HHID HOUSEHOLD IDENTIFIER
Section: R Level: Respondent CAI Reference: Q9000
Type: Character Width: 6 Decimals: 0
................................................................................
10964 000002-099564. Household Identifier range
PN PERSON NUMBER
Section: R Level: Respondent CAI Reference: Q9021
Type: Character Width: 3 Decimals: 0
User note: The range 10-49 is reserved for respondent person numbers.
Respondent person numbers ending in 0 are generally from the original
sample; respondent person numbers ending in 1 are generally new spouses
added since the original sample.
................................................................................
5431 010. Person Number
121 011. Person Number
3005 020. Person Number
11 021. Person Number
1012 030. Person Number
2 031. Person Number
1382 040. Person Number
ESUBHH 1996 SUB-HOUSEHOLD IDENTIFIER
Section: R Level: Respondent CAI Reference: Q9005
Type: Character Width: 1 Decimals: 0
................................................................................
10638 0. Original sample household - no split from divorce or separation
of spouses or partners
189 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
135 2. Split household - other half of couple from SUBHH 0 and new
spouse or partner, if any
2 5. Split household - one half of couple from SUBHH 1 or 2
6. Split household - one half of couple from SUBHH 1 or 2
7. Reunited household - respondents from split household reunite
CSUBHH 1994 SUB-HOUSEHOLD IDENTIFIER
Section: R Level: Respondent CAI Reference: Q9003
Type: Character Width: 1 Decimals: 0
................................................................................
10793 0. Original sample household - no split from divorce or separation
of spouses or partners
91 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
80 2. Split household - other half of couple from SUBHH 0 and new
spouse or partner, if any
5. Split household - one half of couple from SUBHH 1 or 2
6. Split household - one half of couple from SUBHH 1 or 2
7. Reunited household - respondents from split household reunite
EPN_SP 1996 SPOUSE/PARTNER PERSON NUMBER
Section: R Level: Respondent CAI Reference: Q9031
Type: Character Width: 3 Decimals: 0
User note: The range 10-49 is reserved for respondent person numbers.
Respondent person numbers ending in 0 are generally from the original
sample; respondent person numbers ending in 1 are generally new spouses
added since the original sample.
................................................................................
3229 010. Person Number
112 011. Person Number
2774 020. Person Number
10 021. Person Number
909 030. Person Number
2 031. Person Number
1260 040. Person Number
2668 Blank. INAP (Inapplicable) - No spouse interview
ECSR 1996 WHETHER COVERSHEET RESPONDENT
Section: R Level: Respondent CAI Reference: Q9061
Type: Numeric Width: 1 Decimals: 0
................................................................................
6700 1. Yes
116 2. Yes - household had two coversheet respondents and the
coversheet information given by this respondent has been
retained.
4032 5. No
116 6. No - household had two coversheet respondents and the
coversheet information given by this respondent has not been
retained.
EFAMR 1996 WHETHER FAMILY RESPONDENT
Section: R Level: Respondent CAI Reference: Q9062
Type: Numeric Width: 1 Decimals: 0
................................................................................
6750 1. Yes
11 2. Yes - household had two family respondents and the family
information given by this respondent has been retained.
4192 5. No
11 6. No - household had two family respondents and the family
information given by this respondent has not been retained.
EFINR 1996 WHETHER FINANCIAL RESPONDENT
Section: R Level: Respondent CAI Reference: Q9063
Type: Numeric Width: 1 Decimals: 0
................................................................................
6745 1. Yes
11 2. Yes - household had two financial respondents and the financial
information given by this respondent has been retained.
4197 5. No
11 6. No - household had two financial respondents and the financial
information given by this respondent has not been retained.
EQNR 1996 QUESTIONNAIRE
Section: R Level: Respondent CAI Reference: Q9070
Type: Character Width: 5 Decimals: 0
User note: Range is not continuous because some questionnaires were
invalid.
................................................................................
10964 00001-10970. Questionnaire number range
E5132 R0.INTRO
Section: R Level: Respondent CAI Reference: Q5132
Type: Numeric Width: 1 Decimals: 0
R0. 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.
User note: This preamble variable has been included in this data set in
order to document questionnaire flow; all data values are blanks.
................................................................................
10964 Blank. No data
E5133 R1.MEDICARE COVERAGE
Section: R Level: Respondent CAI Reference: Q5133
Type: Numeric Width: 1 Decimals: 0
R1. Are you currently covered by Medicare health insurance?
User note: The 52 INAP cases for E5133 are cases in which the respondent
discontinued the interview prior to question R1. Variable E599 from the
cover screen data identifies partial interviews.
................................................................................
2004 1. YES
8892 5. NO
7 8. DK (don't know); NA (not ascertained)
9 9. RF (refused)
52 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); partial interview
E5134 R2.MEDICARE PART B COVERAGE
Section: R Level: Respondent CAI Reference: Q5134
Type: Numeric Width: 1 Decimals: 0
R2. Part A of Medicare covers most hospital expenses. Part B covers many
doctors expenses, and the premium is usually deducted from your Social
Security. Are you covered under Part B of Medicare?
................................................................................
1727 1. YES
220 5. NO
55 8. DK (don't know); NA (not ascertained)
2 9. RF (refused)
8960 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (NE 1); partial interview
E5135 R4.MEDICAID SINCE PREV WAVE?
Section: R Level: Respondent CAI Reference: Q5135
Type: Numeric Width: 1 Decimals: 0
R4. Have you been covered by (Medicaid/STATE NAME FOR MEDICAID) health
insurance at any time since (previous wave interview month-year) ?
................................................................................
701 1. YES
10186 5. NO
16 8. DK (don't know); NA (not ascertained)
9 9. RF (refused)
52 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); partial interview
E5136 R5.CURRENTLY COVERED BY MEDICAID
Section: R Level: Respondent CAI Reference: Q5136
Type: Numeric Width: 1 Decimals: 0
R5. Are you currently covered by (Medicaid/STATE NAME FOR MEDICAID)?
................................................................................
613 1. YES
85 5. NO
2 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10264 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5135:R4] IS (NE 1); partial interview
ASSIGNMENT STATEMENTS
* if [Q1776:E5] IS (1) then [E5137.R5A.CHECKPOINT] = 1
* if [Q1:HH ID] IS (GE 0 OR LE 0) then [E5137.R5A.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5137 R5A.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5137
Type: Numeric Width: 1 Decimals: 0
................................................................................
2 1. R NURSING HOME STAY 1 OR MORE TIMES SINCE WAVE 2 IW
86 2. OTHERWISE
10876 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5135:R4] IS (NE 1); [Q5136:R5] IS (1) AND [Q5133:R1]
IS (1); [Q5136:R5] IS (1) AND [Q5133:R1] IS (NE 1); partial
interview
E5138 R6.MEDICAID AT TIME OF NURSING HOME-FIRS
Section: R Level: Respondent CAI Reference: Q5138
Type: Numeric Width: 1 Decimals: 0
R6. Earlier you told me that you had (a/several) stay(.../s) at a nursing
home since (previous wave interview month-year). Were you eligible for
Medicaid at the time your (.../first) nursing home stay started?
................................................................................
2 1. YES
5. NO
8. DK (don't know); NA (not ascertained)
9. RF (refused)
10962 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5135:R4] IS (NE 1); [Q5136:R5] IS (1) AND [Q5133:R1]
IS (1); [Q5136:R5] IS (1) AND [Q5133:R1] IS (NE 1); [Q5137:R5a]
IS (2); partial interview
E5139 R7.MEDICAID DURING NURSING HOME-FIRST
Section: R Level: Respondent CAI Reference: Q5139
Type: Numeric Width: 1 Decimals: 0
R7. Did you become eligible for Medicaid during your (first) nursing home
stay?
................................................................................
1. YES
5. NO
8. DK (don't know); NA (not ascertained)
9. RF (refused)
10964 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5135:R4] IS (NE 1); [Q5136:R5] IS (1) AND [Q5133:R1]
IS (1); [Q5136:R5] IS (1) AND [Q5133:R1] IS (NE 1); [Q5137:R5a]
IS (2); [Q5138:R6] IS (1); [Q5138:R6] IS (DK OR RF); partial
interview
ASSIGNMENT STATEMENTS
* if [Q1777:E6] IS (GT 1) then [E5141.R8A.CHECKPOINT] = 1
* if [Q1:HH ID] IS (GE 0 OR LE 0) then [E5141.R8A.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5141 R8A.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5141
Type: Numeric Width: 1 Decimals: 0
................................................................................
1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE WAVE II IW
2 2. OTHERWISE
10962 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5135:R4] IS (NE 1); [Q5136:R5] IS (1) AND [Q5133:R1]
IS (1); [Q5136:R5] IS (1) AND [Q5133:R1] IS (NE 1); [Q5137:R5a]
IS (2); partial interview
E5142 R8AA.MEDICAID AT TIME OF NURSING HOME-LA
Section: R Level: Respondent CAI Reference: Q5142
Type: Numeric Width: 1 Decimals: 0
R8aa. Were you eligible for Medicaid at the time your last nursing home stay
started?
................................................................................
1. YES
5. NO
8. DK (don't know); NA (not ascertained)
9. RF (refused)
10964 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5135:R4] IS (NE 1); [Q5136:R5] IS (1) AND [Q5133:R1]
IS (1); [Q5136:R5] IS (1) AND [Q5133:R1] IS (NE 1); [Q5137:R5a]
IS (2); [Q5141:R8a] IS (2); partial interview
E5143 R8B.MEDICAID DURING NURSING HOME-LAST
Section: R Level: Respondent CAI Reference: Q5143
Type: Numeric Width: 1 Decimals: 0
R8b. Did you become eligible for Medicaid during your last nursing home
stay?
................................................................................
1. YES
5. NO
8. DK (don't know); NA (not ascertained)
9. RF (refused)
10964 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5135:R4] IS (NE 1); [Q5136:R5] IS (1) AND [Q5133:R1]
IS (1); [Q5136:R5] IS (1) AND [Q5133:R1] IS (NE 1); [Q5137:R5a]
IS (2); [Q5141:R8a] IS (2); [Q5142:R8aa] IS (1); [Q5142:R8aa]
IS (DK OR RF); partial interview
E5144 R8C.LOSE ELIGIBILITY WHEN DISCARDED-LAST
Section: R Level: Respondent CAI Reference: Q5144
Type: Numeric Width: 1 Decimals: 0
R8c. Did you lose your eligibility for Medicaid when you were discharged
from your last nursing home stay?
................................................................................
1. YES
5. NO
8. DK (don't know); NA (not ascertained)
9. RF (refused)
10964 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5135:R4] IS (NE 1); [Q5136:R5] IS (1) AND [Q5133:R1]
IS (1); [Q5136:R5] IS (1) AND [Q5133:R1] IS (NE 1); [Q5137:R5a]
IS (2); [Q5141:R8a] IS (2); [Q5142:R8aa] IS (DK OR RF);
[Q5143:R8b] IS (5 OR DK OR RF); partial interview
E5145 R9.CHAMPUS/CHAMPVA COVERAGE
Section: R Level: Respondent CAI Reference: Q5145
Type: Numeric Width: 1 Decimals: 0
R9. Are you currently covered by CHAMPUS, CHAMP-VA, or any other military
health care plan?
PROBES: CHAMPUS is a health care program for active or retired military
personnel and their dependents or survivors.
CHAMP-VA provides medical care for veterans and their dependents or
survivors of veterans who had a service-connected disability.
"VA" is not a health insurance program.
................................................................................
485 1. YES
9805 5. NO
3 8. DK (don't know); NA (not ascertained)
7 9. RF (refused)
664 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5136:R5] IS (1) AND [Q5133:R1] IS (1); [Q5136:R5] IS
(1) AND [Q5133:R1] IS (NE 1); partial interview
ASSIGNMENT STATEMENTS
* if [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) then [E5146.R9A.CHECKPOINT] = 1
* if [Q5133:R1] IS (NE 1) AND [Q5136:R5] IS (1) then [E5146.R9A.CHECKPOINT] =
2
* if [Q1:HH ID] IS (GE 0 OR LE 0) then [E5146.R9A.CHECKPOINT] = 3
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5146 R9A.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5146
Type: Numeric Width: 1 Decimals: 0
................................................................................
1756 1. R IS COVERED BY MEDICARE OR MEDICARE/MEDICAID
2. OTHERWISE
8544 3. ALL OTHERS
664 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5136:R5] IS (1) AND [Q5133:R1] IS (1); [Q5136:R5] IS
(1) AND [Q5133:R1] IS (NE 1); partial interview
E5147 R10.INTRO
Section: R Level: Respondent CAI Reference: Q5147
Type: Numeric Width: 1 Decimals: 0
R10. Now I'm going to ask you about how your health insurance works.
User note: This preamble variable has been included in this data set in
order to document questionnaire flow; all data values are blanks.
................................................................................
10964 Blank. No data
E5148 R11.MEDICARE/MEDICAID THROUGH HMO
Section: R Level: Respondent CAI Reference: Q5148
Type: Numeric Width: 1 Decimals: 0
R11. First we are interested in how your (Medicare/Medicare or Medicaid)
health insurance works for routine care. Do you receive your Medicare
(.../or Medicaid) benefits through an HMO, that is a Health Maintenance
Organization?
DEFINITION: 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.
................................................................................
423 1. YES
1480 5. NO
106 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
8954 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5136:R5] IS (1) AND [Q5133:R1] IS (NE 1); [Q5146:R9a]
IS (2); [Q5146:R9a] IS (3); partial interview
E5149 R11A. MEDICARE THROUGH HMO-YEARS
Section: R Level: Respondent CAI Reference: Q5149
Type: Numeric Width: 2 Decimals: 0
R11a. About how long have you been receiving your Medicare benefits through
this HMO?
YEARS:
OR
MONTHS:
................................................................................
286 1-20. Actual value
10 98. DK (don't know); NA (not ascertained)
2 99. RF (refused)
10666 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND
[Q1554:D89S] IS (2) AND [Q263:NEW SP] IS (1) AND
[Q227:CS5] IS (NE 5); [Q558:CS50] IS (1); [Q5136:R5]
IS (1) AND [Q5133:R1] IS (NE 1); [Q5146:R9a] IS (2);
[Q5146:R9a] IS (3); [Q5148:R11] IS (NE 1); partial
interview
E5150 R11A. MEDICARE THROUGH HMO-MONTHS
Section: R Level: Respondent CAI Reference: Q5150
Type: Numeric Width: 2 Decimals: 0
................................................................................
124 1-48. Actual value
6 98. DK (don't know); NA (not ascertained)
99. RF (refused)
10834 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND
[Q1554:D89S] IS (2) AND [Q263:NEW SP] IS (1) AND
[Q227:CS5] IS (NE 5); [Q558:CS50] IS (1); [Q5136:R5]
IS (1) AND [Q5133:R1] IS (NE 1); [Q5146:R9a] IS (2);
[Q5146:R9a] IS (3); [Q5148:R11] IS (NE 1);
[Q5149:R11a] IS (NE "|"); partial interview
E5152 R11B.AMOUNT PAY FOR PLAN
Section: R Level: Respondent CAI Reference: Q5152
Type: Numeric Width: 4 Decimals: 0
R11b. Not including deductions from your Social Security, how much do you
pay for this plan?
AMOUNT:
PER:
................................................................................
135 0. NOTHING
214 1-9996. Actual value
3 9997. Other
52 9998. DK (don't know); NA (not ascertained)
6 9999. RF (refused)
10554 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5136:R5] IS (1) AND [Q5133:R1] IS (NE 1); [Q5146:R9a]
IS (2); [Q5146:R9a] IS (3); [Q5148:R11] IS (NE 1); partial
interview
E5153 R11B.AMOUNT PAY FOR PLAN PER
Section: R Level: Respondent CAI Reference: Q5153
Type: Numeric Width: 1 Decimals: 0
................................................................................
240 1. MONTH
14 2. QUARTER (EVERY 3 MONTHS)
3. SEMI-ANNUALLY (EVERY 6 MONTHS/TWICE A YEAR)
6 4. YEAR
23 7. OTHER (SPECIFY)
5 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10676 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5136:R5] IS (1) AND [Q5133:R1] IS (NE 1); [Q5146:R9a]
IS (2); [Q5146:R9a] IS (3); [Q5148:R11] IS (NE 1); partial
interview
E5154 R12.MEDICAID THROUGH HMO
Section: R Level: Respondent CAI Reference: Q5154
Type: Numeric Width: 1 Decimals: 0
R12. We are interested in how your Medicaid health insurance works for
routine care. Do you receive your Medicaid benefits through an HMO, that is
a Health Maintenance Organization?
DEFINITION: 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.
................................................................................
90 1. YES
247 5. NO
23 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10604 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5146:R9a] IS (3); [Q5148:R11] IS (NE 1); [Q5136:R5]
IS (1) AND [Q5133:R1] IS (1); [Q5135:R4] IS (NE 1); [Q5136:R5]
IS (A AND NE 1); partial interview
E5155 R12A.MEDICAID THROUGH HMO-YEARS
Section: R Level: Respondent CAI Reference: Q5155
Type: Numeric Width: 2 Decimals: 0
R12a. About how long have you been receiving your Medicaid benefits through
this HMO?
YEARS:
OR
MONTHS:
................................................................................
69 1-20. Actual value
1 97. Other
7 98. DK (don't know); NA (not ascertained)
99. RF (refused)
10887 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND
[Q1554:D89S] IS (2) AND [Q263:NEW SP] IS (1) AND
[Q227:CS5] IS (NE 5); [Q558:CS50] IS (1); [Q5146:R9a]
IS (3); [Q5148:R11] IS (NE 1); [Q5136:R5] IS (1) AND
[Q5133:R1] IS (1); [Q5135:R4] IS (NE 1); [Q5136:R5]
IS (A AND NE 1); [Q5154:R12] IS (NE 1); partial
interview
E5156 R12A.MEDICAID THROUGH HMO-MONTHS
Section: R Level: Respondent CAI Reference: Q5156
Type: Numeric Width: 2 Decimals: 0
................................................................................
22 1-48. Actual value
1 98. DK (don't know); NA (not ascertained)
99. RF (refused)
10941 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND
[Q1554:D89S] IS (2) AND [Q263:NEW SP] IS (1) AND
[Q227:CS5] IS (NE 5); [Q558:CS50] IS (1); [Q5146:R9a]
IS (3); [Q5148:R11] IS (NE 1); [Q5136:R5] IS (1) AND
[Q5133:R1] IS (1); [Q5135:R4] IS (NE 1); [Q5136:R5]
IS (A AND NE 1); [Q5154:R12] IS (NE 1); partial
interview
ASSIGNMENT STATEMENTS
* if [Q2628:G3] IS (2) then [E5157.R12B.CHECKPOINT] = 1
* if [Q2628:G3] IS (NE 2) then [E5157.R12B.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5157 R12B.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5157
Type: Numeric Width: 1 Decimals: 0
................................................................................
1256 1. R IS CURRENTLY SELF-EMPLOYED
9386 2. OTHERWISE
322 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5154:R12] IS (NE 1); partial interview
E5158 R12X.SELF-EMP INSURANCE
Section: R Level: Respondent CAI Reference: Q5158
Type: Numeric Width: 1 Decimals: 0
R12x. You mentioned earlier that you were self-employed. Do you have health
insurance through that business that pays hospital or doctor bills ?
................................................................................
306 1. YES
947 5. NO
8. DK (don't know); NA (not ascertained)
3 9. RF (refused)
9708 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5154:R12] IS (NE 1); [Q5157:R12b] IS (2); partial
interview
E5160 R13.ANY EMPLR INSURANCE FOR HOSP/DR BILL
Section: R Level: Respondent CAI Reference: Q5160
Type: Numeric Width: 1 Decimals: 0
R13. (Not including Medicare/Medicaid/Champus-Champva) are you covered by
any employer-provided health insurance?
................................................................................
6738 1. YES
3844 5. NO
13 8. DK (don't know); NA (not ascertained)
11 9. RF (refused)
358 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5158:R12x] IS (1); partial interview
E5161 R14.NUMBER OF EMPLOYER PROVIDED PLANS
Section: R Level: Respondent CAI Reference: Q5161
Type: Numeric Width: 1 Decimals: 0
R14. How many different employer-provided health insurance plans are you
covered by?
ENTER NUMBER OF PLANS:
................................................................................
7037 1-7. Actual value
9 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
3917 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND
[Q1554:D89S] IS (2) AND [Q263:NEW SP] IS (1) AND
[Q227:CS5] IS (NE 5); [Q558:CS50] IS (1); [Q5160:R13]
IS (5 OR DK OR RF); partial interview
E5162_1 LOOP.NUMBER OF TIMES THRU R15-R35C
Section: R Level: Respondent CAI Reference: Q5162
Type: Numeric Width: 1 Decimals: 0
................................................................................
7037 1. 1ST HEALTH PLAN
2. 2ND HEALTH PLAN
3927 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); partial interview
E5162_2 LOOP.NUMBER OF TIMES THRU R15-R35C
Section: R Level: Respondent CAI Reference: Q5162
Type: Numeric Width: 1 Decimals: 0
................................................................................
1. 1ST HEALTH PLAN
610 2. 2ND HEALTH PLAN
10354 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); partial interview
E5163_1 R15.HOW OBTAIN INSURANCE
Section: R Level: Respondent CAI Reference: Q5163
Type: Numeric Width: 1 Decimals: 0
R15. IF Q5162 IS (1) AND Q5161 IS (GT1) For this next set of questions I'd
like you to think about the health insurance plan that you consider as your
primary or most important health insurance plan.
ELSE IF Q5162 IS (GT1) Now I'd like to ask some questions about your other
health insurance plans. Thinking about the next most important health
insurance you have, ...
Do you obtain this health insurance through your (or your
husband/wife/partner's) current employer, former employer or union, or from
someplace else?
ASK "WHOSE EMPLOYER?" IF NOT CLEAR
................................................................................
3107 1. R'S CURRENT EMPLOYER
1259 2. R'S FORMER EMPLOYER
89 3. R'S UNION
1113 4. SPOUSE-S CURRENT EMPLOYER
694 5. SPOUSE-S FORMER EMPLOYER
40 6. SPOUSE-S UNION
40 7. SOMEPLACE ELSE (SPECIFY)
8. DK (don't know); NA (not ascertained)
9. RF (refused)
4622 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5157:R12b] IS (1); partial interview
E5163_2 R15.HOW OBTAIN INSURANCE
Section: R Level: Respondent CAI Reference: Q5163
Type: Numeric Width: 1 Decimals: 0
R15. IF Q5162 IS (1) AND Q5161 IS (GT1) For this next set of questions I'd
like you to think about the health insurance plan that you consider as your
primary or most important health insurance plan.
ELSE IF Q5162 IS (GT1) Now I'd like to ask some questions about your other
health insurance plans. Thinking about the next most important health
insurance you have, ...
Do you obtain this health insurance through your (or your
husband/wife/partner's) current employer, former employer or union, or from
someplace else?
ASK "WHOSE EMPLOYER?" IF NOT CLEAR
................................................................................
179 1. R'S CURRENT EMPLOYER
61 2. R'S FORMER EMPLOYER
9 3. R'S UNION
222 4. SPOUSE-S CURRENT EMPLOYER
67 5. SPOUSE-S FORMER EMPLOYER
7 6. SPOUSE-S UNION
30 7. SOMEPLACE ELSE (SPECIFY)
8. DK (don't know); NA (not ascertained)
5 9. RF (refused)
10384 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5157:R12b] IS (1); partial interview
ASSIGNMENT STATEMENTS
* if [Q256:MARRIAGE STATUS] IS (1 OR 2 OR 4 OR 7) AND [Q5163:R15] IS (4 OR 5
OR 6) then [E5165.R15B.CHECKPOINT] = 1
* if [Q5163:R15] IS (7) then [E5165.R15B.CHECKPOINT] = 2
* if [Q1:HH ID] IS (GE 0 OR LE 0) then [E5165.R15B.CHECKPOINT] = 3
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5165_1 R15B.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5165
Type: Numeric Width: 1 Decimals: 0
................................................................................
1770 1. R15=SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
40 2. R15=SOMEPLACE ELSE
4532 3. OTHERWISE
4622 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5157:R12b] IS (1); partial interview
ASSIGNMENT STATEMENTS
* if [Q256:MARRIAGE STATUS] IS (1 OR 2 OR 4 OR 7) AND [Q5163:R15] IS (4 OR 5
OR 6) then [E5165.R15B.CHECKPOINT] = 1
* if [Q5163:R15] IS (7) then [E5165.R15B.CHECKPOINT] = 2
* if [Q1:HH ID] IS (GE 0 OR LE 0) then [E5165.R15B.CHECKPOINT] = 3
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5165_2 R15B.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5165
Type: Numeric Width: 1 Decimals: 0
................................................................................
286 1. R15=SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
29 2. R15=SOMEPLACE ELSE
265 3. OTHERWISE
10384 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5157:R12b] IS (1); partial interview
E5166_1 R16.PAY COSTS FOR HEALTH INSURANCE
Section: R Level: Respondent CAI Reference: Q5166
Type: Numeric Width: 1 Decimals: 0
R16. Do you pay all of the costs, some of the costs, or none of the costs of
the premium for this health insurance coverage?
................................................................................
680 1. ALL
2830 2. SOME
1689 3. NONE
2 7. Other
32 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
5730 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); partial interview
E5166_2 R16.PAY COSTS FOR HEALTH INSURANCE
Section: R Level: Respondent CAI Reference: Q5166
Type: Numeric Width: 1 Decimals: 0
R16. Do you pay all of the costs, some of the costs, or none of the costs of
the premium for this health insurance coverage?
................................................................................
58 1. ALL
126 2. SOME
131 3. NONE
7. Other
3 8. DK (don't know); NA (not ascertained)
6 9. RF (refused)
10640 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); partial interview
E5167_1 R17.AMT PAID OTHER PLANS
Section: R Level: Respondent CAI Reference: Q5167
Type: Numeric Width: 4 Decimals: 0
R17. IF Q5162 IS (GT1) AND Q5157 IS (1) Now I'd like to ask some questions
about your other health insurance plans. Thinking about the next most
important health insurance you have,...
How much do you pay for this health insurance?
PROBE: Include the amount deducted from your pay check but not the amount
paid by the employer.
AMOUNT:
PER:
................................................................................
0. Zero Dollars
3158 1-9996. Actual value
20 9997. OTHER
327 9998. DK (don't know); NA (not ascertained)
40 9999. RF (refused)
7419 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5166:R16] IS (3 OR DK OR RF);
partial interview
E5167_2 R17.AMT PAID OTHER PLANS
Section: R Level: Respondent CAI Reference: Q5167
Type: Numeric Width: 4 Decimals: 0
R17. IF Q5162 IS (GT1) AND Q5157 IS (1) Now I'd like to ask some questions
about your other health insurance plans. Thinking about the next most
important health insurance you have,...
How much do you pay for this health insurance?
PROBE: Include the amount deducted from your pay check but not the amount
paid by the employer.
AMOUNT:
PER:
................................................................................
0. Zero Dollars
145 1-9996. Actual value
7 9997. OTHER
28 9998. DK (don't know); NA (not ascertained)
4 9999. RF (refused)
10780 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5166:R16] IS (3 OR DK OR RF);
partial interview
E5168_1 R17.AMT PAID OTHER PLANS PER
Section: R Level: Respondent CAI Reference: Q5168
Type: Numeric Width: 2 Decimals: 0
................................................................................
577 1. YEAR
50 2. QUARTERLY/EVERY 3 MONTHS
18 3. BIMONTHLY/EVERY 2 MONTHS
2222 4. MONTH
378 5. WEEK
247 6. BIWEEKLY/EVERY 2 WEEKS
3 7. SEMI-ANNUALLY/2 TIMES PER YEAR
2 8. SEMI-MONTHLY/2 TIMES PER MONTH
46 97. OTHER (SPECIFY)
2 98. DK (don't know); NA (not ascertained)
99. RF (refused)
7419 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5166:R16] IS (3 OR DK OR RF);
partial interview
E5168_2 R17.AMT PAID OTHER PLANS PER
Section: R Level: Respondent CAI Reference: Q5168
Type: Numeric Width: 2 Decimals: 0
................................................................................
55 1. YEAR
6 2. QUARTERLY/EVERY 3 MONTHS
1 3. BIMONTHLY/EVERY 2 MONTHS
89 4. MONTH
14 5. WEEK
13 6. BIWEEKLY/EVERY 2 WEEKS
1 7. SEMI-ANNUALLY/2 TIMES PER YEAR
8. SEMI-MONTHLY/2 TIMES PER MONTH
3 97. OTHER (SPECIFY)
1 98. DK (don't know); NA (not ascertained)
1 99. RF (refused)
10780 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5166:R16] IS (3 OR DK OR RF);
partial interview
ASSIGNMENT STATEMENTS
* if [Q5133:R1] IS (1) then [E5169.R18A.CHECKPOINT] = 1
* if [Q5133:R1] IS (NE 1) then [E5169.R18A.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5169_1 R18A.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5169
Type: Numeric Width: 1 Decimals: 0
................................................................................
528 1. R IS COVERED BY MEDICARE
4739 2. OTHERWISE
5697 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); partial interview
ASSIGNMENT STATEMENTS
* if [Q5133:R1] IS (1) then [E5169.R18A.CHECKPOINT] = 1
* if [Q5133:R1] IS (NE 1) then [E5169.R18A.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5169_2 R18A.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5169
Type: Numeric Width: 1 Decimals: 0
................................................................................
22 1. R IS COVERED BY MEDICARE
302 2. OTHERWISE
10640 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); partial interview
E5170_1 R19A.MEDICARE SUPP/MEDIGAP PLAN
Section: R Level: Respondent CAI Reference: Q5170
Type: Numeric Width: 1 Decimals: 0
R19a. Is this plan a Medicare Supplement or Medigap plan?
................................................................................
237 1. YES
272 5. NO
19 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10436 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5169:R18a] IS (2); partial
interview
E5170_2 R19A.MEDICARE SUPP/MEDIGAP PLAN
Section: R Level: Respondent CAI Reference: Q5170
Type: Numeric Width: 1 Decimals: 0
R19a. Is this plan a Medicare Supplement or Medigap plan?
................................................................................
8 1. YES
13 5. NO
1 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10942 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5169:R18a] IS (2); partial
interview
E5171_1 R19B.PLAN LETTER
Section: R Level: Respondent CAI Reference: Q5171
Type: Numeric Width: 2 Decimals: 0
R19b. Many Medicare Supplemental or Medigap Plans are referred to by a Plan
Letter. Do you know the Plan Letter for your plan?
PROBE: What is it?
ENTER NUMBER (A-J):
................................................................................
1. A
2. B
3. C
4. D
5. E
6. F
10 7. G
140 8. H
1 9. I
10. J
13 95. Other letter
97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
10800 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5169:R18a] IS (2); [Q5170:R19a]
IS (NE 1); partial interview
E5171_2 R19B.PLAN LETTER
Section: R Level: Respondent CAI Reference: Q5171
Type: Numeric Width: 2 Decimals: 0
R19b. Many Medicare Supplemental or Medigap Plans are referred to by a Plan
Letter. Do you know the Plan Letter for your plan?
PROBE: What is it?
ENTER NUMBER (A-J):
................................................................................
1. A
2. B
3. C
4. D
5. E
6. F
1 7. G
6 8. H
9. I
10. J
95. Other letter
97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
10957 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5169:R18a] IS (2); [Q5170:R19a]
IS (NE 1); partial interview
E5172_1 R19C.ANYONE ELSE COVERED
Section: R Level: Respondent CAI Reference: Q5172
Type: Numeric Width: 1 Decimals: 0
R19c. Besides yourself, is anyone else covered as a dependent on this health
insurance?
................................................................................
2861 1. YES
2163 5. NO
5 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
5934 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); partial
interview
E5172_2 R19C.ANYONE ELSE COVERED
Section: R Level: Respondent CAI Reference: Q5172
Type: Numeric Width: 1 Decimals: 0
R19c. Besides yourself, is anyone else covered as a dependent on this health
insurance?
................................................................................
161 1. YES
146 5. NO
2 8. DK (don't know); NA (not ascertained)
7 9. RF (refused)
10648 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); partial
interview
E5173001 R19D.WHO COVERED?
Section: R Level: Respondent CAI Reference: Q5173
Type: Character Width: 3 Decimals: 0
R19d. Who besides yourself is covered?
CHOOSE ALL THAT APPLY
User note: Up to ten responses were allowed for this question, the actual
maximum number of responses was five.
................................................................................
2451 036. Spouse
29 038. All my children
039. Grandchild
061-083. Other Person Number
332 101-995. Other Person Number
41 997. Other
8111 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); [Q5172:R19c]
IS (NE 1); partial interview; no subsequent mention
E5173002 R19D.WHO COVERED?
Section: R Level: Respondent CAI Reference: Q5173
Type: Character Width: 3 Decimals: 0
R19d. Who besides yourself is covered?
CHOOSE ALL THAT APPLY
User note: Up to ten responses were allowed for this question, the actual
maximum number of responses was five.
................................................................................
120 036. Spouse
29 038. All my children
039. Grandchild
061-083. Other Person Number
339 101-995. Other Person Number
25 997. Other
10451 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); [Q5172:R19c]
IS (NE 1); partial interview; no subsequent mention
E5173003 R19D.WHO COVERED?
Section: R Level: Respondent CAI Reference: Q5173
Type: Character Width: 3 Decimals: 0
R19d. Who besides yourself is covered?
CHOOSE ALL THAT APPLY
User note: Up to ten responses were allowed for this question, the actual
maximum number of responses was five.
................................................................................
34 036. Spouse
038. All my children
039. Grandchild
061-083. Other Person Number
82 101-995. Other Person Number
9 997. Other
10839 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); [Q5172:R19c]
IS (NE 1); partial interview; no subsequent mention
E5173004 R19D.WHO COVERED?
Section: R Level: Respondent CAI Reference: Q5173
Type: Character Width: 3 Decimals: 0
R19d. Who besides yourself is covered?
CHOOSE ALL THAT APPLY
User note: Up to ten responses were allowed for this question, the actual
maximum number of responses was five.
................................................................................
3 036. Spouse
1 038. All my children
039. Grandchild
061-083. Other Person Number
18 101-995. Other Person Number
3 997. Other
10939 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); [Q5172:R19c]
IS (NE 1); partial interview; no subsequent mention
E5173005 R19D.WHO COVERED?
Section: R Level: Respondent CAI Reference: Q5173
Type: Character Width: 3 Decimals: 0
R19d. Who besides yourself is covered?
CHOOSE ALL THAT APPLY
User note: Up to ten responses were allowed for this question, the actual
maximum number of responses was five.
................................................................................
3 036. Spouse
038. All my children
039. Grandchild
061-083. Other Person Number
1 101-995. Other Person Number
1 997. Other
10959 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); [Q5172:R19c]
IS (NE 1); partial interview; no subsequent mention
E5173011 R19D.WHO COVERED?
Section: R Level: Respondent CAI Reference: Q5173
Type: Character Width: 3 Decimals: 0
R19d. Who besides yourself is covered?
CHOOSE ALL THAT APPLY
User note: Up to ten responses were allowed for this question, the actual
maximum number of responses was five.
................................................................................
133 036. Spouse
1 038. All my children
039. Grandchild
061-083. Other Person Number
26 101-995. Other Person Number
1 997. Other
10803 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); [Q5172:R19c]
IS (NE 1); partial interview; no subsequent mention
E5173012 R19D.WHO COVERED?
Section: R Level: Respondent CAI Reference: Q5173
Type: Character Width: 3 Decimals: 0
R19d. Who besides yourself is covered?
CHOOSE ALL THAT APPLY
User note: Up to ten responses were allowed for this question, the actual
maximum number of responses was five.
................................................................................
14 036. Spouse
4 038. All my children
039. Grandchild
061-083. Other Person Number
15 101-995. Other Person Number
1 997. Other
10930 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); [Q5172:R19c]
IS (NE 1); partial interview; no subsequent mention
E5173013 R19D.WHO COVERED?
Section: R Level: Respondent CAI Reference: Q5173
Type: Character Width: 3 Decimals: 0
R19d. Who besides yourself is covered?
CHOOSE ALL THAT APPLY
User note: Up to ten responses were allowed for this question, the actual
maximum number of responses was five.
................................................................................
3 036. Spouse
038. All my children
039. Grandchild
061-083. Other Person Number
3 101-995. Other Person Number
997. Other
10958 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); [Q5172:R19c]
IS (NE 1); partial interview; no subsequent mention
E5173014 R19D.WHO COVERED?
Section: R Level: Respondent CAI Reference: Q5173
Type: Character Width: 3 Decimals: 0
R19d. Who besides yourself is covered?
CHOOSE ALL THAT APPLY
User note: Up to ten responses were allowed for this question, the actual
maximum number of responses was five.
................................................................................
1 036. Spouse
038. All my children
039. Grandchild
061-083. Other Person Number
1 101-995. Other Person Number
997. Other
10962 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); [Q5172:R19c]
IS (NE 1); partial interview; no subsequent mention
E5173015 R19D.WHO COVERED?
Section: R Level: Respondent CAI Reference: Q5173
Type: Character Width: 3 Decimals: 0
R19d. Who besides yourself is covered?
CHOOSE ALL THAT APPLY
User note: Up to ten responses were allowed for this question, the actual
maximum number of responses was five.
................................................................................
036. Spouse
038. All my children
039. Grandchild
061-083. Other Person Number
101-995. Other Person Number
1 997. Other
10963 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); [Q5172:R19c]
IS (NE 1); partial interview; no subsequent mention
E5174_1 R20.MEDICARE SUPP/MEDIGAP AN HMO?
Section: R Level: Respondent CAI Reference: Q5174
Type: Numeric Width: 1 Decimals: 0
R20. I'd like to ask you a few questions about how your health insurance
works for non-emergency care. Is your plan an HMO, that is, a Health
Maintenance Organization?
DEFINITION: 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.
................................................................................
2075 1. YES
2877 5. NO
1 7. Other
69 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
5941 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); partial
interview
E5174_2 R20.MEDICARE SUPP/MEDIGAP AN HMO?
Section: R Level: Respondent CAI Reference: Q5174
Type: Numeric Width: 1 Decimals: 0
R20. I'd like to ask you a few questions about how your health insurance
works for non-emergency care. Is your plan an HMO, that is, a Health
Maintenance Organization?
DEFINITION: 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.
................................................................................
77 1. YES
226 5. NO
1 7. Other
5 8. DK (don't know); NA (not ascertained)
7 9. RF (refused)
10648 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); partial
interview
E5175_1 R21.IF LIST OF DOCTORS
Section: R Level: Respondent CAI Reference: Q5175
Type: Numeric Width: 1 Decimals: 0
R21. Does your health insurance plan have a list or book of doctors that
you are encouraged or required to use?
................................................................................
1511 1. YES
1410 5. NO
26 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
8016 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); [Q5174:R20]
IS (1); partial interview
E5175_2 R21.IF LIST OF DOCTORS
Section: R Level: Respondent CAI Reference: Q5175
Type: Numeric Width: 1 Decimals: 0
R21. Does your health insurance plan have a list or book of doctors that
you are encouraged or required to use?
................................................................................
77 1. YES
151 5. NO
4 8. DK (don't know); NA (not ascertained)
7 9. RF (refused)
10725 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); [Q5174:R20]
IS (1); partial interview
E5176_1 R22.PLAN PAY FOR DOCTORS NOT ON LIST
Section: R Level: Respondent CAI Reference: Q5176
Type: Numeric Width: 1 Decimals: 0
R22. Does your health insurance plan pay any of the costs for routine care
if you see a doctor who is not on this list?
................................................................................
1001 1. YES
143 2. YES, WITH A REFERRAL
303 5. NO
2 7. Other
62 8. DK (don't know); NA (not ascertained)
9. RF (refused)
9453 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); [Q5174:R20]
IS (1); [Q5175:R21] IS (NE 1); partial interview
E5176_2 R22.PLAN PAY FOR DOCTORS NOT ON LIST
Section: R Level: Respondent CAI Reference: Q5176
Type: Numeric Width: 1 Decimals: 0
R22. Does your health insurance plan pay any of the costs for routine care
if you see a doctor who is not on this list?
................................................................................
49 1. YES
8 2. YES, WITH A REFERRAL
18 5. NO
1 7. Other
1 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10887 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); [Q5174:R20]
IS (1); [Q5175:R21] IS (NE 1); partial interview
E5177_1 R25.HMO: IF R PAYS FOR DR VISITS
Section: R Level: Respondent CAI Reference: Q5177
Type: Numeric Width: 1 Decimals: 0
R25. Under this health insurance plan, do you pay a percentage of the
doctor's charge, the same dollar amount each time you visit a doctor, or do
you not pay anything at all for doctor visits?
................................................................................
237 1. PERCENT
1471 2. DOLLAR AMOUNT/COPAY
298 3. R DOESN'T PAY ANYTHING
4. DEDUCTIBLE / DEDUCTIBLE PLUS CO-PAY
58 7. OTHER
11 8. DK (don't know); NA (not ascertained)
9. RF (refused)
8889 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); [Q5174:R20]
IS (NE 1); partial interview
E5177_2 R25.HMO: IF R PAYS FOR DR VISITS
Section: R Level: Respondent CAI Reference: Q5177
Type: Numeric Width: 1 Decimals: 0
R25. Under this health insurance plan, do you pay a percentage of the
doctor's charge, the same dollar amount each time you visit a doctor, or do
you not pay anything at all for doctor visits?
................................................................................
19 1. PERCENT
36 2. DOLLAR AMOUNT/COPAY
12 3. R DOESN'T PAY ANYTHING
4. DEDUCTIBLE / DEDUCTIBLE PLUS CO-PAY
7 7. OTHER
3 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10887 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); [Q5174:R20]
IS (NE 1); partial interview
E5178_1 R26.NON HMO:IF PLAN PAYS DR VISITS
Section: R Level: Respondent CAI Reference: Q5178
Type: Numeric Width: 1 Decimals: 0
R26. Does this plan pay any of the costs of routine visits to the doctor?
................................................................................
2474 1. YES
433 5. NO
7. Other
40 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
8016 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); [Q5174:R20]
IS (1); partial interview
E5178_2 R26.NON HMO:IF PLAN PAYS DR VISITS
Section: R Level: Respondent CAI Reference: Q5178
Type: Numeric Width: 1 Decimals: 0
R26. Does this plan pay any of the costs of routine visits to the doctor?
................................................................................
152 1. YES
72 5. NO
1 7. Other
8 8. DK (don't know); NA (not ascertained)
6 9. RF (refused)
10725 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5171:R19b] IS (A); [Q5174:R20]
IS (1); partial interview
E5179_1 R27.PLAN COVER PRESCRIPTIONS
Section: R Level: Respondent CAI Reference: Q5179
Type: Numeric Width: 1 Decimals: 0
R27. Does this health insurance pay any part of the cost of prescription
medicines?
................................................................................
4741 1. YES
479 5. NO
1 7. Other
38 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
5704 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); partial interview
E5179_2 R27.PLAN COVER PRESCRIPTIONS
Section: R Level: Respondent CAI Reference: Q5179
Type: Numeric Width: 1 Decimals: 0
R27. Does this health insurance pay any part of the cost of prescription
medicines?
................................................................................
177 1. YES
126 5. NO
7. Other
13 8. DK (don't know); NA (not ascertained)
8 9. RF (refused)
10640 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); partial interview
E5180_1 R28.PLAN COVER DENTAL CARE
Section: R Level: Respondent CAI Reference: Q5180
Type: Numeric Width: 1 Decimals: 0
R28. Does this health insurance pay any part of the cost of routine dental
care by a dentist?
................................................................................
2959 1. YES
2275 5. NO
25 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
5704 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); partial interview
E5180_2 R28.PLAN COVER DENTAL CARE
Section: R Level: Respondent CAI Reference: Q5180
Type: Numeric Width: 1 Decimals: 0
R28. Does this health insurance pay any part of the cost of routine dental
care by a dentist?
................................................................................
173 1. YES
135 5. NO
9 8. DK (don't know); NA (not ascertained)
7 9. RF (refused)
10640 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); partial interview
ASSIGNMENT STATEMENTS
* if [Q5179:R27] IS (1) OR [Q5180:R28] IS (1) then [E5181.R28A.CHECKPOINT] =
1
* if [Q5179:R27] IS (NE 1) AND [Q5180:R28] IS (NE 1) then
[E5181.R28A.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5181_1 R28A.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5181
Type: Numeric Width: 1 Decimals: 0
................................................................................
4897 1. R'S HEALTH INSURANCE PAYS FOR PRESCRIPTIONS OR ROUTINE DENTAL
CARE
363 2. OTHERWISE
5704 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); partial interview
ASSIGNMENT STATEMENTS
* if [Q5179:R27] IS (1) OR [Q5180:R28] IS (1) then [E5181.R28A.CHECKPOINT] =
1
* if [Q5179:R27] IS (NE 1) AND [Q5180:R28] IS (NE 1) then
[E5181.R28A.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5181_2 R28A.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5181
Type: Numeric Width: 1 Decimals: 0
................................................................................
233 1. R'S HEALTH INSURANCE PAYS FOR PRESCRIPTIONS OR ROUTINE DENTAL
CARE
91 2. OTHERWISE
10640 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); partial interview
E5182_1 R29.PAY EXTRA FOR BENEFITS
Section: R Level: Respondent CAI Reference: Q5182
Type: Numeric Width: 1 Decimals: 0
R29. Do you pay extra premiums for (this (prescription) benefit/this
(dental) benefit/these benefits)?
................................................................................
1024 1. YES
3806 5. NO
1 7. Other
66 8. DK (don't know); NA (not ascertained)
9. RF (refused)
6067 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5181:R28a] IS (2); partial
interview
E5182_2 R29.PAY EXTRA FOR BENEFITS
Section: R Level: Respondent CAI Reference: Q5182
Type: Numeric Width: 1 Decimals: 0
R29. Do you pay extra premiums for (this (prescription) benefit/this
(dental) benefit/these benefits)?
................................................................................
47 1. YES
181 5. NO
2 7. Other
2 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
10731 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5181:R28a] IS (2); partial
interview
E5183_1 R29A.LIMITS FOR PRE-EXISTING CONDITIONS
Section: R Level: Respondent CAI Reference: Q5183
Type: Numeric Width: 1 Decimals: 0
R29a. Are there any limits or restrictions on this health insurance plan due
to a pre-existing condition?
................................................................................
532 1. YES
4541 5. NO
2 7. Other
184 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
5704 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); partial interview
E5183_2 R29A.LIMITS FOR PRE-EXISTING CONDITIONS
Section: R Level: Respondent CAI Reference: Q5183
Type: Numeric Width: 1 Decimals: 0
R29a. Are there any limits or restrictions on this health insurance plan due
to a pre-existing condition?
................................................................................
28 1. YES
274 5. NO
7. Other
14 8. DK (don't know); NA (not ascertained)
8 9. RF (refused)
10640 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); partial interview
ASSIGNMENT STATEMENTS
* if [Q5158:R12x] IS (1) then [E5184.R29B.CHECKPOINT] = 1
* if [Q5163:R15] IS (7) then [E5184.R29B.CHECKPOINT] = 2
* if [Q1:HH ID] IS (GE 0 OR LE 0) then [E5184.R29B.CHECKPOINT] = 3
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5184_1 R29B.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5184
Type: Numeric Width: 1 Decimals: 0
................................................................................
305 1. R IS SELF-EMPLOYED AND BUSINESS PAYS HEALTH INSURANCE
40 2. R15 IS SOMEPLACE ELSE
4915 3. OTHERWISE
5704 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); partial interview
ASSIGNMENT STATEMENTS
* if [Q5158:R12x] IS (1) then [E5184.R29B.CHECKPOINT] = 1
* if [Q5163:R15] IS (7) then [E5184.R29B.CHECKPOINT] = 2
* if [Q1:HH ID] IS (GE 0 OR LE 0) then [E5184.R29B.CHECKPOINT] = 3
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5184_2 R29B.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5184
Type: Numeric Width: 1 Decimals: 0
................................................................................
20 1. R IS SELF-EMPLOYED AND BUSINESS PAYS HEALTH INSURANCE
29 2. R15 IS SOMEPLACE ELSE
275 3. OTHERWISE
10640 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); partial interview
E5185_1 R31.CHOICE IN PLANS
Section: R Level: Respondent CAI Reference: Q5185
Type: Numeric Width: 1 Decimals: 0
R31. At the time you enrolled in this plan, did you have a choice of
different health insurance plans that provided hospital and physician
benefits or was only one health insurance plan offered to you?
................................................................................
2278 1. YES, MORE THAN ONE PLAN
2567 5. NO, ONLY ONE PLAN
1 7. Other
64 8. DK (don't know); NA (not ascertained)
5 9. RF (refused)
6049 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); partial interview
E5185_2 R31.CHOICE IN PLANS
Section: R Level: Respondent CAI Reference: Q5185
Type: Numeric Width: 1 Decimals: 0
R31. At the time you enrolled in this plan, did you have a choice of
different health insurance plans that provided hospital and physician
benefits or was only one health insurance plan offered to you?
................................................................................
82 1. YES, MORE THAN ONE PLAN
178 5. NO, ONLY ONE PLAN
2 7. Other
8 8. DK (don't know); NA (not ascertained)
5 9. RF (refused)
10689 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); partial interview
E5186_1 R33A.BETTER COVERAGE?
Section: R Level: Respondent CAI Reference: Q5186
Type: Numeric Width: 1 Decimals: 0
R33. Compared to your health insurance plan, did any of these other plans...
R33a. Provide better coverage?
R33b. Provide greater choice of physicians?
R33c. Cost more than your plan?
................................................................................
523 1. YES
1714 5. NO
1 7. Other
39 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
8686 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); [Q5185:R31] IS (NE 1); partial interview
E5186_2 R33A.BETTER COVERAGE?
Section: R Level: Respondent CAI Reference: Q5186
Type: Numeric Width: 1 Decimals: 0
R33. Compared to your health insurance plan, did any of these other plans...
R33a. Provide better coverage?
R33b. Provide greater choice of physicians?
R33c. Cost more than your plan?
................................................................................
21 1. YES
60 5. NO
1 7. Other
8. DK (don't know); NA (not ascertained)
9. RF (refused)
10882 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); [Q5185:R31] IS (NE 1); partial interview
E5187_1 R33B.GREATER CHOICE DOCTORS?
Section: R Level: Respondent CAI Reference: Q5187
Type: Numeric Width: 1 Decimals: 0
................................................................................
745 1. YES
1485 5. NO
7. Other
48 8. DK (don't know); NA (not ascertained)
9. RF (refused)
8686 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); [Q5185:R31] IS (NE 1); partial interview
E5187_2 R33B.GREATER CHOICE DOCTORS?
Section: R Level: Respondent CAI Reference: Q5187
Type: Numeric Width: 1 Decimals: 0
................................................................................
29 1. YES
51 5. NO
1 7. Other
1 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10882 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); [Q5185:R31] IS (NE 1); partial interview
E5188_1 R33C.COST MORE?
Section: R Level: Respondent CAI Reference: Q5188
Type: Numeric Width: 1 Decimals: 0
................................................................................
1156 1. YES
1062 5. NO
59 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
8686 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); [Q5185:R31] IS (NE 1); partial interview
E5188_2 R33C.COST MORE?
Section: R Level: Respondent CAI Reference: Q5188
Type: Numeric Width: 1 Decimals: 0
................................................................................
43 1. YES
38 5. NO
1 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10882 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); [Q5185:R31] IS (NE 1); partial interview
ASSIGNMENT STATEMENTS
* if [Q753:R_S CURRENT AGE] IS (LT 65) AND [Q5163:R15] IS (1) then
[E5190.R33D. CHECKPOINT] = 1
* if [Q753:R_S CURRENT AGE] IS (LT 65) AND [Q5163:R15] IS (2) then
[E5190.R33D. CHECKPOINT] = 2
* if [Q1:HH ID] IS (GE 0 OR LE 0) then [E5190.R33D. CHECKPOINT] = 3
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5190_1 R33D. CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5190
Type: Numeric Width: 1 Decimals: 0
................................................................................
2964 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
905 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
1046 3. ALL OTHERS
6049 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); partial interview
ASSIGNMENT STATEMENTS
* if [Q753:R_S CURRENT AGE] IS (LT 65) AND [Q5163:R15] IS (1) then
[E5190.R33D. CHECKPOINT] = 1
* if [Q753:R_S CURRENT AGE] IS (LT 65) AND [Q5163:R15] IS (2) then
[E5190.R33D. CHECKPOINT] = 2
* if [Q1:HH ID] IS (GE 0 OR LE 0) then [E5190.R33D. CHECKPOINT] = 3
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5190_2 R33D. CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5190
Type: Numeric Width: 1 Decimals: 0
................................................................................
170 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
45 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
60 3. ALL OTHERS
10689 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); partial interview
E5191_1 R34.COVERAGE CONTINUE TO 65
Section: R Level: Respondent CAI Reference: Q5191
Type: Numeric Width: 1 Decimals: 0
R34. Can you continue this insurance coverage for yourself up to the age of
65?
................................................................................
828 1. YES
60 5. NO
16 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
10059 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); [Q5190:R33d] IS (3); [Q5190:R33d] IS (1); partial
interview
E5191_2 R34.COVERAGE CONTINUE TO 65
Section: R Level: Respondent CAI Reference: Q5191
Type: Numeric Width: 1 Decimals: 0
R34. Can you continue this insurance coverage for yourself up to the age of
65?
................................................................................
38 1. YES
6 5. NO
1 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10919 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); [Q5190:R33d] IS (3); [Q5190:R33d] IS (1); partial
interview
ASSIGNMENT STATEMENTS
* if [Q203:WHICH HH] IS (1) AND [Q256:MARRIAGE STATUS] IS (1 OR 2 OR 7) AND
[Q410:SP_S CURRENT AGE] IS (LT 65) AND [Q5173:R19d] IS (21) then
[E5192.R34A.CHECKPOINT] = 1
* if [Q5191:R34] IS (A) then [E5192.R34A.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5192_1 R34A.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5192
Type: Numeric Width: 1 Decimals: 0
................................................................................
126 1. SPOUSE COVERED UNDER POLICY AND SPOUSE LESS THAN 65 YEARS OLD--
->R34b
702 2. OTHERWISE
10136 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); [Q5190:R33d] IS (3); [Q5190:R33d] IS (1); [Q5191:R34]
IS (NE 1); partial interview
ASSIGNMENT STATEMENTS
* if [Q203:WHICH HH] IS (1) AND [Q256:MARRIAGE STATUS] IS (1 OR 2 OR 7) AND
[Q410:SP_S CURRENT AGE] IS (LT 65) AND [Q5173:R19d] IS (21) then
[E5192.R34A.CHECKPOINT] = 1
* if [Q5191:R34] IS (A) then [E5192.R34A.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5192_2 R34A.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5192
Type: Numeric Width: 1 Decimals: 0
................................................................................
6 1. SPOUSE COVERED UNDER POLICY AND SPOUSE LESS THAN 65 YEARS OLD--
->R34b
32 2. OTHERWISE
10926 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); [Q5190:R33d] IS (3); [Q5190:R33d] IS (1); [Q5191:R34]
IS (NE 1); partial interview
E5193_1 R34B.COVERAGE CONTINUE FOR SP TO 65
Section: R Level: Respondent CAI Reference: Q5193
Type: Numeric Width: 1 Decimals: 0
R34b. Can you continue this health insurance coverage for your spouse until
(he/she) is age 65?
User note: Some cases were inappropriately asked or not asked this question
because the age of the respondent's spouse or partner, if any, was not
available because no interview was conducted with the spouse or partner in
1996.
................................................................................
121 1. YES
4 5. NO
1 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10838 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); [Q5190:R33d] IS (3); [Q5190:R33d] IS (1); [Q5191:R34]
IS (NE 1); [Q5192:R34a] IS (2); partial interview
E5193_2 R34B.COVERAGE CONTINUE FOR SP TO 65
Section: R Level: Respondent CAI Reference: Q5193
Type: Numeric Width: 1 Decimals: 0
R34b. Can you continue this health insurance coverage for your spouse until
(he/she) is age 65?
User note: Some cases were inappropriately asked or not asked this question
because the age of the respondent's spouse or partner, if any, was not
available because no interview was conducted with the spouse or partner in
1996.
................................................................................
6 1. YES
5. NO
8. DK (don't know); NA (not ascertained)
9. RF (refused)
10958 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); [Q5190:R33d] IS (3); [Q5190:R33d] IS (1); [Q5191:R34]
IS (NE 1); [Q5192:R34a] IS (2); partial interview
E5194_1 R35.COVERAGE TO 65 IF LEFT NOW
Section: R Level: Respondent CAI Reference: Q5194
Type: Numeric Width: 1 Decimals: 0
R35. If you left your current employer now, could you continue this health
insurance coverage for yourself up to the age of 65?
................................................................................
1514 1. YES
1246 5. NO
7 7. Other
196 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
8000 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); [Q5190:R33d] IS (3); [Q5191:R34] IS (NE 1);
[Q5192:R34a] IS (2); [Q5193:R34b] IS (A); partial interview
E5194_2 R35.COVERAGE TO 65 IF LEFT NOW
Section: R Level: Respondent CAI Reference: Q5194
Type: Numeric Width: 1 Decimals: 0
R35. If you left your current employer now, could you continue this health
insurance coverage for yourself up to the age of 65?
................................................................................
76 1. YES
77 5. NO
1 7. Other
14 8. DK (don't know); NA (not ascertained)
2 9. RF (refused)
10794 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); [Q5190:R33d] IS (3); [Q5191:R34] IS (NE 1);
[Q5192:R34a] IS (2); [Q5193:R34b] IS (A); partial interview
ASSIGNMENT STATEMENTS
* if [Q256:MARRIAGE STATUS] IS (1 OR 2 OR 7) AND [Q5194:R35] IS (1) AND
[Q5192:R34a] IS (1) then [E5199.R35B.CHECKPOINT] = 1
* if [Q5194:R35] IS (A) then [E5199.R35B.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5199_1 R35B.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5199
Type: Numeric Width: 1 Decimals: 0
................................................................................
1. R35=YES AND R IS MARRIED AND SPOUSE IS COVERED AND LESS THAN 65
-> R35c
2767 2. OTHERWISE
8197 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); [Q5190:R33d] IS (3); [Q5191:R34] IS (NE 1);
[Q5192:R34a] IS (2); [Q5193:R34b] IS (A); [Q5194:R35] IS (DK OR
RF); partial interview
ASSIGNMENT STATEMENTS
* if [Q256:MARRIAGE STATUS] IS (1 OR 2 OR 7) AND [Q5194:R35] IS (1) AND
[Q5192:R34a] IS (1) then [E5199.R35B.CHECKPOINT] = 1
* if [Q5194:R35] IS (A) then [E5199.R35B.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5199_2 R35B.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5199
Type: Numeric Width: 1 Decimals: 0
................................................................................
1. R35=YES AND R IS MARRIED AND SPOUSE IS COVERED AND LESS THAN 65
-> R35c
154 2. OTHERWISE
10810 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); [Q5190:R33d] IS (3); [Q5191:R34] IS (NE 1);
[Q5192:R34a] IS (2); [Q5193:R34b] IS (A); [Q5194:R35] IS (DK OR
RF); partial interview
E5200_1 R35C.COVERAGE TO 65 FOR SP IF LEFT NOW
Section: R Level: Respondent CAI Reference: Q5200
Type: Numeric Width: 1 Decimals: 0
R35c. If you left your current employer now could you continue this health
insurance coverage for your spouse until (he/she) is age 65?
User note: Some cases were inappropriately asked or not asked this question
because the age of the respondent's spouse or partner, if any, was not
available because no interview was conducted with the spouse or partner in
1996.
................................................................................
1. YES
5. NO
8. DK (don't know); NA (not ascertained)
9. RF (refused)
10964 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); [Q5190:R33d] IS (3); [Q5191:R34] IS (NE 1);
[Q5192:R34a] IS (2); [Q5193:R34b] IS (A); [Q5194:R35] IS (DK OR
RF); [Q5199:R35b] IS (2); partial interview
E5200_2 R35C.COVERAGE TO 65 FOR SP IF LEFT NOW
Section: R Level: Respondent CAI Reference: Q5200
Type: Numeric Width: 1 Decimals: 0
R35c. If you left your current employer now could you continue this health
insurance coverage for your spouse until (he/she) is age 65?
User note: Some cases were inappropriately asked or not asked this question
because the age of the respondent's spouse or partner, if any, was not
available because no interview was conducted with the spouse or partner in
1996.
................................................................................
1. YES
5. NO
8. DK (don't know); NA (not ascertained)
9. RF (refused)
10964 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5160:R13] IS (5 OR DK OR RF); [Q5162:LOOP] IS (GT
Q5161); [Q5165:R15b] IS (1); [Q5184:R29b] IS (1); [Q5184:R29b]
IS (2); [Q5190:R33d] IS (3); [Q5191:R34] IS (NE 1);
[Q5192:R34a] IS (2); [Q5193:R34b] IS (A); [Q5194:R35] IS (DK OR
RF); [Q5199:R35b] IS (2); partial interview
ASSIGNMENT STATEMENTS
* if [Q5133:R1] IS (1) AND [Q5170:R19a] IS (NE 1) then
[E5205.R45B.CHECKPOINT] = 1
* if [Q1:HH ID] IS (GE 0 OR LE 0) then [E5205.R45B.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5205 R45B.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5205
Type: Numeric Width: 1 Decimals: 0
................................................................................
1771 1. R IS COVERED BY MEDICARE AND NO MEDIGAP INSURANCE
9133 2. OTHERWISE
60 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); partial interview
E5206 R46.OTHER INSURANCE
Section: R Level: Respondent CAI Reference: Q5206
Type: Numeric Width: 1 Decimals: 0
R46. Not counting long-term care insurance or Medicare, (or Medicaid/or any
other insurance we've discussed), do you have any other insurance that pays
any part of hospital or doctor bills? Sometimes this is called a Medigap or
Medicare Supplement policy.
................................................................................
405 1. YES
1354 5. NO
10 8. DK (don't know); NA (not ascertained)
2 9. RF (refused)
9193 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5205:R45b] IS (2); partial interview
E5207 R46A.PLAN LETTER
Section: R Level: Respondent CAI Reference: Q5207
Type: Numeric Width: 2 Decimals: 0
R46a. Many Medicare Supplemental or Medigap Plans are referred to by a Plan
Letter. Do you know the Plan Letter for your plan?
PROBE: What is it?
ENTER LETTER (A-J):
................................................................................
43 1. A
12 2. B
28 3. C
8 4. D
4 5. E
49 6. F
1 7. G
4 8. H
4 9. I
14 10. J
14 95. Other letter
98. DK (don't know); NA (not ascertained)
99. RF (refused)
10783 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5205:R45b] IS (2); [Q5206:R46] IS (NE 1); partial
interview
E5208 R46B.PAY ALL/SOME/NONE OF PREMIUM
Section: R Level: Respondent CAI Reference: Q5208
Type: Numeric Width: 1 Decimals: 0
R46b. Do you pay all of the costs, some of the costs, or none of the costs
of the premium for this health insurance coverage?
................................................................................
323 1. ALL
41 2. SOME
37 3. NONE
7. Other
3 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
10559 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5205:R45b] IS (2); [Q5206:R46] IS (NE 1); partial
interview
E5209 R46C.SUPPLEMENT AMT PAY
Section: R Level: Respondent CAI Reference: Q5209
Type: Numeric Width: 9 Decimals: 2
R46c. How much do you pay for this health insurance?
PROBE: Include the amount deducted from your pay check but not the amount
paid by the employer.
AMOUNT:
PER:
................................................................................
338 0-999996. Actual value
23 999998. DK (don't know); NA (not ascertained)
3 999999. RF (refused)
10600 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND
[Q1554:D89S] IS (2) AND [Q263:NEW SP] IS (1) AND
[Q227:CS5] IS (NE 5); [Q558:CS50] IS (1);
[Q5205:R45b] IS (2); [Q5206:R46] IS (NE 1);
[Q5208:R46b] IS (3 OR DK OR RF); partial interview
E5210 R46CA.SUPPLEMENT AMT PAY PER
Section: R Level: Respondent CAI Reference: Q5210
Type: Numeric Width: 2 Decimals: 0
................................................................................
62 1. YEAR
25 2. QUARTERLY/EVERY 3 MONTHS
9 3. BIMONTHLY/EVERY 2 MONTHS
265 4. MONTH
5. WEEK
6. BIWEEKLY/EVERY 2 WEEKS
3 7. SEMI-ANNUALLY/2 TIMES PER YEAR
8. SEMI-MONTHLY/2 TIMES PER MONTH
97. OTHER (SPECIFY)
98. DK (don't know); NA (not ascertained)
99. RF (refused)
10600 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5205:R45b] IS (2); [Q5206:R46] IS (NE 1);
[Q5208:R46b] IS (3 OR DK OR RF); partial interview
E5212 R46E.PLAN PAY PART PRESCRIPTION DRUGS
Section: R Level: Respondent CAI Reference: Q5212
Type: Numeric Width: 1 Decimals: 0
R46e. Does this health insurance plan pay any part of the cost of
prescription medicines?
................................................................................
153 1. YES
241 5. NO
11 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10559 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5205:R45b] IS (2); [Q5206:R46] IS (NE 1); partial
interview
E5213 R46F.PLAN PAY PART DENTAL CARE
Section: R Level: Respondent CAI Reference: Q5213
Type: Numeric Width: 1 Decimals: 0
R46f. Does this health insurance plan pay any part of the cost of routine
dental care by a dentist?
................................................................................
45 1. YES
355 5. NO
5 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10559 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5205:R45b] IS (2); [Q5206:R46] IS (NE 1); partial
interview
ASSIGNMENT STATEMENTS
* if [Q5212:R46e] IS (1) OR [Q5213:R46f] IS (1) then [E5214.R46FF.CHECKPOINT]
= 1
* if [Q5213:R46f] IS (A) then [E5214.R46FF.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5214 R46FF.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5214
Type: Numeric Width: 1 Decimals: 0
................................................................................
159 1. R'S HEALTH INSURANCE PAYS PART OF PRESCRIPTION AND/OR DENTAL
CARE
246 2. OTHERWISE
10559 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5205:R45b] IS (2); [Q5206:R46] IS (NE 1); partial
interview
E5215 R46G.R PAY EXTRA FOR BENEFITS
Section: R Level: Respondent CAI Reference: Q5215
Type: Numeric Width: 1 Decimals: 0
R46g. Do you pay extra for (this (prescription) benefit/this (dental)
benefit/these benefits)?
................................................................................
46 1. YES
108 5. NO
5 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10805 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5205:R45b] IS (2); [Q5206:R46] IS (NE 1);
[Q5214:R46ff] IS (2); partial interview
E5216 R46H.LIMITS ON HEALTH INSURANCE
Section: R Level: Respondent CAI Reference: Q5216
Type: Numeric Width: 1 Decimals: 0
R46h. Are there any limits or restrictions on this health insurance plan due
to a preexisting condition?
................................................................................
3 1. YES
151 5. NO
5 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10805 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5205:R45b] IS (2); [Q5206:R46] IS (NE 1);
[Q5214:R46ff] IS (2); partial interview
E5218 R48.ANY OTHER HEALTH INSUR
Section: R Level: Respondent CAI Reference: Q5218
Type: Numeric Width: 1 Decimals: 0
R48. Do you have any basic health insurance coverage purchased directly from
an insurance company or through a membership organization?
INSURANCE FROM ORGANIZATIONS SUCH AS AARP OR PROFESSIONAL ORGANIZATIONS, OR
FROM STATE OR HEALTH ALLIANCES ARE EXAMPLES OF SUCH INSURANCE.
................................................................................
877 1. YES
1419 5. NO
8 8. DK (don't know); NA (not ascertained)
9 9. RF (refused)
8651 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); partial interview
E5219 R50.COVER HOSPITAL/PHYSICAL VISITS
Section: R Level: Respondent CAI Reference: Q5219
Type: Numeric Width: 1 Decimals: 0
R50. Does this insurance cover the costs for hospital care?
................................................................................
857 1. YES
17 5. NO
4 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10086 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
partial interview
E5220 R51.R PAY COST
Section: R Level: Respondent CAI Reference: Q5220
Type: Numeric Width: 1 Decimals: 0
R51. Do you pay all of the costs, some of the costs, or none of the costs of
the premium for this health insurance coverage?
................................................................................
692 1. ALL
115 2. SOME
44 3. NONE
7. Other
6 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10107 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
[Q5219:R50] IS (5 OR DK OR RF); partial interview
E5221 R52.AMT PAY FOR OTHER HEALTH INSURANCE
Section: R Level: Respondent CAI Reference: Q5221
Type: Numeric Width: 9 Decimals: 2
R52. How much do you pay for this health insurance?
PROBE: Include the amount deducted from your pay check but not the amount
paid by the employer.
AMOUNT:
PER:
................................................................................
746 1-999996. Actual value
3 999997. OTHER
46 999998. DK (don't know); NA (not ascertained)
12 999999. RF (refused)
10157 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND
[Q1554:D89S] IS (2) AND [Q263:NEW SP] IS (1) AND
[Q227:CS5] IS (NE 5); [Q558:CS50] IS (1); [Q5133:R1]
IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS (1) OR
[Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
[Q5219:R50] IS (5 OR DK OR RF); [Q5220:R51] IS (3 OR
DK OR RF); partial interview
E5222 R52A.AMT PAY FOR OTHER HEALTH INSUR PER
Section: R Level: Respondent CAI Reference: Q5222
Type: Numeric Width: 2 Decimals: 0
................................................................................
153 1. YEAR
73 2. QUARTERLY/EVERY 3 MONTHS
6 3. BIMONTHLY/EVERY 2 MONTHS
554 4. MONTH
8 5. WEEK
1 6. BIWEEKLY/EVERY 2 WEEKS
4 7. SEMI-ANNUALLY/2 TIMES PER YEAR
8. SEMI-MONTHLY/2 TIMES PER MONTH
6 97. OTHER (SPECIFY)
1 98. DK (don't know); NA (not ascertained)
1 99. RF (refused)
10157 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
[Q5219:R50] IS (5 OR DK OR RF); [Q5220:R51] IS (3 OR DK OR RF);
partial interview
E5224 R54.IS ANYONE ELSE COVERED
Section: R Level: Respondent CAI Reference: Q5224
Type: Numeric Width: 1 Decimals: 0
R54. Besides yourself, is anyone else covered on this health insurance?
................................................................................
383 1. YES
474 5. NO
8. DK (don't know); NA (not ascertained)
9. RF (refused)
10107 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
[Q5219:R50] IS (5 OR DK OR RF); partial interview
E5225M1 R54A.WHO ELSE COVERED
Section: R Level: Respondent CAI Reference: Q5225
Type: Character Width: 3 Decimals: 0
R54a. Who besides (yourself/yourself and POLICYHOLDER) is covered?
CHOOSE ALL THAT APPLY
................................................................................
342 036. Spouse
4 038. All my children
039. Grandchild
061-083. Other Person Number
35 101-995. Other Person Number
2 997. Other
10581 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
[Q5219:R50] IS (5 OR DK OR RF); [Q5224:R54] IS (5 OR DK OR RF);
partial interview; no subsequent mention
E5225M2 R54A.WHO ELSE COVERED
Section: R Level: Respondent CAI Reference: Q5225
Type: Character Width: 3 Decimals: 0
R54a. Who besides (yourself/yourself and POLICYHOLDER) is covered?
CHOOSE ALL THAT APPLY
................................................................................
16 036. Spouse
7 038. All my children
039. Grandchild
061-083. Other Person Number
25 101-995. Other Person Number
3 997. Other
10913 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
[Q5219:R50] IS (5 OR DK OR RF); [Q5224:R54] IS (5 OR DK OR RF);
partial interview; no subsequent mention
E5225M3 R54A.WHO ELSE COVERED
Section: R Level: Respondent CAI Reference: Q5225
Type: Character Width: 3 Decimals: 0
R54a. Who besides (yourself/yourself and POLICYHOLDER) is covered?
CHOOSE ALL THAT APPLY
................................................................................
3 036. Spouse
038. All my children
039. Grandchild
061-083. Other Person Number
7 101-995. Other Person Number
997. Other
10954 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
[Q5219:R50] IS (5 OR DK OR RF); [Q5224:R54] IS (5 OR DK OR RF);
partial interview; no subsequent mention
E5225M4 R54A.WHO ELSE COVERED
Section: R Level: Respondent CAI Reference: Q5225
Type: Character Width: 3 Decimals: 0
R54a. Who besides (yourself/yourself and POLICYHOLDER) is covered?
CHOOSE ALL THAT APPLY
................................................................................
036. Spouse
038. All my children
039. Grandchild
061-083. Other Person Number
3 101-995. Other Person Number
997. Other
10961 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
[Q5219:R50] IS (5 OR DK OR RF); [Q5224:R54] IS (5 OR DK OR RF);
partial interview; no subsequent mention
E5225M5 R54A.WHO ELSE COVERED
Section: R Level: Respondent CAI Reference: Q5225
Type: Character Width: 3 Decimals: 0
R54a. Who besides (yourself/yourself and POLICYHOLDER) is covered?
CHOOSE ALL THAT APPLY
................................................................................
036. Spouse
038. All my children
039. Grandchild
061-083. Other Person Number
1 101-995. Other Person Number
997. Other
10963 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
[Q5219:R50] IS (5 OR DK OR RF); [Q5224:R54] IS (5 OR DK OR RF);
partial interview; no subsequent mention
E5226 R55.IS THIS HMO
Section: R Level: Respondent CAI Reference: Q5226
Type: Numeric Width: 1 Decimals: 0
R55. I'd like to ask you a few questions about how this health insurance
works for non-emergency care. Is this insurance plan an HMO, that is, a
Health Maintenance Organization?
DEFINITION: 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.
................................................................................
244 1. YES
596 5. NO
16 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
10107 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
[Q5219:R50] IS (5 OR DK OR RF); partial interview
E5227 R55A.IF LIST OF DOCTORS
Section: R Level: Respondent CAI Reference: Q5227
Type: Numeric Width: 1 Decimals: 0
R55a. Does your health insurance plan have a list or book of doctors that
you are encouraged or required to use?
................................................................................
182 1. YES
424 5. NO
6 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
10351 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
[Q5219:R50] IS (5 OR DK OR RF); [Q5226:R55] IS (1); partial
interview
E5228 R55B.PAY ROUTINE CARE
Section: R Level: Respondent CAI Reference: Q5228
Type: Numeric Width: 1 Decimals: 0
R55b. Does your health insurance plan pay any of the costs of routine care
if you see a doctor who is not on this list?
................................................................................
109 1. YES
10 2. YES, WITH A REFERRAL
49 5. NO
7. Other
14 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10782 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
[Q5219:R50] IS (5 OR DK OR RF); [Q5226:R55] IS (1);
[Q5227:R55a] IS (5 OR DK OR RF); partial interview
E5229 R55D.HMO:IF R PAYS FOR DR VISITS
Section: R Level: Respondent CAI Reference: Q5229
Type: Numeric Width: 1 Decimals: 0
R55d. Under this health insurance plan, do you pay a percentage of the
doctor's charge, the same dollar amount each time you visit the doctor, or
do you not pay anything at all for doctor visits?
................................................................................
21 1. PERCENT
169 2. DOLLAR AMOUNT/COPAY
43 3. R DOESN'T PAY ANYTHING
6 4. DEDUCTIBLE / DEDUCTIBLE PLUS CO-PAY
3 7. OTHER
2 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10720 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
[Q5219:R50] IS (5 OR DK OR RF); [Q5226:R55] IS (NE 1); partial
interview
E5230 R55E.NON HMO:IF PLAN PAYS DR VISITS
Section: R Level: Respondent CAI Reference: Q5230
Type: Numeric Width: 1 Decimals: 0
R55e. Does this plan pay any of the costs of routine visits to the doctor?
................................................................................
304 1. YES
303 5. NO
5 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
10351 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
[Q5219:R50] IS (5 OR DK OR RF); [Q5226:R55] IS (1); partial
interview
E5231 R55F.PAY PERSCRIPTION DRUGS
Section: R Level: Respondent CAI Reference: Q5231
Type: Numeric Width: 1 Decimals: 0
R55f. Does this health insurance plan pay any part of the cost of
prescription medicines?
................................................................................
485 1. YES
366 5. NO
5 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
10107 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
[Q5219:R50] IS (5 OR DK OR RF); partial interview
E5232 R56.PAY DENTAL VISIT
Section: R Level: Respondent CAI Reference: Q5232
Type: Numeric Width: 1 Decimals: 0
R56. Does this health insurance plan pay any part of the cost of routine
dental care by a dentist?
................................................................................
139 1. YES
712 5. NO
5 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
10107 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
[Q5219:R50] IS (5 OR DK OR RF); partial interview
ASSIGNMENT STATEMENTS
* if [Q5231:R55f] IS (1) OR [Q5232:R56] IS (1) then [E5233.R56A.CHECKPOINT] =
1
* if [Q5232:R56] IS (A) then [E5233.R56A.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5233 R56A.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5233
Type: Numeric Width: 1 Decimals: 0
................................................................................
514 1. R ANSWERED YES TO R55f OR R56
343 2. OTHERWISE
10107 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
[Q5219:R50] IS (5 OR DK OR RF); partial interview
E5234 R57.R PAY EXTRA
Section: R Level: Respondent CAI Reference: Q5234
Type: Numeric Width: 1 Decimals: 0
R57. Do you pay extra for (this (prescription) benefit/this (dental)
benefit/these benefits)?
................................................................................
126 1. YES
362 5. NO
20 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10456 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
[Q5219:R50] IS (5 OR DK OR RF); [Q5233:R56a] IS (2); partial
interview
E5235 R57A.LIMITS ON HEALTH INSUR
Section: R Level: Respondent CAI Reference: Q5235
Type: Numeric Width: 1 Decimals: 0
R57a. Are there any limits or restrictions on this health insurance plan due
to a preexisting condition?
................................................................................
139 1. YES
683 5. NO
33 8. DK (don't know); NA (not ascertained)
2 9. RF (refused)
10107 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS
(1) OR [Q5160:R13] IS (1); [Q5218:R48] IS (5 OR DK OR RF);
[Q5219:R50] IS (5 OR DK OR RF); partial interview
ASSIGNMENT STATEMENTS
* if [Q5133:R1] IS (1) OR [Q5136:R5] IS (1) OR [Q5145:R9] IS (1) OR
[Q5158:R12x] IS (1) OR [Q5160:R13] IS (1) OR [Q5218:R48] IS (1) then
[E5237.R57B.CHECKPOINT] = 1
* if [Q5236:R57b] IS (A) then [E5237.R57B.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5237 R57B.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5237
Type: Numeric Width: 1 Decimals: 0
................................................................................
9714 1. R IS COVERED BY MEDICARE, MEDICAID, CHAMPUS/CHAMPVA OR OTHER
INSURANCE
1191 2. OTHERWISE
59 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); partial interview
E5238 R58.WITHOUT INSUR
Section: R Level: Respondent CAI Reference: Q5238
Type: Numeric Width: 1 Decimals: 0
R58. I have recorded that you are currently covered by health insurance.
Were you ever without health insurance coverage at any time since (previous
wave interview year-month).
................................................................................
485 1. YES
9214 5. NO
11 8. DK (don't know); NA (not ascertained)
4 9. RF (refused)
1250 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5237:R57b] IS (2); partial interview
E5242 R61.EXPENSES WITHOUT COVERAGE
Section: R Level: Respondent CAI Reference: Q5242
Type: Numeric Width: 1 Decimals: 0
R61. During the time you were not covered by health insurance, did you have
any medical expenses for which you had to pay $100 or more?
................................................................................
242 1. YES
239 5. NO
4 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10479 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5237:R57b] IS (2); [Q5238:R58] IS (5 OR DK OR RF);
partial interview
E5243 R62.FEAR LOSS IF LOOK FOR JOB
Section: R Level: Respondent CAI Reference: Q5243
Type: Numeric Width: 1 Decimals: 0
R62. Has the fear of losing your health insurance ever kept you from looking
for another job?
................................................................................
628 1. YES
4892 5. NO
3 7. Other
5 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
5435 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5237:R57b] IS (2); [Q2627:G2] IS (NE 1); partial
interview
E5247 R67.NOT COVERED BY GOVT/PRIV HEALTH INSU
Section: R Level: Respondent CAI Reference: Q5247
Type: Numeric Width: 1 Decimals: 0
R67. According to my information, you are not currently covered by any
government or private health insurance plans that provide for medical care.
Is that correct?
................................................................................
1087 1. YES
92 5. NO
4 8. DK (don't know); NA (not ascertained)
8 9. RF (refused)
9773 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5237:R57b] IS (1); partial interview
E5248M1 R68.WHICH PLAN
Section: R Level: Respondent CAI Reference: Q5248
Type: Numeric Width: 1 Decimals: 0
R68. Under which of the following plans are you covered?
User note: Up to five responses were allowed for this question, the actual
maximum number of responses was one.
................................................................................
4 1. MEDICARE
5 2. MEDICAID
4 3. STATE NAME FOR MEDICAID
3 4. CHAMPUS, CHAMPVA
43 5. A PRIVATE PLAN FROM AN EMPLOYER
18 6. A PRIVATE PLAN PURCHASED DIRECTLY
6 7. Other
4 8. DK (don't know); NA (not ascertained)
4 9. RF (refused)
10873 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5237:R57b] IS (1); [Q5247:R67] IS (1 OR DK OR RF);
partial interview; no subsequent mention
ASSIGNMENT STATEMENTS
* if [Q2627:G2] IS (1) then [E5249.R68A.CHECKPOINT] = 1
* if [Q2627:G2] IS (NE 1) OR [Q2628:G3] IS (2) then [E5249.R68A.CHECKPOINT] =
2
* if [Q1:HH ID] IS (GE 0 OR LE 0) then [E5249.R68A.CHECKPOINT] = 3
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
E5249 R68A.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q5249
Type: Numeric Width: 1 Decimals: 0
................................................................................
60 1. R IS CURRENTLY EMPLOYED BY SOMEONE ELSE
31 2. R IS (NOT CURRENTLY EMPLOYED) OR SELF-EMPLOYED
3. OTHERWISE
10873 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5237:R57b] IS (1); [Q5247:R67] IS (1 OR DK OR RF);
partial interview
E5250 R71.EMP OFFER HEALTH INSURANCE
Section: R Level: Respondent CAI Reference: Q5250
Type: Numeric Width: 1 Decimals: 0
R71. Does your employer or union offer a health insurance plan to any of its
employees?
................................................................................
23 1. YES
36 5. NO
8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
10904 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5237:R57b] IS (1); [Q5247:R67] IS (1 OR DK OR RF);
[Q5249:R68a] IS (2 OR 3); partial interview
E5251 R72.OFFERED INSURANCE THROUGH JOB
Section: R Level: Respondent CAI Reference: Q5251
Type: Numeric Width: 1 Decimals: 0
R72. Were you offered health insurance through your job?
................................................................................
15 1. YES
8 5. NO
8. DK (don't know); NA (not ascertained)
9. RF (refused)
10941 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5237:R57b] IS (1); [Q5247:R67] IS (1 OR DK OR RF);
[Q5249:R68a] IS (2 OR 3); [Q5250:R71] IS (5 OR DK OR RF);
partial interview
E5252 R73.ELIGIBLE IN FUTURE
Section: R Level: Respondent CAI Reference: Q5252
Type: Numeric Width: 1 Decimals: 0
R73. Will you be eligible for health insurance through your job in the
future?
................................................................................
1 1. YES
7 5. NO
8. DK (don't know); NA (not ascertained)
9. RF (refused)
10956 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5237:R57b] IS (1); [Q5247:R67] IS (1 OR DK OR RF);
[Q5249:R68a] IS (2 OR 3); [Q5250:R71] IS (5 OR DK OR RF);
[Q5251:R72] IS (1); partial interview
E5255 R78.WITHDRAWN FROM HMO SINCE PREV WAVE
Section: R Level: Respondent CAI Reference: Q5255
Type: Numeric Width: 1 Decimals: 0
R78. Since (previous wave interview month-year) have you withdrawn from an
HMO?
................................................................................
27 1. YES
983 5. NO
11 8. DK (don't know); NA (not ascertained)
9. RF (refused)
9943 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5247:R67] IS (1 OR DK OR RF); [Q5133:R1] IS (NE 1)
AND [Q5248:R68] IS (NE 1 OR 2-6); [Q5136:R5] IS (1) OR
[Q5145:R9] IS (1) OR [Q5160:R13] IS (1) OR [Q5218:R48] IS (1);
partial interview
E5256 R79.VOLUNTARILY LEAVE
Section: R Level: Respondent CAI Reference: Q5256
Type: Numeric Width: 1 Decimals: 0
R79. Did you voluntarily leave that HMO?
................................................................................
19 1. YES
8 5. NO
8. DK (don't know); NA (not ascertained)
9. RF (refused)
10937 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5247:R67] IS (1 OR DK OR RF); [Q5133:R1] IS (NE 1)
AND [Q5248:R68] IS (NE 1 OR 2-6); [Q5136:R5] IS (1) OR
[Q5145:R9] IS (1) OR [Q5160:R13] IS (1) OR [Q5218:R48] IS (1);
[Q5255:R78] IS (5 OR DK OR RF); partial interview
E5257M1 R80.WHY LEAVE HMO
Section: R Level: Respondent CAI Reference: Q5257
Type: Numeric Width: 1 Decimals: 0
R80. Why did you leave that HMO?
CHOOSE ALL THAT APPLY
User note: Up to four responses were allowed for this question, the actual
maximum number of responses was one.
................................................................................
1. OWN PHYSICIAN LEFT PLAN
4 2. HMO DIDN'T PROVIDE NEEDED SERVICES
5 3. HMO COSTS INCREASED
1 4. HMO ENCOURAGED ME TO LEAVE
1 5. BETTER DEAL WITH NEW PLAN
1 6. TOO FAR AWAY / NOT IN REGION
7 7. OTHER (SPECIFY)
8. DK (don't know); NA (not ascertained)
9. RF (refused)
10945 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5247:R67] IS (1 OR DK OR RF); [Q5133:R1] IS (NE 1)
AND [Q5248:R68] IS (NE 1 OR 2-6); [Q5136:R5] IS (1) OR
[Q5145:R9] IS (1) OR [Q5160:R13] IS (1) OR [Q5218:R48] IS (1);
[Q5255:R78] IS (5 OR DK OR RF); [Q5256:R79] IS (5 OR DK OR RF);
partial interview; no subsequent mention
E5258 R81.HOW LONG BEFORE COVERED-MONTHS
Section: R Level: Respondent CAI Reference: Q5258
Type: Numeric Width: 2 Decimals: 0
R81. From the time you left that HMO, about how long was it before you were
fully covered by your new health insurance plan?
ENTER "0" MONTHS IF NO GAP.
MONTHS:
OR
YEARS:
OR
................................................................................
26 0-50. Actual value
1 98. DK (don't know); NA (not ascertained)
99. RF (refused)
10937 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND
[Q1554:D89S] IS (2) AND [Q263:NEW SP] IS (1) AND
[Q227:CS5] IS (NE 5); [Q558:CS50] IS (1); [Q5247:R67]
IS (1 OR DK OR RF); [Q5133:R1] IS (NE 1) AND
[Q5248:R68] IS (NE 1 OR 2-6); [Q5136:R5] IS (1) OR
[Q5145:R9] IS (1) OR [Q5160:R13] IS (1) OR
[Q5218:R48] IS (1); [Q5255:R78] IS (5 OR DK OR RF);
partial interview
E5259 R81.HOW LONG BEFORE COVERED-YEARS
Section: R Level: Respondent CAI Reference: Q5259
Type: Numeric Width: 2 Decimals: 0
................................................................................
2 0-50. Actual value
1 98. DK (don't know); NA (not ascertained)
99. RF (refused)
10961 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND
[Q1554:D89S] IS (2) AND [Q263:NEW SP] IS (1) AND
[Q227:CS5] IS (NE 5); [Q558:CS50] IS (1); [Q5247:R67]
IS (1 OR DK OR RF); [Q5133:R1] IS (NE 1) AND
[Q5248:R68] IS (NE 1 OR 2-6); [Q5136:R5] IS (1) OR
[Q5145:R9] IS (1) OR [Q5160:R13] IS (1) OR
[Q5218:R48] IS (1); [Q5255:R78] IS (5 OR DK OR RF);
partial interview
E5260 R81.NO NEW HEALTH INSURANCE PLAN
Section: R Level: Respondent CAI Reference: Q5260
Type: Numeric Width: 1 Decimals: 0
................................................................................
26 1. NO NEW HEALTH INSURANCE PLAN
8. DK (don't know); NA (not ascertained)
9. RF (refused)
10938 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5247:R67] IS (1 OR DK OR RF); [Q5133:R1] IS (NE 1)
AND [Q5248:R68] IS (NE 1 OR 2-6); [Q5136:R5] IS (1) OR
[Q5145:R9] IS (1) OR [Q5160:R13] IS (1) OR [Q5218:R48] IS (1);
[Q5255:R78] IS (5 OR DK OR RF); [Q5258:R81] IS (NE "|") AND
[Q5259:R81] IS (NE "|"); partial interview
E5262 R82.OTHER CHANGES SINCE PREV WAVE
Section: R Level: Respondent CAI Reference: Q5262
Type: Numeric Width: 1 Decimals: 0
R82. IF Q5133 IS (1) (Other than the changes you've already told me about)
IF Q370 IS (1) Since (previous wave interview month-year)...
ELSE in the last two years...
...have there been any (other) changes in the type, cost, or coverage of
your health insurance?
................................................................................
3646 1. YES
6073 5. NO
2 7. Other
82 8. DK (don't know); NA (not ascertained)
2 9. RF (refused)
1159 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5247:R67] IS (1 OR DK OR RF); partial interview
E5263 R83.CHOICE IN CHANGING INSURANCE
Section: R Level: Respondent CAI Reference: Q5263
Type: Numeric Width: 1 Decimals: 0
R83. Did you choose to change your health insurance or provider, or did you
not have a choice in the change?
................................................................................
772 1. R MADE CHANGE
2865 5. R HAD NO CHOICE
3 7. Other
6 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
7317 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5247:R67] IS (1 OR DK OR RF); [Q5262:R82] IS (5 OR DK
OR RF); partial interview
E5264M1 R84.WHAT CHANGED HEALTH INSURANCE
Section: R Level: Respondent CAI Reference: Q5264
Type: Numeric Width: 2 Decimals: 0
R84. What has changed about your health insurance?
CHOOSE ALL THAT APPLY
User note: Up to nine responses were allowed for this question, the actual
maximum number of responses was six.
................................................................................
1948 1. COST BECAME HIGHER
304 2. COST BECAME LOWER
128 3. FEWER SERVICES COVERED
144 4. MORE SERVICES COVERED
75 5. LESS CHOICE OF PHYSICIANS
20 6. MORE CHOICE OF PHYSICIANS
13 7. MORE CONVENIENT
50 8. LOST PLAN
723 9. CHANGED TO A COMPLETELY DIFFERENT PLAN
231 10. OTHER (SPECIFY)
2 97. Other
9 98. DK (don't know); NA (not ascertained)
99. RF (refused)
7317 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5247:R67] IS (1 OR DK OR RF); [Q5262:R82] IS (5 OR DK
OR RF); partial interview; no subsequent mention
E5264M2 R84.WHAT CHANGED HEALTH INSURANCE
Section: R Level: Respondent CAI Reference: Q5264
Type: Numeric Width: 2 Decimals: 0
R84. What has changed about your health insurance?
CHOOSE ALL THAT APPLY
User note: Up to nine responses were allowed for this question, the actual
maximum number of responses was six.
................................................................................
92 1. COST BECAME HIGHER
64 2. COST BECAME LOWER
179 3. FEWER SERVICES COVERED
107 4. MORE SERVICES COVERED
65 5. LESS CHOICE OF PHYSICIANS
43 6. MORE CHOICE OF PHYSICIANS
23 7. MORE CONVENIENT
8 8. LOST PLAN
117 9. CHANGED TO A COMPLETELY DIFFERENT PLAN
122 10. OTHER (SPECIFY)
97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
10144 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5247:R67] IS (1 OR DK OR RF); [Q5262:R82] IS (5 OR DK
OR RF); partial interview; no subsequent mention
E5264M3 R84.WHAT CHANGED HEALTH INSURANCE
Section: R Level: Respondent CAI Reference: Q5264
Type: Numeric Width: 2 Decimals: 0
R84. What has changed about your health insurance?
CHOOSE ALL THAT APPLY
User note: Up to nine responses were allowed for this question, the actual
maximum number of responses was six.
................................................................................
12 1. COST BECAME HIGHER
10 2. COST BECAME LOWER
21 3. FEWER SERVICES COVERED
23 4. MORE SERVICES COVERED
57 5. LESS CHOICE OF PHYSICIANS
26 6. MORE CHOICE OF PHYSICIANS
14 7. MORE CONVENIENT
1 8. LOST PLAN
43 9. CHANGED TO A COMPLETELY DIFFERENT PLAN
32 10. OTHER (SPECIFY)
97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
10725 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5247:R67] IS (1 OR DK OR RF); [Q5262:R82] IS (5 OR DK
OR RF); partial interview; no subsequent mention
E5264M4 R84.WHAT CHANGED HEALTH INSURANCE
Section: R Level: Respondent CAI Reference: Q5264
Type: Numeric Width: 2 Decimals: 0
R84. What has changed about your health insurance?
CHOOSE ALL THAT APPLY
User note: Up to nine responses were allowed for this question, the actual
maximum number of responses was six.
................................................................................
3 1. COST BECAME HIGHER
2 2. COST BECAME LOWER
4 3. FEWER SERVICES COVERED
4. MORE SERVICES COVERED
3 5. LESS CHOICE OF PHYSICIANS
4 6. MORE CHOICE OF PHYSICIANS
9 7. MORE CONVENIENT
4 8. LOST PLAN
19 9. CHANGED TO A COMPLETELY DIFFERENT PLAN
7 10. OTHER (SPECIFY)
97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
10909 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5247:R67] IS (1 OR DK OR RF); [Q5262:R82] IS (5 OR DK
OR RF); partial interview; no subsequent mention
E5264M5 R84.WHAT CHANGED HEALTH INSURANCE
Section: R Level: Respondent CAI Reference: Q5264
Type: Numeric Width: 2 Decimals: 0
R84. What has changed about your health insurance?
CHOOSE ALL THAT APPLY
User note: Up to nine responses were allowed for this question, the actual
maximum number of responses was six.
................................................................................
1. COST BECAME HIGHER
2. COST BECAME LOWER
3. FEWER SERVICES COVERED
1 4. MORE SERVICES COVERED
5. LESS CHOICE OF PHYSICIANS
1 6. MORE CHOICE OF PHYSICIANS
1 7. MORE CONVENIENT
8. LOST PLAN
2 9. CHANGED TO A COMPLETELY DIFFERENT PLAN
1 10. OTHER (SPECIFY)
97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
10958 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5247:R67] IS (1 OR DK OR RF); [Q5262:R82] IS (5 OR DK
OR RF); partial interview; no subsequent mention
E5264M6 R84.WHAT CHANGED HEALTH INSURANCE
Section: R Level: Respondent CAI Reference: Q5264
Type: Numeric Width: 2 Decimals: 0
R84. What has changed about your health insurance?
CHOOSE ALL THAT APPLY
User note: Up to nine responses were allowed for this question, the actual
maximum number of responses was six.
................................................................................
1. COST BECAME HIGHER
2. COST BECAME LOWER
3. FEWER SERVICES COVERED
4. MORE SERVICES COVERED
5. LESS CHOICE OF PHYSICIANS
6. MORE CHOICE OF PHYSICIANS
7. MORE CONVENIENT
8. LOST PLAN
1 9. CHANGED TO A COMPLETELY DIFFERENT PLAN
1 10. OTHER (SPECIFY)
97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
10962 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5247:R67] IS (1 OR DK OR RF); [Q5262:R82] IS (5 OR DK
OR RF); partial interview; no subsequent mention
E5266 R85.LTC INSURANCE
Section: R Level: Respondent CAI Reference: Q5266
Type: Numeric Width: 1 Decimals: 0
R85. Not including government programs, do you now have any insurance which
specifically pays any part of long term care, such as personal or medical
care in your home or in a nursing home?
................................................................................
1098 1. YES
9559 5. NO
1 7. Other
236 8. DK (don't know); NA (not ascertained)
11 9. RF (refused)
59 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); partial interview
E5267 R87.COVER NURSING HOME/IN-HOME CARE
Section: R Level: Respondent CAI Reference: Q5267
Type: Numeric Width: 1 Decimals: 0
R87. Does this plan cover care in a nursing home facility only, personal or
long-term care at home, or both in-home and nursing home care?
................................................................................
122 1. NURSING HOME CARE ONLY
103 2. IN-HOME CARE ONLY
732 3. BOTH
37 7. OTHER (SPECIFY)
101 8. DK (don't know); NA (not ascertained)
9. RF (refused)
9869 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5266:R85] IS (5 OR DK OR RF); partial interview
E5268 R88.RECD BENEFITS UNDER LTC
Section: R Level: Respondent CAI Reference: Q5268
Type: Numeric Width: 1 Decimals: 0
R88. Have you ever received benefits under your long-term care policy?
................................................................................
38 1. YES
1056 5. NO
1 7. Other
8. DK (don't know); NA (not ascertained)
9. RF (refused)
9869 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5266:R85] IS (5 OR DK OR RF); partial interview
E5269 R89.PAYMENTS INCREASE WITH INFLATION
Section: R Level: Respondent CAI Reference: Q5269
Type: Numeric Width: 1 Decimals: 0
R89. Does this plan increase payments with inflation?
................................................................................
379 1. YES
483 5. NO
2 7. Other
231 8. DK (don't know); NA (not ascertained)
9. RF (refused)
9869 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5266:R85] IS (5 OR DK OR RF); partial interview
E5270 R90.AMT PAY FOR LTC
Section: R Level: Respondent CAI Reference: Q5270
Type: Numeric Width: 9 Decimals: 2
R90. About how much do you pay for this plan?
AMOUNT:
PER:
................................................................................
910 0-999994. Actual value
48 999995. INCLUDED IN MEDICAL INSURANCE, NOT PAID SEPARATELY
1 999997. OTHER
124 999998. DK (don't know); NA (not ascertained)
12 999999. RF (refused)
9869 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND
[Q1554:D89S] IS (2) AND [Q263:NEW SP] IS (1) AND
[Q227:CS5] IS (NE 5); [Q558:CS50] IS (1); [Q5266:R85]
IS (5 OR DK OR RF); partial interview
E5271 R90.AMT PAY FOR LTC PER
Section: R Level: Respondent CAI Reference: Q5271
Type: Numeric Width: 1 Decimals: 0
................................................................................
146 1. YEAR
29 2. QUARTER (EVERY 3 MONTHS)
24 3. WEEK
622 4. MONTH
31 7. OTHER (SPECIFY)
8. DK (don't know); NA (not ascertained)
9. RF (refused)
10112 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5266:R85] IS (5 OR DK OR RF); [Q5270:R90] IS (DK OR
RF OR Over Limit); partial interview
E5273 R91.HOW LONG HAVE LTC-MONTHS
Section: R Level: Respondent CAI Reference: Q5273
Type: Numeric Width: 2 Decimals: 0
R91. About how long have you had this long-term care insurance?
MONTHS:
OR
YEARS:
................................................................................
251 1-50. Actual value
1 51-96. Actual value (from comment)
2 97. Other
57 98. DK (don't know); NA (not ascertained)
2 99. RF (refused)
10651 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND
[Q1554:D89S] IS (2) AND [Q263:NEW SP] IS (1) AND
[Q227:CS5] IS (NE 5); [Q558:CS50] IS (1); [Q5266:R85]
IS (5 OR DK OR RF); partial interview
E5274 R91.HOW LONG HAVE LTC-YEARS
Section: R Level: Respondent CAI Reference: Q5274
Type: Numeric Width: 2 Decimals: 0
................................................................................
800 1-50. Actual value
10 98. DK (don't know); NA (not ascertained)
99. RF (refused)
10154 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND
[Q1554:D89S] IS (2) AND [Q263:NEW SP] IS (1) AND
[Q227:CS5] IS (NE 5); [Q558:CS50] IS (1); [Q5266:R85]
IS (5 OR DK OR RF); partial interview
E5276 R92.LTC CANCELED/LAPSED
Section: R Level: Respondent CAI Reference: Q5276
Type: Numeric Width: 1 Decimals: 0
R92. Have you ever been covered by any long-term care insurance that you
cancelled or let lapse?
................................................................................
317 1. YES
10539 5. NO
39 8. DK (don't know); NA (not ascertained)
10 9. RF (refused)
59 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); partial interview
E5277 R93.WHY LTC COVERAGE LAPSE
Section: R Level: Respondent CAI Reference: Q5277
Type: Numeric Width: 1 Decimals: 0
R93. Did your coverage lapse because the premiums were too high, because you
didn't think you needed to carry it any longer, or what?
................................................................................
136 1. PREMIUMS TOO HIGH
58 3. LTC COVERAGE CONNECTED WITH JOB (RETIRED, LOST OR CHANGED JOBS)
62 5. DIDN'T NEED IT
60 7. OTHER (SPECIFY)
8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
10647 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5276:R92] IS (5 OR DK OR RF); partial interview
E5278 R93A.HOW SATISFIED WITH LTC
Section: R Level: Respondent CAI Reference: Q5278
Type: Numeric Width: 1 Decimals: 0
R93a. Now, thinking about the quality, cost, and convenience of your health
care, altogether would you say that you are very satisfied, somewhat
satisfied, or not satisfied at all with your health care?
................................................................................
5040 1. VERY SATISFIED
4593 3. SOMEWHAT SATISFIED
1137 5. NOT SATISFIED AT ALL
24 7. Other
97 8. DK (don't know); NA (not ascertained)
14 9. RF (refused)
59 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); partial interview
E5284 R94.HAVE ANY LIFE INSURANCE
Section: R Level: Respondent CAI Reference: Q5284
Type: Numeric Width: 1 Decimals: 0
R94. Do you currently have any life insurance?
................................................................................
8116 1. YES
2737 5. NO
25 8. DK (don't know); NA (not ascertained)
27 9. RF (refused)
59 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); partial interview
E5285 R95.NUMBER LIFE INSURANCE POLICIES
Section: R Level: Respondent CAI Reference: Q5285
Type: Numeric Width: 1 Decimals: 0
R95. Altogether, how many different life insurance policies do you have?
INCLUDE INDIVIDUAL POLICIES, GROUP POLICIES, OR PAID-UP POLICIES IF R ASKS.
................................................................................
4241 1. ONE
2375 2. TWO
954 3. THREE
279 4. FOUR
161 5. FIVE OR MORE
1 7. Other
70 8. DK (don't know); NA (not ascertained)
33 9. RF (refused)
2850 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); partial interview
E5286 R96.POLICY FACE VALUE-ONLY ONE POLICY
Section: R Level: Respondent CAI Reference: Q5286
Type: Numeric Width: 7 Decimals: 0
R96. What is the face value of this policy--that is, the amount of money
the beneficiary would get if you were to die?
AMOUNT:
................................................................................
2788 1-9999996. Actual value
5 9999997. Other
302 9999998. DK (don't know); NA (not ascertained)
122 9999999. RF (refused)
7747 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND
[Q1554:D89S] IS (2) AND [Q263:NEW SP] IS (1) AND
[Q227:CS5] IS (NE 5); [Q558:CS50] IS (1); [Q5284:R94]
IS (5 OR DK OR RF); [Q5285:R95] IS (NE 1); partial
interview
E5287 R97.POLICIES FACE VALUE-2+ POLICIES
Section: R Level: Respondent CAI Reference: Q5287
Type: Numeric Width: 7 Decimals: 0
R97. Altogether, what is the total face value of these policies--that is,
the amount of money the beneficiaries would get if you were to die?
AMOUNT:
DO NOT PROBE DK
................................................................................
3238 1-9999996. Actual value
6 9999997. Other
450 9999998. DK (don't know); NA (not ascertained)
179 9999999. RF (refused)
7091 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND
[Q1554:D89S] IS (2) AND [Q263:NEW SP] IS (1) AND
[Q227:CS5] IS (NE 5); [Q558:CS50] IS (1); [Q5284:R94]
IS (5 OR DK OR RF); [Q5286:R96] IS (DK OR RF);
[Q5285:R95] IS (1); partial interview
E5288 R97A.POLICIES FACE VALUE-2+ DK-20K
Section: R Level: Respondent CAI Reference: Q5288
Type: Numeric Width: 1 Decimals: 0
R97a. Does it amount to $20,000 or more?
................................................................................
356 1. Yes
99 5. No
1 7. Other
53 8. DK (don't know); NA (not ascertained)
121 9. RF (refused)
10334 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); [Q5285:R95] IS (1);
[Q5287:R97] IS (NE DK AND NE RF); partial interview
E5289 R97B.POLICIES FACE VALUE-2+ DK-50K
Section: R Level: Respondent CAI Reference: Q5289
Type: Numeric Width: 1 Decimals: 0
R97b. (Does it amount to) $50,000 or more?
................................................................................
179 1. YES
143 5. NO
19 8. DK (don't know); NA (not ascertained)
15 9. RF (refused)
10608 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); [Q5285:R95] IS (1);
[Q5287:R97] IS (NE DK AND NE RF); [Q5288:R97a] IS (NE 1);
partial interview
E5290 R97C.POLICIES FACE VALUE-2+ DK-250K
Section: R Level: Respondent CAI Reference: Q5290
Type: Numeric Width: 1 Decimals: 0
R97c. (Does it amount to) $250,000 or more?
................................................................................
34 1. YES
139 5. NO
2 8. DK (don't know); NA (not ascertained)
4 9. RF (refused)
10785 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); [Q5285:R95] IS (1);
[Q5287:R97] IS (NE DK AND NE RF); [Q5288:R97a] IS (NE 1);
[Q5289:R97b] IS (NE 1); partial interview
E5291 R97D.POLICIES FACE VALUE-2+ DK-2.5K
Section: R Level: Respondent CAI Reference: Q5291
Type: Numeric Width: 1 Decimals: 0
R97d. (Does it amount to) $2,500 or more?
................................................................................
107 1. YES
5 5. NO
45 8. DK (don't know); NA (not ascertained)
117 9. RF (refused)
10690 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); [Q5285:R95] IS (1);
[Q5287:R97] IS (NE DK AND NE RF); [Q5289:R97b] IS (NE 1);
[Q5290:R97c] IS (A); partial interview
E5292M1 R98.WHO BENEFICIARY
Section: R Level: Respondent CAI Reference: Q5292
Type: Character Width: 3 Decimals: 0
R98. Who are the beneficiaries of (this policy/all of these policies)?
CHOOSE ALL THAT APPLY
................................................................................
5970 036. Spouse
799 038. All my children
039. Grandchild
061-083. Other Person Number
825 101-995. Other Person Number
442 997. Other
30 998. DK (don't know); NA (not ascertained)
32 999. RF (refused)
2866 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); partial interview; no
subsequent mention
E5292M2 R98.WHO BENEFICIARY
Section: R Level: Respondent CAI Reference: Q5292
Type: Character Width: 3 Decimals: 0
R98. Who are the beneficiaries of (this policy/all of these policies)?
CHOOSE ALL THAT APPLY
................................................................................
72 036. Spouse
551 038. All my children
039. Grandchild
061-083. Other Person Number
469 101-995. Other Person Number
115 997. Other
998. DK (don't know); NA (not ascertained)
999. RF (refused)
9757 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); partial interview; no
subsequent mention
E5292M3 R98.WHO BENEFICIARY
Section: R Level: Respondent CAI Reference: Q5292
Type: Character Width: 3 Decimals: 0
R98. Who are the beneficiaries of (this policy/all of these policies)?
CHOOSE ALL THAT APPLY
................................................................................
14 036. Spouse
038. All my children
039. Grandchild
061-083. Other Person Number
135 101-995. Other Person Number
21 997. Other
998. DK (don't know); NA (not ascertained)
999. RF (refused)
10794 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); partial interview; no
subsequent mention
E5292M4 R98.WHO BENEFICIARY
Section: R Level: Respondent CAI Reference: Q5292
Type: Character Width: 3 Decimals: 0
R98. Who are the beneficiaries of (this policy/all of these policies)?
CHOOSE ALL THAT APPLY
................................................................................
6 036. Spouse
038. All my children
039. Grandchild
061-083. Other Person Number
46 101-995. Other Person Number
2 997. Other
998. DK (don't know); NA (not ascertained)
999. RF (refused)
10910 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); partial interview; no
subsequent mention
E5292M5 R98.WHO BENEFICIARY
Section: R Level: Respondent CAI Reference: Q5292
Type: Character Width: 3 Decimals: 0
R98. Who are the beneficiaries of (this policy/all of these policies)?
CHOOSE ALL THAT APPLY
................................................................................
036. Spouse
038. All my children
039. Grandchild
061-083. Other Person Number
8 101-995. Other Person Number
1 997. Other
998. DK (don't know); NA (not ascertained)
999. RF (refused)
10955 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); partial interview; no
subsequent mention
E5292M6 R98.WHO BENEFICIARY
Section: R Level: Respondent CAI Reference: Q5292
Type: Character Width: 3 Decimals: 0
R98. Who are the beneficiaries of (this policy/all of these policies)?
CHOOSE ALL THAT APPLY
................................................................................
036. Spouse
038. All my children
039. Grandchild
061-083. Other Person Number
1 101-995. Other Person Number
997. Other
998. DK (don't know); NA (not ascertained)
999. RF (refused)
10963 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); partial interview; no
subsequent mention
E5293 R99.POLICIES PURCHASED FROM AGENT
Section: R Level: Respondent CAI Reference: Q5293
Type: Numeric Width: 1 Decimals: 0
R99. (Is this policy one that is/Are any of these policies ones that were)
purchased directly from an agent?
DEFINITION: MANY LIFE INSURANCE POLICIES ARE PROVIDED BY EMPLOYERS, OFTEN AT
NO COST, AND ARE NOT PURCHASED FROM AN AGENT. THESE ARE ALSO CALLED GROUP
PLANS.
................................................................................
5632 1. YES
2416 5. NO
39 8. DK (don't know); NA (not ascertained)
12 9. RF (refused)
2865 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); partial interview
E5294 R100. OBTAINED MORE LIFE INS
Section: R Level: Respondent CAI Reference: Q5294
Type: Numeric Width: 1 Decimals: 0
R100. Since (previous wave interview month-year) have you obtained any new
life insurance policies?
................................................................................
617 1. YES
7332 5. NO
9 8. DK (don't know); NA (not ascertained)
6 9. RF (refused)
3000 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); [Q370:W1 INTERV] IS (NE
1); partial interview
E5295 R100A. LIFE INS POLICY FACE VALUE
Section: R Level: Respondent CAI Reference: Q5295
Type: Numeric Width: 7 Decimals: 0
R100a. What is the total face value of (this policy/all of these policies)?
AMOUNT:
DO NOT PROBE DK
................................................................................
547 1-9999996. Actual value
3 9999997. Other
49 9999998. DK (don't know); NA (not ascertained)
33 9999999. RF (refused)
10332 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND
[Q1554:D89S] IS (2) AND [Q263:NEW SP] IS (1) AND
[Q227:CS5] IS (NE 5); [Q558:CS50] IS (1); [Q5284:R94]
IS (5 OR DK OR RF); [Q370:W1 INTERV] IS (NE 1);
[Q5294:R100] IS (5); partial interview
E5296 R100B.LIFE INS POLICY FACE VALU DK-20K
Section: R Level: Respondent CAI Reference: Q5296
Type: Numeric Width: 1 Decimals: 0
R100b. Does it amount to $20,000 or more?
................................................................................
22 1. Yes
15 5. No
7. Other
15 8. DK (don't know); NA (not ascertained)
30 9. RF (refused)
10882 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); [Q370:W1 INTERV] IS (NE
1); [Q5294:R100] IS (5); [Q5295:R100a] IS (NE DK AND NE RF);
partial interview
E5297 R100C.LIFE INS POLICY FACE VALU DK-50K
Section: R Level: Respondent CAI Reference: Q5297
Type: Numeric Width: 1 Decimals: 0
R100c. (Does it amount to) $50,000 or more?
................................................................................
7 1. YES
11 5. NO
3 8. DK (don't know); NA (not ascertained)
1 9. RF (refused)
10942 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); [Q370:W1 INTERV] IS (NE
1); [Q5294:R100] IS (5); [Q5295:R100a] IS (NE DK AND NE RF);
[Q5296:R100b] IS (NE 1); partial interview
E5298 R100D.LIFE INS POLICY FACE VALU DK-250K
Section: R Level: Respondent CAI Reference: Q5298
Type: Numeric Width: 1 Decimals: 0
R100d. (Does it amount to) $250,000 or more?
................................................................................
2 1. YES
5 5. NO
8. DK (don't know); NA (not ascertained)
9. RF (refused)
10957 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); [Q370:W1 INTERV] IS (NE
1); [Q5294:R100] IS (5); [Q5295:R100a] IS (NE DK AND NE RF);
[Q5296:R100b] IS (NE 1); [Q5297:R100c] IS (NE 1); partial
interview
E5299 R100E.LIFE INS POLICY FACE VALU DK-2.5K
Section: R Level: Respondent CAI Reference: Q5299
Type: Numeric Width: 1 Decimals: 0
R100e. (Does it amount to) $2,500 or more?
................................................................................
15 1. YES
3 5. NO
12 8. DK (don't know); NA (not ascertained)
30 9. RF (refused)
10904 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); [Q370:W1 INTERV] IS (NE
1); [Q5294:R100] IS (5); [Q5295:R100a] IS (NE DK AND NE RF);
[Q5297:R100c] IS (NE 1); [Q5298:R100d] IS (A); partial
interview
E5301 R101. LET POLICY LAPSE
Section: R Level: Respondent CAI Reference: Q5301
Type: Numeric Width: 1 Decimals: 0
R101. Since (previous wave interview month-year) have you allowed any life
insurance policies to lapse or have any been cancelled?
................................................................................
297 1. YES
7657 5. NO
6 8. DK (don't know); NA (not ascertained)
3 9. RF (refused)
3001 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); [Q370:W1 INTERV] IS (NE
1); partial interview
E5302 R102.LAPSED POLICY FACE VALUE
Section: R Level: Respondent CAI Reference: Q5302
Type: Numeric Width: 7 Decimals: 0
R102. What was the total face value of (this policy/all of these policies)?
DO NOT PROBE DK
................................................................................
259 1-9999996. Actual value
1 9999997. Other
36 9999998. DK (don't know); NA (not ascertained)
10 9999999. RF (refused)
10658 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND
[Q1554:D89S] IS (2) AND [Q263:NEW SP] IS (1) AND
[Q227:CS5] IS (NE 5); [Q558:CS50] IS (1); [Q5284:R94]
IS (5 OR DK OR RF); [Q370:W1 INTERV] IS (NE 1);
[Q5301:R101] IS (5); partial interview
E5303 R102A.LAPSED POLICY FACE VALU DK-20K
Section: R Level: Respondent CAI Reference: Q5303
Type: Numeric Width: 1 Decimals: 0
R102a. Does it amount to $20,000 or more?
................................................................................
12 1. Yes
13 5. No
7. Other
11 8. DK (don't know); NA (not ascertained)
10 9. RF (refused)
10918 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); [Q370:W1 INTERV] IS (NE
1); [Q5301:R101] IS (5); [Q5302:R102] IS (NE DK AND NE RF);
partial interview
E5304 R102B.LAPSED POLICY FACE VALU DK-50K
Section: R Level: Respondent CAI Reference: Q5304
Type: Numeric Width: 1 Decimals: 0
R102b. (Does it amount to) $50,000 or more?
................................................................................
5 1. YES
6 5. NO
1 8. DK (don't know); NA (not ascertained)
9. RF (refused)
10952 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); [Q370:W1 INTERV] IS (NE
1); [Q5301:R101] IS (5); [Q5302:R102] IS (NE DK AND NE RF);
[Q5303:R102a] IS (NE 1); partial interview
E5305 R102C.LAPSED POLICY FACE VALU DK-250K
Section: R Level: Respondent CAI Reference: Q5305
Type: Numeric Width: 1 Decimals: 0
R102c. (Does it amount to) $250,000 or more?
................................................................................
1 1. YES
4 5. NO
8. DK (don't know); NA (not ascertained)
9. RF (refused)
10959 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); [Q370:W1 INTERV] IS (NE
1); [Q5301:R101] IS (5); [Q5302:R102] IS (NE DK AND NE RF);
[Q5303:R102a] IS (NE 1); [Q5304:R102b] IS (NE 1); partial
interview
E5306 R102D.LAPSED POLICY FACE VALU DK-2.5K
Section: R Level: Respondent CAI Reference: Q5306
Type: Numeric Width: 1 Decimals: 0
R102d. (Does it amount to) $2,500 or more?
................................................................................
10 1. YES
4 5. NO
10 8. DK (don't know); NA (not ascertained)
10 9. RF (refused)
10930 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); [Q370:W1 INTERV] IS (NE
1); [Q5301:R101] IS (5); [Q5302:R102] IS (NE DK AND NE RF);
[Q5304:R102b] IS (NE 1); [Q5305:R102c] IS (A); partial
interview
E5308 R103.LAPSED POLICY WHOSE CHOICE
Section: R Level: Respondent CAI Reference: Q5308
Type: Numeric Width: 1 Decimals: 0
R103. Was this lapse or cancellation something you chose to do, or was it
done by the provider, your employer, or someone else?
................................................................................
239 1. R'S CHOICE
60 2. PROVIDER/EMPLOYER/SOMEONE ELSE CHOSE
3 8. DK (don't know); NA (not ascertained)
4 9. RF (refused)
10658 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); [Q370:W1 INTERV] IS (NE
1); [Q5301:R101] IS (5); partial interview
E5309 R103.LAPSED POLICY WHY R LET LAPSE
Section: R Level: Respondent CAI Reference: Q5309
Type: Numeric Width: 1 Decimals: 0
R104. Was it because the policy was too expensive, because you did not need
the coverage or some other reason?
................................................................................
109 1. TOO EXPENSIVE
59 2. COVERAGE NOT NEEDED
11 3. SWITCHED TO A NEW POLICY
59 7. OTHER (SPECIFY)
4 8. DK (don't know); NA (not ascertained)
4 9. RF (refused)
10718 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5284:R94] IS (5 OR DK OR RF); [Q370:W1 INTERV] IS (NE
1); [Q5301:R101] IS (5); [Q5308:R103] IS (2); partial interview
E5354 R117.MEDICARE NUMBER RECORDED?
Section: R Level: Respondent CAI Reference: Q5354
Type: Numeric Width: 1 Decimals: 0
R117. We would like to understand how people's medical history affects their
financial status, and how use of health care may change as people age. To do
that, we need to obtain information about health care costs and diagnoses
for statistical purposes. The best place to get this information without
taking up a lot more of your time is in the Medicare files. Could you give
me your Medicare number for this purpose? (Under the Privacy Act of 1974,
providing your number is a voluntary decision. The benefits you may be
receiving under this program will not be affected in any way by your
decision.)
NUMBER AVAILABLE: COPY MEDICARE NUMBER:
PROBE: Is there a letter included as part of your Medicare number?
................................................................................
1183 1. NUMBER RECORDED
3. NOT COVERED BY MEDICARE
455 5. NO NUMBER RECORDED
15 8. DK (don't know); NA (not ascertained)
51 9. RF (refused)
9260 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q5133:R1] IS (NE 1); partial interview
E5362 ASSIST SEC R
Section: R Level: Respondent CAI Reference: Q5362
Type: Numeric Width: 1 Decimals: 0
RASSIST INTERVIEWER: HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN
SECTION R - INSURANCE?
................................................................................
10620 1. NEVER
191 2. A FEW TIMES
77 3. MOST OR ALL OF THE TIME
1 8. DK (don't know); NA (not ascertained)
9. RF (refused)
75 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); partial interview
E5371M1 EVC1.EVENTS
Section: R Level: Respondent CAI Reference: Q5371
Type: Numeric Width: 2 Decimals: 0
EVC1. INTERVIEWER: IF ONLY ONE EVENT DISPLAYED, DO NOT ASK QUESTION BUT
CHOOSE THE NUMBER AND GO TO NEXT SCREEN
IF Q370 IS (1)
You mentioned the following events happened since (Previous Wave
Interview
Month-Year)
ELSE
You mentioned the following events happened in the last two years.
END
Which of these happened first, ...next, ...next?
User note: Up to eleven responses were allowed for this question, the actual
maximum number of responses was five.
The death of a parent or parent-in-law was not included in the list read to
the respondent in the first version of the instrument (i.e., for those with
Q198 = 4).
................................................................................
146 1. Death of spouse/partner
8 2. Nursing Home Stay
51 3. Married
90 4. DIVORCED/Separated
176 5. Heart Attack
110 6. STROKE/TIA
194 7. Cancer
896 8. Residential Move
464 9. NO EVENT
248 10. Mother Died
146 11. Father Died
178 12. Mother-in-law Died
101 13. Father-in-law Died
20. Previous mentions happened simultaneously
97. Other
5 98. DK (don't know); NA (not ascertained)
1 99. RF (refused)
8150 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q227:CS5] IS (NE 5) AND [Q240:CS11] IS (NE 1) AND
[Q1681:D146c] IS (NE 1) AND [Q230:CS7] IS (NE 1) AND [Q233:CS9]
IS (NE 1) AND [Q280:RTR SP] IS (NE 5-7) AND [Q834:B7d] IS (NE
1) AND [Q848:B9] IS (NE 1) AND [Q858:B9j] IS (NE 1) AND
[Q814:B5k] IS (NE A) AND [Q441:CS36c] IS (NE 1) AND
[Q1750:MOTHER DIED] IS (NE 1) AND [Q1751:FATHER DIED] IS (NE 1)
AND [Q1752:MOTHER-IN-LAW DIED] IS (NE 1) AND [Q1753:FATHER-IN-
LAW DIED] IS (NE 1); partial interview; no subsequent mention
E5371M2 EVC1.EVENTS
Section: R Level: Respondent CAI Reference: Q5371
Type: Numeric Width: 2 Decimals: 0
EVC1. INTERVIEWER: IF ONLY ONE EVENT DISPLAYED, DO NOT ASK QUESTION BUT
CHOOSE THE NUMBER AND GO TO NEXT SCREEN
IF Q370 IS (1)
You mentioned the following events happened since (Previous Wave
Interview
Month-Year)
ELSE
You mentioned the following events happened in the last two years.
END
Which of these happened first, ...next, ...next?
User note: Up to eleven responses were allowed for this question, the actual
maximum number of responses was five.
The death of a parent or parent-in-law was not included in the list read to
the respondent in the first version of the instrument (i.e., for those with
Q198 = 4).
................................................................................
7 1. Death of spouse/partner
8 2. Nursing Home Stay
17 3. Married
20 4. DIVORCED/Separated
9 5. Heart Attack
11 6. STROKE/TIA
12 7. Cancer
94 8. Residential Move
9. NO EVENT
13 10. Mother Died
12 11. Father Died
21 12. Mother-in-law Died
10 13. Father-in-law Died
20. Previous mentions happened simultaneously
97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
10730 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q227:CS5] IS (NE 5) AND [Q240:CS11] IS (NE 1) AND
[Q1681:D146c] IS (NE 1) AND [Q230:CS7] IS (NE 1) AND [Q233:CS9]
IS (NE 1) AND [Q280:RTR SP] IS (NE 5-7) AND [Q834:B7d] IS (NE
1) AND [Q848:B9] IS (NE 1) AND [Q858:B9j] IS (NE 1) AND
[Q814:B5k] IS (NE A) AND [Q441:CS36c] IS (NE 1) AND
[Q1750:MOTHER DIED] IS (NE 1) AND [Q1751:FATHER DIED] IS (NE 1)
AND [Q1752:MOTHER-IN-LAW DIED] IS (NE 1) AND [Q1753:FATHER-IN-
LAW DIED] IS (NE 1); partial interview; no subsequent mention
E5371M3 EVC1.EVENTS
Section: R Level: Respondent CAI Reference: Q5371
Type: Numeric Width: 2 Decimals: 0
EVC1. INTERVIEWER: IF ONLY ONE EVENT DISPLAYED, DO NOT ASK QUESTION BUT
CHOOSE THE NUMBER AND GO TO NEXT SCREEN
IF Q370 IS (1)
You mentioned the following events happened since (Previous Wave
Interview
Month-Year)
ELSE
You mentioned the following events happened in the last two years.
END
Which of these happened first, ...next, ...next?
User note: Up to eleven responses were allowed for this question, the actual
maximum number of responses was five.
The death of a parent or parent-in-law was not included in the list read to
the respondent in the first version of the instrument (i.e., for those with
Q198 = 4).
................................................................................
1. Death of spouse/partner
2 2. Nursing Home Stay
4 3. Married
1 4. DIVORCED/Separated
4 5. Heart Attack
1 6. STROKE/TIA
4 7. Cancer
13 8. Residential Move
9. NO EVENT
7 10. Mother Died
1 11. Father Died
5 12. Mother-in-law Died
2 13. Father-in-law Died
3 20. Previous mentions happened simultaneously
97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
10917 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q227:CS5] IS (NE 5) AND [Q240:CS11] IS (NE 1) AND
[Q1681:D146c] IS (NE 1) AND [Q230:CS7] IS (NE 1) AND [Q233:CS9]
IS (NE 1) AND [Q280:RTR SP] IS (NE 5-7) AND [Q834:B7d] IS (NE
1) AND [Q848:B9] IS (NE 1) AND [Q858:B9j] IS (NE 1) AND
[Q814:B5k] IS (NE A) AND [Q441:CS36c] IS (NE 1) AND
[Q1750:MOTHER DIED] IS (NE 1) AND [Q1751:FATHER DIED] IS (NE 1)
AND [Q1752:MOTHER-IN-LAW DIED] IS (NE 1) AND [Q1753:FATHER-IN-
LAW DIED] IS (NE 1); partial interview; no subsequent mention
E5371M4 EVC1.EVENTS
Section: R Level: Respondent CAI Reference: Q5371
Type: Numeric Width: 2 Decimals: 0
EVC1. INTERVIEWER: IF ONLY ONE EVENT DISPLAYED, DO NOT ASK QUESTION BUT
CHOOSE THE NUMBER AND GO TO NEXT SCREEN
IF Q370 IS (1)
You mentioned the following events happened since (Previous Wave
Interview
Month-Year)
ELSE
You mentioned the following events happened in the last two years.
END
Which of these happened first, ...next, ...next?
User note: Up to eleven responses were allowed for this question, the actual
maximum number of responses was five.
The death of a parent or parent-in-law was not included in the list read to
the respondent in the first version of the instrument (i.e., for those with
Q198 = 4).
................................................................................
1. Death of spouse/partner
2. Nursing Home Stay
1 3. Married
1 4. DIVORCED/Separated
5. Heart Attack
6. STROKE/TIA
7. Cancer
2 8. Residential Move
9. NO EVENT
3 10. Mother Died
1 11. Father Died
12. Mother-in-law Died
13. Father-in-law Died
20. Previous mentions happened simultaneously
97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
10956 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q227:CS5] IS (NE 5) AND [Q240:CS11] IS (NE 1) AND
[Q1681:D146c] IS (NE 1) AND [Q230:CS7] IS (NE 1) AND [Q233:CS9]
IS (NE 1) AND [Q280:RTR SP] IS (NE 5-7) AND [Q834:B7d] IS (NE
1) AND [Q848:B9] IS (NE 1) AND [Q858:B9j] IS (NE 1) AND
[Q814:B5k] IS (NE A) AND [Q441:CS36c] IS (NE 1) AND
[Q1750:MOTHER DIED] IS (NE 1) AND [Q1751:FATHER DIED] IS (NE 1)
AND [Q1752:MOTHER-IN-LAW DIED] IS (NE 1) AND [Q1753:FATHER-IN-
LAW DIED] IS (NE 1); partial interview; no subsequent mention
E5371M5 EVC1.EVENTS
Section: R Level: Respondent CAI Reference: Q5371
Type: Numeric Width: 2 Decimals: 0
EVC1. INTERVIEWER: IF ONLY ONE EVENT DISPLAYED, DO NOT ASK QUESTION BUT
CHOOSE THE NUMBER AND GO TO NEXT SCREEN
IF Q370 IS (1)
You mentioned the following events happened since (Previous Wave
Interview
Month-Year)
ELSE
You mentioned the following events happened in the last two years.
END
Which of these happened first, ...next, ...next?
User note: Up to eleven responses were allowed for this question, the actual
maximum number of responses was five.
The death of a parent or parent-in-law was not included in the list read to
the respondent in the first version of the instrument (i.e., for those with
Q198 = 4).
................................................................................
1. Death of spouse/partner
2. Nursing Home Stay
1 3. Married
4. DIVORCED/Separated
5. Heart Attack
6. STROKE/TIA
7. Cancer
8. Residential Move
9. NO EVENT
10. Mother Died
11. Father Died
12. Mother-in-law Died
13. Father-in-law Died
20. Previous mentions happened simultaneously
97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
10963 Blank. INAP (Inapplicable); [Q558:CS50] IS (1) AND [Q1554:D89S] IS (2)
AND [Q263:NEW SP] IS (1) AND [Q227:CS5] IS (NE 5); [Q558:CS50]
IS (1); [Q227:CS5] IS (NE 5) AND [Q240:CS11] IS (NE 1) AND
[Q1681:D146c] IS (NE 1) AND [Q230:CS7] IS (NE 1) AND [Q233:CS9]
IS (NE 1) AND [Q280:RTR SP] IS (NE 5-7) AND [Q834:B7d] IS (NE
1) AND [Q848:B9] IS (NE 1) AND [Q858:B9j] IS (NE 1) AND
[Q814:B5k] IS (NE A) AND [Q441:CS36c] IS (NE 1) AND
[Q1750:MOTHER DIED] IS (NE 1) AND [Q1751:FATHER DIED] IS (NE 1)
AND [Q1752:MOTHER-IN-LAW DIED] IS (NE 1) AND [Q1753:FATHER-IN-
LAW DIED] IS (NE 1); partial interview; no subsequent mention
EVERSION DATA RELEASE VERSION
Section: R Level: Respondent CAI Reference: Q20001
Type: Numeric Width: 3 Decimals: 0
................................................................................
1. Version 1, March 1999
2. Version 2, December 2000
3. Version 3, May 2001
10964 4. Version 4, September 2003
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