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Section IV: Insurance for Mental Health Care

Table 2. Percentage of claimants with select mental health conditions
  Private Sector
1995
MI
1994
NJ
1994
PA
1995
WA
1994
Medicare
(5% Sample)
1995
Any Mental Health Condition        
   % of MH/SA claimants 92.8% 74.6% 79.8% 86.5% 76.9% 88.8%
   % of Total claimants 9.86% 13.84% 9.71% 15.47% 12.44% 9.91%
   % of Total enrollees 6.52% 11.85% 8.08% 12.84% 9.73% 8.53%
Schizophrenia            
   % of MH/SA claimants 1.5% 10.9% 16.8% 14.2% 14.4% 11.9%
   % of Total claimants 0.16% 2.02% 2.05% 2.54% 2.33% 1.33%
   % of Total enrollees 0.11% 1.73% 1.70% 2.11% 1.82% 1.14%
Major Depression            
   % of MH/SA claimants 19.6% 8.3% 8.9% 15.2% 13.4% 18.7%
   % of Total claimants 2.08% 1.54% 1.08% 2.72% 2.17% 2.09%
   % of Total enrollees 1.38% 1.32% 0.90% 2.26% 1.69% 1.80%
Other Affective Psychoses            
   % of MH/SA claimants 5.7% 5.0% 5.0% 6.7% 8.7% 6.6%
   % of Total claimants 0.61% 0.93% 0.61% 1.20% 1.41% 0.74%
   % of Total enrollees 0.40% 0.79% 0.51% 1.00% 1.10% 0.63%
Other Psychoses            
   % of MH/SA claimants 2.0% 9.6% 7.3% 9.5% 8.0% 23.8%
   % of Total claimants 0.21% 1.78% 0.89% 1.70% 1.29% 2.66%
   % of Total enrollees 0.14% 1.53% 0.74% 1.41% 1.01% 2.29%
Stress and Adjustment Disorders      
   % of MH/SA claimants 28.2% 12.7% 17.0% 17.6% 13.1% 8.6%
   % of Total claimants 3.00% 2.36% 2.07% 3.15% 2.12% 0.96%
   % of Total enrollees 1.98% 2.02% 1.72% 2.61% 1.66% 0.83%
Personality Disorders            
   % of MH/SA claimants 1.2% 1.8% 2.7% 2.5% 1.8% 1.4%
   % of Total claimants 0.13% 0.33% 0.33% 0.45% 0.29% 0.16%
   % of Total enrollees 0.08% 0.29% 0.27% 0.37% 0.23% 0.13%
Childhood Disorders            
   % of MH/SA claimants 10.9% 27.4% 13.2% 18.6% 10.6% 1.2%
   % of Total claimants 1.16% 5.09% 1.61% 3.33% 1.71% 0.13%
   % of Total enrollees 0.77% 4.36% 1.34% 2.76% 1.34% 0.12%
Other Mood Disorders (Including Anxiety Disorders)  
   % of MH/SA claimants 40.8% 16.6% 29.3% 29.2% 23.6% 35.3%
   % of Total claimants 4.33% 3.08% 3.57% 5.23% 3.82% 3.94%
   % of Total enrollees 2.86% 2.64% 2.97% 4.34% 2.99% 3.39%
Other Mental Disorders            
   % of MH/SA claimants 6.4% 4.7% 6.8% 6.7% 6.6% 11.1%
   % of Total claimants 0.68% 0.87% 0.83% 1.20% 1.07% 1.24%
   % of Total enrollees 0.45% 0.75% 0.69% 1.00% 0.83% 1.07%

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