NameFlagsCard.TypeDescription & Constraintsdoco
.. InsurancePlan TUDomainResourceDetails of a Health Insurance product/plan provided by an organization
+ Rule: The organization SHALL at least have a name or an identifier, and possibly more than one

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier ΣC0..*IdentifierBusiness Identifier for Product

... status ?!Σ0..1codedraft | active | retired | unknown
Binding: PublicationStatus (Required)
... type Σ0..*CodeableConceptKind of product
Binding: Insurance Plan Type (Example)

... name ΣC0..1stringOfficial name
... alias 0..*stringAlternate names

... period 0..1PeriodWhen the product is available
... ownedBy Σ0..1Reference(Organization)Product issuer
... administeredBy Σ0..1Reference(Organization)Product administrator
... coverageArea Σ0..*Reference(Location)Where product applies

... contact 0..*ExtendedContactDetailOfficial contact details relevant to the health insurance plan/product

... endpoint 0..*Reference(Endpoint)Technical endpoint

... network 0..*Reference(Organization)What networks are Included

... coverage 0..*BackboneElementCoverage details

.... type 1..1CodeableConceptType of coverage
.... network 0..*Reference(Organization)What networks provide coverage

.... benefit 1..*BackboneElementList of benefits

..... type 1..1CodeableConceptType of benefit
..... requirement 0..1stringReferral requirements
..... limit 0..*BackboneElementBenefit limits

...... value 0..1QuantityMaximum value allowed
...... code 0..1CodeableConceptBenefit limit details
... plan 0..*BackboneElementPlan details

.... identifier Σ0..*IdentifierBusiness Identifier for Product

.... type 0..1CodeableConceptType of plan
.... coverageArea Σ0..*Reference(Location)Where product applies

.... network 0..*Reference(Organization)What networks provide coverage

.... generalCost 0..*BackboneElementOverall costs

..... type 0..1CodeableConceptType of cost
..... groupSize 0..1positiveIntNumber of enrollees
..... cost 0..1MoneyCost value
..... comment 0..1stringAdditional cost information
.... specificCost 0..*BackboneElementSpecific costs

..... category 1..1CodeableConceptGeneral category of benefit
..... benefit 0..*BackboneElementBenefits list

...... type 1..1CodeableConceptType of specific benefit
...... cost 0..*BackboneElementList of the costs

....... type 1..1CodeableConceptType of cost
....... applicability 0..1CodeableConceptin-network | out-of-network | other
Binding: Benefit Cost Applicability (Required)
....... qualifiers 0..*CodeableConceptAdditional information about the cost

....... value 0..1QuantityThe actual cost value

doco Documentation for this format