HL7 Terminology (THO)
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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. 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)

Generated Narrative: ValueSet insurance-product-type

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

Profile: Shareable ValueSet

 

Expansion

Generated Narrative: ValueSet

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

Profile: Shareable ValueSet

Expansion based on codesystem Insurance Product Type v1.0.0 (CodeSystem)

This value set contains 22 concepts

CodeSystemDisplayDefinition
  commppohttp://terminology.hl7.org/CodeSystem/insurance-product-typeCommercial PPO

Health insurance provided through a Preferred Provider Organization (PPO).

  commhdhphttp://terminology.hl7.org/CodeSystem/insurance-product-typeCommercial HDHP

Health insurance provided through a High Deductible Health Plan (HDHP).

  commposhttp://terminology.hl7.org/CodeSystem/insurance-product-typeCommercial POS

Health insurance provided through a Point-of-Service (POS) Plan.

  commhmohttp://terminology.hl7.org/CodeSystem/insurance-product-typeCommercial HMO

Health insurance provided through a Health Maintenance Organization (HMO).

  commepohttp://terminology.hl7.org/CodeSystem/insurance-product-typeCommercial EPO

Health insurance provided through a Exclusive Provider Organization(EPO)

  medihttp://terminology.hl7.org/CodeSystem/insurance-product-typeMedicaid

Health insurance provided to eligible adults and children under the Federal Medicaid program

  medihmohttp://terminology.hl7.org/CodeSystem/insurance-product-typeMedicaid HMO

Health insurance provided to eligible adults and children under the Federal Medicaid program through a Health Maintenance Organization (HMO).

  mediadvhttp://terminology.hl7.org/CodeSystem/insurance-product-typeMedicare Advantage

Health insurance provided by a private company that contracts with Medicare to provide all Medicare Part A and Part B benefits.

  mediadvhmohttp://terminology.hl7.org/CodeSystem/insurance-product-typeMedicare Advantage HMO

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).

  mediahttp://terminology.hl7.org/CodeSystem/insurance-product-typeMedicare Part A

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.

  medibhttp://terminology.hl7.org/CodeSystem/insurance-product-typeMedicare Part B

Health insurance provided under the Federal Medicfare program covering certain doctors' services, outpatient care, medical supplies, and preventive services.

  medidhttp://terminology.hl7.org/CodeSystem/insurance-product-typeMedicare Part D

Health insurance provided under the Federal Medicare program covering prescription drugs.

  mediabhttp://terminology.hl7.org/CodeSystem/insurance-product-typeMedicare A/B

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.

  qhphttp://terminology.hl7.org/CodeSystem/insurance-product-typeQualified Health Plan

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.

  ihshttp://terminology.hl7.org/CodeSystem/insurance-product-typeIndian Health Service

Health care program provided to United States American Indians and Alaska Natives.

  fephttp://terminology.hl7.org/CodeSystem/insurance-product-typeFederal Employee Program

Health insurance provided to employees of the Federal government.

  trihttp://terminology.hl7.org/CodeSystem/insurance-product-typeTRICARE

Health care program provided to uniformed service members, retirees, and their families around the world.

  vahttp://terminology.hl7.org/CodeSystem/insurance-product-typeVeterans Affairs Plan

Health care program provided to eligible veterans.

  denthttp://terminology.hl7.org/CodeSystem/insurance-product-typeDental Plan

Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the oral cavity.

  denthmohttp://terminology.hl7.org/CodeSystem/insurance-product-typeDental HMO

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).

  vishttp://terminology.hl7.org/CodeSystem/insurance-product-typeVision Plan

Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the eyes.

  vishmohttp://terminology.hl7.org/CodeSystem/insurance-product-typeVision HMO

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).


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