HL7 Terminology (THO)
6.1.0 - Publication
HL7 Terminology (THO)
6.1.0 - Publication
This page is part of the HL7 Terminology (v6.1.0: Release) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Active as of 2024-11-17 | Maturity Level: 1 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="insurance-product-type"/>
<meta>
<lastUpdated value="2020-04-09T21:10:28.568+00:00"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem insurance-product-type</b></p><a name="insurance-product-type"> </a><a name="hcinsurance-product-type"> </a><a name="insurance-product-type-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Last updated: 2020-04-09 21:10:28+0000</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/R5/shareablecodesystem.html">Shareable CodeSystem</a></p></div><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/insurance-product-type</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">commppo<a name="insurance-product-type-commppo"> </a></td><td>Commercial PPO</td><td>Health insurance provided through a Preferred Provider Organization (PPO).</td></tr><tr><td style="white-space:nowrap">commhdhp<a name="insurance-product-type-commhdhp"> </a></td><td>Commercial HDHP</td><td>Health insurance provided through a High Deductible Health Plan (HDHP).</td></tr><tr><td style="white-space:nowrap">commpos<a name="insurance-product-type-commpos"> </a></td><td>Commercial POS</td><td>Health insurance provided through a Point-of-Service (POS) Plan.</td></tr><tr><td style="white-space:nowrap">commhmo<a name="insurance-product-type-commhmo"> </a></td><td>Commercial HMO</td><td>Health insurance provided through a Health Maintenance Organization (HMO).</td></tr><tr><td style="white-space:nowrap">commepo<a name="insurance-product-type-commepo"> </a></td><td>Commercial EPO</td><td>Health insurance provided through a Exclusive Provider Organization(EPO)</td></tr><tr><td style="white-space:nowrap">medi<a name="insurance-product-type-medi"> </a></td><td>Medicaid</td><td>Health insurance provided to eligible adults and children under the Federal Medicaid program</td></tr><tr><td style="white-space:nowrap">medihmo<a name="insurance-product-type-medihmo"> </a></td><td>Medicaid HMO</td><td>Health insurance provided to eligible adults and children under the Federal Medicaid program through a Health Maintenance Organization (HMO).</td></tr><tr><td style="white-space:nowrap">mediadv<a name="insurance-product-type-mediadv"> </a></td><td>Medicare Advantage</td><td>Health insurance provided by a private company that contracts with Medicare to provide all Medicare Part A and Part B benefits.</td></tr><tr><td style="white-space:nowrap">mediadvhmo<a name="insurance-product-type-mediadvhmo"> </a></td><td>Medicare Advantage HMO</td><td>Health 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).</td></tr><tr><td style="white-space:nowrap">media<a name="insurance-product-type-media"> </a></td><td>Medicare Part A</td><td>Health insurance provided under the Federal Medicare program covering inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.</td></tr><tr><td style="white-space:nowrap">medib<a name="insurance-product-type-medib"> </a></td><td>Medicare Part B</td><td>Health insurance provided under the Federal Medicfare program covering certain doctors' services, outpatient care, medical supplies, and preventive services.</td></tr><tr><td style="white-space:nowrap">medid<a name="insurance-product-type-medid"> </a></td><td>Medicare Part D</td><td>Health insurance provided under the Federal Medicare program covering prescription drugs.</td></tr><tr><td style="white-space:nowrap">mediab<a name="insurance-product-type-mediab"> </a></td><td>Medicare A/B</td><td>Health 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.</td></tr><tr><td style="white-space:nowrap">qhp<a name="insurance-product-type-qhp"> </a></td><td>Qualified Health Plan</td><td>Health 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.</td></tr><tr><td style="white-space:nowrap">ihs<a name="insurance-product-type-ihs"> </a></td><td>Indian Health Service</td><td>Health care program provided to United States American Indians and Alaska Natives.</td></tr><tr><td style="white-space:nowrap">fep<a name="insurance-product-type-fep"> </a></td><td>Federal Employee Program</td><td>Health insurance provided to employees of the Federal government.</td></tr><tr><td style="white-space:nowrap">tri<a name="insurance-product-type-tri"> </a></td><td>TRICARE</td><td>Health care program provided to uniformed service members, retirees, and their families around the world.</td></tr><tr><td style="white-space:nowrap">va<a name="insurance-product-type-va"> </a></td><td>Veterans Affairs Plan</td><td>Health care program provided to eligible veterans.</td></tr><tr><td style="white-space:nowrap">dent<a name="insurance-product-type-dent"> </a></td><td>Dental Plan</td><td>Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the oral cavity.</td></tr><tr><td style="white-space:nowrap">denthmo<a name="insurance-product-type-denthmo"> </a></td><td>Dental HMO</td><td>Health 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).</td></tr><tr><td style="white-space:nowrap">vis<a name="insurance-product-type-vis"> </a></td><td>Vision Plan</td><td>Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the eyes.</td></tr><tr><td style="white-space:nowrap">vishmo<a name="insurance-product-type-vishmo"> </a></td><td>Vision HMO</td><td>Health 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).</td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="pa"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="1"/>
</extension>
<url value="http://terminology.hl7.org/CodeSystem/insurance-product-type"/>
<version value="1.0.0"/>
<name value="InsuranceProductType"/>
<title value="Insurance Product Type"/>
<status value="active"/>
<experimental value="false"/>
<date value="2024-11-17T10:31:17-07:00"/>
<publisher value="Health Level Seven International"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://hl7.org"/>
</telecom>
<telecom>
<system value="email"/>
<value value="hq@HL7.org"/>
</telecom>
</contact>
<description
value="This code system defines a set of codes for Insurance Product Type."/>
<copyright
value="This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license"/>
<caseSensitive value="true"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/insurance-product-type"/>
<content value="complete"/>
<concept>
<code value="commppo"/>
<display value="Commercial PPO"/>
<definition
value="Health insurance provided through a Preferred Provider Organization (PPO)."/>
</concept>
<concept>
<code value="commhdhp"/>
<display value="Commercial HDHP"/>
<definition
value="Health insurance provided through a High Deductible Health Plan (HDHP)."/>
</concept>
<concept>
<code value="commpos"/>
<display value="Commercial POS"/>
<definition
value="Health insurance provided through a Point-of-Service (POS) Plan."/>
</concept>
<concept>
<code value="commhmo"/>
<display value="Commercial HMO"/>
<definition
value="Health insurance provided through a Health Maintenance Organization (HMO)."/>
</concept>
<concept>
<code value="commepo"/>
<display value="Commercial EPO"/>
<definition
value="Health insurance provided through a Exclusive Provider Organization(EPO)"/>
</concept>
<concept>
<code value="medi"/>
<display value="Medicaid"/>
<definition
value="Health insurance provided to eligible adults and children under the Federal Medicaid program"/>
</concept>
<concept>
<code value="medihmo"/>
<display value="Medicaid HMO"/>
<definition
value="Health insurance provided to eligible adults and children under the Federal Medicaid program through a Health Maintenance Organization (HMO)."/>
</concept>
<concept>
<code value="mediadv"/>
<display value="Medicare Advantage"/>
<definition
value="Health insurance provided by a private company that contracts with Medicare to provide all Medicare Part A and Part B benefits."/>
</concept>
<concept>
<code value="mediadvhmo"/>
<display value="Medicare Advantage HMO"/>
<definition
value="Health 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)."/>
</concept>
<concept>
<code value="media"/>
<display value="Medicare Part A"/>
<definition
value="Health insurance provided under the Federal Medicare program covering inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care."/>
</concept>
<concept>
<code value="medib"/>
<display value="Medicare Part B"/>
<definition
value="Health insurance provided under the Federal Medicfare program covering certain doctors' services, outpatient care, medical supplies, and preventive services."/>
</concept>
<concept>
<code value="medid"/>
<display value="Medicare Part D"/>
<definition
value="Health insurance provided under the Federal Medicare program covering prescription drugs."/>
</concept>
<concept>
<code value="mediab"/>
<display value="Medicare A/B"/>
<definition
value="Health 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."/>
</concept>
<concept>
<code value="qhp"/>
<display value="Qualified Health Plan"/>
<definition
value="Health 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."/>
</concept>
<concept>
<code value="ihs"/>
<display value="Indian Health Service"/>
<definition
value="Health care program provided to United States American Indians and Alaska Natives."/>
</concept>
<concept>
<code value="fep"/>
<display value="Federal Employee Program"/>
<definition
value="Health insurance provided to employees of the Federal government."/>
</concept>
<concept>
<code value="tri"/>
<display value="TRICARE"/>
<definition
value="Health care program provided to uniformed service members, retirees, and their families around the world."/>
</concept>
<concept>
<code value="va"/>
<display value="Veterans Affairs Plan"/>
<definition value="Health care program provided to eligible veterans."/>
</concept>
<concept>
<code value="dent"/>
<display value="Dental Plan"/>
<definition
value="Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the oral cavity."/>
</concept>
<concept>
<code value="denthmo"/>
<display value="Dental HMO"/>
<definition
value="Health 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)."/>
</concept>
<concept>
<code value="vis"/>
<display value="Vision Plan"/>
<definition
value="Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the eyes."/>
</concept>
<concept>
<code value="vishmo"/>
<display value="Vision HMO"/>
<definition
value="Health 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)."/>
</concept>
</CodeSystem>
IG © 2020+ HL7 International - Vocabulary Work Group. Package hl7.terminology#6.1.0 based on FHIR 5.0.0. Generated 2024-11-17
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