haau3 FHIR Implementation Guide (HFIG)
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CodeSystem: Plan Benefits Medicare

Official URL: https://haau3.com/fhir/CodeSystem/plan-benefits-medicare Version: 1.0.0
Active as of 2026-10-14 Computable Name: PlanBenefitsMedicareCS

The parts of Original Medicare a Medicare Advantage plan's Medicare-defined amount refers to, and the Original Medicare amounts haau3 supplies for one. haau3 publishes these until the SBC guide codes them.

This Code system is referenced in the content logical definition of the following value sets:

This case-sensitive code system https://haau3.com/fhir/CodeSystem/plan-benefits-medicare defines the following codes:

CodeDisplayDefinition
part-a Part A The plan's amount is Original Medicare's Part A amount.
part-b Part B The plan's amount is Original Medicare's Part B amount.
part-a-and-b Part A and Part B The plan's amount is Original Medicare's Part A and Part B amounts.
part-a-deductible Part A deductible Original Medicare's Part A deductible for a hospital stay.
part-b-deductible Part B deductible Original Medicare's annual Part B deductible.
part-a-hospital-days-61-90 Part A, hospital days 61 to 90 Original Medicare's Part A coinsurance for each day from day 61 to day 90 of a hospital stay.
part-a-lifetime-reserve-day Part A, lifetime reserve day Original Medicare's Part A coinsurance for each lifetime reserve day.
part-a-skilled-nursing-days-21-100 Part A, skilled nursing days 21 to 100 Original Medicare's Part A coinsurance for each day from day 21 to day 100 in a skilled nursing facility.