Details of a Health Insurance product/plan provided by an organization.
Details of a Health Insurance product/plan provided by an organization.
If the element is present, it must have either a @value, an @id, or extensions
Business identifiers assigned to this health insurance product which remain constant as the resource is updated and propagates from server to server.
The current state of the health insurance product.
The kind of health insurance product.
Official name of the health insurance product as designated by the owner.
A list of alternate names that the product is known as, or was known as in the past.
The period of time that the health insurance product is available.
The entity that is providing the health insurance product and underwriting the risk. This is typically an insurance carriers, other third-party payers, or health plan sponsors comonly referred to as 'payers'.
An organization which administer other services such as underwriting, customer service and/or claims processing on behalf of the health insurance product owner.
The geographic region in which a health insurance product's benefits apply.
The contact for the health insurance product for a certain purpose.
The technical endpoints providing access to services operated for the health insurance product.
Reference to the network included in the health insurance product.
Details about the coverage offered by the insurance product.
Details about an insurance plan.
Details of a Health Insurance product/plan provided by an organization.
Indicates a purpose for which the contact can be reached.
A name associated with the contact.
A contact detail (e.g. a telephone number or an email address) by which the party may be contacted.
Visiting or postal addresses for the contact.
Details of a Health Insurance product/plan provided by an organization.
Type of coverage (Medical; Dental; Mental Health; Substance Abuse; Vision; Drug; Short Term; Long Term Care; Hospice; Home Health).
Reference to the network that providing the type of coverage.
Specific benefits under this type of coverage.
Details of a Health Insurance product/plan provided by an organization.
Type of benefit (primary care; speciality care; inpatient; outpatient).
The referral requirements to have access/coverage for this benefit.
The specific limits on the benefit.
Details of a Health Insurance product/plan provided by an organization.
The maximum amount of a service item a plan will pay for a covered benefit. For examples. wellness visits, or eyeglasses.
The specific limit on the benefit.
Details of a Health Insurance product/plan provided by an organization.
Business identifiers assigned to this health insurance plan which remain constant as the resource is updated and propagates from server to server.
Type of plan. For example, "Platinum" or "High Deductable".
The geographic region in which a health insurance plan's benefits apply.
Reference to the network that providing the type of coverage.
Overall costs associated with the plan.
Costs associated with the coverage provided by the product.
Details of a Health Insurance product/plan provided by an organization.
Type of cost.
Number of participants enrolled in the plan.
Value of the cost.
Additional information about the general costs associated with this plan.
Details of a Health Insurance product/plan provided by an organization.
General category of benefit (Medical; Dental; Vision; Drug; Mental Health; Substance Abuse; Hospice, Home Health).
List of the specific benefits under this category of benefit.
Details of a Health Insurance product/plan provided by an organization.
Type of specific benefit (preventative; primary care office visit; speciality office visit; hospitalization; emergency room; urgent care).
List of the costs associated with a specific benefit.
Details of a Health Insurance product/plan provided by an organization.
Type of cost (copay; individual cap; family cap; coinsurance; deductible).
Whether the cost applies to in-network or out-of-network providers (in-network; out-of-network; other).
Additional information about the cost, such as information about funding sources (e.g. HSA, HRA, FSA, RRA).
The actual cost value. (some of the costs may be represented as percentages rather than currency, e.g. 10% coinsurance).