This case-sensitive code system http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type 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.
This code system defines a set of codes for Insuranceplan Plan Type.
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
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.
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.
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.
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.
A plan with low monthly premiums and very high deductibles and are available only to those under 30 or with certain special exemptions.
A plan that requires the insured to pay out of pocket a smaller proportion of incurred health care costs than a traditional insurance plan.
A plan that requires the insured to pay out of pocket a larger proportion of incurred health care costs than a traditional insurance 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.