haau3 FHIR Implementation Guide (HFIG)
1.0.0 - ci-build
haau3 FHIR Implementation Guide (HFIG)
1.0.0 - ci-build
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
| Official URL: https://haau3.com/fhir/ValueSet/plan-benefits-metal-level | Version: 1.0.0 | |||
| Active as of 2026-10-14 | Computable Name: PlanBenefitsMetalLevelVS | |||
The Marketplace metal levels: HL7's platinum, gold, silver, bronze and catastrophic, and haau3's expanded-bronze.
References
This value set includes codes based on the following rules:
http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type version 📦1.0.0| Code | Display | Definition |
| platinum | Platinum-QHP | Plan with highest monthly premium and lowest costs when you need care. A Qualified Health Plan with the highest monthly premiums and smallest out-of-pocket costs for the member in comparison to other metal-category plans. |
| gold | Gold-QHP | Plan with high monthly premium and low costs when you need care. A Qualified Health Plan with the higher monthly premiums and smaller out-of-pocket costs for the member in comparison to other metal-category plans. |
| silver | Silver-QHP | Plan with moderate monthly premium and moderate costs when you need care. A Qualified Health Plan with the lower monthly premiums and larger out-of-pocket costs for the member in comparison to other metal-category plans. |
| bronze | Bronze-QHP | Plan with lowest monthly premium and highest costs when you need care. A Qualified Health Plan with the lowest monthly premiums and largest out-of-pocket costs for the member in comparison to other metal-category plans. |
| catastrophic | Catastrophic-QHP | A plan with low monthly premiums and very high deductibles and are available only to those under 30 or with certain special exemptions. |
https://haau3.com/fhir/CodeSystem/plan-benefits-metal-level version 📦1.0.0
Expansion performed internally based on:
This value set contains 6 concepts
| System | Code | Display (en) | Definition | JSON | XML |
http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type | platinum | Platinum-QHP | Plan with highest monthly premium and lowest costs when you need care. A Qualified Health Plan with the highest monthly premiums and smallest out-of-pocket costs for the member in comparison to other metal-category plans. | ||
http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type | gold | Gold-QHP | Plan with high monthly premium and low costs when you need care. A Qualified Health Plan with the higher monthly premiums and smaller out-of-pocket costs for the member in comparison to other metal-category plans. | ||
http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type | silver | Silver-QHP | Plan with moderate monthly premium and moderate costs when you need care. A Qualified Health Plan with the lower monthly premiums and larger out-of-pocket costs for the member in comparison to other metal-category plans. | ||
http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type | bronze | Bronze-QHP | Plan with lowest monthly premium and highest costs when you need care. A Qualified Health Plan with the lowest monthly premiums and largest out-of-pocket costs for the member in comparison to other metal-category plans. | ||
http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type | catastrophic | Catastrophic-QHP | A plan with low monthly premiums and very high deductibles and are available only to those under 30 or with certain special exemptions. | ||
https://haau3.com/fhir/CodeSystem/plan-benefits-metal-level | expanded-bronze | Expanded Bronze | A bronze plan that covers and pays for at least one major service, other than preventive services, before the deductible, or meets the requirements of a high deductible health plan, and so may vary more in actuarial value than other bronze plans (45 CFR 156.140(c)(1)). CMS's Marketplace files list it as its own metal level. Written beside HL7's bronze, which it also is. |
Explanation of the columns that may appear on this page:
| Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
| System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance) |
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |