HL7 Terminology (THO)
7.0.1 - Continuous Process Integration (ci build)
HL7 Terminology (THO)
7.0.1 - Continuous Process Integration (ci build)
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
| Official URL: http://terminology.hl7.org/ValueSet/insuranceplan-plan-type | Version: 1.0.0 | |||
| Active as of 2020-02-24 | Maturity Level: 2 | Responsible: Health Level Seven International | Computable Name: InsuranceplanPlanType | |
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 |
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This value set defines a set of codes for Insuranceplan Plan Type
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
Last updated: 2020-02-24 12:41:39+1100
Profile: Shareable ValueSet
http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type version 📦1.0.0
Expansion performed internally based on codesystem Insuranceplan Plan Type v1.0.0 (CodeSystem)
This value set contains 8 concepts
| System | Code | Display (en) | Definition | JSON | XML |
http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type | platinum | Platinum-QHP | 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. | ||
http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type | gold | Gold-QHP | 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. | ||
http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type | silver | Silver-QHP | 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. | ||
http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type | bronze | Bronze-QHP | 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. | ||
http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type | catastrophic | Catastrophic-QHP | A plan with low monthly premiums and very high deductibles and are available only to those under 30 or with certain special exemptions. | ||
http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type | lowdeductible | Low Deductible | A plan that requires the insured to pay out of pocket a smaller proportion of incurred health care costs than a traditional insurance plan. | ||
http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type | highdeductible | High Deductible | A plan that requires the insured to pay out of pocket a larger proportion of incurred health care costs than a traditional insurance plan. | ||
http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type | catastrophicplan | Catastrophic Plan | 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. |
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
| Date | Action | Custodian | Author | Comment |
| 2024-11-15 | create | pa | Ming Dunajick | Create the InsurancePlan Plan Type Code System and InsurancePlan Plan Type Value Set; up-501 |
IG © 2020+ HL7 International - Vocabulary Work Group. Package hl7.terminology#7.0.1 based on FHIR 5.0.0. Generated 2025-12-11
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