What does parity mean?
par·i·ty
/ˈperədē/ noun
1. the state or condition of being equal, especially regarding status or pay....
/ˈperədē/ noun
1. the state or condition of being equal, especially regarding status or pay....
What does a mental health or substance use parity violation look like?
Longer delays.
"I can't get a mental health assessment appointment for 3 months, but I got an appointment for allergy testing in less than 1 week." |
More disconnects.
"As an emergency physician, I can send my patients right to the specialty care they need - EXCEPT to mental illness or substance use disorder care, because they don't exist." |
Extra disruptions.
"My doctor has to call my insurance company every 3 days so I can stay in alcohol treatment. No one ever made my cardiologist prove I still needed cardiac rehab." |
How do you compare insurance coverage for mental health and substance use services to medical / surgical services?
~ Co-pays, deductibles, & lifetime limits -
Pretty simple, the numbers match.
~ Nonquantitative Treatment Limits (NQTLs) -
More complicated, but just as important! Here are some examples:
> Finding mental health or substance use disorder care is harder, and getting that care takes longer.
> There are gaps in care, steps missing, or breaks in the system.
> Wait times for services are longer for mental health or substance use disorder care. There are fewer providers and
choices.
> There is more paperwork, prior authorization, basically hoops required to get and prove you need care.
Pretty simple, the numbers match.
~ Nonquantitative Treatment Limits (NQTLs) -
More complicated, but just as important! Here are some examples:
> Finding mental health or substance use disorder care is harder, and getting that care takes longer.
> There are gaps in care, steps missing, or breaks in the system.
> Wait times for services are longer for mental health or substance use disorder care. There are fewer providers and
choices.
> There is more paperwork, prior authorization, basically hoops required to get and prove you need care.