Name Flags Card. Type Description & Constraints doco
. . InsurancePlan TU DomainResource Plan details

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
. . . identifier Σ 0..* Identifier Business Identifier for Plan

. . . type 0..1 CodeableConcept Classification of Plan
. . . product Σ 0..1 Reference( InsuranceProduct) The product that this plan is available under
. . . coverageArea Σ 0..* Reference( Location) Where product-plan applies

. . . network 0..* Reference( Organization) What networks provide coverage

. . . generalCost 0..* BackboneElement Overall costs

. . . . type 0..1 CodeableConcept Classification of specific cost
. . . . groupSize 0..1 positiveInt Number of enrollees
. . . . cost 0..1 Money Cost value
. . . . comment 0..1 string Additional cost information
. . . specificCost 0..* BackboneElement Individual cost elements

. . . . category 1..1 CodeableConcept General category of benefit
. . . . benefit 0..* BackboneElement Benefits list

. . . . . type 1..1 CodeableConcept Classification of benefit provided
. . . . . cost 0..* BackboneElement List of the costs

. . . . . . type 1..1 CodeableConcept Classification of specific cost
. . . . . . applicability 0..1 CodeableConcept in-network | out-of-network | other
Binding: Benefit Cost Applicability ( Required)
. . . . . . qualifier 0..* CodeableConcept Additional information about the cost

. . . . . . value 0..1 Quantity The actual cost value

doco Documentation for this format