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Trends and Indicators in the Changing Health Care Marketplace
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Section 4: Health Insurance Benefits
Pages: 1 2 3 4 5 6 7 8 9 10 11 12  < previous | next >
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Exhibit 4.9: Percentage of Covered Workers with Various Annual Outpatient and Inpatient Mental Health Maximums, 2004
Although most covered workers had inpatient and outpatient mental health benefits in 2004 (98%, see Exhibit 4.1), they typically faced limits on the number of outpatient mental health visits (81%) and the number of inpatient mental health days (79%) covered by their health plans. For outpatient visits, the limit was most typically 30 visits or fewer (63%), with 32% of covered workers having maximums of 20 or fewer visits. The limit on inpatient days was most typically 21-30 days (45%), with 14% of covered workers having maximums of 20 or fewer days.

Percentage of Covered Workers With Various Annual Outpatient Mental Health Visit Maximums, by Plan Type, 2004*

 

Conventional

HMO

PPO

POS

All Plans

20 Visits or Fewer

  25%

48%

26%

 32%

32%

21 to 30 Visits

26

26

34

28

31

31 to 50 Visits

5

 6

11

8

9

More than 50 Visits

 9

 5

 9

 14

9

Unlimited Visits

35

15

19

17

19



Percentage of Covered Workers With Various Annual Inpatient Mental Health Day Maximums, by Plan Type, 2004*

 

Conventional

HMO

PPO

POS

All Plans

10 Days or Fewer

  5%

4%

 7%

 5%

6%

11 to 20 Days

8

9

8

6

8

21 to 30 Days

44

47

45

46

45

31 or More Days

17

21

18

26

21

Unlimited

27

18

22

17

21



 

Notes: *Tests found no statistically different distributions from All Plans at p<.05.

Source: Kaiser Family Foundation/Health Research and Educational Trust, Employer Health Benefits, 2004 Annual Survey, September 2004, Exhibits 9.7 and 9.8, p. 120, at http://www.kff.org/insurance/7148/sections/ehbs04-9-7.cfm and http://www.kff.org/insurance/7148/sections/ehbs04-9-8.cfm.

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Section 4: Health Insurance Benefits
Pages: 1 2 3 4 5 6 7 8 9 10 11 12  < previous | next >
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Abstract
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Trends and Indicators in the Changing Health Care Marketplace
Information provided by the Health Care Marketplace Project.

Publication Number: 7031
Information Updated: 02/02/05

 

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