Utilization and cost of mental illness coverage in the Federal Employees Health Benefits Program, 1973

E. C. Hustead, S. S. Sharfstein

Research output: Contribution to journalArticle

Abstract

The authors examine the utilization of mental illness benefits under the Blue Cross/Blue Shield and Aetna plans for federal employees;the latter plan sharply cut back its mental illness benefits in 1975. In 1973 mental illness benefits represented 7.4% of all payments under the Blues plan and 12% under the Aetna plan. The benefit for mental illness treatment under the Blues averaged $12.52 per person covered and was 7.3% of the total benefits for all conditions. Younger enrollees and their spouses tended to receive mental illness benefits primarily for outpatient treatment and children and older adults for hospitalization. These data raise key questions for claims review and peer review activities.

Original languageEnglish (US)
Pages (from-to)315-319
Number of pages5
JournalAmerican Journal of Psychiatry
Volume135
Issue number3
DOIs
StatePublished - Jan 1 1978

ASJC Scopus subject areas

  • Psychiatry and Mental health

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