Any major illness can result in a major cost hit for self-insured health plans. But some are more “major” than others.
According to a recent report, these four conditions are the most likely to cause catastrophic claims for self-insured companies:
- Extreme premature births (24 to 25 weeks’ gestation) can cost $700,000 to $900,000 in hospital inpatient charges and followup outpatient treatments for mother and child.
- Liver or kidney transplants average about $760,000 in total claims.
- Non-transplant kidney disease treatments averages $200,000 to $400,000 in claims.
- Hemophilia-related claims average about $300,000.
There’s only so far your company can go to determine what percentage of employees are at risk for these conditions. But if you are self-insured or considering that route, you can work extra hard to raise employee awareness and encourage employees and their dependents to undergo health-risk assessments on their own.