InsurancePlan
FinancialDetails of a Health Insurance product/plan provided by an organization.
| Path | Card. | Type | Description & Constraints |
|---|---|---|---|
| InsurancePlan | 0..* | — | Details of a Health Insurance product/plan provided by an organization |
| .idΣ | 0..1 | String | Logical id of this artifact |
| .metaΣ | 0..1 | Meta | Metadata about the resource |
| .implicitRules?!Σ | 0..1 | uri | A set of rules under which this content was created |
| .language | 0..1 | code | Language of the resource content Bindinglanguages(preferred) |
| .text | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| .contained | 0..* | Resource | Contained, inline Resources |
| .extension | 0..* | Extension | Additional content defined by implementations |
| .modifierExtension?! | 0..* | Extension | Extensions that cannot be ignored |
| .identifierΣ | 0..* | Identifier | Business Identifier for Product |
| .status?!Σ | 0..1 | code | draft | active | retired | unknown Bindingpublication-status(required) |
| .typeΣ | 0..* | CodeableConcept | Kind of product Bindinginsuranceplan-type(example) |
| .nameΣ | 0..1 | string | Official name |
| .alias | 0..* | string | Alternate names |
| .period | 0..1 | Period | When the product is available |
| .ownedByΣ | 0..1 | Reference(Organization) | Plan issuer |
| .administeredByΣ | 0..1 | Reference(Organization) | Product administrator |
| .coverageAreaΣ | 0..* | Reference(Location) | Where product applies |
| .contact | 0..* | BackboneElement | Contact for the product |
| .id | 0..1 | String | Unique id for inter-element referencing |
| .extension | 0..* | Extension | Additional content defined by implementations |
| .modifierExtension?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| .purpose | 0..1 | CodeableConcept | The type of contact Bindingcontactentity-type(extensible) |
| .name | 0..1 | HumanName | A name associated with the contact |
| .telecom | 0..* | ContactPoint | Contact details (telephone, email, etc.) for a contact |
| .address | 0..1 | Address | Visiting or postal addresses for the contact |
| .endpoint | 0..* | Reference(Endpoint) | Technical endpoint |
| .network | 0..* | Reference(Organization) | What networks are Included |
| .coverage | 0..* | BackboneElement | Coverage details |
| .id | 0..1 | String | Unique id for inter-element referencing |
| .extension | 0..* | Extension | Additional content defined by implementations |
| .modifierExtension?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| .type | 1..1 | CodeableConcept | Type of coverage |
| .network | 0..* | Reference(Organization) | What networks provide coverage |
| .benefit | 1..* | BackboneElement | List of benefits |
| .id | 0..1 | String | Unique id for inter-element referencing |
| .extension | 0..* | Extension | Additional content defined by implementations |
| .modifierExtension?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| .type | 1..1 | CodeableConcept | Type of benefit |
| .requirement | 0..1 | string | Referral requirements |
| .limit | 0..* | BackboneElement | Benefit limits |
| .id | 0..1 | String | Unique id for inter-element referencing |
| .extension | 0..* | Extension | Additional content defined by implementations |
| .modifierExtension?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| .value | 0..1 | Quantity | Maximum value allowed |
| .code | 0..1 | CodeableConcept | Benefit limit details |
| .plan | 0..* | BackboneElement | Plan details |
| .id | 0..1 | String | Unique id for inter-element referencing |
| .extension | 0..* | Extension | Additional content defined by implementations |
| .modifierExtension?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| .identifierΣ | 0..* | Identifier | Business Identifier for Product |
| .type | 0..1 | CodeableConcept | Type of plan |
| .coverageAreaΣ | 0..* | Reference(Location) | Where product applies |
| .network | 0..* | Reference(Organization) | What networks provide coverage |
| .generalCost | 0..* | BackboneElement | Overall costs |
| .id | 0..1 | String | Unique id for inter-element referencing |
| .extension | 0..* | Extension | Additional content defined by implementations |
| .modifierExtension?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| .type | 0..1 | CodeableConcept | Type of cost |
| .groupSize | 0..1 | positiveInt | Number of enrollees |
| .cost | 0..1 | Money | Cost value |
| .comment | 0..1 | string | Additional cost information |
| .specificCost | 0..* | BackboneElement | Specific costs |
| .id | 0..1 | String | Unique id for inter-element referencing |
| .extension | 0..* | Extension | Additional content defined by implementations |
| .modifierExtension?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| .category | 1..1 | CodeableConcept | General category of benefit |
| .benefit | 0..* | BackboneElement | Benefits list |
| .id | 0..1 | String | Unique id for inter-element referencing |
| .extension | 0..* | Extension | Additional content defined by implementations |
| .modifierExtension?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| .type | 1..1 | CodeableConcept | Type of specific benefit |
| .cost | 0..* | BackboneElement | List of the costs |
| .id | 0..1 | String | Unique id for inter-element referencing |
| .extension | 0..* | Extension | Additional content defined by implementations |
| .modifierExtension?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| .type | 1..1 | CodeableConcept | Type of cost |
| .applicability | 0..1 | CodeableConcept | in-network | out-of-network | other Bindinginsuranceplan-applicability(required) |
| .qualifiers | 0..* | CodeableConcept | Additional information about the cost |
| .value | 0..1 | Quantity | The actual cost value |