The Provision of Mental Health Services in Managed Care Organizations

Table IV.5: Distribution of Outpatient Coinsurance and Copayment Amounts Across All Products

Cost-Sharing Approach Mental Health
(Percentage of Products)
General Medical
(Percentage of Products)
No Cost Sharing 3.0 3.3
10% coinsurance 2.6 4.0
15% coinsurance 1.5 3.6
20% coinsurance 7.1 13.7
30%-35% coinsurance 1.8 0.5
40% coinsurance 0.9 0.0
50% coinsurance 15.6 2.0
Coinsurance Total 29.6* 23.8
     
$5-$7 copayment 1.1 3.0
$10 copayment 12.6 39.9
$15 copayment 7.8 10.2
$20 copayment 39.2 8.3
$25 copayment 5.3 0.9
$35-$50 copayment 1.3 0.0
Copayment Total 67.4* 62.4*
     
Not Known 0.0 10.4
     
Grand Total 100.0 100.0

Note: Based on products that reported on mental health cost sharing; missing data are 9%.
* Sum of individual entries may not match reported subtotals or totals exactly, due to rounding.

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