Resources
InsurancePlan
Resources
InsurancePlan
Details of a Health Insurance product/plan provided by an organization.
Properties
| Name | Required | Type | Description |
|---|---|---|---|
| identifier | No | Identifier[] | Business Identifier for Product |
| status | No | code | draft / active / retired / unknown |
| type | No | CodeableConcept[] | Kind of product |
| name | No | string | Official name |
| alias | No | string[] | Alternate names |
| period | No | Period | When the product is available |
| ownedBy | No | Reference<Organization> | Plan issuer |
| administeredBy | No | Reference<Organization> | Product administrator |
| coverageArea | No | Reference<Location>[] | Where product applies |
| contact | No | InsurancePlanContact | Contact for the product |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | Extension[] | Additional content defined by implementations |
| - modifierExtension | No | Extension[] | Extensions that cannot be ignored even if unrecognized |
| - purpose | No | CodeableConcept | The type of contact |
| - name | No | HumanName | A name associated with the contact |
| - telecom | No | ContactPoint[] | Contact details (telephone, email, etc.) for a contact |
| - address | No | Address | Visiting or postal addresses for the contact |
| endpoint | No | Reference<Endpoint>[] | Technical endpoint |
| network | No | Reference<Organization>[] | What networks are Included |
| coverage | No | InsurancePlanCoverage | Coverage details |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | Extension[] | Additional content defined by implementations |
| - modifierExtension | No | Extension[] | Extensions that cannot be ignored even if unrecognized |
| - type | Yes | CodeableConcept | Type of coverage |
| - network | No | Reference<Organization>[] | What networks provide coverage |
| - benefit | Yes | InsurancePlanCoverageBenefit | List of benefits |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | Extension[] | Additional content defined by implementations |
| - modifierExtension | No | Extension[] | Extensions that cannot be ignored even if unrecognized |
| - type | Yes | CodeableConcept | Type of benefit |
| - requirement | No | string | Referral requirements |
| - limit | No | InsurancePlanCoverageBenefitLimit | Benefit limits |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | Extension[] | Additional content defined by implementations |
| - modifierExtension | No | Extension[] | Extensions that cannot be ignored even if unrecognized |
| - value | No | Quantity | Maximum value allowed |
| - code | No | CodeableConcept | Benefit limit details |
| plan | No | InsurancePlanPlan | Plan details |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | Extension[] | Additional content defined by implementations |
| - modifierExtension | No | Extension[] | Extensions that cannot be ignored even if unrecognized |
| - identifier | No | Identifier[] | Business Identifier for Product |
| - type | No | CodeableConcept | Type of plan |
| - coverageArea | No | Reference<Location>[] | Where product applies |
| - network | No | Reference<Organization>[] | What networks provide coverage |
| - generalCost | No | InsurancePlanPlanGeneralCost | Overall costs |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | Extension[] | Additional content defined by implementations |
| - modifierExtension | No | Extension[] | Extensions that cannot be ignored even if unrecognized |
| - type | No | CodeableConcept | Type of cost |
| - groupSize | No | positiveInt | Number of enrollees |
| - cost | No | Money | Cost value |
| - comment | No | string | Additional cost information |
| - specificCost | No | InsurancePlanPlanSpecificCost | Specific costs |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | Extension[] | Additional content defined by implementations |
| - modifierExtension | No | Extension[] | Extensions that cannot be ignored even if unrecognized |
| - category | Yes | CodeableConcept | General category of benefit |
| - benefit | No | InsurancePlanPlanSpecificCostBenefit | Benefits list |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | Extension[] | Additional content defined by implementations |
| - modifierExtension | No | Extension[] | Extensions that cannot be ignored even if unrecognized |
| - type | Yes | CodeableConcept | Type of specific benefit |
| - cost | No | InsurancePlanPlanSpecificCostBenefitCost | List of the costs |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | Extension[] | Additional content defined by implementations |
| - modifierExtension | No | Extension[] | Extensions that cannot be ignored even if unrecognized |
| - type | Yes | CodeableConcept | Type of cost |
| - applicability | No | CodeableConcept | in-network / out-of-network / other |
| - qualifiers | No | CodeableConcept[] | Additional information about the cost |
| - value | No | Quantity | The actual cost value |
Search Parameters
| Name | Type | Description | Expression |
|---|---|---|---|
| address | string | A server defined search that may match any of the string fields in the Address, including line, city, district, state, country, postalCode, and/or text | InsurancePlan.contact.address |
| address-city | string | A city specified in an address | InsurancePlan.contact.address.city |
| address-country | string | A country specified in an address | InsurancePlan.contact.address.country |
| address-postalcode | string | A postal code specified in an address | InsurancePlan.contact.address.postalCode |
| address-state | string | A state specified in an address | InsurancePlan.contact.address.state |
| address-use | token | A use code specified in an address | InsurancePlan.contact.address.use |
| administered-by | reference | Product administrator | InsurancePlan.administeredBy |
| endpoint | reference | Technical endpoint | InsurancePlan.endpoint |
| identifier | token | Any identifier for the organization (not the accreditation issuer’s identifier) | InsurancePlan.identifier |
| name | string | A portion of the organization’s name or alias | |
| owned-by | reference | An organization of which this organization forms a part | InsurancePlan.ownedBy |
| phonetic | string | A portion of the organization’s name using some kind of phonetic matching algorithm | InsurancePlan.name |
| status | token | Is the Organization record active | InsurancePlan.status |
| type | token | A code for the type of organization | InsurancePlan.type |
Inherited Properties
| Name | Required | Type | Description |
|---|---|---|---|
| id | No | string | Logical id of this artifact |
| meta | No | Meta | Metadata about the resource |
| implicitRules | No | uri | A set of rules under which this content was created |
| language | No | code | Language of the resource content |
| text | No | Narrative | Text summary of the resource, for human interpretation |
| contained | No | Resource[] | Contained, inline Resources |
| extension | No | Extension[] | Additional content defined by implementations |
| modifierExtension | No | Extension[] | Extensions that cannot be ignored |
To view the FHIR specification for this resource, see InsurancePlan.