CARIN Digital Insurance Card
2.0.0-ballot - STU 2 Ballot

CARIN Digital Insurance Card - Downloaded Version 2.0.0-ballot See the Directory of published versions

## CodeSystem: SBC Plan Type Code System (Experimental)

Official URL: http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-plan-type | Version: 2.0.0-ballot
Standards status: Informative | Computable Name: SBCPlanTypeCS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.9.16.6

Code system for health insurance plan types displayed in Summary of Benefits and Coverage documents

This Code system is referenced in the content logical definition of the following value sets:

- SBCPlanTypeVS

This case-sensitive code system `http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-plan-type` defines the following codes:

Code | Display | Definition
HMO | Health Maintenance Organization (HMO) | A type of health insurance plan that requires members to get health care services from doctors and hospitals in the plan's network, except in an emergency
PPO | Preferred Provider Organization (PPO) | A type of health insurance plan where members pay less if they use providers in the plan's network, but can use out-of-network providers at higher cost
POS | Point of Service (POS) | A type of health insurance plan where members pay less if they use doctors and hospitals in the plan's network and choose a primary care doctor to coordinate care
EPO | Exclusive Provider Organization (EPO) | A type of health insurance plan where services are covered only if members use doctors and providers in the plan's network, except in an emergency
HDHP | High Deductible Health Plan (HDHP) | A health insurance plan with a higher deductible than traditional plans, often paired with a Health Savings Account
INDEMNITY | Indemnity Plan | A type of health insurance that allows members to see any doctor or hospital and pays a portion of the bill