Parity and the use of out-of-network mental health benefits in the FEHB program

Health Aff (Millwood). 2008 Jan-Feb;27(1):w70-83. doi: 10.1377/hlthaff.27.1.w70. Epub 2007 Dec 18.

Abstract

Two current congressional bills mandate parity for benefits for mental disorders with benefits for medical/surgical conditions in private insurance when mental health benefits are provided; the bills differ in regard to benefit levels and access to out-of-network coverage. This study assessed clinicians' and beneficiaries' participation in managed care networks in the national capital area under the Federal Employees Health Benefits (FEHB) parity program. Approximately one-third of the clinicians studied participated in FEHB networks, and only 44 percent of FEHB patients received care from network clinicians. Out-of-network mental health benefits are an important policy consideration to ensure access to mental health treatment under parity proposals.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Federal Government
  • Government Agencies
  • Health Benefit Plans, Employee*
  • Humans
  • Insurance, Psychiatric / legislation & jurisprudence*
  • Managed Care Programs / economics*
  • Managed Care Programs / statistics & numerical data
  • Mental Disorders / economics*
  • Mental Disorders / therapy
  • Mental Health Services / economics*
  • Mental Health Services / statistics & numerical data
  • Middle Aged
  • United States