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 |