HL7 Terminology (THO)
6.1.0 - Publication International flag

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: Insuranceplan Plan Type

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

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)

Logical Definition (CLD)

Generated Narrative: ValueSet insuranceplan-plan-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 Insuranceplan Plan Type v1.0.0 (CodeSystem)

This value set contains 8 concepts

CodeSystemDisplayDefinition
  platinumhttp://terminology.hl7.org/CodeSystem/insuranceplan-plan-typePlatinum-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.

  goldhttp://terminology.hl7.org/CodeSystem/insuranceplan-plan-typeGold-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.

  silverhttp://terminology.hl7.org/CodeSystem/insuranceplan-plan-typeSilver-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.

  bronzehttp://terminology.hl7.org/CodeSystem/insuranceplan-plan-typeBronze-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.

  catastrophichttp://terminology.hl7.org/CodeSystem/insuranceplan-plan-typeCatastrophic-QHP

A plan with low monthly premiums and very high deductibles and are available only to those under 30 or with certain special exemptions.

  lowdeductiblehttp://terminology.hl7.org/CodeSystem/insuranceplan-plan-typeLow 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.

  highdeductiblehttp://terminology.hl7.org/CodeSystem/insuranceplan-plan-typeHigh 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.

  catastrophicplanhttp://terminology.hl7.org/CodeSystem/insuranceplan-plan-typeCatastrophic 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

DateActionAuthorCustodianComment
2024-11-15createMing DunajickpaCreate the InsurancePlan Plan Type Code System and InsurancePlan Plan Type Value Set; up-501