NWTF Ded+Coins Buy Up Analysis

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.

NWTF 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

Buy Up Plan Cost Analysis

[visualizer id="21237"]

Copay Only

[visualizer id="21239"]

  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

[visualizer id="21235"]

Medical (includes copays) Claims

 [visualizer id="21240"]

Total Medical Claims

$241,170

Blue Cross Paid

$198,100 in claims

Employees Paid

$43,070 in Ded/Coins

& Copays

Medical Costs by Tier

 [visualizer id="21231"]

Claim Size

Employee

Under $1000
Over $1000

Spouse

Under $1000
Over $1000

Dependent

Under $1000
Over $1000

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

 

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 $1000 Ded.
%

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