HL7 Terminology (THO)
5.4.0 - Continuous Process Integration (ci build) International flag

HL7 Terminology (THO) - Local Development build (v5.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

CodeSystem: Insuranceplan Plan Type

Official URL: http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type Version: 1.0.0
Draft as of 2024-02-12 Maturity Level: 1 Responsible: Health Level Seven International Computable Name: Insuranceplan Plan Type

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 code system defines a set of codes for Insuranceplan Plan Type.

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

This case-sensitive code system http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type defines the following codes:

CodeDisplayDefinition
platinum Platinum-QHPPlan 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-QHPPlan 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-QHPPlan 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-QHPPlan 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-QHPA plan with low monthly premiums and very high deductibles and are available only to those under 30 or with certain special exemptions.
lowdeductible Low DeductibleA 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 DeductibleA 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 PlanA plan that requires the insured to pay out of pocket a much larger proportion of incurred health care costs than a traditional insurance plan.