The Provision of Mental Health Services in Managed Care Organizations

Table IV.4: Average Coinsurance and Copayment Rates for Outpatient Mental Health (by Product Type)

Product Type Average Coinsurance Average Copayment
HMO 40.1% $17.67
POS 35.1% $18.00
PPO 35.0% $18.62
All 35.7% $18.00

Note: Average coinsurance is the average (across products using coinsurance) of the consumer's share of cost, expressed as a percentage of total cost. Average copayment is the average across products using copayments.

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