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{
 "resourceType": "InsurancePlan",
 "id": "insuranceplan1",
 "meta": {
 "profile": [
 "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-InsurancePlan"
 ]
 },
 "text": {
 "status": "generated",
 "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative with Detailsid: insuranceplan1identifier: HIOS product ID = 1234567891 (OFFICIAL)status: activetype: Bronze (Details : {http://hl7.org/fhir/uv/vhdir/CodeSystem/payercharacteristics code 'bronze' = 'Bronze', given as 'Bronze'})name: Patriot PPO Standardalias: Patriot Plusperiod: Jun 6, 2018, 12:00:00 AM --&gt; Jan 1, 2019, 12:00:00 AMownedBy: <a href=\"Organization-homeland.html\">Homeland Health Insurance. Generated Summary: id: homeland; active; Health System; name: Homeland Health Insurance</a>administeredBy: <a href=\"Organization-homeland.html\">Homeland Health Insurance. Generated Summary: id: homeland; active; Health System; name: Homeland Health Insurance</a>coverageArea: <a href=\"Location-wash-dc-metro.html\">Washington, DC metro area. Generated Summary: id: wash-dc-metro; status: active; name: Washington, DC metro area; Area</a><h3>Contacts</h3><table class=\"grid\"><tr><td>-</td><td>Purpose</td><td>Telecom</td></tr><tr><td>*</td><td>General information (Details : {http://terminology.hl7.org/CodeSystem/contactentity-type code 'PATINF' = 'Patient', given as 'Patient'})</td><td>ph: 202-123-5555</td></tr></table>endpoint: patriot plan endpoint hubnetwork: <ul><li><a href=\"Organization-patriotppo.html\">Patriot Preferred Provider Network. Generated Summary: id: patriotppo; Healthcare.gov Network ID = DCN001 (SECONDARY); active; PPO; name: Patriot Preferred Provider Network; alias: Patriot PPO</a></li><li><a href=\"Organization-patriotdental.html\">Patriot Dental Provider Network. Generated Summary: id: patriotdental; active; Health System; name: Patriot Dental Provider Network</a></li></ul><blockquote>coveragetype: Coverage related to medical inpatient, outpatient, diagnostic, and preventive care (Details : {[not stated] code 'medical' = 'medical', given as 'Medical'})network: <a href=\"Organization-patriotppo.html\">Patriot Preferred Provider Network. Generated Summary: id: patriotppo; Healthcare.gov Network ID = DCN001 (SECONDARY); active; PPO; name: Patriot Preferred Provider Network; alias: Patriot PPO</a><blockquote>benefittype: Primary care visit to treat an injury or illness (Details : {[not stated] code '001' = '001', given as 'Primary care visit to treat an injury or illness'})requirement: N/A<h3>Limits</h3><table class=\"grid\"><tr><td>-</td><td>Code</td></tr><tr><td>*</td><td>unlimited (Details )</td></tr></table></blockquote></blockquote><blockquote>coveragetype: Coverage related to dental care (Details : {[not stated] code 'dental' = 'dental', given as 'Dental'})network: <a href=\"Organization-patriotdental.html\">Patriot Dental Provider Network. Generated Summary: id: patriotdental; active; Health System; name: Patriot Dental Provider Network</a><blockquote>benefittype: Periodic oral checkup (Details : {[not stated] code '052' = '052', given as 'Basic Dental Care – Adult'})requirement: N/A<h3>Limits</h3><table class=\"grid\"><tr><td>-</td><td>Value</td><td>Code</td></tr><tr><td>*</td><td>2 visit/yr (Details: UCUM code {visit}/a = '{visit}/a')</td><td>biannual oral checkup (Details )</td></tr></table></blockquote></blockquote><blockquote>planidentifier: HIOS plan ID = 123456789101112 (OFFICIAL)type: Bronze (Details : {[not stated] code 'bronze' = 'bronze', given as 'Bronze'})coverageArea: <a href=\"Location-wash-dc-metro.html\">Washington, DC metro area. Generated Summary: id: wash-dc-metro; status: active; name: Washington, DC metro area; Area</a>network: <a href=\"Organization-patriotdental.html\">Patriot Dental Provider Network. Generated Summary: id: patriotdental; active; Health System; name: Patriot Dental Provider Network</a><h3>GeneralCosts</h3><table class=\"grid\"><tr><td>-</td><td>Type</td><td>GroupSize</td><td>Cost</td><td>Comment</td></tr><tr><td>*</td><td>Deductible (Details : {[not stated] code 'deductible' = 'deductible', given as 'Deductible'})</td><td>1</td><td/><td>Includes all prescription and medical costs for in-network providers</td></tr></table><blockquote>specificCostcategory: Medical (Details : {[not stated] code 'medical' = 'medical', given as 'Medical'})<blockquote>benefittype: Primary care visit to treat an injury or illness (Details : {[not stated] code '001' = '001', given as 'Primary care visit to treat an injury or illness'})<h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td>Type</td><td>Applicability</td><td>Qualifiers</td><td>Value</td></tr><tr><td>*</td><td>Copay (Details : {[not stated] code 'copay' = 'copay', given as 'Copay'})</td><td>In Network (Details : {http://terminology.hl7.org/CodeSystem/applicability code 'in-network' = 'In Network', given as 'In Network'})</td><td>in-network preferred provider (Details )</td><td>50 dollars (Details: urn:iso:std:iso:4217 code USD = 'United States dollar')</td></tr></table></blockquote></blockquote><blockquote>specificCostcategory: Dental (Details : {[not stated] code 'dental' = 'dental', given as 'Dental'})<blockquote>benefittype: Basic Dental Care – Adult (Details : {[not stated] code '052' = '052', given as 'Basic Dental Care – Adult'})<h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td>Type</td><td>Applicability</td><td>Qualifiers</td><td>Value</td></tr><tr><td>*</td><td>Coinsurance (Details : {[not stated] code 'coinsurance' = 'coinsurance', given as 'Coinsurance'})</td><td>In Network (Details : {http://terminology.hl7.org/CodeSystem/applicability code 'in-network' = 'In Network', given as 'In Network'})</td><td>in-network provider (Details )</td><td>10 percent</td></tr></table></blockquote></blockquote></blockquote></div>"
 },
 "identifier": [
 {
 "use": "official",
 "type": {
 "coding": [
 {
 "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
 "code": "NIIP",
 "display": "National Insurance Payor Identifier (Payor)",
 "userSelected": true
 }
 ],
 "text": "HIOS product ID"
 },
 "system": "https://www.cms.gov/CCIIO/",
 "value": "1234567891",
 "assigner": {
 "display": "Centers for Medicare and Medicaid Services"
 }
 }
 ],
 "status": "active",
 "type": [
 {
 "coding": [
 {
 "system": "http://hl7.org/fhir/uv/vhdir/CodeSystem/payercharacteristics",
 "code": "bronze",
 "display": "Bronze"
 }
 ]
 }
 ],
 "name": "Patriot PPO Standard",
 "alias": [
 "Patriot Plus"
 ],
 "period": {
 "start": "2018-06-06",
 "end": "2019-01-01"
 },
 "ownedBy": {
 "reference": "Organization/homeland",
 "display": "Homeland Health Insurance"
 },
 "administeredBy": {
 "reference": "Organization/homeland",
 "display": "Homeland Health Insurance"
 },
 "coverageArea": [
 {
 "reference": "Location/wash-dc-metro",
 "display": "Washington, DC metro area"
 }
 ],
 "contact": [
 {
 "purpose": {
 "coding": [
 {
 "system": "http://terminology.hl7.org/CodeSystem/contactentity-type",
 "code": "PATINF",
 "display": "Patient"
 }
 ],
 "text": "General information"
 },
 "telecom": [
 {
 "system": "phone",
 "value": "202-123-5555"
 },
 {
 "system": "email",
 "value": "info@homelandinc.org"
 }
 ]
 }
 ],
 "endpoint": [
 {
 "display": "patriot plan endpoint hub"
 }
 ],
 "network": [
 {
 "reference": "Organization/patriotppo",
 "display": "Patriot Preferred Provider Network"
 },
 {
 "reference": "Organization/patriotdental",
 "display": "Patriot Dental Provider Network"
 }
 ]
}

name : Patriot PPO Standard

{

}