This page is part of the Validated Healthcare Directory FHIR IG (v0.2.0: STU 1 Ballot 2) based on FHIR v3.5.0. . For a full list of available versions, see the Directory of published versions
Defining URL: | http://hl7.org/fhir/uv/vhdir/ValueSet/valueset-plan-type |
Version: | 0.2.0 |
Name: | VhDirPlanType |
Definition: | This value set defines a set of codes that indicate the type of a plan. |
Publisher: | HL7 International |
Source Resource: | XML / JSON / Turtle |
VhDir Plan Type
This value set defines a set of codes that indicate the type of a plan.
This value set includes codes from the following code systems:
- Include these codes as defined in
http://hl7.org/fhir/uv/vhdir/CodeSystem/codesystem-payercharacteristics
Code Display cat Catastrophic 'Catastrophic' health insurance plans have low monthly premiums and very high deductibles. They may cover worst-case scenarios, like getting seriously sick or injured. Patient pays most routine medical expenses. bronze Bronze 'Bronze' type plan defines the estimated split costs of the plan, where patient is responsible for 40% of their healthcare cost while 60% is covered by the plan. bronzeexp Expanded Bronze The 'extended bronze' plan is an addition to the bronze metal level which establishes the de minimis variation range for the actuarial value (AV) level of coverage to allow variation in the AV to -4/+2 percentage points. silver Silver 'Silver' type plan defines the estimated split costs of the plan, where patient is responsible for 30% of their healthcare cost while 70% is covered by the plan. gold Gold 'Gold' type plan defines the estimated split costs of the plan, where patient is responsible for 20% of their healthcare cost while 80% is covered by the plan. platinum Platinum 'Platinum' type plan defines the estimated split costs of the plan, where patient is responsible for 10% of their healthcare cost while 90% is covered by the plan. lowded Low deductible A health insurance plan with higher premiums and lower out of pocket cost than a traditional health plan. highded High deductible A health insurance plan with lower premiums and higher out of pocket cost than a traditional health plan.
Expansion
This value set contains 8 concepts
Expansion based on http://hl7.org/fhir/uv/vhdir/CodeSystem/codesystem-payercharacteristics version 0.2.0
All codes from system http://hl7.org/fhir/uv/vhdir/CodeSystem/codesystem-payercharacteristics
Code | Display | Definition |
cat | Catastrophic | 'Catastrophic' health insurance plans have low monthly premiums and very high deductibles. They may cover worst-case scenarios, like getting seriously sick or injured. Patient pays most routine medical expenses. |
bronze | Bronze | 'Bronze' type plan defines the estimated split costs of the plan, where patient is responsible for 40% of their healthcare cost while 60% is covered by the plan. |
bronzeexp | Expanded Bronze | The 'extended bronze' plan is an addition to the bronze metal level which establishes the de minimis variation range for the actuarial value (AV) level of coverage to allow variation in the AV to -4/+2 percentage points. |
silver | Silver | 'Silver' type plan defines the estimated split costs of the plan, where patient is responsible for 30% of their healthcare cost while 70% is covered by the plan. |
gold | Gold | 'Gold' type plan defines the estimated split costs of the plan, where patient is responsible for 20% of their healthcare cost while 80% is covered by the plan. |
platinum | Platinum | 'Platinum' type plan defines the estimated split costs of the plan, where patient is responsible for 10% of their healthcare cost while 90% is covered by the plan. |
lowded | Low deductible | A health insurance plan with higher premiums and lower out of pocket cost than a traditional health plan. |
highded | High deductible | A health insurance plan with lower premiums and higher out of pocket cost than a traditional health plan. |