description: Details of a Health Insurance plan provided by an organization under an InsuranceProduct.
package_name: hl7.fhir.r6.core
derivation: specialization
name: InsurancePlan
type: InsurancePlan
elements:
  identifier: {isModifier: false, short: Business Identifier for Plan, type: Identifier, mustSupport: false, array: true, isSummary: true, index: 0}
  type: {isModifier: false, short: Classification of Plan, type: CodeableConcept, mustSupport: false, isSummary: false, index: 1}
  product:
    isModifier: false
    short: The product that this plan is available under
    refers: ['http://hl7.org/fhir/StructureDefinition/InsuranceProduct']
    type: Reference
    mustSupport: false
    isSummary: true
    index: 2
  coverageArea:
    isModifier: false
    short: Where product-plan applies
    refers: ['http://hl7.org/fhir/StructureDefinition/Location']
    type: Reference
    mustSupport: false
    array: true
    isSummary: true
    index: 3
  network:
    isModifier: false
    short: What networks provide coverage
    refers: ['http://hl7.org/fhir/StructureDefinition/Organization']
    type: Reference
    mustSupport: false
    array: true
    isSummary: false
    index: 4
  generalCost:
    isModifier: false
    short: Overall costs
    type: BackboneElement
    mustSupport: false
    array: true
    isSummary: false
    index: 5
    elements:
      type: {isModifier: false, short: Classification of specific cost, type: CodeableConcept, mustSupport: false, isSummary: false, index: 6}
      groupSize: {isModifier: false, short: Number of enrollees, type: positiveInt, mustSupport: false, isSummary: false, index: 7}
      cost: {isModifier: false, short: Cost value, type: Money, mustSupport: false, isSummary: false, index: 8}
      comment: {isModifier: false, short: Additional cost information, type: string, mustSupport: false, isSummary: false, index: 9}
  specificCost:
    isModifier: false
    short: Individual cost elements
    index: 10
    type: BackboneElement
    mustSupport: false
    array: true
    elements:
      category: {isModifier: false, short: General category of benefit, type: CodeableConcept, mustSupport: false, isSummary: false, index: 11}
      benefit:
        isModifier: false
        short: Benefits list
        index: 12
        type: BackboneElement
        mustSupport: false
        array: true
        elements:
          type: {isModifier: false, short: Classification of benefit provided, type: CodeableConcept, mustSupport: false, isSummary: false, index: 13}
          cost:
            isModifier: false
            short: List of the costs
            index: 14
            type: BackboneElement
            mustSupport: false
            array: true
            elements:
              type: {isModifier: false, short: Classification of specific cost, type: CodeableConcept, mustSupport: false, isSummary: false, index: 15}
              applicability:
                isModifier: false
                short: in-network | out-of-network | other
                type: CodeableConcept
                mustSupport: false
                binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/insuranceplan-applicability|6.0.0-ballot4'}
                isSummary: false
                index: 16
              qualifier: {isModifier: false, short: Additional information about the cost, type: CodeableConcept, mustSupport: false, array: true, isSummary: false, index: 17}
              value: {isModifier: false, short: The actual cost value, type: Quantity, mustSupport: false, isSummary: false, index: 18}
            required: [type]
            isSummary: false
        required: [type]
        isSummary: false
    required: [category]
    isSummary: false
package_version: 6.0.0-ballot4
class: resource
kind: resource
url: http://hl7.org/fhir/StructureDefinition/InsurancePlan
base: http://hl7.org/fhir/StructureDefinition/DomainResource
version: 6.0.0-ballot4