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Section IV: Insurance for Mental Health Care

Table 5. Frequency of MH/SA claimants by year
Total by Year Private
Sector
1995
Medicaid Medicare
(5% Sample)
1995
MI
1994
NJ
1994
PA
1995
WA
1994
Current year MH/SA claimants who are eligible in prior year 34,207 152,997 68,576 154,914 46,637 167,298
    % Current year MH/SA claimants with MH/SA claim in prior year 53.5% 59.8% 57.6% 61.7% 66.5% 48.8%
    % Current year MH/SA claimants with only non-MH/SA claims in prior year 35.7% 36.5% 36.8% 34.6% 30.1% 47.4%
    % Current year MH/SA claimants with no claims in prior year 10.8% 3.7% 5.6% 3.8% 3.5% 3.8%
Average payment per current year MH/SA claimant with no MH/SA claim in prior year $3,717 $4,578 $6,875 $6,079 $5,778 $13,224
Average payment per current year MH/SA claimant with an MH/SA claim in prior year $4,612 $9,598 $10,623 $8,801 $7,747 $9,506

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