NWTF Claims Analysis
Below is a dashboard for the claims analysis of NWTF PPO Buy Up Plan. The analysis is broken down by medical plan and tier of coverage.
Total Claimants
Employee Claims
Spouse Claims
Dependent Claims
Employee
Claims
Spouse
Claims
Dependent Claims
Claims
Buy Up Plan Cost Analysis
Copay Only
Total Copay Claims
$13,663
Blue Cross Paid
$10,699 in claims
Employees Paid
$2,958 in copays
Copay Breakdown by Tier
Copay Breakdown By Tier
Medical (includes copays) Claims
Total Medical Claims
$241,170
Blue Cross Paid
$198,100 in claims
Employees Paid
$43,070 in Ded/Coins
& Copays
Medical Costs by Tier
Claim Size
Employee
Spouse
Dependent
NWTF Take Aways
The bar charts show some % take aways from the claims analysis. We also conducted a plan design analysis that shows savings on plan design.
Key Takeaways:
Only 8 claims met and/or exceeded the $1,000 deductible
>More medical claimants than copay visits