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
: Insuranceplan Plan Type - TTL Representation
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:CodeSystem ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "insuranceplan-plan-type"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2020-04-09T21:10:28.568+00:00"^^xsd:dateTime ] ;
( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/StructureDefinition/shareablecodesystem> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem insuranceplan-plan-type</b></p><a name=\"insuranceplan-plan-type\"> </a><a name=\"hcinsuranceplan-plan-type\"> </a><a name=\"insuranceplan-plan-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/insuranceplan-plan-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\">platinum<a name=\"insuranceplan-plan-type-platinum\"> </a></td><td>Platinum-QHP</td><td>Plan 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.</td></tr><tr><td style=\"white-space:nowrap\">gold<a name=\"insuranceplan-plan-type-gold\"> </a></td><td>Gold-QHP</td><td>Plan 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.</td></tr><tr><td style=\"white-space:nowrap\">silver<a name=\"insuranceplan-plan-type-silver\"> </a></td><td>Silver-QHP</td><td>Plan 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.</td></tr><tr><td style=\"white-space:nowrap\">bronze<a name=\"insuranceplan-plan-type-bronze\"> </a></td><td>Bronze-QHP</td><td>Plan 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.</td></tr><tr><td style=\"white-space:nowrap\">catastrophic<a name=\"insuranceplan-plan-type-catastrophic\"> </a></td><td>Catastrophic-QHP</td><td>A plan with low monthly premiums and very high deductibles and are available only to those under 30 or with certain special exemptions.</td></tr><tr><td style=\"white-space:nowrap\">lowdeductible<a name=\"insuranceplan-plan-type-lowdeductible\"> </a></td><td>Low Deductible</td><td>A plan that requires the insured to pay out of pocket a smaller proportion of incurred health care costs than a traditional insurance plan.</td></tr><tr><td style=\"white-space:nowrap\">highdeductible<a name=\"insuranceplan-plan-type-highdeductible\"> </a></td><td>High Deductible</td><td>A plan that requires the insured to pay out of pocket a larger proportion of incurred health care costs than a traditional insurance plan.</td></tr><tr><td style=\"white-space:nowrap\">catastrophicplan<a name=\"insuranceplan-plan-type-catastrophicplan\"> </a></td><td>Catastrophic Plan</td><td>A plan that requires the insured to pay out of pocket a much larger proportion of incurred health care costs than a traditional insurance plan.</td></tr></table></div>"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "pa" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]
] ) ; #
fhir:url [ fhir:v "http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type"^^xsd:anyURI] ; #
fhir:version [ fhir:v "1.0.0"] ; #
fhir:name [ fhir:v "InsuranceplanPlanType"] ; #
fhir:title [ fhir:v "Insuranceplan Plan Type"] ; #
fhir:status [ fhir:v "active"] ; #
fhir:experimental [ fhir:v "false"^^xsd:boolean] ; #
fhir:date [ fhir:v "2024-11-17T10:31:17-07:00"^^xsd:dateTime] ; #
fhir:publisher [ fhir:v "Health Level Seven International"] ; #
fhir:contact ( [
( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org" ] ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "hq@HL7.org" ] ] )
] ) ; #
fhir:description [ fhir:v "This code system defines a set of codes for Insuranceplan Plan Type."] ; #
fhir:copyright [ fhir:v "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"] ; #
fhir:caseSensitive [ fhir:v "true"^^xsd:boolean] ; #
fhir:valueSet [
fhir:v "http://terminology.hl7.org/ValueSet/insuranceplan-plan-type"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/ValueSet/insuranceplan-plan-type>
] ; #
fhir:content [ fhir:v "complete"] ; #
fhir:concept ( [
fhir:code [ fhir:v "platinum" ] ;
fhir:display [ fhir:v "Platinum-QHP" ] ;
fhir:definition [ fhir:v "Plan 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." ]
] [
fhir:code [ fhir:v "gold" ] ;
fhir:display [ fhir:v "Gold-QHP" ] ;
fhir:definition [ fhir:v "Plan 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." ]
] [
fhir:code [ fhir:v "silver" ] ;
fhir:display [ fhir:v "Silver-QHP" ] ;
fhir:definition [ fhir:v "Plan 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." ]
] [
fhir:code [ fhir:v "bronze" ] ;
fhir:display [ fhir:v "Bronze-QHP" ] ;
fhir:definition [ fhir:v "Plan 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." ]
] [
fhir:code [ fhir:v "catastrophic" ] ;
fhir:display [ fhir:v "Catastrophic-QHP" ] ;
fhir:definition [ fhir:v "A plan with low monthly premiums and very high deductibles and are available only to those under 30 or with certain special exemptions." ]
] [
fhir:code [ fhir:v "lowdeductible" ] ;
fhir:display [ fhir:v "Low Deductible" ] ;
fhir:definition [ fhir:v "A plan that requires the insured to pay out of pocket a smaller proportion of incurred health care costs than a traditional insurance plan." ]
] [
fhir:code [ fhir:v "highdeductible" ] ;
fhir:display [ fhir:v "High Deductible" ] ;
fhir:definition [ fhir:v "A plan that requires the insured to pay out of pocket a larger proportion of incurred health care costs than a traditional insurance plan." ]
] [
fhir:code [ fhir:v "catastrophicplan" ] ;
fhir:display [ fhir:v "Catastrophic Plan" ] ;
fhir:definition [ fhir:v "A plan that requires the insured to pay out of pocket a much larger proportion of incurred health care costs than a traditional insurance plan." ]
] ) . #
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