==========================================================================================
Section N: HEALTH SERVICES AND INSURANCE (Respondent)
==========================================================================================
HHID HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 6 Decimals: 0
.................................................................................
18469 000003-502761. Household Identification Number
==========================================================================================
PN RESPONDENT PERSON IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
.................................................................................
9988 010. Person Identifier
532 011. Person Identifier
22 012. Person Identifier
1 013. Person Identifier
5869 020. Person Identifier
141 021. Person Identifier
7 022. Person Identifier
733 030. Person Identifier
41 031. Person Identifier
3 032. Person Identifier
1077 040. Person Identifier
53 041. Person Identifier
2 042. Person Identifier
==========================================================================================
KSUBHH 2006 SUB HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
.................................................................................
17394 0. Original sample household - no split from divorce or
separation of spouses or partners
557 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
405 2. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
37 5. Split household - one half of couple from SUBHH 1 or 2
6 6. Split household - one half of couple from SUBHH 1 or 2
69 7. Reunited household - respondents from split household
reunite
1 8. Split household - one half of couple from SUBHH 1 or 2
==========================================================================================
JSUBHH 2004 SUB HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
.................................................................................
17557 0. Original sample household - no split from divorce or
separation of spouses or partners
465 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
355 2. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
29 5. Split household - one half of couple from SUBHH 1 or 2
3 6. Split household - one half of couple from SUBHH 1 or 2
60 7. Reunited household - respondents from split household
reunite
==========================================================================================
KPN_SP 2006 SPOUSE/PARTNER PERSON NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
.................................................................................
5195 010. Person Identifier
460 011. Person Identifier
16 012. Person Identifier
1 013. Person Identifier
4670 020. Person Identifier
120 021. Person Identifier
5 022. Person Identifier
583 030. Person Identifier
36 031. Person Identifier
3 032. Person Identifier
879 040. Person Identifier
47 041. Person Identifier
2 042. Person Identifier
21 811. Spouse of Non-Original Respondent
2 812. Spouse of Non-Original Respondent
5 821. Spouse of Non-Original Respondent
2 831. Spouse of Non-Original Respondent
2 841. Spouse of Non-Original Respondent
6420 Blank. INAP (Inapplicable); Partial Interview; Single R Household
==========================================================================================
KCSR 2006 WHETHER COVERSHEET RESPONDENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
.................................................................................
12605 1. Yes
5864 5. No
==========================================================================================
KFAMR 2006 WHETHER FAMILY RESPONDENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
.................................................................................
12513 1. Family R
5956 5. Non-Family R
==========================================================================================
KFINR 2006 WHETHER FINANCIAL RESPONDENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
.................................................................................
12558 1. Financial R
5911 5. Non-Financial R
==========================================================================================
KN001 MEDICARE COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N001_
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?
.................................................................................
11575 1. YES
6845 5. NO
32 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
13 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
KN002M1 WHY NOT MEDICARE COVERED-1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N002_
Why is that?
INTERVIEWER: R IS AGE ([See Blaise Specifications for
piSecAContinuInterviewA019_RAge assignment]), SO PROBE WHY R IS (NOT) COVERED
BY MEDICARE
.................................................................................
488 1. R is disabled; R is on disability; Spouse on disability; R
is on Social Security disability or SSI
87 2. R has a specific medical problem. (E.g. If R says; 'Disabled
due to medical condition,' code it as 02, not 01)
26 3. R has Medicare-NFS
2 4. R mentions has Part A and Part B of Medicare
7 5. R mentions has Part A of Medicare; the first half of
Medicare
1 6. R mentions has Part B of Medicare; the second half of
Medicare
7. R mentions a Medicare card or the mechanics of using it
8. R receives Medicare through a deceased spouse
12 9. R mentions his/her age in conjunction with having Medicare;
R has had Medicare since a certain age; R got Medicare
'early'
1 10. R pays into Medicare, but doesn't use it; R has Medicare,
but chooses not to use it
24 50. R never applied for Medicare or invested in it-NFS
16 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
12 52. R is still working (If R mentions other insurance coverage
through his/her employment, code the appropriate insurance
code only)
16 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
32 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
3 59. R is not familiar with Medicare; confusion about eligibility
17 70. R has other medical insurance/coverage-NFS
16 71. R has veteran's coverage or insurance; 'I'm covered by the
VA'
11 72. R has federal employee/Postal Service insurance
22 73. R has private insurance; e.g. Cigna, Kaiser, Blue Cross/Blue
Shield
23 74. R is covered by Medicaid
43 75. R's spouse's medical insurance covers R
79 76. R covered under company health plan or health insurance; R
covered under former employer's health plan or health
insurance
5 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)
26 92. R is not a U.S. citizen; R is an illegal alien; R lives
outside the USA
9 93. R doesn't need it - NFS
94. R "used it up"
1 95. R disputes age calculation
2 97. Other
43 98. DK (don't know); NA (not ascertained)
5 99. RF (refused)
17425 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
KN002M2 WHY NOT MEDICARE COVERED-2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N002_
Why is that?
INTERVIEWER: R IS AGE ([See Blaise Specifications for
piSecAContinuInterviewA019_RAge assignment]), SO PROBE WHY R IS (NOT) COVERED
BY MEDICARE
.................................................................................
7 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
4 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
2 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'
10. R pays into Medicare, but doesn't use it; R has Medicare,
but chooses not to use it
2 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
1 54. R used to have Medicare-NFS; R had Medicare, but not now; R
dropped it
1 55. Medicare charges too much; Medicare too expensive for what
you receive
3 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
2 59. R is not familiar with Medicare; confusion about eligibility
3 70. R has other medical insurance/coverage-NFS
1 71. R has veteran's coverage or insurance; 'I'm covered by the
VA'
72. R has federal employee/Postal Service insurance
1 73. R has private insurance; e.g. Cigna, Kaiser, Blue Cross/Blue
Shield
4 74. R is covered by Medicaid
1 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
2 90. R mentions income level/group, home ownership, an economic
factor
1 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)
92. R is not a U.S. citizen; R is an illegal alien; R lives
outside the USA
93. R doesn't need it - NFS
94. R "used it up"
18 95. R disputes age calculation
97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
18407 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN004 MEDICARE PART B COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N004_
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?
.................................................................................
10812 1. YES
542 5. NO
218 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
6894 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN352 SIGNED UP MEDICARE RX COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N352_
Beginning in 2006, Part D of Medicare provides coverage for prescription drugs.
Did you sign up to receive Medicare prescription drug coverage in 2006?
User Note: Respondents who report being covered by Medicaid at KN006 may not
report signing up for Medicare Part D at this variable. However, all Medicaid
recipients are automatically enrolled in Medicare Part D. Therefore, there may
be some inconsistencies in the follow up variables.
.................................................................................
4130 1. YES
737 3. [VOL] ENROLLED IN IT AUTOMATICALLY
6481 5. NO
224 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
6894 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
*Assign N394_ChooseEnrolled := EnrolledAutomatic:
IF N001_ = YES;
IF N352_ = EnrolledAutomatic;
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
IF N352_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN394 WHO CHOSE MEDICARE RX PLAN
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N394_ChooseEnrolled
When you first enrolled, did you choose your own plan, did someone you know
choose it for you, or were you enrolled in it automatically?
.................................................................................
2499 1. CHOSE PLAN
757 2. SOMEONE ELSE CHOSE
1583 3. [VOL] ENROLLED IN IT AUTOMATICALLY
27 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
13603 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
IF N352_ = YES;
IF (N394_ChooseEnrolled = Choseplan) OR (N394_ChooseEnrolled =
SomeoneElseChose);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN395 MONTH SIGN UP FOR RX COVERAGE
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N395_MonthSignupD
About when did you sign up (for the new Medicare prescription drug coverage)?
Month:
Year:
.................................................................................
724 1. JAN
322 2. FEB
276 3. MAR
354 4. APR
354 5. MAY
44 6. JUN
19 7. JUL
20 8. AUG
27 9. SEP
62 10. OCT
302 11. NOV
482 12. DEC
272 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
15211 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
IF N352_ = YES;
IF (N394_ChooseEnrolled = Choseplan) OR (N394_ChooseEnrolled =
SomeoneElseChose);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN396 YEAR SIGN UP FOR RX COVERAGE
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.GovCover.N396_YearSignupD
About when did you sign up (for the new Medicare prescription drug coverage)?
Month: [Year Sign up for prescription coverage]
Year:
.................................................................................
3192 1985-2007. Actual Value
66 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
15211 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
IF N352_ = YES;
IF (N394_ChooseEnrolled = Choseplan) OR (N394_ChooseEnrolled =
SomeoneElseChose);
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN397M1 RESOURCES USED FOR RX COVERAGE - 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N397MResourcesUsed[1]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about which plan to choose?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
371 1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
184 2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
331 3. INFORMATION FROM PREVIOUS DRUG PLAN
535 4. INFORMATION RECEIVED FROM PART D PLANS
108 5. FINANCIAL ADVISOR OR ACCOUNTANT
368 6. PHARMACIST
18 7. ON-LINE TOOLS SPONSORED BY PART D PLANS
228 8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
252 9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
44 10. WORD OF MOUTH
25 11. PLAN REPUTATION
53 12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
392 20. DID NOT USE ANY RESOURCES
84 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
15475 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
IF N352_ = YES;
IF (N394_ChooseEnrolled = Choseplan) OR (N394_ChooseEnrolled =
SomeoneElseChose);
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN397M2 RESOURCES USED FOR RX COVERAGE - 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N397MResourcesUsed[2]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about which plan to choose?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
27 1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
88 2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
95 3. INFORMATION FROM PREVIOUS DRUG PLAN
210 4. INFORMATION RECEIVED FROM PART D PLANS
35 5. FINANCIAL ADVISOR OR ACCOUNTANT
91 6. PHARMACIST
23 7. ON-LINE TOOLS SPONSORED BY PART D PLANS
61 8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
96 9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
17 10. WORD OF MOUTH
11 11. PLAN REPUTATION
32 12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
20. DID NOT USE ANY RESOURCES
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17683 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
IF N352_ = YES;
IF (N394_ChooseEnrolled = Choseplan) OR (N394_ChooseEnrolled =
SomeoneElseChose);
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN397M3 RESOURCES USED FOR RX COVERAGE - 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N397MResourcesUsed[3]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about which plan to choose?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
3 1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
10 2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
36 3. INFORMATION FROM PREVIOUS DRUG PLAN
79 4. INFORMATION RECEIVED FROM PART D PLANS
17 5. FINANCIAL ADVISOR OR ACCOUNTANT
43 6. PHARMACIST
7 7. ON-LINE TOOLS SPONSORED BY PART D PLANS
33 8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
37 9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
5 10. WORD OF MOUTH
11 11. PLAN REPUTATION
23 12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
1 20. DID NOT USE ANY RESOURCES
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18164 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
IF N352_ = YES;
IF (N394_ChooseEnrolled = Choseplan) OR (N394_ChooseEnrolled =
SomeoneElseChose);
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN397M4 RESOURCES USED FOR RX COVERAGE - 4
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N397MResourcesUsed[4]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about which plan to choose?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
1 1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
3 2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
2 3. INFORMATION FROM PREVIOUS DRUG PLAN
26 4. INFORMATION RECEIVED FROM PART D PLANS
7 5. FINANCIAL ADVISOR OR ACCOUNTANT
15 6. PHARMACIST
10 7. ON-LINE TOOLS SPONSORED BY PART D PLANS
15 8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
12 9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
4 10. WORD OF MOUTH
4 11. PLAN REPUTATION
4 12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
20. DID NOT USE ANY RESOURCES
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18366 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
IF N352_ = YES;
IF (N394_ChooseEnrolled = Choseplan) OR (N394_ChooseEnrolled =
SomeoneElseChose);
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN397M5 RESOURCES USED FOR RX COVERAGE - 5
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N397MResourcesUsed[5]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about which plan to choose?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
2 1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
3. INFORMATION FROM PREVIOUS DRUG PLAN
4. INFORMATION RECEIVED FROM PART D PLANS
10 5. FINANCIAL ADVISOR OR ACCOUNTANT
5 6. PHARMACIST
5 7. ON-LINE TOOLS SPONSORED BY PART D PLANS
5 8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
8 9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
2 10. WORD OF MOUTH
1 11. PLAN REPUTATION
2 12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
20. DID NOT USE ANY RESOURCES
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18429 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
IF N352_ = YES;
IF (N394_ChooseEnrolled = Choseplan) OR (N394_ChooseEnrolled =
SomeoneElseChose);
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN397M6 RESOURCES USED FOR RX COVERAGE - 6
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N397MResourcesUsed[6]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about which plan to choose?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
3. INFORMATION FROM PREVIOUS DRUG PLAN
4. INFORMATION RECEIVED FROM PART D PLANS
5. FINANCIAL ADVISOR OR ACCOUNTANT
9 6. PHARMACIST
7. ON-LINE TOOLS SPONSORED BY PART D PLANS
1 8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
6 9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
2 10. WORD OF MOUTH
2 11. PLAN REPUTATION
1 12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
20. DID NOT USE ANY RESOURCES
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18448 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
IF N352_ = YES;
IF (N394_ChooseEnrolled = Choseplan) OR (N394_ChooseEnrolled =
SomeoneElseChose);
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN397M7 RESOURCES USED FOR RX COVERAGE - 7
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N397MResourcesUsed[7]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about which plan to choose?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
3. INFORMATION FROM PREVIOUS DRUG PLAN
4. INFORMATION RECEIVED FROM PART D PLANS
1 5. FINANCIAL ADVISOR OR ACCOUNTANT
6. PHARMACIST
2 7. ON-LINE TOOLS SPONSORED BY PART D PLANS
1 8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
1 9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
1 10. WORD OF MOUTH
2 11. PLAN REPUTATION
2 12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
20. DID NOT USE ANY RESOURCES
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18459 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
IF N352_ = YES;
IF (N394_ChooseEnrolled = Choseplan) OR (N394_ChooseEnrolled =
SomeoneElseChose);
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN397M8 RESOURCES USED FOR RX COVERAGE - 8
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N397MResourcesUsed[8]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about which plan to choose?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
3. INFORMATION FROM PREVIOUS DRUG PLAN
4. INFORMATION RECEIVED FROM PART D PLANS
5. FINANCIAL ADVISOR OR ACCOUNTANT
1 6. PHARMACIST
7. ON-LINE TOOLS SPONSORED BY PART D PLANS
2 8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
1 9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
10. WORD OF MOUTH
1 11. PLAN REPUTATION
2 12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
20. DID NOT USE ANY RESOURCES
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18462 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
IF N352_ = YES;
IF (N394_ChooseEnrolled = Choseplan) OR (N394_ChooseEnrolled =
SomeoneElseChose);
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN397M9 RESOURCES USED FOR RX COVERAGE - 9
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N397MResourcesUsed[9]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about which plan to choose?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
3. INFORMATION FROM PREVIOUS DRUG PLAN
4. INFORMATION RECEIVED FROM PART D PLANS
5. FINANCIAL ADVISOR OR ACCOUNTANT
6. PHARMACIST
7. ON-LINE TOOLS SPONSORED BY PART D PLANS
8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
2 9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
10. WORD OF MOUTH
11. PLAN REPUTATION
1 12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
20. DID NOT USE ANY RESOURCES
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18466 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
IF N352_ = YES;
IF (N394_ChooseEnrolled = Choseplan) OR (N394_ChooseEnrolled =
SomeoneElseChose);
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN397M10 RESOURCES USED FOR RX COVERAGE - 10
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N397MResourcesUsed[10]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about which plan to choose?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
3. INFORMATION FROM PREVIOUS DRUG PLAN
4. INFORMATION RECEIVED FROM PART D PLANS
5. FINANCIAL ADVISOR OR ACCOUNTANT
6. PHARMACIST
7. ON-LINE TOOLS SPONSORED BY PART D PLANS
8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
2 10. WORD OF MOUTH
11. PLAN REPUTATION
12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
20. DID NOT USE ANY RESOURCES
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18467 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
IF N352_ = YES;
IF (N394_ChooseEnrolled = Choseplan) OR (N394_ChooseEnrolled =
SomeoneElseChose);
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN397M11 RESOURCES USED FOR RX COVERAGE - 11
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N397MResourcesUsed[11]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about which plan to choose?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
3. INFORMATION FROM PREVIOUS DRUG PLAN
4. INFORMATION RECEIVED FROM PART D PLANS
5. FINANCIAL ADVISOR OR ACCOUNTANT
6. PHARMACIST
7. ON-LINE TOOLS SPONSORED BY PART D PLANS
8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
10. WORD OF MOUTH
2 11. PLAN REPUTATION
12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
20. DID NOT USE ANY RESOURCES
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18467 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
IF N352_ = YES;
IF (N394_ChooseEnrolled = Choseplan) OR (N394_ChooseEnrolled =
SomeoneElseChose);
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN397M12 RESOURCES USED FOR RX COVERAGE - 12
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N397MResourcesUsed[12]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about which plan to choose?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
3. INFORMATION FROM PREVIOUS DRUG PLAN
4. INFORMATION RECEIVED FROM PART D PLANS
5. FINANCIAL ADVISOR OR ACCOUNTANT
6. PHARMACIST
7. ON-LINE TOOLS SPONSORED BY PART D PLANS
8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
10. WORD OF MOUTH
11. PLAN REPUTATION
2 12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
20. DID NOT USE ANY RESOURCES
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18467 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
*Assign N408_ResourcesUsedCnt := N397MResourcesUsed.CARDINAL:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
IF N352_ = YES;
IF (N394_ChooseEnrolled = Choseplan) OR (N394_ChooseEnrolled =
SomeoneElseChose);
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN408 RESOURCES USED FOR RX COVERAGE COUNT
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.GovCover.N408_ResourcesUsedCnt
User Note: This is a count of the number of resources named by respondents at
KN397M1 through KN397M12
.................................................................................
2992 0-12. Actual Value
15477 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
IF N352_ = YES;
IF (N394_ChooseEnrolled = Choseplan) OR (N394_ChooseEnrolled =
SomeoneElseChose);
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN);
IF (N408_ResourcesUsedCnt > 1) AND N397MResourcesUsed <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN398 RESOURCES USED FOR RX COV-MOST IMPORTANT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N398_ResourcesUsedMost
Of the resources you just mentioned, which did you feel was MOST IMPORTANT in
your choice of plans?
Select one
User Note: Please be aware there are 14 cases where the most important reason
given (KN398) is not reported in KN397M1 - KN397M13.
.................................................................................
59 1. MEDICARE'S 800 NUMBER (1-800-MEDICARE)
61 2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
96 3. INFORMATION FROM PREVIOUS DRUG PLAN
147 4. INFORMATION RECEIVED FROM PART D PLANS
51 5. FINANCIAL ADVISOR OR ACCOUNTANT
97 6. PHARMACIST
14 7. ON-LINE TOOLS SPONSORED BY PART D PLANS
91 8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
96 9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
12 10. WORD OF MOUTH
18 11. PLAN REPUTATION
11 12. NEWS COVERAGE (I.E., NEWSPAPER, MAGAZINE, TELEVISION)
28 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17688 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
IF N352_ = YES;
IF (N394_ChooseEnrolled = Choseplan) OR (N394_ChooseEnrolled =
SomeoneElseChose);
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN399 HOW DIFFICULT DECISION RX COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N399_HowDifficult
How difficult was it for you to make a decision about which prescription drug
plan to choose? Would you say it was very difficult, somewhat difficult, not
very difficult, or not difficult at all?
.................................................................................
567 1. VERY DIFFICULT
704 2. SOMEWHAT DIFFICULT
614 3. NOT VERY DIFFICULT
875 4. NOT DIFFICULT AT ALL
224 5. [VOL] DID NOT MAKE THE DECISION MYSELF
10 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
15475 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
*NOT(ELSE)*(IF N352_ = YES);
IF N352_ = NO;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN356M1 REASON NOT SIGN UP - 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N356M[1]
What is the reason that you did not sign up for coverage in 2006?
CHOOSE all that apply
.................................................................................
4739 1. ALREADY HAVE GOOD PRESCRIPTION DRUG COVERAGE
126 2. DIDN'T KNOW IT WAS AVAILABLE
38 3. HEARD ABOUT IT TOO LATE
205 4. MEDICARE PLAN TOO EXPENSIVE
25 5. MEDICARE PLAN TOO RESTRICTIVE
331 7. [VOL] HAVEN'T MADE A DECISION ABOUT WHETHER TO ENROLL
154 8. Get prescription drugs from the VA
295 9. Don't use enough prescription drugs to make it worthwhile
159 10. R is confused about program
59 11. Don't need it; NFS
83 12. Didn't want to; NFS
21 13. R is on Medicaid (Vol)
164 97. OTHER (SPECIFY)
79 98. DK (Don't Know); NA (Not Ascertained)
3 99. RF (Refused)
11988 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
*NOT(ELSE)*(IF N352_ = YES);
IF N352_ = NO;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN356M2 REASON NOT SIGN UP - 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N356M[2]
What is the reason that you did not sign up for coverage in 2006?
CHOOSE all that apply
.................................................................................
37 1. ALREADY HAVE GOOD PRESCRIPTION DRUG COVERAGE
3 2. DIDN'T KNOW IT WAS AVAILABLE
1 3. HEARD ABOUT IT TOO LATE
75 4. MEDICARE PLAN TOO EXPENSIVE
14 5. MEDICARE PLAN TOO RESTRICTIVE
16 7. [VOL] HAVEN'T MADE A DECISION ABOUT WHETHER TO ENROLL
15 8. Get prescription drugs from the VA
33 9. Don't use enough prescription drugs to make it worthwhile
39 10. R is confused about program
5 11. Don't need it; NFS
12 12. Didn't want to; NFS
13. R is on Medicaid (Vol)
19 97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18200 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
*NOT(ELSE)*(IF N352_ = YES);
IF N352_ = NO;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN356M3 REASON NOT SIGN UP - 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N356M[3]
What is the reason that you did not sign up for coverage in 2006?
CHOOSE all that apply
.................................................................................
2 1. ALREADY HAVE GOOD PRESCRIPTION DRUG COVERAGE
2. DIDN'T KNOW IT WAS AVAILABLE
3. HEARD ABOUT IT TOO LATE
5 4. MEDICARE PLAN TOO EXPENSIVE
1 5. MEDICARE PLAN TOO RESTRICTIVE
7. [VOL] HAVEN'T MADE A DECISION ABOUT WHETHER TO ENROLL
8. Get prescription drugs from the VA
4 9. Don't use enough prescription drugs to make it worthwhile
3 10. R is confused about program
11. Don't need it; NFS
12. Didn't want to; NFS
13. R is on Medicaid (Vol)
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18454 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
*NOT(ELSE)*(IF N352_ = YES);
IF N352_ = NO;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN356M4 REASON NOT SIGN UP - 4
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N356M[4]
What is the reason that you did not sign up for coverage in 2006?
CHOOSE all that apply
.................................................................................
1. ALREADY HAVE GOOD PRESCRIPTION DRUG COVERAGE
2. DIDN'T KNOW IT WAS AVAILABLE
3. HEARD ABOUT IT TOO LATE
4. MEDICARE PLAN TOO EXPENSIVE
5. MEDICARE PLAN TOO RESTRICTIVE
7. [VOL] HAVEN'T MADE A DECISION ABOUT WHETHER TO ENROLL
8. Get prescription drugs from the VA
9. Don't use enough prescription drugs to make it worthwhile
10. R is confused about program
11. Don't need it; NFS
12. Didn't want to; NFS
13. R is on Medicaid (Vol)
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18469 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
*NOT(ELSE)*(IF N352_ = YES);
IF N352_ = NO;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) AND
(((((AlreadyhaveCoverage IN N356M) OR (PLANTOOEXPENSIVE IN N356M)) OR
(PLANTOORESTRICTIVE IN N356M)) OR (OTHERSPECIFY IN N356M)) OR N356M =
NONRESPONSE);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN400M1 RESOURCED USED FOR PART D- NO ENROLL - 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N400MResourcesUsednoenroll[1]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about whether to enroll?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
169 1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
48 2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
1704 3. INFORMATION FROM PREVIOUS DRUG PLAN
300 4. INFORMATION RECEIVED FROM PART D PLANS
57 5. FINANCIAL ADVISOR OR ACCOUNTANT
184 6. PHARMACIST
6 7. ON-LINE TOOLS SPONSORED BY PART D PLANS
117 8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
164 9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
43 10. WORD OF MOUTH
12 11. PLAN REPUTATION
102 12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
2660 20. DID NOT USE ANY RESOURCES
63 98. DK (Don't Know); NA (Not Ascertained)
4 99. RF (Refused)
12836 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
*NOT(ELSE)*(IF N352_ = YES);
IF N352_ = NO;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) AND
(((((AlreadyhaveCoverage IN N356M) OR (PLANTOOEXPENSIVE IN N356M)) OR
(PLANTOORESTRICTIVE IN N356M)) OR (OTHERSPECIFY IN N356M)) OR N356M =
NONRESPONSE);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN400M2 RESOURCED USED FOR PART D- NO ENROLL - 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N400MResourcesUsednoenroll[2]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about whether to enroll?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
15 1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
28 2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
116 3. INFORMATION FROM PREVIOUS DRUG PLAN
187 4. INFORMATION RECEIVED FROM PART D PLANS
24 5. FINANCIAL ADVISOR OR ACCOUNTANT
57 6. PHARMACIST
3 7. ON-LINE TOOLS SPONSORED BY PART D PLANS
44 8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
48 9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
21 10. WORD OF MOUTH
4 11. PLAN REPUTATION
32 12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
1 20. DID NOT USE ANY RESOURCES
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17889 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
*NOT(ELSE)*(IF N352_ = YES);
IF N352_ = NO;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) AND
(((((AlreadyhaveCoverage IN N356M) OR (PLANTOOEXPENSIVE IN N356M)) OR
(PLANTOORESTRICTIVE IN N356M)) OR (OTHERSPECIFY IN N356M)) OR N356M =
NONRESPONSE);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN400M3 RESOURCED USED FOR PART D- NO ENROLL - 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N400MResourcesUsednoenroll[3]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about whether to enroll?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
2 1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
6 2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
21 3. INFORMATION FROM PREVIOUS DRUG PLAN
41 4. INFORMATION RECEIVED FROM PART D PLANS
7 5. FINANCIAL ADVISOR OR ACCOUNTANT
26 6. PHARMACIST
2 7. ON-LINE TOOLS SPONSORED BY PART D PLANS
13 8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
16 9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
6 10. WORD OF MOUTH
4 11. PLAN REPUTATION
15 12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
20. DID NOT USE ANY RESOURCES
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18310 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
*NOT(ELSE)*(IF N352_ = YES);
IF N352_ = NO;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) AND
(((((AlreadyhaveCoverage IN N356M) OR (PLANTOOEXPENSIVE IN N356M)) OR
(PLANTOORESTRICTIVE IN N356M)) OR (OTHERSPECIFY IN N356M)) OR N356M =
NONRESPONSE);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN400M4 RESOURCED USED FOR PART D- NO ENROLL - 4
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N400MResourcesUsednoenroll[4]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about whether to enroll?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
1 3. INFORMATION FROM PREVIOUS DRUG PLAN
12 4. INFORMATION RECEIVED FROM PART D PLANS
2 5. FINANCIAL ADVISOR OR ACCOUNTANT
8 6. PHARMACIST
2 7. ON-LINE TOOLS SPONSORED BY PART D PLANS
3 8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
7 9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
3 10. WORD OF MOUTH
2 11. PLAN REPUTATION
5 12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
20. DID NOT USE ANY RESOURCES
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18424 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
*NOT(ELSE)*(IF N352_ = YES);
IF N352_ = NO;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) AND
(((((AlreadyhaveCoverage IN N356M) OR (PLANTOOEXPENSIVE IN N356M)) OR
(PLANTOORESTRICTIVE IN N356M)) OR (OTHERSPECIFY IN N356M)) OR N356M =
NONRESPONSE);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN400M5 RESOURCED USED FOR PART D- NO ENROLL - 5
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N400MResourcesUsednoenroll[5]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about whether to enroll?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
1 1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
1 3. INFORMATION FROM PREVIOUS DRUG PLAN
4. INFORMATION RECEIVED FROM PART D PLANS
5 5. FINANCIAL ADVISOR OR ACCOUNTANT
2 6. PHARMACIST
7. ON-LINE TOOLS SPONSORED BY PART D PLANS
3 8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
4 9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
10. WORD OF MOUTH
2 11. PLAN REPUTATION
2 12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
20. DID NOT USE ANY RESOURCES
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18449 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
*NOT(ELSE)*(IF N352_ = YES);
IF N352_ = NO;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) AND
(((((AlreadyhaveCoverage IN N356M) OR (PLANTOOEXPENSIVE IN N356M)) OR
(PLANTOORESTRICTIVE IN N356M)) OR (OTHERSPECIFY IN N356M)) OR N356M =
NONRESPONSE);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN400M6 RESOURCED USED FOR PART D- NO ENROLL - 6
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N400MResourcesUsednoenroll[6]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about whether to enroll?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
2 2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
3. INFORMATION FROM PREVIOUS DRUG PLAN
4. INFORMATION RECEIVED FROM PART D PLANS
5. FINANCIAL ADVISOR OR ACCOUNTANT
4 6. PHARMACIST
7. ON-LINE TOOLS SPONSORED BY PART D PLANS
8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
1 10. WORD OF MOUTH
11. PLAN REPUTATION
2 12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
20. DID NOT USE ANY RESOURCES
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18460 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
*NOT(ELSE)*(IF N352_ = YES);
IF N352_ = NO;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) AND
(((((AlreadyhaveCoverage IN N356M) OR (PLANTOOEXPENSIVE IN N356M)) OR
(PLANTOORESTRICTIVE IN N356M)) OR (OTHERSPECIFY IN N356M)) OR N356M =
NONRESPONSE);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN400M7 RESOURCED USED FOR PART D- NO ENROLL - 7
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N400MResourcesUsednoenroll[7]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about whether to enroll?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
3. INFORMATION FROM PREVIOUS DRUG PLAN
4. INFORMATION RECEIVED FROM PART D PLANS
5. FINANCIAL ADVISOR OR ACCOUNTANT
6. PHARMACIST
1 7. ON-LINE TOOLS SPONSORED BY PART D PLANS
1 8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
10. WORD OF MOUTH
11. PLAN REPUTATION
12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
20. DID NOT USE ANY RESOURCES
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18467 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
*NOT(ELSE)*(IF N352_ = YES);
IF N352_ = NO;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) AND
(((((AlreadyhaveCoverage IN N356M) OR (PLANTOOEXPENSIVE IN N356M)) OR
(PLANTOORESTRICTIVE IN N356M)) OR (OTHERSPECIFY IN N356M)) OR N356M =
NONRESPONSE);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN400M8 RESOURCED USED FOR PART D- NO ENROLL - 8
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N400MResourcesUsednoenroll[8]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about whether to enroll?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
3. INFORMATION FROM PREVIOUS DRUG PLAN
4. INFORMATION RECEIVED FROM PART D PLANS
5. FINANCIAL ADVISOR OR ACCOUNTANT
6. PHARMACIST
7. ON-LINE TOOLS SPONSORED BY PART D PLANS
8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
1 10. WORD OF MOUTH
11. PLAN REPUTATION
12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
20. DID NOT USE ANY RESOURCES
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18468 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
*NOT(ELSE)*(IF N352_ = YES);
IF N352_ = NO;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) AND
(((((AlreadyhaveCoverage IN N356M) OR (PLANTOOEXPENSIVE IN N356M)) OR
(PLANTOORESTRICTIVE IN N356M)) OR (OTHERSPECIFY IN N356M)) OR N356M =
NONRESPONSE);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN400M9 RESOURCED USED FOR PART D- NO ENROLL - 9
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N400MResourcesUsednoenroll[9]
Did you or anyone who helped you use any of the following resources to assist
you in making a decision about whether to enroll?
Read the first six response options shown below slowly, and record each that
the R used. Then probe for 'Any Others' and record as appropriate.
CHOOSE all that apply
.................................................................................
1. MEDICARE'S 800 NUMBER 1-800-MEDICARE
2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
3. INFORMATION FROM PREVIOUS DRUG PLAN
4. INFORMATION RECEIVED FROM PART D PLANS
5. FINANCIAL ADVISOR OR ACCOUNTANT
6. PHARMACIST
7. ON-LINE TOOLS SPONSORED BY PART D PLANS
8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
10. WORD OF MOUTH
11. PLAN REPUTATION
12. NEWS COVERAGE I.E., NEWSPAPER, MAGAZINE, TELEVISION
20. DID NOT USE ANY RESOURCES
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18469 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
*Assign N409_ResourcesUsedCnt := N400MResourcesUsednoenroll.CARDINAL:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
*NOT(ELSE)*(IF N352_ = YES);
IF N352_ = NO;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) AND
(((((AlreadyhaveCoverage IN N356M) OR (PLANTOOEXPENSIVE IN N356M)) OR
(PLANTOORESTRICTIVE IN N356M)) OR (OTHERSPECIFY IN N356M)) OR N356M =
NONRESPONSE);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN409 COUNT OF RESOURCES-RX COVERAGE-NO ENROLL
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.GovCover.N409_ResourcesUsedCnt
User Note: This is a count of the number of resources named by respondent at
KN400M1 through KN400M9
.................................................................................
5718 0-8. Actual Value
12751 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
*NOT(ELSE)*(IF N352_ = YES);
IF N352_ = NO;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) AND
(((((AlreadyhaveCoverage IN N356M) OR (PLANTOOEXPENSIVE IN N356M)) OR
(PLANTOORESTRICTIVE IN N356M)) OR (OTHERSPECIFY IN N356M)) OR N356M =
NONRESPONSE);
IF (N409_ResourcesUsedCnt > 1) AND N400MResourcesUsednoenroll <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN401 MOST IMPORTANT RESOURCES - NO ENROLL
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N401_ResourcesUsedMostnoenroll
Of the resources you just mentioned, which did you feel was MOST IMPORTANT in
your decision not to enroll?
Select one
User Note: Please be aware there are 13 cases where the most important reason
given (KN401) is not reported in KN400M1 - KN400M9.
.................................................................................
25 1. MEDICARE'S 800 NUMBER (1-800-MEDICARE)
11 2. THE MEDICARE PROGRAM'S ON-LINE PLAN FINDER TOOL
251 3. INFORMATION FROM CURRENT OR PREVIOUS DRUG PLAN
84 4. INFORMATION RECEIVED FROM PART D PLANS
11 5. FINANCIAL ADVISOR OR ACCOUNTANT
51 6. PHARMACIST
5 7. ON-LINE TOOLS SPONSORED BY PART D PLANS
22 8. ADVICE/HELP FROM A SENIOR CENTER OR OTHER COMMUNITY
ORGANIZATION
45 9. ADVICE/HELP FROM A FAMILY MEMBER OR FRIEND
8 10. WORD OF MOUTH
5 11. PLAN REPUTATION
20 12. NEWS COVERAGE (I.E., NEWSPAPER, MAGAZINE, TELEVISION)
35 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17896 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
*NOT(ELSE)*(IF N352_ = EnrolledAutomatic);
*NOT(ELSE)*(IF N352_ = YES);
IF N352_ = NO;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) AND
(((((AlreadyhaveCoverage IN N356M) OR (PLANTOOEXPENSIVE IN N356M)) OR
(PLANTOORESTRICTIVE IN N356M)) OR (OTHERSPECIFY IN N356M)) OR N356M =
NONRESPONSE);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN402 HOW DIFF DECISION RX COVERAGE NO ENROLL
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N402_HowDifficultnoenroll
How difficult was it for you to make the decision not to enroll? Would you say
it was very difficult, somewhat difficult, not very difficult, or not difficult
at all?
.................................................................................
205 1. VERY DIFFICULT
346 2. SOME WHAT DIFFICULT
669 3. NOT VERY DIFFICULT
4112 4. NOT DIFFICULT AT ALL
239 5. [VOL] DID NOT MAKE THE DECISION MYSELF
60 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
12836 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
IF N352_ <> NONRESPONSE;
IF (((((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) AND (N352_ <>
EnrolledAutomatic)) AND ((NOT (Didntknowavaliable IN N356M) AND NOT
(HEARDABOUTITOOLATE IN N356M)) AND NOT (VOLNOTDECIDED IN N356M))) AND
(N394_ChooseEnrolled <> EnrolledAutomatic)) AND N394_ChooseEnrolled <>
NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN403 HOW CONFIDENT DECISION RX COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N403_confident
How confident are you that you made the right decision? Would you say you are
very confident, somewhat confident, not very confident, or not confident at all?
.................................................................................
5898 1. VERY CONFIDENT
1881 2. SOMEWHAT CONFIDENT
358 3. NOT VERY CONFIDENT
265 4. NOT CONFIDENT AT ALL
193 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
9869 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
IF N352_ <> NONRESPONSE;
IF (((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR (ACTIVELANGUAGE
= PRXENG)) AND (N352_ <> NO);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN404 AMOUNT PAY FOR MONTHLY PREMIUMS
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.GovCover.N404_Monthlypremiums
About how much did you pay per month in premiums for this plan?
Do not probe DK/RF
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
3874 0 7020 48.17 219.32 13605
-----------------------------------------------------------------
59 9996. Not Ascertained; Amount included in N014 or N040
907 9998. DK (Don't Know); NA (Not Ascertained)
24 9999. RF (Refused)
==========================================================================================
*Assign N405_ := EMPTY:
IF N001_ = YES;
IF N352_ <> NONRESPONSE;
IF (((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR (ACTIVELANGUAGE
= PRXENG)) AND (N352_ <> NO);
IF N404_Monthlypremiums <> EMPTY AND N404_Monthlypremiums <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN405 MONTHLY PREMIUMS - MIN
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.GovCover.N405_
N405-N407 Unfolding Sequence
Question text: Does it amount to less than $____ per month, more than $____ per
month, or what?
PROCEDURES: 2Up1Down, 1Up2Down
BREAKPOINTS: $20, $30, $45, $60
RANDOM ENTRY POINTS: $30, $45
ENTRY POINT ASSIGNMENT: 1 OR {NOT 1} AT X503
.................................................................................
600 0. Value of Breakpoint
23 20. Value of Breakpoint
43 21. Value of Breakpoint
64 30. Value of Breakpoint
60 31. Value of Breakpoint
29 45. Value of Breakpoint
38 46. Value of Breakpoint
11 60. Value of Breakpoint
59 61. Value of Breakpoint
17542 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
*Assign N406_ := EMPTY:
IF N001_ = YES;
IF N352_ <> NONRESPONSE;
IF (((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR (ACTIVELANGUAGE
= PRXENG)) AND (N352_ <> NO);
IF N404_Monthlypremiums <> EMPTY AND N404_Monthlypremiums <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN406 MONTHLY PREMIUMS - MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.GovCover.N406_
N405-N407 Unfolding Sequence
Question text: Does it amount to less than $____ per month, more than $____ per
month, or what?
PROCEDURES: 2Up1Down, 1Up2Down
BREAKPOINTS: $20, $30, $45, $60
RANDOM ENTRY POINTS: $30, $45
ENTRY POINT ASSIGNMENT: 1 OR {NOT 1} AT X503
.................................................................................
58 19. Value of Breakpoint
23 20. Value of Breakpoint
60 29. Value of Breakpoint
64 30. Value of Breakpoint
69 44. Value of Breakpoint
29 45. Value of Breakpoint
21 59. Value of Breakpoint
11 60. Value of Breakpoint
592 99999996. Greater than Maximum Breakpoint
17542 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
*Assign N407_ := EMPTY:
IF N001_ = YES;
IF N352_ <> NONRESPONSE;
IF (((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR (ACTIVELANGUAGE
= PRXENG)) AND (N352_ <> NO);
IF N404_Monthlypremiums <> EMPTY AND N404_Monthlypremiums <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN407 MONTHLY PREMIUMS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N407_
.................................................................................
5 97. Data Not Available
558 98. DK (Don't Know); NA (Not Ascertained)
18 99. RF (Refused)
17888 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
IF N352_ <> NONRESPONSE;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR (ACTIVELANGUAGE =
PRXENG);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN354 APPLIED TO SS FOR EXTRA HELP
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N354_
Have you applied to Social Security for extra help in paying for your
prescription drugs?
.................................................................................
456 1. YES
8035 5. NO
452 7. [VOL] DIDN'T KNOW SS WOULD PAY
53 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
9473 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
IF N352_ <> NONRESPONSE;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR (ACTIVELANGUAGE =
PRXENG);
*NOT(ELSE)*(IF N354_ = YES);
IF N354_ = NO;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN390M1 REASON NOT APPLY TO SS FOR EXTRA HELP -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N390M[1]
What was your reason or reasons for not applying?
CHECK all that apply
.................................................................................
2026 1. MY INCOME IS TOO HIGH TO QUALIFY ME
338 2. MY WEALTH OR ASSETS ARE TOO HIGH TO QUALIFY ME
352 3. RESOURCES (UNSPECIFIED) ARE TOO HIGH TO QUALIFY
1886 4. DIDN'T KNOW SOCIAL SECURITY PROVIDED EXTRA HELP
176 5. TOO DIFFICULT OR TOO MUCH OF A BOTHER TO APPLY
110 6. PLAN TO APPLY LATER, HAVE NOT GOTTEN AROUND TO IT
1070 8. Already has prescription drug coverage
336 9. Don't use enough prescription drugs to make it worthwhile
807 10. Don't need it; NFS
163 11. Get prescription drugs from VA
53 12. Didn't want to; NFS
67 13. R is on Medicaid (Vol)
388 97. OTHER (SPECIFY)
254 98. DK (Don't Know); NA (Not Ascertained)
9 99. RF (Refused)
10434 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
IF N352_ <> NONRESPONSE;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR (ACTIVELANGUAGE =
PRXENG);
*NOT(ELSE)*(IF N354_ = YES);
IF N354_ = NO;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN390M2 REASON NOT APPLY TO SS FOR EXTRA HELP -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N390M[2]
What was your reason or reasons for not applying?
CHECK all that apply
.................................................................................
25 1. MY INCOME IS TOO HIGH TO QUALIFY ME
95 2. MY WEALTH OR ASSETS ARE TOO HIGH TO QUALIFY ME
22 3. RESOURCES (UNSPECIFIED) ARE TOO HIGH TO QUALIFY
31 4. DIDN'T KNOW SOCIAL SECURITY PROVIDED EXTRA HELP
6 5. TOO DIFFICULT OR TOO MUCH OF A BOTHER TO APPLY
1 6. PLAN TO APPLY LATER, HAVE NOT GOTTEN AROUND TO IT
13 8. Already has prescription drug coverage
12 9. Don't use enough prescription drugs to make it worthwhile
20 10. Don't need it; NFS
4 11. Get prescription drugs from VA
1 12. Didn't want to; NFS
13. R is on Medicaid (Vol)
8 97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18231 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
IF N352_ <> NONRESPONSE;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR (ACTIVELANGUAGE =
PRXENG);
*NOT(ELSE)*(IF N354_ = YES);
IF N354_ = NO;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN390M3 REASON NOT APPLY TO SS FOR EXTRA HELP -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N390M[3]
What was your reason or reasons for not applying?
CHECK all that apply
.................................................................................
1. MY INCOME IS TOO HIGH TO QUALIFY ME
3 2. MY WEALTH OR ASSETS ARE TOO HIGH TO QUALIFY ME
12 3. RESOURCES (UNSPECIFIED) ARE TOO HIGH TO QUALIFY
2 4. DIDN'T KNOW SOCIAL SECURITY PROVIDED EXTRA HELP
5. TOO DIFFICULT OR TOO MUCH OF A BOTHER TO APPLY
6. PLAN TO APPLY LATER, HAVE NOT GOTTEN AROUND TO IT
8. Already has prescription drug coverage
9. Don't use enough prescription drugs to make it worthwhile
10. Don't need it; NFS
11. Get prescription drugs from VA
12. Didn't want to; NFS
13. R is on Medicaid (Vol)
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18452 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
IF N352_ <> NONRESPONSE;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR (ACTIVELANGUAGE =
PRXENG);
*NOT(ELSE)*(IF N354_ = YES);
IF N354_ = NO;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN390M4 REASON NOT APPLY TO SS FOR EXTRA HELP -4
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N390M[4]
What was your reason or reasons for not applying?
CHECK all that apply
.................................................................................
1. MY INCOME IS TOO HIGH TO QUALIFY ME
2. MY WEALTH OR ASSETS ARE TOO HIGH TO QUALIFY ME
3. RESOURCES (UNSPECIFIED) ARE TOO HIGH TO QUALIFY
1 4. DIDN'T KNOW SOCIAL SECURITY PROVIDED EXTRA HELP
5. TOO DIFFICULT OR TOO MUCH OF A BOTHER TO APPLY
6. PLAN TO APPLY LATER, HAVE NOT GOTTEN AROUND TO IT
8. Already has prescription drug coverage
1 9. Don't use enough prescription drugs to make it worthwhile
10. Don't need it; NFS
11. Get prescription drugs from VA
12. Didn't want to; NFS
13. R is on Medicaid (Vol)
1 97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18466 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
IF N352_ <> NONRESPONSE;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR (ACTIVELANGUAGE =
PRXENG);
*NOT(ELSE)*(IF N354_ = YES);
IF N354_ = NO;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN390M5 REASON NOT APPLY TO SS FOR EXTRA HELP -5
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N390M[5]
What was your reason or reasons for not applying?
CHECK all that apply
.................................................................................
1. MY INCOME IS TOO HIGH TO QUALIFY ME
2. MY WEALTH OR ASSETS ARE TOO HIGH TO QUALIFY ME
3. RESOURCES (UNSPECIFIED) ARE TOO HIGH TO QUALIFY
4. DIDN'T KNOW SOCIAL SECURITY PROVIDED EXTRA HELP
5. TOO DIFFICULT OR TOO MUCH OF A BOTHER TO APPLY
6. PLAN TO APPLY LATER, HAVE NOT GOTTEN AROUND TO IT
8. Already has prescription drug coverage
9. Don't use enough prescription drugs to make it worthwhile
10. Don't need it; NFS
11. Get prescription drugs from VA
12. Didn't want to; NFS
13. R is on Medicaid (Vol)
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18469 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
IF N352_ <> NONRESPONSE;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR (ACTIVELANGUAGE =
PRXENG);
IF N354_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN355 RECEIVE ANY EXTRA SS HELP
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N355_
Did you receive any extra help from Social Security?
.................................................................................
194 1. YES
213 5. NO
45 7. [VOL] HAVEN'T HEARD YET
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18014 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
IF N352_ <> NONRESPONSE;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR (ACTIVELANGUAGE =
PRXENG);
IF N354_ = YES;
IF N355_ = NO;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN392M1 WHY NOT RECEIVE SS HELP - 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N392M[1]
Why didn't you receive this help?
CHECK all that apply
.................................................................................
130 1. MY INCOME IS TOO HIGH TO QUALIFY ME
13 2. MY WEALTH OR ASSETS ARE TOO HIGH TO QUALIFY ME
14 3. RESOURCES (UNSPECIFIED) ARE TOO HIGH TO QUALIFY
14 4. HAVE NOT HEARD FROM SOCIAL SECURITY FOLLOWING APPLICATION
20 7. OTHER (SPECIFY)
22 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18256 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
IF N352_ <> NONRESPONSE;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR (ACTIVELANGUAGE =
PRXENG);
IF N354_ = YES;
IF N355_ = NO;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN392M2 WHY NOT RECEIVE SS HELP - 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N392M[2]
Why didn't you receive this help?
CHECK all that apply
.................................................................................
1. MY INCOME IS TOO HIGH TO QUALIFY ME
2. MY WEALTH OR ASSETS ARE TOO HIGH TO QUALIFY ME
1 3. RESOURCES (UNSPECIFIED) ARE TOO HIGH TO QUALIFY
1 4. HAVE NOT HEARD FROM SOCIAL SECURITY FOLLOWING APPLICATION
1 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18466 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
IF N352_ <> NONRESPONSE;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR (ACTIVELANGUAGE =
PRXENG);
IF N354_ = YES;
IF N355_ = NO;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN392M3 WHY NOT RECEIVE SS HELP - 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N392M[3]
Why didn't you receive this help?
CHECK all that apply
.................................................................................
1. MY INCOME IS TOO HIGH TO QUALIFY ME
2. MY WEALTH OR ASSETS ARE TOO HIGH TO QUALIFY ME
1 3. RESOURCES (UNSPECIFIED) ARE TOO HIGH TO QUALIFY
4. HAVE NOT HEARD FROM SOCIAL SECURITY FOLLOWING APPLICATION
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18468 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
IF N352_ <> NONRESPONSE;
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR (ACTIVELANGUAGE =
PRXENG);
IF N354_ = YES;
IF N355_ = NO;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN392M4 WHY NOT RECEIVE SS HELP - 4
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N392M[4]
Why didn't you receive this help?
CHECK all that apply
.................................................................................
1. MY INCOME IS TOO HIGH TO QUALIFY ME
2. MY WEALTH OR ASSETS ARE TOO HIGH TO QUALIFY ME
3. RESOURCES (UNSPECIFIED) ARE TOO HIGH TO QUALIFY
4. HAVE NOT HEARD FROM SOCIAL SECURITY FOLLOWING APPLICATION
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18469 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN358 LIKELY SIGN UP NEXT YEAR RX DRUGS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N358_
How likely is it that you will sign up for Medicare prescription drug coverage
for 2007?
Would you say very likely, somewhat likely, not too likely, or not at all
likely?
.................................................................................
3798 1. VERY LIKELY
1408 2. SOMEWHAT LIKELY
1513 3. NOT TOO LIKELY
4110 4. NOT AT ALL LIKELY
13 6. ALREADY SIGNED UP FOR 2007
19 7. WILL STAY WITH SAME PLAN IN 2007
706 8. DK (Don't Know); NA (Not Ascertained)
8 9. RF (Refused)
6894 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
KN005 MEDICAID COVERAGE SINCE PREV WAVE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N005_
Have you been covered by health insurance through (Medicaid/State name for
Medicaid or any other Medicaid program) at any time [[since [PREV WAVE FIRST R
IW Month], [Previous Wave First R Interview Year]/[Prev Wave Iw Yr]/since
[Previous Wave First R Interview Year]/[Prev Wave Iw Yr]/in the last two
years]]?
.................................................................................
1733 1. YES
16616 5. NO
100 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
15 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N005_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN006 CURRENTLY COVERED BY MEDICAID
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N006_
Are you currently covered by (Medicaid/State name for Medicaid)?
.................................................................................
1507 1. YES
217 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16736 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
KN007 CHAMPUS/CHAMPVA COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N007_
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.
.................................................................................
1004 1. YES
17406 5. NO
40 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
15 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN009 MEDICARE/MEDICAID HMO
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N009_
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.)
.................................................................................
2277 1. YES
8886 5. NO
733 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
6571 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF (piGovCoverN001_ = YES) AND (N009_ = YES);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN243 HMO NEEDED FOR OTHER BENIFITS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N243_
Did you have to join this HMO in order to receive supplemental benefits from
another plan?
.................................................................................
415 1. YES
1647 5. NO
146 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
16260 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF N009_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN010 MEDICARE/MEDICAID HMO- HOW LONG - YRS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N010_
About how long have you been receiving your [Medicare /(Medicaid/State name for
MEDICAID)] benefits through this hmo?
Years:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1864 0 25 7.65 5.95 16462
-----------------------------------------------------------------
142 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF N009_ = YES;
IF (N010_ = 0) OR N010_ = EMPTY;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN011 MEDICARE/MEDICAID HMO- HOW LONG - MOS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N011_
(About how long have you been receiving your [Medicare /(Medicaid/State name for
MEDICAID)] benefits through this HMO?)
Years: [MEDICARE/MEDICAID HMO- HOW LONG - YRS]
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
276 0 44 5.47 4.97 18056
-----------------------------------------------------------------
136 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF N009_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN351 HMO PAY FOR REGULAR RX DRUGS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N351_
Does this HMO cover or provide help with paying for regular prescription drugs?
.................................................................................
1889 1. YES
343 5. NO
45 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
16191 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF N009_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN014 MEDICARE/MEDICAID HMO-AMT PAY
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.MediCaidCarePlan.N014_
Not including co-pays or deductions from your Social Security, how much do you,
yourself, pay in premiums for this plan?
Do not probe DK/RF
Amount:
Per:
.................................................................................
2019 0-938. Actual Value
245 998. DK (Don't Know); NA (Not Ascertained)
13 999. RF (Refused)
16192 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF N009_ = YES;
IF ((N014_ > 0) AND (N014_ <> REFUSAL)) AND (N014_ <> DONTKNOW);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN018 MEDICARE/MEDICAID HMO-AMT PAY - PER
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N018_
(Not including co-pays or deductions from your Social Security, how much do you,
yourself, pay for this plan?)
Amount: [MEDICARE/MEDICAID HMO-AMT PAY]
Per:
.................................................................................
924 1. MONTH
34 2. QUARTER (EVERY 3 MONTHS)
1 3. SEMI-ANNUALLY (EVERY 6 MONTHS/TWICE A YEAR)
17 4. YEAR
2 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17491 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
*Assign N015_ := EMPTY:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF N009_ = YES;
IF N014_ <> EMPTY AND N014_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN015 MEDICARE/MEDICAID HMO-AMT PAY - MIN
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.MediCaidCarePlan.N015_
Unfolding Procedure: UNFM_1UP2DOWN (Min)
Does it amount to ... per month
Breakpoints: 30/60/100/120
.................................................................................
154 0. Value of Breakpoint
6 30. Value of Breakpoint
23 31. Value of Breakpoint
20 60. Value of Breakpoint
32 61. Value of Breakpoint
2 100. Value of Breakpoint
14 101. Value of Breakpoint
2 200. Value of Breakpoint
6 201. Value of Breakpoint
18210 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
*Assign N016_ := EMPTY:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF N009_ = YES;
IF N014_ <> EMPTY AND N014_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN016 MEDICARE/MEDICAID HMO-AMT PAY - MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.MediCaidCarePlan.N016_
Unfolding Procedure: UNFM_2UP1DOWN (Max)
Does it amount to ... per month
Breakpoints: 30/60/100/120
.................................................................................
11 29. Value of Breakpoint
6 30. Value of Breakpoint
23 59. Value of Breakpoint
20 60. Value of Breakpoint
39 99. Value of Breakpoint
2 100. Value of Breakpoint
12 199. Value of Breakpoint
2 200. Value of Breakpoint
144 99999996. Greater than Maximum Breakpoint
18210 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
*Assign N017_ := EMPTY:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF N009_ = YES;
IF N014_ <> EMPTY AND N014_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN017 MEDICARE/MEDICAID HMO-AMT PAY - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N017_
.................................................................................
139 98. DK (Don't Know); NA (Not Ascertained)
13 99. RF (Refused)
18317 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF piGovCoverN001_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
KN020 LEFT MEDICARE HMO LAST TWO YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N020_
At any time [[since [PREV WAVE FIRST R IW Month], [Previous Wave First R
Interview Year]/[Prev Wave Iw Yr]/since [Previous Wave First R Interview
Year]/[Prev Wave Iw Yr]/in the last tw |