CodeSystem-InsurancePlanTypeCS

Sourcehl7.fhir.us.directory-attestation#current:National Healthcare Directory Attestation and Verification (v4.0.1)
resourceTypeCodeSystem
idInsurancePlanTypeCS
canonicalhttp://hl7.org/fhir/us/directory-attestation/CodeSystem/InsurancePlanTypeCS
version1.0.0-ballot
statusactive
publisherHL7 Patient Administration Working Group
nameInsurancePlanTypeCS
titleInsurance Plan Type Code System
date2022-12-08T23:25:31+00:00
experimentalfalse
descriptionCategories of cost-sharing used by plans
jurisdictionsus
caseSensitivefalse
contentcomplete
Usages(none)

This case-insensitive code system http://hl7.org/fhir/us/directory-attestation/CodeSystem/InsurancePlanTypeCS defines the following codes:

Code Display Definition
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
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
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
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
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.
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.
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.
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.

Produced 08 Sep 2023