HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v7.0.1: 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

ValueSet: Insurance Product Type

Official URL: http://terminology.hl7.org/ValueSet/insurance-product-type Version: 1.0.0
Active as of 2020-02-24 Maturity Level: 2 Responsible: Health Level Seven International Computable Name: InsuranceProductType

Copyright/Legal: 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

This value set defines a set of codes for Insurance Product Type

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

Last updated: 2020-02-24 12:41:39+1100

Profile: Shareable ValueSet

 

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).

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code

History

DateActionCustodianAuthorComment
2024-11-15createpaMing DunajickCreate the Insurance Product Type Code System and Insurance Product Type Value Set; up-500