ABCDEFGHIJKLMNOPQRSTU
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NOTE: this is not a "fully live" spreadsheet. If downloading, check cells as needed. Contact me for help, if needed, through the blog.
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If Employee Chooses PPOIf Employee Choses DPC
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Employee's Anticipated UsageHRA Funded share of DeductibleEmployee share of deductiblemOOPAAFP optimum % for primary care based on 14%Downstream UtilizationAnticipated OOP Cost to employee if in PPOEmployer cost in PPOPrimary Care Ultilization in the DPC clinicAnticipated Downstream Utilization to be Paid with DeductibleCoinsurance on Downstream Utilization Not Paid by deductibleExpected OOP for DPC pateint for downstreamshareEmployee's Advantage PPO OR Advantage DPC
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10007502504000250750$0 — $250$0 — $250250
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4800750125040006724128155032506722000425.62425.6875.6
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250075012504000350215015509503502000302030480
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407575012504000570.53504.515502525570.52000300.92300.9750.9
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1000075012504000140086002050795014002000132033201270
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20000750125040002800172003050169502800200020004000950
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31979750125040004477275023250287294477200020004000750
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22000750125040003080189203250187503080200020004000750
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11628750125040001628100002213941516282000200040001787
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21900750125040003066188343240186603066200020004000760
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Employee's Anticipated UsageEmployee's Advantage PPO OR Advantage DPC
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$1,000$250
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$2,500$480
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$5,000$751
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$10,000$1,270
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$11,628$1,787
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$20,000$950
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$21,900$760
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$22,000 or more$750
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