NdhInsuranceBenefitTypeCS
type: CodeSystem
node role: treeRoot
resource.id:
  value: NdhInsuranceBenefitTypeCS
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative: CodeSystem NdhInsuranceBenefitTypeCS This case-sensitive code system http://hl7.org/fhir/us/ndh/CodeSystem/NdhInsuranceBenefitTypeCS defines the following codes: Code Display Definition medical Medical Medical insurance coverage. dental Dental Dental insurance coverage. menthlth Mental Health Mental health insurance coverage. substanceabuse Substance Abuse Substance abuse services insurance coverage. vision Vision Vision insurance coverage. drug Drug Prescription drug coverage. stc Short Term Care Short term care. ltc Long Term Care Long term care. hospice Hospice Hospice insurance coverage. homehealth Home Health Home health services insurance coverage. dmepos DMEPOS Durable Medical Equipment, Prosthetics/Orthotics and Supplies. imagingadv Advanced Imaging (CT/PET Scans, MRIs) Advances imaging techniques services (CT/PET Scans, MRIs) coverage. rehab Rehabilitation Rehabilitation. pcpov Primary Care Visit to Treat an Injury or Illness Benefit plan covers services rendered by a primary care physician during an office visit with the purpose to treat injury or illness, except for preventive care services. specialistov Specialist Office Visit Covered healthcare service rendered to a patient by a specialty provider. mlpov Other Practitioner Office Visit (Nurse, Physician Assistant) - Mid Level Professional Benefit plan covers covered health related services rendered by a practitioner other than MD or DO and referred to as other practitioner. outpatient Outpatient Facility Fee (e.g., Ambulatory Surgery Center) Benefit plan covers health related services rendered to patient at an outpatient facility, outside of a facility that requires a patient admission. outpatstx Outpatient Surgery Physician/Surgical Services Benefit plan covers surgical services rendered to patient outside of a facility admission, referred to as outpatient. hospserv Hospice Services Benefit plan covers hospice services. routinedental Routine Dental Services (Adult) Benefit plan cov…
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
  extension.value code:
    value: pa
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
  extension.value integer:
    value: 4
    element.extension:
      index: -1
      extension.url:
        value: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
      extension.value canonical:
        value: http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh
        link: http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh
domain resource.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
  extension.value code:
    value: trial-use
    element.extension:
      index: -1
      extension.url:
        value: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
      extension.value canonical:
        value: http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh
        link: http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh
code system.url:
  value: http://hl7.org/fhir/us/ndh/CodeSystem/NdhInsuranceBenefitTypeCS
code system.identifier:
  index: -1
  identifier.system:
    value: urn:ietf:rfc:3986
  identifier.value:
    value: urn:oid:2.16.840.1.113883.4.642.40.43.16.22
code system.version:
  value: 2.0.0-current
code system.name:
  value: NdhInsuranceBenefitTypeCS
code system.title:
  value: NDH Insurance Benefit Type Code System
code system.status:
  value: active
code system.experimental:
  value: false
code system.date:
  value: 2026-08-03T21:11:28+00:00
code system.publisher:
  value: HL7 International / Patient Administration
code system.contact:
  index: -1
  contact detail.name:
    value: HL7 International / Patient Administration
  contact detail.telecom:
    index: -1
    contact point.system:
      value: url
    contact point.value:
      value: http://www.hl7.org/Special/committees/pafm
  contact detail.telecom:
    index: -1
    contact point.system:
      value: email
code system.description:
  value: This code system defines detailed insurance benefit-type and coverage-quantity concepts used to classify covered services, benefit dimensions, and plan-level coverage structures in a consistent computable format.
code system.jurisdiction:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: urn:iso:std:iso:3166
    coding.code:
      value: US
    coding.display:
      value: United States of America
code system.case sensitive:
  value: true
code system.content:
  value: complete
code system.count:
  value: 114
code system.concept:
  index: -1
  code system.concept.code:
    value: medical
  code system.concept.display:
    value: Medical
  code system.concept.definition:
    value: Medical insurance coverage.
code system.concept:
  index: -1
  code system.concept.code:
    value: dental
  code system.concept.display:
    value: Dental
  code system.concept.definition:
    value: Dental insurance coverage.
code system.concept:
  index: -1
  code system.concept.code:
    value: menthlth
  code system.concept.display:
    value: Mental Health
  code system.concept.definition:
    value: Mental health insurance coverage.
code system.concept:
  index: -1
  code system.concept.code:
    value: substanceabuse
  code system.concept.display:
    value: Substance Abuse
  code system.concept.definition:
    value: Substance abuse services insurance coverage.
code system.concept:
  index: -1
  code system.concept.code:
    value: vision
  code system.concept.display:
    value: Vision
  code system.concept.definition:
    value: Vision insurance coverage.
code system.concept:
  index: -1
  code system.concept.code:
    value: drug
  code system.concept.display:
    value: Drug
  code system.concept.definition:
    value: Prescription drug coverage.
code system.concept:
  index: -1
  code system.concept.code:
    value: stc
  code system.concept.display:
    value: Short Term Care
  code system.concept.definition:
    value: Short term care.
code system.concept:
  index: -1
  code system.concept.code:
    value: ltc
  code system.concept.display:
    value: Long Term Care
  code system.concept.definition:
    value: Long term care.
code system.concept:
  index: -1
  code system.concept.code:
    value: hospice
  code system.concept.display:
    value: Hospice
  code system.concept.definition:
    value: Hospice insurance coverage.
code system.concept:
  index: -1
  code system.concept.code:
    value: homehealth
  code system.concept.display:
    value: Home Health
  code system.concept.definition:
    value: Home health services insurance coverage.
code system.concept:
  index: -1
  code system.concept.code:
    value: dmepos
  code system.concept.display:
    value: DMEPOS
  code system.concept.definition:
    value: Durable Medical Equipment, Prosthetics/Orthotics and Supplies.
code system.concept:
  index: -1
  code system.concept.code:
    value: imagingadv
  code system.concept.display:
    value: Advanced Imaging (CT/PET Scans, MRIs)
  code system.concept.definition:
    value: Advances imaging techniques services (CT/PET Scans, MRIs) coverage.
code system.concept:
  index: -1
  code system.concept.code:
    value: rehab
  code system.concept.display:
    value: Rehabilitation
  code system.concept.definition:
    value: Rehabilitation.

index: -1
code system.concept.code:
  value: pcpov
code system.concept.display:
  value: Primary Care Visit to Treat an Injury or Illness
code system.concept.definition:
  value: Benefit plan covers services rendered by a primary care physician during an office visit with the purpose to treat injury or illness, except for preventive care services.

index: -1
code system.concept.code:
  value: specialistov
code system.concept.display:
  value: Specialist Office Visit
code system.concept.definition:
  value: Covered healthcare service rendered to a patient by a specialty provider.

index: -1
code system.concept.code:
  value: mlpov
code system.concept.display:
  value: Other Practitioner Office Visit (Nurse, Physician Assistant) - Mid Level Professional
code system.concept.definition:
  value: Benefit plan covers covered health related services rendered by a practitioner other than MD or DO and referred to as other practitioner.

index: -1
code system.concept.code:
  value: outpatient
code system.concept.display:
  value: Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
code system.concept.definition:
  value: Benefit plan covers health related services rendered to patient at an outpatient facility, outside of a facility that requires a patient admission.

index: -1
code system.concept.code:
  value: outpatstx
code system.concept.display:
  value: Outpatient Surgery Physician/Surgical Services
code system.concept.definition:
  value: Benefit plan covers surgical services rendered to patient outside of a facility admission, referred to as outpatient.

index: -1
code system.concept.code:
  value: hospserv
code system.concept.display:
  value: Hospice Services
code system.concept.definition:
  value: Benefit plan covers hospice services.

index: -1
code system.concept.code:
  value: routinedental
code system.concept.display:
  value: Routine Dental Services (Adult)
code system.concept.definition:
  value: Benefit plan covers routine dental services.

index: -1
code system.concept.code:
  value: infertilitytx
code system.concept.display:
  value: Infertility Treatment
code system.concept.definition:
  value: Benefit plan covers eligible infertility treatment services.

index: -1
code system.concept.code:
  value: ltnhc
code system.concept.display:
  value: Long-Term/Custodial Nursing Home Care
code system.concept.definition:
  value: Long-Term/Custodial Nursing Home Care.

index: -1
code system.concept.code:
  value: privatenurse
code system.concept.display:
  value: Private-Duty Nursing
code system.concept.definition:
  value: Private-Duty Nursing.

index: -1
code system.concept.code:
  value: routineeye
code system.concept.display:
  value: Routine Eye Exam (Adult)
code system.concept.definition:
  value: Routine Eye Exam (Adult).

index: -1
code system.concept.code:
  value: ucservice
code system.concept.display:
  value: Urgent Care Centers or Facilities
code system.concept.definition:
  value: Urgent Care Centers or Facilities.

index: -1
code system.concept.code:
  value: erservice
code system.concept.display:
  value: Emergency Room Services
code system.concept.definition:
  value: Emergency Room Services.

index: -1
code system.concept.code:
  value: ambulance
code system.concept.display:
  value: Emergency Room Services
code system.concept.definition:
  value: Emergency Room Services.

index: -1
code system.concept.code:
  value: inpatienthospital
code system.concept.display:
  value: Inpatient Hospital Services (e.g., Hospital Stay)
code system.concept.definition:
  value: A person who is hospitalized for at least one night to receive treatment or participate in a study.

index: -1
code system.concept.code:
  value: inpatientprovider
code system.concept.display:
  value: Inpatient Physician and Surgical Services
code system.concept.definition:
  value: A healthcare provider who is delivering healthcare services in a hospital environment.

index: -1
code system.concept.code:
  value: bariatricsurg
code system.concept.display:
  value: Bariatric Surgery
code system.concept.definition:
  value: Bariatric surgery service Skilled nursing service (qualifier value).

index: -1
code system.concept.code:
  value: cosmeticsurg
code system.concept.display:
  value: Cosmetic Surgery
code system.concept.definition:
  value: Cosmetic surgery service Skilled nursing service (qualifier value).

index: -1
code system.concept.code:
  value: skillednursing
code system.concept.display:
  value: Skilled Nursing Facility
code system.concept.definition:
  value: Skilled nursing service (qualifier value).

index: -1
code system.concept.code:
  value: ppnatalcare
code system.concept.display:
  value: Prenatal and Postnatal Care
code system.concept.definition:
  value: Prenatal and Postnatal services.

index: -1
code system.concept.code:
  value: maternitycare
code system.concept.display:
  value: Delivery and All Inpatient Services for Maternity Care
code system.concept.definition:
  value: All maternity care services.

index: -1
code system.concept.code:
  value: menthlthoutp
code system.concept.display:
  value: Mental/Behavioral Health Outpatient Services
code system.concept.definition:
  value: Mental health service delivered in an outpatient setting.

index: -1
code system.concept.code:
  value: menthlthinp
code system.concept.display:
  value: Mental/Behavioral Health Inpatient Services
code system.concept.definition:
  value: Mental health service delivered in an hospital or inpatient facility setting.

index: -1
code system.concept.code:
  value: sadoutp
code system.concept.display:
  value: Substance Abuse Disorder Outpatient Services
code system.concept.definition:
  value: Substance abuse related services delivered in a outpatient setting.

index: -1
code system.concept.code:
  value: sadinp
code system.concept.display:
  value: Substance Abuse Disorder Inpatient Services
code system.concept.definition:
  value: Substance abuse related services delivered in a inpatient setting.

index: -1
code system.concept.code:
  value: drggenric
code system.concept.display:
  value: Generic Drugs
code system.concept.definition:
  value: Generic drugs eligible benefits.

index: -1
code system.concept.code:
  value: drgbrand
code system.concept.display:
  value: Preferred Brand Drugs
code system.concept.definition:
  value: Preferred brand drugs eligible benefits.

index: -1
code system.concept.code:
  value: drgnonpreferred
code system.concept.display:
  value: Non-Preferred Brand Drugs
code system.concept.definition:
  value: Non-Preferred drugs brands eligible benefits.

index: -1
code system.concept.code:
  value: drgspecialty
code system.concept.display:
  value: Specialty Drugs
code system.concept.definition:
  value: Benefit plan covers specialty drugs.

index: -1
code system.concept.code:
  value: rehaboutp
code system.concept.display:
  value: Outpatient Rehabilitation Services
code system.concept.definition:
  value: Benefit plan covers outpatient rehabilitation services.

index: -1
code system.concept.code:
  value: servicehablitation
code system.concept.display:
  value: Habilitation Services
code system.concept.definition:
  value: Habilitation Services.

index: -1
code system.concept.code:
  value: chiro
code system.concept.display:
  value: Chiropractic Care
code system.concept.definition:
  value: Benefit plan covers chiropractor eligible benefits.

index: -1
code system.concept.code:
  value: dme
code system.concept.display:
  value: Durable Medical Equipment
code system.concept.definition:
  value: Benefit plan covers Durable medical equipment eligible benefits.

index: -1
code system.concept.code:
  value: hearingaids
code system.concept.display:
  value: Hearing Aids
code system.concept.definition:
  value: Benefit plan covers hearing aids.

index: -1
code system.concept.code:
  value: imgctpetmri
code system.concept.display:
  value: Imaging (CT/PET Scans, MRIs)
code system.concept.definition:
  value: Benefit plan covers advances imaging techniques services (CT/PET Scans, MRIs) eligible services.

index: -1
code system.concept.code:
  value: prev
code system.concept.display:
  value: Preventive Care/Screening/Immunization
code system.concept.definition:
  value: Routine healthcare services to prevent health related problems eligible benefits.

index: -1
code system.concept.code:
  value: rtnpod
code system.concept.display:
  value: Routine Foot Care
code system.concept.definition:
  value: Routine Foot Care.

index: -1
code system.concept.code:
  value: acupuncture
code system.concept.display:
  value: Acupuncture
code system.concept.definition:
  value: Benefit plan covers acupuncture treatment.

index: -1
code system.concept.code:
  value: weightloss
code system.concept.display:
  value: Weight Loss Programs
code system.concept.definition:
  value: Benefit plan covers weight loss services eligible benefits.

index: -1
code system.concept.code:
  value: rtneyechld
code system.concept.display:
  value: Routine Eye Exam for Children
code system.concept.definition:
  value: Routine eye exam for children eligible benefits.

index: -1
code system.concept.code:
  value: glasseschld
code system.concept.display:
  value: Eye Glasses for Children
code system.concept.definition:
  value: Eye glasses children eligible benefits.

index: -1
code system.concept.code:
  value: rtndntlchld
code system.concept.display:
  value: Dental Check-Up for Children
code system.concept.definition:
  value: Dental Check-Up for Children.

index: -1
code system.concept.code:
  value: speachthpy
code system.concept.display:
  value: Rehabilitative Speech Therapy
code system.concept.definition:
  value: Benefit plan covers rehabilitative speech therapy eligible benefits.

index: -1
code system.concept.code:
  value: rehaboccandpt
code system.concept.display:
  value: Rehabilitative Occupational and Rehabilitative Physical Therapy
code system.concept.definition:
  value: Benefit plan covers rehabilitative occupational and rehabilitative physical eligible benefits.

index: -1
code system.concept.code:
  value: wellbaby
code system.concept.display:
  value: Well Baby Visits and Care
code system.concept.definition:
  value: Regularly scheduled, preventive care services, including immunizations, provided to children up to an age as specified by a health insurance company or mandated by a government agency.

index: -1
code system.concept.code:
  value: laboutp
code system.concept.display:
  value: Laboratory Outpatient and Professional Services
code system.concept.definition:
  value: Benefit plan covers laboratory testing and related professional services received as outpatient.

index: -1
code system.concept.code:
  value: imagingdx
code system.concept.display:
  value: X-rays and Diagnostic Imaging
code system.concept.definition:
  value: Benefit plan covers diagnostic imaging procedures that produce images of internal structures of the human body and uses radiation to diagnose and treat diseases.

index: -1
code system.concept.code:
  value: dntlbaschld
code system.concept.display:
  value: Basic Dental Care - Child
code system.concept.definition:
  value: Benefit plan covers diagnostic basic dental care.

index: -1
code system.concept.code:
  value: orthochld
code system.concept.display:
  value: Orthodontia - Child
code system.concept.definition:
  value: Benefit plan covers orthodontia for children.

index: -1
code system.concept.code:
  value: dntlmajchld
code system.concept.display:
  value: Major Dental Care - Child
code system.concept.definition:
  value: Benefit plan covers major dental care for children.

index: -1
code system.concept.code:
  value: dntlbasadlt
code system.concept.display:
  value: Basic Dental Care - Adult
code system.concept.definition:
  value: Benefit plan covers basic dental care for adults.

index: -1
code system.concept.code:
  value: orthodadlt
code system.concept.display:
  value: Orthodontia - Adult
code system.concept.definition:
  value: Benefits plan covers services provided that are required for orthodontic purposes for an adult.

index: -1
code system.concept.code:
  value: dntlmajadlt
code system.concept.display:
  value: Major Dental Care - Adult
code system.concept.definition:
  value: Benefit plan covers major dental care for adult.

index: -1
code system.concept.code:
  value: abortion
code system.concept.display:
  value: Abortion for Which Public Funding is Prohibited
code system.concept.definition:
  value: Benefit plan covers services for abortion for which public funding is prohibited.

index: -1
code system.concept.code:
  value: transplant
code system.concept.display:
  value: Transplant
code system.concept.definition:
  value: Benefit plan covers transplant related services.

index: -1
code system.concept.code:
  value: accdntl
code system.concept.display:
  value: Accidental Dental
code system.concept.definition:
  value: Benefit plan covers dental care services related to an accident.

index: -1
code system.concept.code:
  value: dialysis
code system.concept.display:
  value: Dialysis
code system.concept.definition:
  value: The plan benefit covers services used to treat end stage renal disease.

index: -1
code system.concept.code:
  value: testallrgy
code system.concept.display:
  value: Allergy Testing
code system.concept.definition:
  value: The plan benefits covers services for diagnostic procedures ordered or performed to evaluate whether a sensitivity to a substance is present. This test may be associated with specimen collection and/or substance administration challenge activities.

index: -1
code system.concept.code:
  value: chemotherapy
code system.concept.display:
  value: Chemotherapy
code system.concept.definition:
  value: The plan benefits cover services the use of drugs and approved chemicals to treat disease.

index: -1
code system.concept.code:
  value: radiation
code system.concept.display:
  value: Radiation
code system.concept.definition:
  value: The plan benefits cover services the use radiation to treat disease.

index: -1
code system.concept.code:
  value: edudiab
code system.concept.display:
  value: Diabetes Education
code system.concept.definition:
  value: The plan benefits cover services related to instruction or training that encourages behaviors most likely to optimize health potentials through information about diabetes; facilitates the prevention of diabetes.

index: -1
code system.concept.code:
  value: prosthetic
code system.concept.display:
  value: Prosthetic Devices
code system.concept.definition:
  value: Plan benefit covers services related to prosthesis devices.

index: -1
code system.concept.code:
  value: infusiontx
code system.concept.display:
  value: Infusion Therapy
code system.concept.definition:
  value: Plan benefit covers services related to infusion therapy.

index: -1
code system.concept.code:
  value: tmjtx
code system.concept.display:
  value: Treatment for Temporomandibular Joint Disorders
code system.concept.definition:
  value: Plan benefit covers services related to treatment of Temporomandibular Joint disorder.

index: -1
code system.concept.code:
  value: nutrition
code system.concept.display:
  value: Nutritional Counseling
code system.concept.definition:
  value: Nutritional Counseling.

index: -1
code system.concept.code:
  value: reconsurg
code system.concept.display:
  value: Reconstructive Surgery
code system.concept.definition:
  value: Plan benefit covers services related to reconstructive surgery.

index: -1
code system.concept.code:
  value: days
code system.concept.display:
  value: Days
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a definite number of days.

index: -1
code system.concept.code:
  value: visit
code system.concept.display:
  value: Visits
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a definite number of visits.

index: -1
code system.concept.code:
  value: procedure
code system.concept.display:
  value: Procedures
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a set of actions covered.

index: -1
code system.concept.code:
  value: admission
code system.concept.display:
  value: Admissions
code system.concept.definition:
  value: Measure of services covered by the benefit plan expressed in relation to patient's acceptance for medical and nursing care in a hospital or other health care institution.

index: -1
code system.concept.code:
  value: visithrs
code system.concept.display:
  value: Hours per visit
code system.concept.definition:
  value: Measure expresses how many hours per visit are covered by the insurance benefit plan.

index: -1
code system.concept.code:
  value: weekhrs
code system.concept.display:
  value: Hours per week
code system.concept.definition:
  value: Measure expresses how many hours per week are covered by the insurance benefit plan.

index: -1
code system.concept.code:
  value: mthhrs
code system.concept.display:
  value: Hours per month
code system.concept.definition:
  value: Measure expressed how many hours per month are covered by the insurance benefit plan.

index: -1
code system.concept.code:
  value: yrhrs
code system.concept.display:
  value: Hours per year
code system.concept.definition:
  value: Measure expreses how many hours per year are covered by the insurance benfit plan.

index: -1
code system.concept.code:
  value: daysperwk
code system.concept.display:
  value: Days per week
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a how many days are covered in a week.

index: -1
code system.concept.code:
  value: dayspermth
code system.concept.display:
  value: Days per month
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a how many days are covered in a month.

index: -1
code system.concept.code:
  value: daysperyr
code system.concept.display:
  value: Days per year
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a how many days are covered in a year.

index: -1
code system.concept.code:
  value: mthsperyr
code system.concept.display:
  value: Months per year
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a how many month are covered in a year.

index: -1
code system.concept.code:
  value: visitsperday
code system.concept.display:
  value: Visits per day
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a definite number of visits covered per day.

index: -1
code system.concept.code:
  value: visitsperweek
code system.concept.display:
  value: Visits per week
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a definite number of visits covered per week.

index: -1
code system.concept.code:
  value: visitspermth
code system.concept.display:
  value: Visits per month
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a definite number of visits covered per month.

index: -1
code system.concept.code:
  value: visitsperyr
code system.concept.display:
  value: Visits per year
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a definite number of visits covered per year.

index: -1
code system.concept.code:
  value: lifetimevisits
code system.concept.display:
  value: Lifetime visits
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a definite number of visits covered through lifetime.

index: -1
code system.concept.code:
  value: txperweek
code system.concept.display:
  value: Treatments per week
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a definite number of treatment actions covered in a week.

index: -1
code system.concept.code:
  value: txpermnth
code system.concept.display:
  value: Treatments per month
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a definite number of treatment actions covered in a month.

index: -1
code system.concept.code:
  value: txlifetime
code system.concept.display:
  value: Lifetime treatments
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a definite number of treatment actions covered in a lifetime.

index: -1
code system.concept.code:
  value: admitslifetime
code system.concept.display:
  value: Lifetime admissions
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a definite number admission actions covered through lifetime.

index: -1
code system.concept.code:
  value: procperwk
code system.concept.display:
  value: Procedures per week
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a definite number procedure covered per week.

index: -1
code system.concept.code:
  value: procpermnth
code system.concept.display:
  value: Procedures per month
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a definite number procedure covered per month.

index: -1
code system.concept.code:
  value: procperyr
code system.concept.display:
  value: Procedures per year
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a definite number procedure covered per year.

index: -1
code system.concept.code:
  value: proclifetime
code system.concept.display:
  value: Lifetime procedures
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a definite number procedure covered per lifetime.

index: -1
code system.concept.code:
  value: daysperadmission
code system.concept.display:
  value: Days per admission
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a definite number of days covered for each individual admission.

index: -1
code system.concept.code:
  value: procperepi
code system.concept.display:
  value: Procedures per episode
code system.concept.definition:
  value: Measure of service covered by the plan benefit expressed in a definite number of procedures covered for each individual treatment episode.

index: -1
code system.concept.code:
  value: cat
code system.concept.display:
  value: Catastrophic
code system.concept.definition:
  value: '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.

index: -1
code system.concept.code:
  value: bronze
code system.concept.display:
  value: Bronze
code system.concept.definition:
  value: '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.

index: -1
code system.concept.code:
  value: bronzeexp
code system.concept.display:
  value: Expanded Bronze
code system.concept.definition:
  value: 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.

index: -1
code system.concept.code:
  value: silver
code system.concept.display:
  value: Silver
code system.concept.definition:
  value: '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.

index: -1
code system.concept.code:
  value: gold
code system.concept.display:
  value: Gold
code system.concept.definition:
  value: '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.

index: -1
code system.concept.code:
  value: platinum
code system.concept.display:
  value: Platinum
code system.concept.definition:
  value: '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.

index: -1
code system.concept.code:
  value: lowded
code system.concept.display:
  value: Low deductible
code system.concept.definition:
  value: A health insurance plan with higher premiums and lower out of pocket cost than a traditional health plan.

index: -1
code system.concept.code:
  value: highded
code system.concept.display:
  value: High deductible
code system.concept.definition:
  value: A health insurance plan with lower premiums and higher out of pocket cost than a traditional health plan.