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InsurancePlanCost

Details of a Health Insurance product/plan provided by an organization.

type InsurancePlanCost implements Element {
type: CodeableConcept
applicability: CodeableConcept
qualifiers: [CodeableConcept]
value: Quantity
modifierExtension: [Extension]
extension: [Extension]
id: String
}

Fields

InsurancePlanCost.type ● CodeableConcept object

Type of cost (copay; individual cap; family cap; coinsurance; deductible).

InsurancePlanCost.applicability ● CodeableConcept object

Whether the cost applies to in-network or out-of-network providers (in-network; out-of-network; other).

InsurancePlanCost.qualifiers ● [CodeableConcept] list object

Additional information about the cost, such as information about funding sources (e.g. HSA, HRA, FSA, RRA).

InsurancePlanCost.value ● Quantity object

The actual cost value. (some of the costs may be represented as percentages rather than currency, e.g. 10% coinsurance).

InsurancePlanCost.modifierExtension ● [Extension] list object

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element s descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

InsurancePlanCost.extension ● [Extension] list object

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

InsurancePlanCost.id ● String scalar

Interfaces

Element interface

Base definition for all elements in a resource. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions

Member Of

InsurancePlanBenefit1 object