haau3 FHIR Implementation Guide (HFIG) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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: Plan Benefits Medicare - JSON Representation

Active as of 2026-10-14

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{
  "resourceType" : "CodeSystem",
  "id" : "plan-benefits-medicare",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem plan-benefits-medicare</b></p><a name=\"plan-benefits-medicare\"> </a><a name=\"hcplan-benefits-medicare\"> </a><p>This case-sensitive code system <code>https://haau3.com/fhir/CodeSystem/plan-benefits-medicare</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">part-a<a name=\"plan-benefits-medicare-part-a\"> </a></td><td>Part A</td><td>The plan's amount is Original Medicare's Part A amount.</td></tr><tr><td style=\"white-space:nowrap\">part-b<a name=\"plan-benefits-medicare-part-b\"> </a></td><td>Part B</td><td>The plan's amount is Original Medicare's Part B amount.</td></tr><tr><td style=\"white-space:nowrap\">part-a-and-b<a name=\"plan-benefits-medicare-part-a-and-b\"> </a></td><td>Part A and Part B</td><td>The plan's amount is Original Medicare's Part A and Part B amounts.</td></tr><tr><td style=\"white-space:nowrap\">part-a-deductible<a name=\"plan-benefits-medicare-part-a-deductible\"> </a></td><td>Part A deductible</td><td>Original Medicare's Part A deductible for a hospital stay.</td></tr><tr><td style=\"white-space:nowrap\">part-b-deductible<a name=\"plan-benefits-medicare-part-b-deductible\"> </a></td><td>Part B deductible</td><td>Original Medicare's annual Part B deductible.</td></tr><tr><td style=\"white-space:nowrap\">part-a-hospital-days-61-90<a name=\"plan-benefits-medicare-part-a-hospital-days-61-90\"> </a></td><td>Part A, hospital days 61 to 90</td><td>Original Medicare's Part A coinsurance for each day from day 61 to day 90 of a hospital stay.</td></tr><tr><td style=\"white-space:nowrap\">part-a-lifetime-reserve-day<a name=\"plan-benefits-medicare-part-a-lifetime-reserve-day\"> </a></td><td>Part A, lifetime reserve day</td><td>Original Medicare's Part A coinsurance for each lifetime reserve day.</td></tr><tr><td style=\"white-space:nowrap\">part-a-skilled-nursing-days-21-100<a name=\"plan-benefits-medicare-part-a-skilled-nursing-days-21-100\"> </a></td><td>Part A, skilled nursing days 21 to 100</td><td>Original Medicare's Part A coinsurance for each day from day 21 to day 100 in a skilled nursing facility.</td></tr></table></div>"
  },
  "url" : "https://haau3.com/fhir/CodeSystem/plan-benefits-medicare",
  "version" : "1.0.0",
  "name" : "PlanBenefitsMedicareCS",
  "title" : "Plan Benefits Medicare",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-10-14T18:01:46+00:00",
  "publisher" : "haau3",
  "contact" : [
    {
      "name" : "haau3",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://haau3.com"
        },
        {
          "system" : "email",
          "value" : "hello@haau3.com"
        }
      ]
    }
  ],
  "description" : "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.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 8,
  "concept" : [
    {
      "code" : "part-a",
      "display" : "Part A",
      "definition" : "The plan's amount is Original Medicare's Part A amount."
    },
    {
      "code" : "part-b",
      "display" : "Part B",
      "definition" : "The plan's amount is Original Medicare's Part B amount."
    },
    {
      "code" : "part-a-and-b",
      "display" : "Part A and Part B",
      "definition" : "The plan's amount is Original Medicare's Part A and Part B amounts."
    },
    {
      "code" : "part-a-deductible",
      "display" : "Part A deductible",
      "definition" : "Original Medicare's Part A deductible for a hospital stay."
    },
    {
      "code" : "part-b-deductible",
      "display" : "Part B deductible",
      "definition" : "Original Medicare's annual Part B deductible."
    },
    {
      "code" : "part-a-hospital-days-61-90",
      "display" : "Part A, hospital days 61 to 90",
      "definition" : "Original Medicare's Part A coinsurance for each day from day 61 to day 90 of a hospital stay."
    },
    {
      "code" : "part-a-lifetime-reserve-day",
      "display" : "Part A, lifetime reserve day",
      "definition" : "Original Medicare's Part A coinsurance for each lifetime reserve day."
    },
    {
      "code" : "part-a-skilled-nursing-days-21-100",
      "display" : "Part A, skilled nursing days 21 to 100",
      "definition" : "Original Medicare's Part A coinsurance for each day from day 21 to day 100 in a skilled nursing facility."
    }
  ]
}