Generated Narrative: InsurancePlan

Payer Medical Coverage Indicator: Y

Payer Dental Coverage Indicator: Y

Payer Drug Coverage Indicator: Y

Payer Hearing Coverage Indicator: Y

Payer Vision Coverage Indicator: Y

Payer Psychiatric Coverage Indicator: N

Payer Shortterm Care Coverage Indicator: Y

Payer Longterm Care Coverage Indicator: Y

Payer Substance Abuse Ambulatory Coverage Indicator: N

Payer Substance Abuse Day-Night Coverage Indicator: N

Payer Substance Abuse Inpatient Coverage Indicator: N

Payer Mental Health Ambulatory Coverage Indicator: N

Payer Mental Health Day Night Coverage Indicator: N

Payer Mental Health Inpatient Coverage Indicator: N

Dental Fully Insured Indicator: Y

Drug Fully Insured Indicator: Y

Enrollment Type: LocalEnrollType (local-enrollment-type#LocalEnrollType)

Exchange Plan Indicator: N

Industry Classification: 621112 (North American Industry Classification System#621112)

Medical Fully Insured Indicator: Y

Vision Fully Insured Indicator: Y

Payer Managed Care Plan Type: LocalManagedCarePlan (local-managed-care-plan-type#LocalManagedCarePlan)

identifier: Source System Row Identifier: plan_code_1234(use: OFFICIAL), Source System Row Identifier: account_id_1234(use: SECONDARY), Source System Row Identifier: dental-plan_code_5555(use: OFFICIAL), Source System Row Identifier: vision-plan_code_2345(use: OFFICIAL)

type: Medical (Insurance plan type#medical), Dental (Insurance plan type#dental), Drug (Insurance plan type#Drug), Hearing (Insurance Plan Type Codes#hearing), Vision (Insurance plan type#vision), Mental Health (Insurance plan type#mental), Substance Abuse (Insurance plan type#subst-ab), Short Term (Insurance plan type#short-term), Long Term Care (Insurance plan type#long-term), Substance Abuse Ambulatory (Insurance Plan Type Codes#substance-abuse-ambulatory), Substance Abuse Day Night (Insurance Plan Type Codes#substance-abuse-day-night), Substance Abuse Inpatient (Insurance Plan Type Codes#substance-abuse-inpatient), Mental Health Ambulatory (Insurance Plan Type Codes#mental-health-ambulatory), Mental Health Day Night (Insurance Plan Type Codes#mental-health-day-night), Mental Health Inpatient (Insurance Plan Type Codes#mental-health-inpatient)

ownedBy: Organization/GeneralHospital "General Hospital"

coverage

type: Medical (Insurance plan type#medical)

network: Organization/GeneralHospital "General Hospital"

Benefits

-	Type
*	Medical (Insurance plan type#medical)

coverage

type: Dental (Insurance plan type#dental)

Benefits

-	Type
*	Dental (Insurance plan type#dental)

coverage

type: Drug (Insurance plan type#Drug)

Benefits

-	Type
*	Drug (Insurance plan type#Drug)

coverage

type: Hearing (Insurance Plan Type Codes#hearing)

Benefits

-	Type
*	Hearing (Insurance Plan Type Codes#hearing)

coverage

type: Vision (Insurance plan type#vision)

Benefits

-	Type
*	Vision (Insurance plan type#vision)

coverage

type: Mental Health (Insurance plan type#mental)

Benefits

-	Type
*	Mental Health (Insurance plan type#mental)

coverage

type: Substance Abuse (Insurance plan type#subst-ab)

Benefits

-	Type
*	Substance Abuse (Insurance plan type#subst-ab)

coverage

type: Short Term (Insurance plan type#short-term)

Benefits

-	Type
*	Short Term (Insurance plan type#short-term)

coverage

type: Long Term Care (Insurance plan type#long-term)

Benefits

-	Type
*	Long Term Care (Insurance plan type#long-term)

coverage

type: Substance Abuse Ambulatory (Insurance Plan Type Codes#substance-abuse-ambulatory)

Benefits

-	Type
*	Substance Abuse Ambulatory (Insurance Plan Type Codes#substance-abuse-ambulatory)

coverage

type: Substance Abuse Day Night (Insurance Plan Type Codes#substance-abuse-day-night)

Benefits

-	Type
*	Substance Abuse Day Night (Insurance Plan Type Codes#substance-abuse-day-night)

coverage

type: Substance Abuse Inpatient (Insurance Plan Type Codes#substance-abuse-inpatient)

Benefits

-	Type
*	Substance Abuse Inpatient (Insurance Plan Type Codes#substance-abuse-inpatient)

coverage

type: Mental Health Ambulatory (Insurance Plan Type Codes#mental-health-ambulatory)

Benefits

-	Type
*	Mental Health Ambulatory (Insurance Plan Type Codes#mental-health-ambulatory)

coverage

type: Mental Health Day Night (Insurance Plan Type Codes#mental-health-day-night)

Benefits

-	Type
*	Mental Health Day Night (Insurance Plan Type Codes#mental-health-day-night)

coverage

type: Mental Health Inpatient (Insurance Plan Type Codes#mental-health-inpatient)

Benefits

-	Type
*	Mental Health Inpatient (Insurance Plan Type Codes#mental-health-inpatient)

plan

ACA Health Insurance Oversight System Plan: LocalACAPlanCd (local-aca-health-insurance-oversight-system-plan#LocalACAPlanCd)

ACA Health Insurance Oversight System Product: LocalACAProductCd (local-aca-health-insurance-oversight-system-product#LocalACAProductCd)

ACA Market Type: LocalACAMarketTypeCd (local-aca-market-type#LocalACAMarketTypeCd)

ACA Metal Tier: LocalACAMetalTierCd (local-aca-metal-tier#LocalACAMetalTierCd)

Capitation Arrangement: LocalCapArrangement (local-capitation-arrangement#LocalCapArrangement)

Carve Out: LocalCarveOutCode (local-carve-out#LocalCarveOutCode)

Cost Sharing Reduction Variant: LocalCostSharingCd (local-cost-sharing-reduction-variant#LocalCostSharingCd)

Funding Arrangement: LocalFundArrangement (local-funding-arrangement#LocalFundArrangement)

Level Of Care: LocalLevelOfCare (local-level-of-care#LocalLevelOfCare)

Longterm Care Duration: 36

Longterm Care Waiting Period: 90

Rating Area: LocalRatingArea (local-rating-area#LocalRatingArea)

Shortterm Care Duration: 16

Shortterm Care Waiting Period: 1

specificCost

category: Drug (Insurance Plan Cost Category Codes#drug)

benefit

type: Administrative Fee (Insurance Plan Benefit Type Codes#administrative-fee)

Costs

-	Type	Value
*	Administrative Fee (Insurance Plan Benefit Type Codes#administrative-fee)	3

specificCost

category: Medical (Insurance Plan Cost Category Codes#medical)

benefit

type: Administrative Fee (Insurance Plan Benefit Type Codes#administrative-fee)

Costs

-	Type	Value
*	Administrative Fee (Insurance Plan Benefit Type Codes#administrative-fee)	75

specificCost

category: Drug (Insurance Plan Cost Category Codes#drug)

benefit

type: Employee Contribution (Insurance Plan Benefit Type Codes#employee-contribution)

Costs

-	Type	Value
*	Employee Contribution (Insurance Plan Benefit Type Codes#employee-contribution)	15

specificCost

category: Medical (Insurance Plan Cost Category Codes#medical)

benefit

type: Employee Contribution (Insurance Plan Benefit Type Codes#employee-contribution)

Costs

-	Type	Value
*	Employee Contribution (Insurance Plan Benefit Type Codes#employee-contribution)	125

specificCost

category: Drug (Insurance Plan Cost Category Codes#drug)

benefit

type: Monthly Premium Paid (Insurance Plan Benefit Type Codes#monthly-premium-paid)

Costs

-	Type	Value
*	Monthly Premium Paid (Insurance Plan Benefit Type Codes#monthly-premium-paid)	25

specificCost

category: Medical (Insurance Plan Cost Category Codes#medical)

benefit

type: Monthly Premium Paid (Insurance Plan Benefit Type Codes#monthly-premium-paid)

Costs

-	Type	Value
*	Monthly Premium Paid (Insurance Plan Benefit Type Codes#monthly-premium-paid)	55

specificCost

category: Other (Insurance Plan Cost Category Codes#other)

benefit

type: Non Claim Payment (Insurance Plan Benefit Type Codes#non-claim-payment)

Costs

-	Type	Value
*	Non Claim Payment (Insurance Plan Benefit Type Codes#non-claim-payment)	5

specificCost

category: Dental (Insurance Plan Cost Category Codes#dental)

benefit

type: Administrative Fee (Insurance Plan Benefit Type Codes#administrative-fee)

Costs

-	Type	Value
*	Administrative Fee (Insurance Plan Benefit Type Codes#administrative-fee)	2

specificCost

category: Vision (Insurance Plan Cost Category Codes#vision)

benefit

type: Administrative Fee (Insurance Plan Benefit Type Codes#administrative-fee)

Costs

-	Type	Value
*	Administrative Fee (Insurance Plan Benefit Type Codes#administrative-fee)	3

specificCost

category: Dental (Insurance Plan Cost Category Codes#dental)

benefit

type: Employee Contribution (Insurance Plan Benefit Type Codes#employee-contribution)

Costs

-	Type	Value
*	Employee Contribution (Insurance Plan Benefit Type Codes#employee-contribution)	0

specificCost

category: Vision (Insurance Plan Cost Category Codes#vision)

benefit

type: Employee Contribution (Insurance Plan Benefit Type Codes#employee-contribution)

Costs

-	Type	Value
*	Employee Contribution (Insurance Plan Benefit Type Codes#employee-contribution)	0

specificCost

category: Other (Insurance Plan Cost Category Codes#other)

benefit

type: Capitation Amount (Insurance Plan Benefit Type Codes#capitation-amount)

Costs

-	Type	Value
*	Capitation Amount (Insurance Plan Benefit Type Codes#capitation-amount)	0

specificCost

category: Other (Insurance Plan Cost Category Codes#other)

benefit

type: Monthly Premium Billed (Insurance Plan Benefit Type Codes#monthly-premium-billed)

Costs

-	Type	Value
*	Monthly Premium Billed (Insurance Plan Benefit Type Codes#monthly-premium-billed)	10

specificCost

category: Dental (Insurance Plan Cost Category Codes#dental)

benefit

type: Monthly Premium Paid (Insurance Plan Benefit Type Codes#monthly-premium-paid)

Costs

-	Type	Value
*	Monthly Premium Paid (Insurance Plan Benefit Type Codes#monthly-premium-paid)	5

specificCost

category: Vision (Insurance Plan Cost Category Codes#vision)

benefit

type: Monthly Premium Paid (Insurance Plan Benefit Type Codes#monthly-premium-paid)

Costs

-	Type	Value
*	Monthly Premium Paid (Insurance Plan Benefit Type Codes#monthly-premium-paid)	2

specificCost

category: Other (Insurance Plan Cost Category Codes#other)

benefit

type: Administrative Fee (Insurance Plan Benefit Type Codes#administrative-fee)

Costs

-	Type	Value
*	Administrative Fee (Insurance Plan Benefit Type Codes#administrative-fee)	2

specificCost

category: Other (Insurance Plan Cost Category Codes#other)

benefit

type: Employee Contribution (Insurance Plan Benefit Type Codes#employee-contribution)

Costs

-	Type	Value
*	Employee Contribution (Insurance Plan Benefit Type Codes#employee-contribution)	6

specificCost

category: Other (Insurance Plan Cost Category Codes#other)

benefit

type: Monthly Premium Paid (Insurance Plan Benefit Type Codes#monthly-premium-paid)

Costs

-	Type	Value
*	Monthly Premium Paid (Insurance Plan Benefit Type Codes#monthly-premium-paid)	6