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This Web site is a component of the SAMHSA Health Information Network. |
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Section IV: Insurance for Mental Health Care
Table 3. Annual and lifetime dollar limits on substance abuse benefits preparity
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Annual Dollar Limits (%) |
Lifetime Dollar Limits (%) |
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1999 |
2000 |
1999 |
2000 |
| All plans (n = 164)* |
9% |
9% |
15% |
14% |
| FFS plans (n = 15)* |
47% |
53% |
60% |
53% |
| Community-rated plans (n = 137) |
4% |
4% |
10% |
10% |
| Experience-rated plans (n = 12) |
8% |
8% |
8% |
8% |
| * 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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