HHID HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 6 Decimals: 0
..................................................................................
18167 000003-213479. Household Identification Number
PN RESPONDENT PERSON IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
..................................................................................
10033 010. Person Identifier
398 011. Person Identifier
10 012. Person Identifier
5516 020. Person Identifier
85 021. Person Identifier
5 022. Person Identifier
841 030. Person Identifier
31 031. Person Identifier
1 032. Person Identifier
1203 040. Person Identifier
42 041. Person Identifier
2 042. Person Identifier
HSUBHH 2002 SUB HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
..................................................................................
17305 0. Original sample household - no split from divorce or separation
of spouses or partners
456 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
339 2. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
17 5. Split household - one half of couple from SUBHH 1 or 2
2 6. Split household - one half of couple from SUBHH 1 or 2
48 7. Reunited household - respondents from split household reunite
GSUBHH 2000 SUB HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
..................................................................................
17490 0. Original sample household - no split from divorce or separation
of spouses or partners
356 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
275 2. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
11 5. Split household - one half of couple from SUBHH 1 or 2
1 6. Split household - one half of couple from SUBHH 1 or 2
34 7. Reunited household - respondents from split household reunite
HPN_SP 2002 SPOUSE/PARTNER PERSON NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
..................................................................................
5033 010. Person Identifier
371 011. Person Identifier
9 012. Person Identifier
4531 020. Person Identifier
78 021. Person Identifier
4 022. Person Identifier
720 030. Person Identifier
28 031. Person Identifier
2 032. Person Identifier
1034 040. Person Identifier
40 041. Person Identifier
3 042. Person Identifier
5 811. New Spouse of Non-Original Respondent
2 821. New Spouse of Non-Original Respondent
1 831. New Spouse of Non-Original Respondent
1 841. New Spouse of Non-Original Respondent
6305 Blank. INAP (Inapplicable)
HCSR 2002 WHETHER COVERSHEET RESPONDENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
..................................................................................
12350 1. YES
197 3. 2nd Coverscreen R, answers not retained
5620 5. NO
HFAMR 2002 WHETHER FAMILY RESPONDENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
..................................................................................
12347 1. Family R
12 3. 2nd Family R, answers not retained
5808 5. Non-Family R
HFINR 2002 WHETHER FINANCIAL RESPONDENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
..................................................................................
12319 1. Financial R
9 3. 2nd Financial R, answers not retained
5839 5. Non-Financial R
HN001 MEDICARE COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_GovCover.N001_ Ref 2000: G6238
The next questions are about health insurance, both public and private.
Medicare is a public health insurance program for people 65 or older and for
disabled persons. (Medicaid/STATE NAME FOR MEDICAID) is a public health
insurance program for people with low incomes.
Are you currently covered by Medicare health insurance?
..................................................................................
11299 1. YES
6818 5. NO
27 8. DK (Don't Know); NA (Not Ascertained)
10 9. RF (Refused)
13 Blank. INAP (Inapplicable)
Ask:
IF (((N001_ = YES) AND (piA019_RAge < 65)) OR ((N001_ <> YES) AND
((piA019_RAge > 65) OR (piA019_RAge = 65))))
HN002M1 WHY NOT MEDICARE COVERED
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_GovCover.N002_ Ref 2000: G6239M1
Why is that?
IWER: R IS [ELIGIBLE AGE], SO PROBE WHY R IS NOT COVERED BY MEDICARE
..................................................................................
602 1. R is disabled; R is on disability; Spouse on disability; R is
on Social Security disability or SSI
44 2. R has a specific medical problem. (E.g. If R says,'Disabled due
to medical condition,' code it as 02, not 01)
25 3. R has Medicare-NFS
1 4. R mentions has Part A and Part B of Medicare
2 5. R mentions has Part A of Medicare; the first half of Medicare
2 6. R mentions has Part B of Medicare; the second half of Medicare
1 7. R mentions a Medicare card or the mechanics of using it
8. R receives Medicare through a deceased spouse
71 9. R mentions his/her age in conjunction with having Medicare; R
has had Medicare since a certain age; R got Medicare 'early'
5 10. R pays into Medicare, but doesn't use it; R has Medicare, but
chooses not to use it
28 50. R never applied for Medicare or invested in it-NFS
7 51. R didn't work long enough to qualify for Medicare; R didn't
work enough quarters; R's spouse didn't work enough quarters to
qualify
18 52. R is still working (If R mentions other insurance coverage
through his/her employment, code the appropriate insurance
code only)
20 53. R never qualified for Medicare in his/her employment; R was in
the military/a federal employee/a postal worker etc.; R doesn't
get Social Security or Medicaid
3 54. R used to have Medicare-NFS; R had Medicare, but not now; R
dropped it
5 55. Medicare charges too much; Medicare too expensive for what you
receive
33 56. R will be on Medicare in the future; R not old enough to
qualify at present; R in the process of getting Medicare
57. R had Medicare through a deceased spouse and R no longer
receives it
58. R's spouse only receives Medicare
6 59. R is not familiar with Medicare; confusion about eligibility
14 70. R has other medical insurance/coverage-NFS
17 71. R has veteran's coverage or insurance; 'I'm covered by the VA'
8 72. R has federal employee/Postal Service insurance
10 73. R has private insurance; e.g. Cigna, Kaiser, Blue Cross/Blue
Shield
20 74. R is covered by Medicaid
37 75. R's spouse's medical insurance covers R
35 76. R covered under company health plan or health insurance; R
covered under former employer's health plan or health insurance
2 90. R mentions income level/group, home ownership, an economic
factor
7 91. R mentions Social Security; e.g. 'I have Social Security'(Note
that all mentions of SSI or disability go under codes 01 or 02)
20 92. R is not a U.S. citizen; R is an illegal alien; R lives
10 97. Other
41 98. DK (don't know); NA (not ascertained)
11 99. RF (refused)
17062 Blank. INAP (Inapplicable)
Ask:
IF (((N001_ = YES) AND (piA019_RAge < 65)) OR ((N001_ <> YES) AND
((piA019_RAge > 65) OR (piA019_RAge = 65))))
HN002M2 WHY NOT MEDICARE COVERED
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_GovCover.N002_ Ref 2000: G6239M1
Why is that?
IWER: R IS [ELIGIBLE AGE], SO PROBE WHY R IS NOT COVERED BY MEDICARE
..................................................................................
1 1. R is disabled; R is on disability; Spouse on disability; R is
on Social Security disability or SSI
2 2. R has a specific medical problem. (E.g. If R says,'Disabled due
to medical condition,' code it as 02, not 01)
3. R has Medicare-NFS
1 4. R mentions has Part A and Part B of Medicare
5. R mentions has Part A of Medicare; the first half of Medicare
6. R mentions has Part B of Medicare; the second half of Medicare
1 7. R mentions a Medicare card or the mechanics of using it
8. R receives Medicare through a deceased spouse
9. R mentions his/her age in conjunction with having Medicare; R
has had Medicare since a certain age; R got Medicare 'early'
3 10. R pays into Medicare, but doesn't use it; R has Medicare, but
chooses not to use it
50. R never applied for Medicare or invested in it-NFS
3 51. R didn't work long enough to qualify for Medicare; R didn't
work enough quarters; R's spouse didn't work enough quarters to
qualify
52. R is still working (If R mentions other insurance coverage
through his/her employment, code the appropriate insurance
code only)
2 53. R never qualified for Medicare in his/her employment; R was in
the military/a federal employee/a postal worker etc.; R doesn't
get Social Security or Medicaid
54. R used to have Medicare-NFS; R had Medicare, but not now; R
dropped it
4 55. Medicare charges too much; Medicare too expensive for what you
receive
2 56. R will be on Medicare in the future; R not old enough to
qualify at present; R in the process of getting Medicare
57. R had Medicare through a deceased spouse and R no longer
receives it
1 58. R's spouse only receives Medicare
59. R is not familiar with Medicare; confusion about eligibility
4 70. R has other medical insurance/coverage-NFS
3 71. R has veteran's coverage or insurance; 'I'm covered by the VA'
72. R has federal employee/Postal Service insurance
5 73. R has private insurance; e.g. Cigna, Kaiser, Blue Cross/Blue
Shield
1 74. R is covered by Medicaid
2 75. R's spouse's medical insurance covers R
2 76. R covered under company health plan or health insurance; R
covered under former employer's health plan or health insurance
90. R mentions income level/group, home ownership, an economic
factor
2 91. R mentions Social Security; e.g. 'I have Social Security'(Note
that all mentions of SSI or disability go under codes 01 or 02)
1 92. R is not a U.S. citizen; R is an illegal alien; R lives
2 97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
18125 Blank. INAP (Inapplicable)
Ask:
IF (N001_ = YES)
HN004 MEDICARE PART B COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_GovCover.N004_ Ref 2000: G6240
Part A of Medicare covers most hospital expenses. Part B covers many doctors
expenses including doctor visits, and the premium is usually deducted from
your Social Security. Are you covered under Part B of Medicare?
..................................................................................
10432 1. YES
615 5. NO
245 8. DK (Don't Know)
5 9. RF (Refused)
6870 Blank. INAP (Inapplicable)
HN005 MEDICAID COVERAGE SINCE PREV WAVE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_GovCover.N005_ Ref 2000: G6241
Have you been covered by health insurance through (Medicaid/[STATE NAME FOR
MEDICAID] or any other Medicaid program) at any time since [PREV WAVE IW
MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years)?
..................................................................................
1672 1. YES
16401 5. NO
64 8. DK (Don't Know)
16 9. RF (Refused)
14 Blank. INAP (Inapplicable)
Ask:
IF (N005_ = YES)
HN006 CURRENTLY COVERED BY MEDICAID
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_GovCover.N006_ Ref 2000: G6242
Are you currently covered by (Medicaid/[STATE NAME FOR MEDICAID])?
..................................................................................
1517 1. YES
149 5. NO
5 8. DK (Don't Know)
1 9. RF (Refused)
16495 Blank. INAP (Inapplicable)
HN007 CHAMPUS/CHAMPVA COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_GovCover.N007_ Ref 2000: G6251
Are you currently covered by TRI-CARE, CHAMPUS, CHAMP-VA, or any other
military health care plan?
DEF: (TRI-CARE is the new name for the military's health insurance programs.
It includes what used to be known as CHAMPUS and CHAMP-VA. CHAMPUS was a
health care program for active or retired military personnel and their
dependents or survivors. CHAMP-VA provided medical care for veterans and their
dependents or survivors of veterans who had a service-connected disability. VA
is not a health insurance program.)
..................................................................................
947 1. YES
17173 5. NO
17 8. DK (Don't Know)
16 9. RF (Refused)
14 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
HN009 MEDICARE/MEDICAID HMO
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N009_ Ref 2000: G6254
We are interested in how your (Medicare/(Medicaid/[STATE NAME FOR MEDICAID]))
health insurance works for routine care.
Do you receive your (Medicare/(Medicaid/[STATE NAME FOR MEDICAID])) benefits
through an HMO, that is a Health Maintenance Organization?
DEF: (With an HMO, the cost of the physician visit is typically covered in
full or you pay only a small amount. All of your routine care must be provided
by an HMO physician.)
..................................................................................
2332 1. YES
8676 5. NO
591 8. DK (Don't Know)
12 9. RF (Refused)
6556 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND ((piGovCoverN001_ = YES) AND (N009_ = YES))
HN243 HMO NEEDED FOR OTHER BENS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N243_
Did you have to join this HMO in order to receive supplemental benefits from
another plan?
..................................................................................
942 1. YES
1175 5. NO
128 8. DK (Don't Know)
1 9. RF (Refused)
15921 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
HN010 MEDICARE/MEDICAID HMO- HOW LONG - YRS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N010_ Ref 2000: G6255
About how long have you been receiving your (Medicare/(Medicaid/[STATE NAME
FOR MEDICAID])) benefits through this HMO?
YEARS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
2038 0 25 7.36 5.91 15973
-----------------------------------------------------------------
152 98. DK (Don't Know)
4 99. RF (Refused)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
AND ((N010_ = 0) OR N010_ = EMPTY)
HN011 MEDICARE/MEDICAID HMO- HOW LONG - MOS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N011_ Ref 2000: G6256
(About how long have you been receiving your (Medicare/(Medicaid/[STATE NAME
FOR MEDICAID])) benefits through this HMO?)
MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
152 0 34 5.91 5.59 17873
-----------------------------------------------------------------
141 98. DK (Don't Know)
1 99. RF (Refused)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ <> YES)
HN012 MEDICARE/MEDICAID HMO-HAS LIST OF DRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N012_HMOListDrs Ref 2000: G6334
Does this health insurance plan have a list or book of doctors that you are
encouraged or required to use?
..................................................................................
1073 1. YES
7918 5. NO
279 8. DK (Don't Know)
9 9. RF (Refused)
8888 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND ((N012_HMOListDrs = YES) OR (N009_ = YES))
HN013 MEDICARE/MEDICAID HMO-PAY DR NOT ON LIST
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N013_HMOPayMore Ref 2000: G6335
Does (this health insurance plan/the HMO) pay any of the costs of routine care
if you see a doctor who is not (on this list/in the HMO)?
..................................................................................
875 1. YES
670 2. YES, WITH A REFERRAL
1419 5. NO
439 8. DK (Don't Know)
2 9. RF (Refused)
14762 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
HN014 MEDICARE/MEDICAID HMO-AMT PAY
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N014_ Ref 2000: G6258
Not including co-pays or deductions from your Social Security, how much do
you, yourself, pay in premiums for this plan?
IWER: DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
6064 0-2400. Actual Value
773 9998. DK (Don't Know); NA (Not Ascertained)
38 9999. RF (Refused)
11292 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
AND (NOT (((N014_ = DONTKNOW) OR (N014_ = REFUSAL)) AND N015_ = EMPTY))
AND (((N014_ > 0) AND (N014_ <> REFUSAL)) AND (N014_ <> DONTKNOW))
HN018 MEDICARE/MEDICAID HMO-AMT PAY - PER
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N018_ Ref 2000: G6259
(Not including co-pays or deductions from your Social Security, how much do
you, yourself, pay for this plan?)
PER:
..................................................................................
1758 1. MONTH
77 2. QUARTER (EVERY 3 MONTHS)
6 3. SEMI-ANNUALLY (EVERY 6 MONTHS/TWICE A YEAR)
76 4. YEAR
16 7. OTHER (SPECIFY)
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16231 Blank. INAP (Inapplicable)
HN015 MEDICARE/MEDICAID HMO-AMT PAY - MIN
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N015_
N015_-N017_ Unfolding Sequence
Question text: Does it amount to less than $______per month, more than
$______per month, or what?
PROCEDURE: UNFM_2Up1Down
BREAKPOINTS: 15, 30, 60, 120
..................................................................................
495 0. Value of Breakpoint
9 15. Value of Breakpoint
32 16. Value of Breakpoint
65 30. Value of Breakpoint
118 31. Value of Breakpoint
27 60. Value of Breakpoint
37 61. Value of Breakpoint
14 120. Value of Breakpoint
17 121. Value of Breakpoint
17353 Blank. INAP (Inapplicable)
HN016 MEDICARE/MEDICAID HMO-AMT PAY - MAX
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N016_
..................................................................................
28 14. Value of Breakpoint
9 15. Value of Breakpoint
42 29. Value of Breakpoint
65 30. Value of Breakpoint
104 59. Value of Breakpoint
27 60. Value of Breakpoint
34 119. Value of Breakpoint
14 120. Value of Breakpoint
491 1200. Value of Breakpoint
17353 Blank. INAP (Inapplicable)
HN017 MEDICARE/MEDICAID HMO-AMT PAY - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N017_
..................................................................................
97. Data Not Available
452 98. DK (Don't Know); NA (Not Ascertained)
34 99. RF (Refused)
17681 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
HN020 LEFT MEDICARE HMO LAST TWO YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N020_
At any time since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE
IW YEAR]/(in the last two years), have you left an HMO that delivered Medicare
services?
..................................................................................
359 1. YES
6474 5. NO
35 8. DK (Don't Know)
3 9. RF (Refused)
11296 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
AND (N020_ = YES)
HN021M1 WHY LEAVE MEDICARE HMO- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N021M Ref 2000: G6376M1
Why did you leave that HMO?
[IWER: CHOOSE ALL THAT APPLY]
..................................................................................
14 1. OWN PHYSICIAN LEFT PLAN
98 2. HMO DIDN'T PROVIDE NEEDED SERVICES
70 3. HMO COSTS INCREASED; found cheaper plan
15 4. HMO ENCOURAGED ME TO LEAVE
16 5. Better coverage with new plan
91 6. Too far away from HMO; R moved; HMO not in region
10 10. Switched to Medicare
5 11. R retired, left, or changed jobs
1 12. Less convenient
28 13. Lost coverag; NFS
5 97. OTHER (SPECIFY)
6 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17808 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
AND (N020_ = YES)
HN021M2 WHY LEAVE MEDICARE HMO- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N021M Ref 2000: G6376M1
Why did you leave that HMO?
[IWER: CHOOSE ALL THAT APPLY]
..................................................................................
1 1. OWN PHYSICIAN LEFT PLAN
1 2. HMO DIDN'T PROVIDE NEEDED SERVICES
2 3. HMO COSTS INCREASED; found cheaper plan
4. HMO ENCOURAGED ME TO LEAVE
5. Better coverage with new plan
6. Too far away from HMO; R moved; HMO not in region
10. Switched to Medicare
11. R retired, left, or changed jobs
2 12. Less convenient
11 13. Lost coverag; NFS
3 97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18147 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
AND (N020_ = YES)
HN021M3 WHY LEAVE MEDICARE HMO- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N021M Ref 2000: G6376M1
Why did you leave that HMO?
[IWER: CHOOSE ALL THAT APPLY]
..................................................................................
1. OWN PHYSICIAN LEFT PLAN
2. HMO DIDN'T PROVIDE NEEDED SERVICES
3. HMO COSTS INCREASED; found cheaper plan
4. HMO ENCOURAGED ME TO LEAVE
5. Better coverage with new plan
6. Too far away from HMO; R moved; HMO not in region
10. Switched to Medicare
11. R retired, left, or changed jobs
12. Less convenient
13. Lost coverag; NFS
97. OTHER (SPECIFY)
98. DK (Don't Know)
99. RF (Refused)
18167 Blank. INAP (Inapplicable)
HN023 NUM PRIVATE HEALTH INS PLANS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN.N023_
Now, we'd like to ask about all the other types of health insurance plans you
might have, such as insurance through an employer or a business, coverage for
retirees, or health insurance you buy for yourself, including any (Medigap
or) other supplemental coverage. Do not include long-term care insurance .
Other than your Medicare HMO you've just told me about, how/, or anything that
you have just told me about. How many other such plans do you have?
IWER: ENTER ZERO FOR NONE
NUMBER OF PLANS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
18044 0 11 0.74 0.56 14
-----------------------------------------------------------------
66 98. DK (Don't Know); NA (Not Ascertained)
43 99. RF (Refused)
Ask:
IF (CNT <= N023_)
AND ((piGovCoverN001_ = YES) AND (CNT = 1))
HN025_1 WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N025_
Which is your primary plan, Medicare or [NAME OF FIRST PLAN] ?
..................................................................................
5999 1. MEDICARE
778 2. NAME OF PLAN (W22_1/N024_1)
75 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
11315 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN026_1 MEDIGAP PLAN LETTER- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N026_ Ref 2000: G6277
Many Medicare Supplemental or Medigap Plans are referred to by a plan letter.
Do you know the plan letter for your plan?
IWER: PROBE: What is it?
IWER: IF NO PLAN LETTER, ENTER 'Z'
ENTER LETTER (A-J):
..................................................................................
557 1. A
163 2. B
113 3. C
84 4. D
37 5. E
318 6. F
20 7. G
28 8. H
16 9. I
45 10. J
1760 95. Z, NO PLAN LETTER
2935 98. DK (Don't Know); NA (Not Ascertained)
10 99. RF (Refused)
12081 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN027_1 MEDIGAP HELP WITH COPAYMTS/DEDUCTIBLES-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N027_
Tell me how that plan works with Medicare. Does it provide help with
co-payments and deductibles for hospitalizations?
..................................................................................
5392 1. YES
363 5. NO
244 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
12168 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN028_1 MEDIGAP-HELP WITH SKILLED NURSING CARE-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N028_
(Does it provide help with...) paying for skilled nursing care?
..................................................................................
3525 1. YES
1260 5. NO
1213 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
12168 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN029_1 MEDIGAP-HELP PAY HOME HEALTH/HOSPICE- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N029_
(Does it provide help with...) paying for home health or hospice care?
..................................................................................
3009 1. YES
1631 5. NO
1355 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
12168 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN030_1 MEDIGAP-HELP PAY DR VISITS- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N030_
(Does it provide help with...) paying for doctor visits?
..................................................................................
5452 1. YES
373 5. NO
173 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
12168 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN031_1 MEDIGAP-HELP PAY FOR OUTPATIENT CARE- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N031_
(Does it provide help with...) paying for outpatient care?
..................................................................................
5199 1. YES
374 5. NO
425 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
12168 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN032_1 PRIVATE PLAN 1-3 HELP PAY REGULAR RX- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N032_
(Does it provide help with...) paying for regular prescription drugs?
..................................................................................
9188 1. YES
3100 5. NO
133 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
5743 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (piSecJWORKSTATUSJ020_WorkforPay = YES)
HN033_1 OBTAIN HI THRU CURRNT EMP/OWN BUSINESS-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N033_HowObtIns Ref 2000: G6269
Do you obtain this health insurance through your (own business or
professional organization/current employer)?
..................................................................................
2860 1. YES
2155 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
13148 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
HN034_1 OBTAIN INS THRU FORMER EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N034_
Do you obtain this health insurance through a former employer of yours?
..................................................................................
3162 1. YES
6383 5. NO
16 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
8603 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL))
HN035_1 OBTAIN INS THRU HWP CURRENT EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N035_
Do you obtain this health insurance through your (husband/wife/partner)'s
current employer?
..................................................................................
1388 1. YES
3088 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
13680 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL))
AND (N035_ <> YES)
HN036_1 OBTAIN INS THRU HWP FORMER EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N036_
Do you obtain this health insurance through your (husband/wife/partner)'s
former employer?
..................................................................................
1059 1. YES
2027 5. NO
13 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
15066 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((N035_ <> YES) AND (N036_ <> YES))
HN037_1 WHERE PURCHASE PRIVATE PLAN INSURANCE- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N037_
Did you purchase this plan directly from an insurance company, through your
(or your (husband/wife/partner]'s/or your) union, through a group such as
AARP, a church, or other organization, or what?
..................................................................................
2510 1. INSURANCE COMPANY
64 2. R`S UNION
14 3. SPOUSE`S UNION
635 4. GROUP
384 5. Former or deceased spouse's employer/union
275 7. OTHER (SPECIFY)
68 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
14211 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN039_1 PAY ALL/SOME/NONE PRIV PLAN HI COSTS- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N039_PayHlthInsCost Ref 2000: G6272
Including any help from your family, do you (or your (husband/wife/partner))
pay all of the costs, some of the costs, or none of the costs of the premium
for this health insurance coverage?
..................................................................................
6149 1. ALL
3531 2. SOME
2635 3. NONE
102 8. DK (Don't Know); NA (Not Ascertained)
8 9. RF (Refused)
5742 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
HN040_1 PRIV PLAN HI PAY PER/MONTH- AMT- 1
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N040_
How much do you (or your you/husband/wife/partner) pay every month in premiums
for this plan?
IWER: COUNT ANY PAYROLL DEDUCTIONS, BUT DO NOT INCLUDE ANY AMOUNT PAID BY THE
EMPLOYER)
DO NOT PROBE DK/RF
AMOUNT PER MONTH:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
7842 0 900 172.49 151.27 8377
-----------------------------------------------------------------
1857 998. DK (Don't Know)
91 999. RF (Refused)
HN041_1 PRIV PLAN HI PAY PER/MONTH- MIN- 1
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N041_
N041_-N043_ Unfolding Sequence
Question text: Does it amount to less than $______per month, more than
$______per month, or what?
PROCEDURE: UNFM_2UP1DOWN
BREAKPOINTS: 25, 50, 100, 150
..................................................................................
822 0. Value of Breakpoint
35 25. Value of Breakpoint
153 26. Value of Breakpoint
118 50. Value of Breakpoint
295 51. Value of Breakpoint
93 100. Value of Breakpoint
161 101. Value of Breakpoint
48 150. Value of Breakpoint
223 151. Value of Breakpoint
16219 Blank. INAP (Inapplicable)
HN042_1 PRIV PLAN HI PAY PER/MONTH- MAX- 1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_PlanDetails.N042_
..................................................................................
48 24. Value of Breakpoint
35 25. Value of Breakpoint
182 49. Value of Breakpoint
118 50. Value of Breakpoint
179 99. Value of Breakpoint
93 100. Value of Breakpoint
114 149. Value of Breakpoint
48 150. Value of Breakpoint
1131 1500. Value of Breakpoint
16219 Blank. INAP (Inapplicable)
HN043_1 PRIV PLAN HI PAY PER/MONTH- RESULT- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N043_
..................................................................................
97. Data Not Available
863 98. DK (Don't Know)
76 99. RF (Refused)
17228 Blank. INAP (Inapplicable)
Assign:
IF (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
AND (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))
OR NOT (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))))
AND (N037_ = OTH_SPECIFY
OR NOT (N037_ = OTH_SPECIFY))
HN046_1 BRANCHPNT-SOURCE OF HEALTH INSURANCE-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N046_ Ref 2000: G6271
..................................................................................
1888 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
652 2. INS THRU SOMEPLACE ELSE AT R15
7250 3. INS THRU CURRENT/FORMER EMPLOYER OR UNION
8377 Blank. INAP (Inapplicable)
Assign:
IF (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
AND (NOT (piGovCoverN001_ = YES)
OR piGovCoverN001_ = YES)
HN047_1 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N047_ Ref 2000: G6275
..................................................................................
5504 1. R IS COVERED BY MEDICARE
4286 2. ALL OTHERS
8377 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN048_1 PRIV PLAN HI- ANYONE ELSE COVERED- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N048_AnyElseCov Ref 2000: G6278
Besides you, is anyone else covered on this health insurance?
..................................................................................
6778 1. YES
5636 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
5743 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_1A PRIV PLAN HI- WHO COVERED- 1- 1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
446 041-990. Other Person Number
6255 991. R'S SPOUSE/PARTNER
6 993. ALL CHILDREN
7 994. ONE OR MORE GRANDCHILDREN
30 997. OTHER (SPECIFY); including ex-spouses; R's
employees
1 998. DK(Don't Know)
999. RF(Refused)
11422 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_1B PRIV PLAN HI- WHO COVERED- 1- 2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
314 041-990. Other Person Number
223 991. R'S SPOUSE/PARTNER
20 993. ALL CHILDREN
18 994. ONE OR MORE GRANDCHILDREN
9 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
17583 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_1C PRIV PLAN HI- WHO COVERED- 1- 3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
82 041-990. Other Person Number
78 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
2 994. ONE OR MORE GRANDCHILDREN
1 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18004 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_1D PRIV PLAN HI- WHO COVERED- 1- 4
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
22 041-990. Other Person Number
10 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
1 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18134 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_1E PRIV PLAN HI- WHO COVERED- 1- 5
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
4 041-990. Other Person Number
5 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
1 994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18157 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_1F PRIV PLAN HI- WHO COVERED- 1- 6
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
041-990. Other Person Number
991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND ((piRespondents1X065ACouplenss = MARRIED) AND ((N048_AnyElseCov = NO) OR
NOT (C91 IN puN049MWhoCov)))
HN051_1 PRIV HI- COULD SPOUSE BE COVERED- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N051_SPCoverage Ref 2000: G6332
Could you have obtained coverage for your spouse through this health insurance
plan?
..................................................................................
1151 1. YES
810 5. NO
77 8. DK (Don't Know)
4 9. RF (Refused)
16125 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN052_1 PRIVATE PLAN INSURANCE AN HMO- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N052_Plan1HMO Ref 2000: G6280
Is this plan an HMO, that is, a Health Maintenance Organization?
DEF: (With an HMO, the cost of the physician visit is typically covered in
full or you pay only a small amount. All of your routine care must be provided
by an HMO physician.)
..................................................................................
3242 1. YES
8801 5. NO
376 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
5744 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN053_1 NUMBER YEARS IN PLAN- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N053_NumYrPlan
How long have you been with this plan?
YEARS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
11175 0 50 13.91 13.04 6442
-----------------------------------------------------------------
537 98. DK (Don't Know); NA (Not Ascertained)
13 99. RF (Refused)
Ask:
IF (CNT <= N023_)
AND ((N053_NumYrPlan = 0) OR N053_NumYrPlan = EMPTY)
HN054_1 NUMBER MONTHS IN PLAN- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N054_NumMoPlan
(How long have you been with this plan?)
MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
725 1 12 5.05 2.98 16904
-----------------------------------------------------------------
526 98. DK (Don't Know)
12 99. RF (Refused)
Ask:
IF (CNT <= N023_)
HN055_1 PRIV PLAN HI- HAS LIST OF DRS- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N055_ListDoctor Ref 2000: G6281
Does this health insurance plan have a list or book of doctors that you are
encouraged or required to use?
..................................................................................
5835 1. YES
6436 5. NO
150 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
5744 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N055_ListDoctor = YES)
HN056_1 PLAN PAY FOR DOCTORS NOT ON LIST- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N056_DocNotList Ref 2000: G6282
Does this (health insurance plan/the HMO) pay any of the costs for routine
care if you see a doctor who is not (on this list/in the HMO)?
..................................................................................
2644 1. YES
1249 2. YES, WITH A REFERRAL
1422 5. NO
520 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
12332 Blank. INAP (Inapplicable)
Assign:
IF (CNT <= N023_)
AND ((piA019_RAge < 65) AND (N033_HowObtIns = YES)
OR NOT ((piA019_RAge < 65) AND (N033_HowObtIns = YES)))
AND ((piA019_RAge < 65) AND (N034_ = YES)
OR NOT ((piA019_RAge < 65) AND (N034_ = YES)))
HN058_1 PRIV HI FROM CUR/FOR EMP AND LESS 65- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N058_ Ref 2000: G6296
..................................................................................
2431 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
1029 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
8965 3. ALL OTHERS
5742 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND (piA019_RAge < 65)
HN059_1 EMPLOYER RETIREE COVERAGE UP TO 65- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N059_CovTo65 Ref 2000: G6297
(Can/If you left your current employer now, could) you continue this
insurance coverage for yourself up to the age of 65?
..................................................................................
1998 1. YES
1003 5. NO
255 8. DK (Don't Know)
2 9. RF (Refused)
14909 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND (piA019_RAge < 65)
AND (N059_CovTo65 = YES)
HN060_1 EMPLOYER RETIREE HI COVERAGE AFTER 65- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N060_EmpCovAft65 Ref 2000: G6298
(Does/If you left your current employer now, does) your employer offer some
type of health insurance coverage for you after the age of 65?
..................................................................................
1046 1. YES
748 5. NO
204 8. DK (Don't Know)
9. RF (Refused)
16169 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND ((piRespondents1X065ACouplenss = MARRIED) AND (piA019_RAge < 65))
HN062_1 EMP RETIREE HI COV FOR SP UP TO 65- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N062_CovSPTo65 Ref 2000: G6300
(Could your spouse be covered by this plan/If you left your current employer
now could you continue your current health insurance coverage for your spouse)
until (he/she) is age 65?
..................................................................................
1115 1. YES
996 5. NO
220 8. DK (Don't Know)
2 9. RF (Refused)
15834 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND ((piRespondents1X065ACouplenss = MARRIED) AND (piA019_RAge < 65))
AND (N062_CovSPTo65 = YES)
HN063_1 EMP RETIREE HI COV FOR SP AFTER 65- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N063_CovSPAft65 Ref 2000: G6301
(Does/If you left your current employer now, does) your employer offer some
type of health insurance coverage for your spouse after the age of 65?
..................................................................................
688 1. YES
328 5. NO
99 8. DK (Don't Know)
9. RF (Refused)
17052 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN066_1 LIMITS ON HI DUE TO PREEXISTING COND- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N066_LimitHlthIns Ref 2000: G6322
Are there any limits or restrictions on this health insurance plan due to a
preexisting condition?
..................................................................................
615 1. YES
11160 5. NO
645 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
5744 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND ((piGovCoverN001_ = YES) AND (CNT = 1))
HN025_2 WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N025_
Which is your primary plan, Medicare or [NAME OF FIRST PLAN] ?
..................................................................................
1. MEDICARE
2. NAME OF PLAN (W22_1/N024_1)
8. DK (Don't Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN026_2 MEDIGAP PLAN LETTER- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N026_ Ref 2000: G6277
Many Medicare Supplemental or Medigap Plans are referred to by a plan letter.
Do you know the plan letter for your plan?
IWER: PROBE: What is it?
IWER: IF NO PLAN LETTER, ENTER 'Z'
ENTER LETTER (A-J):
..................................................................................
1. A
2. B
3. C
4. D
5. E
6. F
7. G
8. H
9. I
10. J
95. Z, NO PLAN LETTER
98. DK (Don't Know)
99. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN027_2 MEDIGAP HELP WITH COPAYMTS/DEDUCTIBLES-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N027_
Tell me how that plan works with Medicare. Does it provide help with
co-payments and deductibles for hospitalizations?
..................................................................................
1. YES
5. NO
8. DK (Don't Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN028_2 MEDIGAP-HELP WITH SKILLED NURSING CARE-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N028_
(Does it provide help with...) paying for skilled nursing care?
..................................................................................
1. YES
5. NO
8. DK (Don't Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN029_2 MEDIGAP-HELP PAY HOME HEALTH/HOSPICE- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N029_
(Does it provide help with...) paying for home health or hospice care?
..................................................................................
1. YES
5. NO
8. DK (Don't Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN030_2 MEDIGAP-HELP PAY DR VISITS- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N030_
(Does it provide help with...) paying for doctor visits?
..................................................................................
1. YES
5. NO
8. DK (Don't Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN031_2 MEDIGAP-HELP PAY FOR OUTPATIENT CARE- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N031_
(Does it provide help with...) paying for outpatient care?
..................................................................................
1. YES
5. NO
8. DK (Don't Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN032_2 PRIVATE PLAN 1-3 HELP PAY REGULAR RX- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N032_
(Does it provide help with...) paying for regular prescription drugs?
..................................................................................
405 1. YES
312 5. NO
29 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
17418 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (piSecJWORKSTATUSJ020_WorkforPay = YES)
HN033_2 OBTAIN HI THRU CURRNT EMP/OWN BUSINESS-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N033_HowObtIns Ref 2000: G6269
Do you obtain this health insurance through your (own business or
professional organization/current employer)?
..................................................................................
117 1. YES
255 5. NO
8. DK (Don't Know)
9. RF (Refused)
17795 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
HN034_2 OBTAIN INS THRU FORMER EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N034_
Do you obtain this health insurance through a former employer of yours?
..................................................................................
163 1. YES
464 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
17535 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL))
HN035_2 OBTAIN INS THRU HWP CURRENT EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N035_
Do you obtain this health insurance through your (husband/wife/partner)'s
current employer?
..................................................................................
137 1. YES
236 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17792 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL))
AND (N035_ <> YES)
HN036_2 OBTAIN INS THRU HWP FORMER EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N036_
Do you obtain this health insurance through your (husband/wife/partner)'s
former employer?
..................................................................................
80 1. YES
156 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17929 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((N035_ <> YES) AND (N036_ <> YES))
HN037_2 WHERE PURCHASE PRIVATE PLAN INSURANCE- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N037_
Did you purchase this plan directly from an insurance company, through your
(or your (husband/wife/partner]'s/or your) union, through a group such as
AARP, a church, or other organization, or what?
..................................................................................
130 1. INSURANCE COMPANY
6 2. R`S UNION
3. SPOUSE`S UNION
64 4. GROUP
11 5. Former or deceased spouse's employer/union
29 7. OTHER (SPECIFY)
5 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
17918 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN039_2 PAY ALL/SOME/NONE PRIV PLAN HI COSTS- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N039_PayHlthInsCost Ref 2000: G6272
Including any help from your family, do you (or your (husband/wife/partner))
pay all of the costs, some of the costs, or none of the costs of the premium
for this health insurance coverage?
..................................................................................
374 1. ALL
159 2. SOME
198 3. NONE
14 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
17418 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
HN040_2 PRIV PLAN HI PAY PER/MONTH- AMT- 2
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N040_
How much do you (or your you/husband/wife/partner) pay every month in premiums
for this plan?
IWER: COUNT ANY PAYROLL DEDUCTIONS, BUT DO NOT INCLUDE ANY AMOUNT PAID BY THE
EMPLOYER)
DO NOT PROBE DK/RF
AMOUNT PER MONTH:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
417 0 500 79.57 96.43 17616
-----------------------------------------------------------------
124 998. DK (Don't Know)
10 999. RF (Refused)
HN041_2 PRIV PLAN HI PAY PER/MONTH- MIN- 2
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N041_
N041_-N043_ Unfolding Sequence
Question text: Does it amount to less than $______per month, more than
$______per month, or what?
PROCEDURE: UNFM_2UP1DOWN
BREAKPOINTS: 25, 50, 100, 150
..................................................................................
83 0. Value of Breakpoint
5 25. Value of Breakpoint
10 26. Value of Breakpoint
7 50. Value of Breakpoint
17 51. Value of Breakpoint
3 100. Value of Breakpoint
5 101. Value of Breakpoint
3 150. Value of Breakpoint
1 151. Value of Breakpoint
18033 Blank. INAP (Inapplicable)
HN042_2 PRIV PLAN HI PAY PER/MONTH- MAX- 2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_PlanDetails.N042_
..................................................................................
20 24. Value of Breakpoint
5 25. Value of Breakpoint
14 49. Value of Breakpoint
7 50. Value of Breakpoint
11 99. Value of Breakpoint
3 100. Value of Breakpoint
2 149. Value of Breakpoint
3 150. Value of Breakpoint
69 1500. Value of Breakpoint
18033 Blank. INAP (Inapplicable)
HN043_2 PRIV PLAN HI PAY PER/MONTH- RESULT- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N043_
..................................................................................
97. Data Not Available
62 98. DK (Don't Know)
10 99. RF (Refused)
18095 Blank. INAP (Inapplicable)
Assign:
IF (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
AND (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))
OR NOT (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))))
AND (N037_ = OTH_SPECIFY
OR NOT (N037_ = OTH_SPECIFY))
HN046_2 BRANCHPNT-SOURCE OF HEALTH INSURANCE-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N046_ Ref 2000: G6271
..................................................................................
141 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
44 2. INS THRU SOMEPLACE ELSE AT R15
366 3. INS THRU CURRENT/FORMER EMPLOYER OR UNION
17616 Blank. INAP (Inapplicable)
Assign:
IF (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
AND (NOT (piGovCoverN001_ = YES)
OR piGovCoverN001_ = YES)
HN047_2 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N047_ Ref 2000: G6275
..................................................................................
247 1. R IS COVERED BY MEDICARE
304 2. ALL OTHERS
17616 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN048_2 PRIV PLAN HI- ANYONE ELSE COVERED- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N048_AnyElseCov Ref 2000: G6278
Besides you, is anyone else covered on this health insurance?
..................................................................................
471 1. YES
275 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
17418 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_2A PRIV PLAN HI- WHO COVERED- 2- 1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
34 041-990. Other Person Number
430 991. R'S SPOUSE/PARTNER
1 993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
4 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
1 999. RF(Refused)
17697 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_2B PRIV PLAN HI- WHO COVERED- 2- 2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
23 041-990. Other Person Number
15 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
1 994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18128 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_2C PRIV PLAN HI- WHO COVERED- 2- 3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
6 041-990. Other Person Number
10 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18151 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_2D PRIV PLAN HI- WHO COVERED- 2- 4
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
041-990. Other Person Number
991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND ((piRespondents1X065ACouplenss = MARRIED) AND ((N048_AnyElseCov = NO) OR
NOT (C91 IN puN049MWhoCov)))
HN051_2 PRIV HI- COULD SPOUSE BE COVERED- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N051_SPCoverage Ref 2000: G6332
Could you have obtained coverage for your spouse through this health insurance
plan?
..................................................................................
56 1. YES
51 5. NO
4 8. DK (Don't Know)
2 9. RF (Refused)
18054 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN052_2 PRIVATE PLAN INSURANCE AN HMO- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N052_Plan1HMO Ref 2000: G6280
Is this plan an HMO, that is, a Health Maintenance Organization?
DEF: (With an HMO, the cost of the physician visit is typically covered in
full or you pay only a small amount. All of your routine care must be provided
by an HMO physician.)
..................................................................................
108 1. YES
608 5. NO
27 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
17418 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN053_2 NUMBER YEARS IN PLAN- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N053_NumYrPlan
How long have you been with this plan?
YEARS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
671 1 50 14.08 11.68 17454
-----------------------------------------------------------------
36 98. DK (Don't Know); NA (Not Ascertained)
6 99. RF (Refused)
Ask:
IF (CNT <= N023_)
AND ((N053_NumYrPlan = 0) OR N053_NumYrPlan = EMPTY)
HN054_2 NUMBER MONTHS IN PLAN- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N054_NumMoPlan
(How long have you been with this plan?)
MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
37 1 11 4.95 2.67 18090
-----------------------------------------------------------------
34 98. DK (Don't Know)
6 99. RF (Refused)
Ask:
IF (CNT <= N023_)
HN055_2 PRIV PLAN HI- HAS LIST OF DRS- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N055_ListDoctor Ref 2000: G6281
Does this health insurance plan have a list or book of doctors that you are
encouraged or required to use?
..................................................................................
197 1. YES
524 5. NO
22 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
17418 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N055_ListDoctor = YES)
HN056_2 PLAN PAY FOR DOCTORS NOT ON LIST- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N056_DocNotList Ref 2000: G6282
Does this (health insurance plan/the HMO) pay any of the costs for routine
care if you see a doctor who is not (on this list/in the HMO)?
..................................................................................
98 1. YES
32 2. YES, WITH A REFERRAL
49 5. NO
19 8. DK (Don't Know)
9. RF (Refused)
17969 Blank. INAP (Inapplicable)
Assign:
IF (CNT <= N023_)
AND ((piA019_RAge < 65) AND (N033_HowObtIns = YES)
OR NOT ((piA019_RAge < 65) AND (N033_HowObtIns = YES)))
AND ((piA019_RAge < 65) AND (N034_ = YES)
OR NOT ((piA019_RAge < 65) AND (N034_ = YES)))
HN058_2 PRIV HI FROM CUR/FOR EMP AND LESS 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N058_ Ref 2000: G6296
..................................................................................
105 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
53 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
591 3. ALL OTHERS
17418 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND (piA019_RAge < 65)
HN059_2 EMPLOYER RETIREE COVERAGE UP TO 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N059_CovTo65 Ref 2000: G6297
(Can/If you left your current employer now, could) you continue this
insurance coverage for yourself up to the age of 65?
..................................................................................
96 1. YES
41 5. NO
14 8. DK (Don't Know)
9. RF (Refused)
18016 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND (piA019_RAge < 65)
AND (N059_CovTo65 = YES)
HN060_2 EMPLOYER RETIREE HI COVERAGE AFTER 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N060_EmpCovAft65 Ref 2000: G6298
(Does/If you left your current employer now, does) your employer offer some
type of health insurance coverage for you after the age of 65?
..................................................................................
41 1. YES
42 5. NO
13 8. DK (Don't Know)
9. RF (Refused)
18071 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND ((piRespondents1X065ACouplenss = MARRIED) AND (piA019_RAge < 65))
HN062_2 EMP RETIREE HI COV FOR SP UP TO 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N062_CovSPTo65 Ref 2000: G6300
(Could your spouse be covered by this plan/If you left your current employer
now could you continue your current health insurance coverage for your spouse)
until (he/she) is age 65?
..................................................................................
51 1. YES
48 5. NO
10 8. DK (Don't Know)
9. RF (Refused)
18058 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND ((piRespondents1X065ACouplenss = MARRIED) AND (piA019_RAge < 65))
AND (N062_CovSPTo65 = YES)
HN063_2 EMP RETIREE HI COV FOR SP AFTER 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N063_CovSPAft65 Ref 2000: G6301
(Does/If you left your current employer now, does) your employer offer some
type of health insurance coverage for your spouse after the age of 65?
..................................................................................
24 1. YES
19 5. NO
8 8. DK (Don't Know)
9. RF (Refused)
18116 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN066_2 LIMITS ON HI DUE TO PREEXISTING COND- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N066_LimitHlthIns Ref 2000: G6322
Are there any limits or restrictions on this health insurance plan due to a
preexisting condition?
..................................................................................
42 1. YES
668 5. NO
33 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
17418 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND ((piGovCoverN001_ = YES) AND (CNT = 1))
HN025_3 WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N025_
Which is your primary plan, Medicare or [NAME OF FIRST PLAN] ?
..................................................................................
1. MEDICARE
2. NAME OF PLAN (W22_1/N024_1)
8. DK (Don't Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN026_3 MEDIGAP PLAN LETTER- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N026_ Ref 2000: G6277
Many Medicare Supplemental or Medigap Plans are referred to by a plan letter.
Do you know the plan letter for your plan?
IWER: PROBE: What is it?
IWER: IF NO PLAN LETTER, ENTER 'Z'
ENTER LETTER (A-J):
..................................................................................
1. A
2. B
3. C
4. D
5. E
6. F
7. G
8. H
9. I
10. J
95. Z, NO PLAN LETTER
98. DK (Don't Know)
99. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN027_3 MEDIGAP HELP WITH COPAYMTS/DEDUCTIBLES-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N027_
Tell me how that plan works with Medicare. Does it provide help with
co-payments and deductibles for hospitalizations?
..................................................................................
1. YES
5. NO
8. DK (Don't Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN028_3 MEDIGAP-HELP WITH SKILLED NURSING CARE-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N028_
(Does it provide help with...) paying for skilled nursing care?
..................................................................................
1. YES
5. NO
8. DK (Don't Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN032_3 PRIVATE PLAN 1-3 HELP PAY REGULAR RX- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N032_
(Does it provide help with...) paying for regular prescription drugs?
..................................................................................
16 1. YES
48 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
18095 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (piSecJWORKSTATUSJ020_WorkforPay = YES)
HN033_3 OBTAIN HI THRU CURRNT EMP/OWN BUSINESS-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N033_HowObtIns Ref 2000: G6269
Do you obtain this health insurance through your (own business or
professional organization/current employer)?
..................................................................................
14 1. YES
15 5. NO
1 8. DK (Don't Know)
9. RF (Refused)
18137 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
HN034_3 OBTAIN INS THRU FORMER EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N034_
Do you obtain this health insurance through a former employer of yours?
..................................................................................
14 1. YES
39 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
18109 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL))
HN035_3 OBTAIN INS THRU HWP CURRENT EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N035_
Do you obtain this health insurance through your (husband/wife/partner)'s
current employer?
..................................................................................
4 1. YES
27 5. NO
8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
18134 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL))
AND (N035_ <> YES)
HN036_3 OBTAIN INS THRU HWP FORMER EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N036_
Do you obtain this health insurance through your (husband/wife/partner)'s
former employer?
..................................................................................
6 1. YES
21 5. NO
8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
18138 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((N035_ <> YES) AND (N036_ <> YES))
HN037_3 WHERE PURCHASE PRIVATE PLAN INSURANCE- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N037_
Did you purchase this plan directly from an insurance company, through your
(or your (husband/wife/partner]'s/or your) union, through a group such as
AARP, a church, or other organization, or what?
..................................................................................
18 1. INSURANCE COMPANY
1 2. R`S UNION
3. SPOUSE`S UNION
2 4. GROUP
2 5. Former or deceased spouse's employer/union
3 7. OTHER (SPECIFY)
2 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
18135 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN039_3 PAY ALL/SOME/NONE PRIV PLAN HI COSTS-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N039_PayHlthInsCost Ref 2000: G6272
Including any help from your family, do you (or your (husband/wife/partner))
pay all of the costs, some of the costs, or none of the costs of the premium
for this health insurance coverage?
..................................................................................
40 1. ALL
10 2. SOME
18 3. NONE
1 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
18095 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
HN040_3 PRIV PLAN HI PAY PER/MONTH- AMT- 3
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N040_
How much do you (or your you/husband/wife/partner) pay every month in premiums
for this plan?
IWER: COUNT ANY PAYROLL DEDUCTIONS, BUT DO NOT INCLUDE ANY AMOUNT PAID BY THE
EMPLOYER)
DO NOT PROBE DK/RF
AMOUNT PER MONTH:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
35 0 565 52.77 98.67 18113
-----------------------------------------------------------------
14 998. DK (Don't Know)
5 999. RF (Refused)
HN041_3 PRIV PLAN HI PAY PER/MONTH- MIN- 3
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N041_
N041_-N043_ Unfolding Sequence
Question text: Does it amount to less than $______per month, more than
$______per month, or what?
PROCEDURE: UNFM_2UP1DOWN
BREAKPOINTS: 25, 50, 100, 150
..................................................................................
13 0. Value of Breakpoint
1 25. Value of Breakpoint
4 26. Value of Breakpoint
1 101. Value of Breakpoint
18148 Blank. INAP (Inapplicable)
HN042_3 PRIV PLAN HI PAY PER/MONTH- MAX- 3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_PlanDetails.N042_
..................................................................................
2 24. Value of Breakpoint
1 25. Value of Breakpoint
4 49. Value of Breakpoint
99. Value of Breakpoint
1 149. Value of Breakpoint
11 1500. Value of Breakpoint
18148 Blank. INAP (Inapplicable)
HN043_3 PRIV PLAN HI PAY PER/MONTH- RESULT- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N043_
..................................................................................
97. Data Not Available
6 98. DK (Don't Know)
5 99. RF (Refused)
18156 Blank. INAP (Inapplicable)
Assign:
IF (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
AND (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))
OR NOT (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))))
AND (N037_ = OTH_SPECIFY
OR NOT (N037_ = OTH_SPECIFY))
HN046_3 BRANCHPNT-SOURCE OF HEALTH INSURANCE- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N046_ Ref 2000: G6271
..................................................................................
7 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
4 2. INS THRU SOMEPLACE ELSE AT R15
43 3. INS THRU CURRENT/FORMER EMPLOYER OR UNION
18113 Blank. INAP (Inapplicable)
Assign:
IF (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
AND (NOT (piGovCoverN001_ = YES)
OR piGovCoverN001_ = YES)
HN047_3 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N047_ Ref 2000: G6275
..................................................................................
23 1. R IS COVERED BY MEDICARE
31 2. ALL OTHERS
18113 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN048_3 PRIV PLAN HI- ANYONE ELSE COVERED- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N048_AnyElseCov Ref 2000: G6278
Besides you, is anyone else covered on this health insurance?
..................................................................................
41 1. YES
29 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
18095 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_3A PRIV PLAN HI- WHO COVERED- 3- 1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
7 041-990. Other Person Number
33 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18127 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_3B PRIV PLAN HI- WHO COVERED- 3- 2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
3 041-990. Other Person Number
3 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18161 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_3C PRIV PLAN HI- WHO COVERED- 3- 2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
041-990. Other Person Number
2 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18165 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_3D PRIV PLAN HI- WHO COVERED- 3- 4
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
041-990. Other Person Number
991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND ((piRespondents1X065ACouplenss = MARRIED) AND ((N048_AnyElseCov = NO) OR
NOT (C91 IN puN049MWhoCov)))
HN051_3 PRIV HI- COULD SPOUSE BE COVERED- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N051_SPCoverage Ref 2000: G6332
Could you have obtained coverage for your spouse through this health insurance
plan?
..................................................................................
3 1. YES
9 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
18151 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN052_3 PRIVATE PLAN INSURANCE AN HMO- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N052_Plan1HMO Ref 2000: G6280
Is this plan an HMO, that is, a Health Maintenance Organization?
DEF: (With an HMO, the cost of the physician visit is typically covered in
full or you pay only a small amount. All of your routine care must be provided
by an HMO physician.)
..................................................................................
5 1. YES
60 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
18095 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN053_3 NUMBER YEARS IN PLAN- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N053_NumYrPlan
How long have you been with this plan?
YEARS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
61 0 50 13.05 11.19 18097
-----------------------------------------------------------------
5 98. DK (Don't Know); NA (Not Ascertained)
4 99. RF (Refused)
Ask:
IF (CNT <= N023_)
AND ((N053_NumYrPlan = 0) OR N053_NumYrPlan = EMPTY)
HN054_3 NUMBER MONTHS IN PLAN- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N054_NumMoPlan
(How long have you been with this plan?)
MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
14 3 9 7.29 2.05 18153
-----------------------------------------------------------------
4 3-7. Actual Value
6 98. DK (Don't Know)
4 99. RF (Refused)
18153 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN055_3 PRIV PLAN HI- HAS LIST OF DRS- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N055_ListDoctor Ref 2000: G6281
Does this health insurance plan have a list or book of doctors that you are
encouraged or required to use?
..................................................................................
10 1. YES
55 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
18095 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N055_ListDoctor = YES)
HN056_3 PLAN PAY FOR DOCTORS NOT ON LIST- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: