SFHC Ded+Coins Analysis

Sumter Family Health Center Claims Analysis

Below is a dashboard for the claims analysis of Sumter Family Health Center's Base PPO Plan.  The analysis is broken down by medical plan and tier of coverage.

SFHC Logo
Total Claimants
Employee Claims
Spouse Claims
Dependent Claims
Copay Only Claims
Medical Claims

Employee

Claims
Copay Claims
Medical Claims

Spouse

Claims
Copay Claims
Medical Claims

Dependent Claims

Claims
Copay Claims
Medical Claims

Base Plan Cost Analysis

Copay Only

 

Total Copay Claims

$195,275

Blue Cross Paid

$164,277 in claims

Employees Paid

$30,998 in copays

Copay Breakdown By Tier

 

Medical (includes copays) Claims

 

Total Medical Claims

$985,585

Blue Cross Paid

$823,995 in claims

Employees Paid

$161,590 in

Ded/Coins & Copays

Medical Costs by Tier

 

Claim Size

Employee

Under $1000
Over $1000

Spouse

Under $1000
Over $1000

Dependent

Under $1000
Over $1000

Sumter Family Health Center 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. Call Clarke & Company Benefits for the savings analysis.

Medical Claims % of Total
%
Copay Only as % of All Claims (not $)
%
Spouse Claims % of Total Claims
%
Employee Claims % of Total Claims
%
Dependent Claims % of Total Claims
%
% of Claims over $1000 Ded.
%

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