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Section IV: Insurance for Mental Health Care

Table 1. Frequency of MH/SA claimants
Type of Claimant Private
Sector
1995
Medicaid Medicare
(5% Sample)
1995
MI
1994
NJ
1994
PA
1995
WA
1994
Total MH/SA Claimants 133,937 173,877 79,997 179,797 56,313 173,528
   % of Total claimants 10.6% 18.6% 12.2% 17.9% 16.2% 11.2%
   % of Total enrollees 7.0% 15.9% 10.1% 14.9% 12.6% 9.6%
MH Only Claimants 120,270 121,138 57,825 144,062 39,511 147,330
   % of MH/SA claimants with only MH claims 89.8% 69.7% 72.3% 80.1% 70.2% 84.9%
SA Only Claimants 7,528 15,564 12,036 13,980 7,262 8,621
   % of MH/SA claimants with only SA claims 5.6% 9.0% 15.0% 7.8% 12.9% 5.0%
Dual MH/SA Claimants 4,062 8,490 5,977 11,374 3,810 6,800
   % of MH/SA claimants with both MH and SA claims 3.0% 4.9% 7.5% 6.3% 6.8% 3.9%
Total Claimants 1,260,799 936,539 657,082 1,004,698 348,169 1,554,739
   % of Total enrollees 66.1% 85.6% 83.2% 83.0% 78.2% 86.1%
Total Enrollees 1,908,316 1,093,760 789,291 1,210,217 445,204 1,805,872

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