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Benefits
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Utilization
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Cost
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HMO
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FFS
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HDHP
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Events
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per event
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Deductible
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Physician Office Visit
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Coinsurance
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Outpatient Procedure (3)
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OP Max
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Hospital Admission (3)
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OV Copay
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Premium
(month)
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Employer
share
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Total Cost of Services
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Your OOP
spend
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Actuarial
Value (1)
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Your
Total Spend
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As % of
Cost of
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Services
(2)
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NOTES
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1. Actuarial value is the percent the total costs of care
that are paid by the insurer
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2. Premiums plus out-of-pocket
spending divided by cost of care. If
this is less than 1, the value of the insurance is more than your total
spending.
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3. Be sure to include both the
hospital bill and any physician bills
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Developed by Policy Integrity
LLC
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Click here to visit our home
page
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