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="insuranceplan-plan-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 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>
</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/insuranceplan-plan-type"/>
<version value="1.0.0"/>
<name value="InsuranceplanPlanType"/>
<title value="Insuranceplan Plan 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 Insuranceplan Plan 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/insuranceplan-plan-type"/>
<content value="complete"/>
<concept>
<code value="platinum"/>
<display value="Platinum-QHP"/>
<definition
value="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."/>
</concept>
<concept>
<code value="gold"/>
<display value="Gold-QHP"/>
<definition
value="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."/>
</concept>
<concept>
<code value="silver"/>
<display value="Silver-QHP"/>
<definition
value="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."/>
</concept>
<concept>
<code value="bronze"/>
<display value="Bronze-QHP"/>
<definition
value="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."/>
</concept>
<concept>
<code value="catastrophic"/>
<display value="Catastrophic-QHP"/>
<definition
value="A plan with low monthly premiums and very high deductibles and are available only to those under 30 or with certain special exemptions."/>
</concept>
<concept>
<code value="lowdeductible"/>
<display value="Low Deductible"/>
<definition
value="A plan that requires the insured to pay out of pocket a smaller proportion of incurred health care costs than a traditional insurance plan."/>
</concept>
<concept>
<code value="highdeductible"/>
<display value="High Deductible"/>
<definition
value="A plan that requires the insured to pay out of pocket a larger proportion of incurred health care costs than a traditional insurance plan."/>
</concept>
<concept>
<code value="catastrophicplan"/>
<display value="Catastrophic Plan"/>
<definition
value="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."/>
</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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