http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type|1.0.0

{
  "description" : "This code system defines a set of codes for Insuranceplan Plan Type.",
  "compose" : null,
  "package" : "hl7.terminology@6.3.0",
  "date" : "2025-05-01T01:35:10Z",
  "meta" : {
    "profile" : [ "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ],
    "lastUpdated" : "2020-04-09T21:10:28.568+00:00"
  },
  "publisher" : "Health Level Seven International",
  "content" : "complete",
  "name" : "InsuranceplanPlanType",
  "copyright" : "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",
  "experimental" : false,
  "resourceType" : "CodeSystem",
  "title" : "Insuranceplan Plan Type",
  "supliment" : null,
  "extension" : [ {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "pa"
  }, {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  } ],
  "status" : "active",
  "id" : "2f2b2458-8f33-5ad0-8c6e-4f6537603c20",
  "valueSet" : "http://terminology.hl7.org/ValueSet/insuranceplan-plan-type",
  "url" : "http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type",
  "concept" : [ {
    "code" : "platinum",
    "display" : "Platinum-QHP",
    "definition" : "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."
  }, {
    "code" : "gold",
    "display" : "Gold-QHP",
    "definition" : "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."
  }, {
    "code" : "silver",
    "display" : "Silver-QHP",
    "definition" : "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."
  }, {
    "code" : "bronze",
    "display" : "Bronze-QHP",
    "definition" : "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."
  }, {
    "code" : "catastrophic",
    "display" : "Catastrophic-QHP",
    "definition" : "A plan with low monthly premiums and very high deductibles and are available only to those under 30 or with certain special exemptions."
  }, {
    "code" : "lowdeductible",
    "display" : "Low Deductible",
    "definition" : "A plan that requires the insured to pay out of pocket a smaller proportion of incurred health care costs than a traditional insurance plan."
  }, {
    "code" : "highdeductible",
    "display" : "High Deductible",
    "definition" : "A plan that requires the insured to pay out of pocket a larger proportion of incurred health care costs than a traditional insurance plan."
  }, {
    "code" : "catastrophicplan",
    "display" : "Catastrophic Plan",
    "definition" : "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."
  } ],
  "caseSensitive" : true,
  "version" : "1.0.0",
  "contact" : [ {
    "telecom" : [ {
      "value" : "http://hl7.org",
      "system" : "url"
    }, {
      "value" : "hq@HL7.org",
      "system" : "email"
    } ]
  } ]
}