The Client

- HQ: Seattle, WA

- Carrier: Regence BCBS

- 46 employees

- 4 retail locations

Problem

40% rate increase. No explanation from the carrier as to why, except, ”There are high-cost claimants."

Solution

- Rover retrieved the claims data on all plan members.

- Hosted pre-scheduled appointments with the Rover team to assist employees with creating their carrier logins for the first time to minimize disruption.

Outcome

- Identified a spouse with Leukemia, on a $164k/yr drug.

- PBM partner was able to source the drug for free.

- Another $1,300/mo drug was also sourced for free.

- Lasers were prevented and competitive captive & level-funded quotes were provided.

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