1336 Insurance Type Code

Code identifying the type of insurance policy within a specific insurance program

Type
Identifier (ID)
Length
Min 1 / Max 3
Codes
CodeDescription
12Medicare Secondary Working Aged Beneficiary or Spouse with Employer Group Health Plan
13Medicare Secondary End-Stage Renal Disease Beneficiary in the Mandated Coordination Period with an Employer's Group Health Plan
14Medicare Secondary, No-fault Insurance including Auto is Primary
15Medicare Secondary Worker's Compensation
16Medicare Secondary Public Health Service (PHS)or Other Federal Agency
17Dental
18Vision
19Prescription Drugs
41Medicare Secondary Black Lung
42Medicare Secondary Veteran's Administration
43Medicare Secondary Disabled Beneficiary Under Age 65 with Large Group Health Plan (LGHP)
47Medicare Secondary, Other Liability Insurance is Primary
APAuto Insurance Policy
C1Commercial
COConsolidated Omnibus Budget Reconciliation Act (COBRA)
CPMedicare Conditionally Primary
DDisability
Provides periodic payments to replace income when an insured person is unable to work as a result of illness, injury or disease
DBDisability Benefits
EMedicare - Point of Service (POS)
EPExclusive Provider Organization
Gives subscriber a choice of providers from an approved/contracted payer list; there are fixed dollar co-payments for most covered services in return for using plan providers
FFFamily or Friends
GPGroup Policy
Two or more people who are part of complete unit who enter into an insurance contract with an insurance company
HAHealth Insurance Exchange (HIX) Silver
HBHealth Insurance Exchange (HIX) Bronze
HDHigh Deductible Health Plan
HGHealth Insurance Exchange (HIX) Gold
HMHealth Maintenance Organization (HMO)
HNHealth Maintenance Organization (HMO) - Medicare Risk
HPHealth Insurance Exchange (HIX) Platinum
HSSpecial Low Income Medicare Beneficiary
An individual eligible for Medicare for whom Medicaid pays only Medicare premiums
INIndemnity
Gives a subscriber the choice to select any provider. Payment is fixed percentage of the cost for covered care after satisfying an annual deductible
IPIndividual Policy
LCLong Term Care
Coverage designed to help pay for some or all long term care costs, reducing the risk that a policy-holder would need to deplete all of his or her assets to pay for long term care
LDLong Term Policy
LILife Insurance
LTLitigation
MMedicare Advantage Point of Service (POS) Plan that excludes Part D coverage
MAMedicare Part A
MBMedicare Part B
MCMedicaid
Program of health care services made available to medically indigent and other needy persons, regardless of age, under terms of a 1965 amendment to the U.S. Social Security Act
MDMedicare Part D
MEMedicare Advantage Preferred Provider Organization (PPO) Plan that excludes Part D Coverage
MFMedicare Advantage Private Fee for Service
MHMedigap Part A
Health insurance policy intended to cover the non-covered portion of expenses eligible for Medicare Part A reimbursement which must be paid by a Medicare beneficiary for health care services and/or supplies received
MIMedigap Part B
Health insurance policy intended to cover the non-covered portion of expenses eligible for Medicare Part B reimbursement which must be paid by a Medicare beneficiary for health care services and/or supplies received
MJMedicare Advantage Health Maintenance Organization (HMO) Plan that includes Part D Coverage
MKMedicare Advantage Health Maintenance Organization (HMO) Risk Plan that includes Part D Coverage
MLMedicare Advantage Indemnity Plan that includes Part D Coverage
MMMedicare Advantage Preferred Provider Organization (PPO) Plan that includes Part D Coverage
MNMedicare Advantage Indemnity Plan that excludes Part D coverage
MOMedicare Advantage Point of Service (POS) Plan that includes Part D Coverage
MPMedicare Primary
Medicare has the primary responsibility to pay for health care services and/or supplies received by a covered beneficiary (a person entitled to Medicare benefits)
MRMedicare Advantage Health Maintenance Organization (HMO) Risk Plan that excludes Part D coverage
MTMedicare Advantage Health Maintenance Organization (HMO) Plan that excludes Part D coverage
MVMedicare Advantage
OAOpen Access Point of Service Plan
OTOther
PEProperty Insurance - Personal
PLPersonal
PPPersonal Payment (Cash - No Insurance)
PRPreferred Provider Organization (PPO)
PSPoint of Service (POS)
QMQualified Medicare Beneficiary
Coverage for a Medicare eligible individual for whom Medicaid pays only for Medicare premiums, co-insurance, and deductibles
RPProperty Insurance - Real
SPSupplemental Policy
An insurance policy intended to cover non-covered charges of another insurance policy
TFTax Equity Fiscal Responsibility Act (TEFRA)
UMultiple Options Health Plan
WCWorkers Compensation
Coverage provides medical treatment, rehabilitation, lost wages and related expenses arising from a job related injury or disease
WUWrap Up Policy
A Workers Compensation Policy written for a specific job site, which will include or cover more than one insured

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