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Section IV: Insurance for Mental Health Care

Table 2. Service limits preparity (1999 and 2000)
  Mean Limit Median Limit
  1999 2000 1999 2000
Inpatient Mental Health Day Limits        
All plans (n = 164)* 34 34 30 30
FFS plans (n = 15)* 57 53 50 45
Community-rated plans (n = 137) 31 32 30 30
Experience-rated plans (n = 12) 33 28 30 30
Outpatient Mental Health Visit Limits        
All plans (n = 164)* 26 26 25
FFS plans (n = 15)* 30 27 30 25
Community-rated plans (n = 137) 25 26 20 20
Experience-rated plans (n = 12) 29 26 30 30
Inpatient Substance Abuse Day Limits        
All Plans (n = 164)* 26 28 30 30
FFS plans (n = 15)* 22 24 20 20
Community-rated plans (n = 137) 27 29 30 30
Experience-rated plans (n = 12) 26 28 30 30
Outpatient Substance Abuse Visit Limits        
All plans (n = 164)* 27 27 22 27
FFS plans (n = 15)* 17 16 20 20
Community-rated plans (n = 137) 28 29 25 30
Experience-rated plans (n = 12) 24 27 25 30
* Thirteen FFS national plans participate in FEHB; however, the Panama Canal Area Benefit Plan is excluded from this analysis. Three of the remaining twelve plans offer separate high and standard benefit options to enrollees (Blue Cross Blue Shield Plan, Postmasters Benefit Plan, and Mailhandlers Benefit Plan). For the purpose of this analysis, high and standard benefit options are counted as separate plan benefit designs. Therefore, results in this table are calculated with n = 15 for FFS plans and n = 164 for all plans.

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