NWTF Ded+Coins Base Analysis

NWTF Claims Analysis

Below is a dashboard for the claims analysis of NWTF PPO Base Plan.  The analysis is broken down by medical plan and tier of coverage.

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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

Buy Up Plan Cost Analysis

 

Copay Only

 

  Total Copay Claims

$51,478

 

Blue Cross Paid

$42,066 in claims

 

Employees Paid

$9,412 in copays

 

Copay Breakdown By Tier

 

Medical (includes copays) Claims

 

Total Medical Claims

$400,485

Blue Cross Paid

$261,474 in claims

Employees Paid

$139,011 in Ded/Coins

& Copays

Medical Costs by Tier

 

Claim Size

Employee

Under $2500
Over $2500

Spouse

Under $2500
Over $2500

Dependent

Under $2500
Over $2500

NWTF Take Aways

The bar charts show some % take aways from the claims analysis. We have some plan design analysis that this report aids in for showing savings on any plan designs.

Key points:

>only 8 claims over the deductible

>more medical claims than copay claims

Medical Claims % of Total
%
Copay Only % of All Claims (not $)
%
Employee Claims % of Total Claims
%
Spouse Claims % of Total Claims
%
Dependent Claims % of Total Claims
%
% of Claims over $2500 Ded.
%

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