hl7.org/CodeSystem/insurance-product-type  visVision PlanHealth insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the eyes.
http://terminology.hl7.org/CodeSystem/insurance-product-type  vishmoVision 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).

Description of the above table(s).