HHID HOUSEHOLD IDENTIFIER
Section: R Level: Respondent CAI Reference: Q9002
Type: Character Width: 6 Decimals:
................................................................................
1254 010433-208897. Household ID
PN PERSON NUMBER
Section: R Level: Respondent CAI Reference: Q9003
Type: Character Width: 3 Decimals:
................................................................................
876 010. Person Number
9 011. Person Number
300 020. Person Number
33 030. Person Number
031. Person Number
36 040. Person Number
QSUBHH HRS 1998 SUB-HOUSEHOLD IDENTIFIER
Section: R Level: Respondent CAI Reference: Q9004
Type: Character Width: 1 Decimals:
................................................................................
1200 3. Deceased respondent household
54 4. 2ND Deceased respondent household
ESUBHH HRS 1996 SUB-HOUSEHOLD IDENTIFIER
Section: R Level: Respondent CAI Reference: Q9006
Type: Character Width: 1 Decimals:
................................................................................
256 0. Intact household or previous wave spouse/partner has died
3 1. Split household - first half of split couple
5 2. Split household - second half of split couple
6 3. Deceased respondent household
4. 2ND Deceased respondent household
984 Blank. AHEAD Respondent, No 1996 Subhh
DSUBHH AHD 1995 SUB-HOUSEHOLD IDENTIFIER
Section: R Level: Respondent CAI Reference: Q9005
Type: Character Width: 1 Decimals:
................................................................................
958 0. Intact household or previous wave spouse/partner has died
1. Split household - first half of split couple
1 2. Split household - second half of split couple
25 3. Deceased respondent household
4. 2ND Deceased respondent household
270 Blank. HRS Respondent, No 1995 Subhh
QPN_SP 1998 SPOUSE/PARTNER PERSON NUMBER
Section: R Level: Respondent CAI Reference: Q9007
Type: Character Width: 3 Decimals:
................................................................................
257 010. Person Number
3 011. Person Number
287 020. Person Number
021. Person Number
17 030. Person Number
1 031. Person Number
28 040. Person Number
6 210. Person Number
3 220. Person Number
652 Blank. No Spouse at Death
QQNR 1998 SURVEYCRAFT CASE NUMBER
Section: R Level: Respondent CAI Reference: Q9001
Type: Numeric Width: 4 Decimals:
................................................................................
1254 1-1255. 1998 Surveycraft Case Number
Q2559 R0.INTRO
Section: R Level: Respondent CAI Reference: Q2559
Type: Numeric Width: 1 Decimals:
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.
................................................................................
1254 Blank. No Data Collected; [Q456:CS CONTINUE] IS (5)
Q2560 R1.MEDICARE COVERAGE
Section: R Level: Respondent CAI Reference: Q2560
Type: Numeric Width: 1 Decimals:
R1.
Was
[Q685-R FIRST NAME]
covered at any time by Medicare health insurance
(.../or Medicaid)?
................................................................................
1096 1. YES
145 5. NO
12 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q2561 R2.MEDICARE PART B COVERAGE
Section: R Level: Respondent CAI Reference: Q2561
Type: Numeric Width: 1 Decimals:
R2.
Part A of Medicare covers most hospital expenses. Part B covers
many doctors' expenses including doctor visits, and the premium
is usually deducted from (his/her) Social Security.
At the time of ^685's
death, was (he/she) covered by Medicare Part B?
................................................................................
949 1. YES
70 5. NO
77 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
158 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2560:R1] IS
(NE 1)
Q2562 R4.MEDICAID SINCE PREV WAVE?
Section: R Level: Respondent CAI Reference: Q2562
Type: Numeric Width: 1 Decimals:
R4.
Was (he/she) covered by (Medicaid/STATE NAME FOR MEDICAID)
health insurance at any time
IF Q684 IS (1)
since
[Q218-PREV WAVE IW MONTH]
[Q219-PREV WAVE IW YEAR] , to when (he/she) died?
ELSE
in the two years before (his/her) death?
END
................................................................................
295 1. YES
927 5. NO
31 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q2563 R5.CURRENTLY COVERED BY MEDICAID
Section: R Level: Respondent CAI Reference: Q2563
Type: Numeric Width: 1 Decimals:
R5.
Was (he/she) currently covered by (Medicaid/STATE
NAME FOR MEDICAID) at the time (he/she) died?
................................................................................
270 1. YES
22 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
959 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2562:R4] IS
(NE 1)
Q2564 R5a.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q2564
Type: Numeric Width: 1 Decimals:
................................................................................
168 1. R HAD NURSING HOME STAY 1 OR MORE TIMES SINCE PREV WAVE IW
127 2. ALL OTHERS
959 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2562:R4] IS
(NE 1)
Q2565 R6.MEDICAID AT TIME OF NURSING HOME-FIRS
Section: R Level: Respondent CAI Reference: Q2565
Type: Numeric Width: 1 Decimals:
R6.
Earlier you told me that
[Q685-R FIRST NAME] had (a/several)
stay(.../s) at a nursing home
IF Q684 IS (1)
from
[Q218-PREV WAVE IW MONTH]
[Q219-PREV WAVE IW YEAR] to when (he/she) died.
ELSE
in the last two years.
END
Was
[Q685-R FIRST NAME] eligible for Medicaid at the
time (his/her) (.../first) nursing home stay started?
................................................................................
128 1. YES
37 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1086 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2562:R4] IS
(NE 1); [Q2564:R5a] IS (2)
Q2566 R7.MEDICAID DURING NURSING HOME-FIRST
Section: R Level: Respondent CAI Reference: Q2566
Type: Numeric Width: 1 Decimals:
R7.
Did (he/she) become eligible for Medicaid during
(his/her) (first) nursing home stay?
................................................................................
28 1. YES
6 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1217 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2562:R4] IS
(NE 1); [Q2564:R5a] IS (2); [Q2565:R6] IS (1); [Q2565:R6] IS
(DK OR RF)
Q2568 R8a.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q2568
Type: Numeric Width: 1 Decimals:
................................................................................
18 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE PREV WAVE IW
150 2. ALL OTHERS
1086 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2562:R4] IS
(NE 1); [Q2564:R5a] IS (2)
Q2569 R8aa.MEDICAID AT TIME OF NURSING HOME-LA
Section: R Level: Respondent CAI Reference: Q2569
Type: Numeric Width: 1 Decimals:
R8aa.
Was (he/she) eligible for Medicaid at the time of
(his/her) (current/last) nursing home stay started?
................................................................................
17 1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1236 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2562:R4] IS
(NE 1); [Q2564:R5a] IS (2); [Q2568:R8a] IS (2)
Q2570 R8b.MEDICAID DURING NURSING HOME-LAST
Section: R Level: Respondent CAI Reference: Q2570
Type: Numeric Width: 1 Decimals:
R8b.
Did (he/she) become eligible for Medicaid during (his/her)
(current/last) nursing home stay?
................................................................................
1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1253 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2562:R4] IS
(NE 1); [Q2564:R5a] IS (2); [Q2568:R8a] IS (2); [Q2569:R8aa] IS
(1); [Q2569:R8aa] IS (DK OR RF)
Q2571 R8c.LOSE ELIGIBILITY DISCHARGE-LAST
Section: R Level: Respondent CAI Reference: Q2571
Type: Numeric Width: 1 Decimals:
R8c.
Did (he/she) lose (his/her) eligibility for Medicaid when
(he/she) was discharged from (his/her) last nursing home stay?
................................................................................
1. YES
2 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1252 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2562:R4] IS
(NE 1); [Q2564:R5a] IS (2); [Q2568:R8a] IS (2); [Q2569:R8aa] IS
(DK OR RF); [Q2570:R8b] IS (5 OR DK OR RF) OR [Q519:CS11] IS
(1) OR [Q491:CS2cx] IS (2)
Q2572 R9.CHAMPUS/CHAMPVA COVERAGE
Section: R Level: Respondent CAI Reference: Q2572
Type: Numeric Width: 1 Decimals:
R9.
At the time of (his/her) death,
Was (he/she) 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.
................................................................................
28 1. YES
1212 5. NO
13 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q2573 R9a.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q2573
Type: Numeric Width: 1 Decimals:
................................................................................
1096 1. R IS COVERED BY MEDICARE OR MEDICARE/MEDICAID
41 2. R IS COVERED ONLY BY MEDICAID
116 3. ALL OTHERS
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q2574 R10.INTRO
Section: R Level: Respondent CAI Reference: Q2574
Type: Numeric Width: 1 Decimals:
R10.
Now I'm going to ask you about how (his/her) health insurance
worked.
................................................................................
1254 Blank. No Data Collected; [Q456:CS CONTINUE] IS (5); [Q2573:R9a] IS
(2); [Q2573:R9a] IS (3)
Q2575 R11.MEDICARE/MEDICAID THROUGH HMO
Section: R Level: Respondent CAI Reference: Q2575
Type: Numeric Width: 1 Decimals:
R11.
First we are interested in how (his/her) (Medicare/Medicare or
Medicaid)
health insurance worked for routine care.
Did
[Q685-R FIRST NAME] receive (his/her) Medicare (.../or Medicaid)
benefits through an HMO, that is a Health Maintenance Organization?
DEF: With an HMO, the cost of the physician visit is typically
covered in full or one pays only a small amount. All
routine care must be provided by an HMO physician.
................................................................................
187 1. YES
851 5. NO
58 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
158 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2573:R9a] IS
(2); [Q2573:R9a] IS (3)
Q2576 R11a.HOW LONG-YEARS
Section: R Level: Respondent CAI Reference: Q2576
Type: Numeric Width: 2 Decimals:
R11a.
At the time of (his/her) death,
about how long had (he/she) been receiving (his/her)
Medicare benefits through this HMO?
YEARS:
OR
MONTHS:
................................................................................
143 0-25. Actual Value
27 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1084 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q2573:R9a] IS (2); [Q2573:R9a] IS (3); [Q2575:R11]
IS (NE 1)
Q2577 R11a.HOW LONG-MONTHS
Section: R Level: Respondent CAI Reference: Q2577
Type: Numeric Width: 2 Decimals:
................................................................................
16 0-48. Actual Value
28 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1210 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q2573:R9a] IS (2); [Q2573:R9a] IS (3); [Q2575:R11]
IS (NE 1); [Q2576:R11a] IS (1-25)
Q2579 R11b.AMOUNT PAY FOR PLAN
Section: R Level: Respondent CAI Reference: Q2579
Type: Numeric Width: 4 Decimals:
R11b.
Not including co-pays or deductions from (his/her) Social Security,
how much did (he/she), (him/her)self, pay for this plan?
AMOUNT:
PER:
................................................................................
128 0-9996. Actual Value
58 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1068 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q2573:R9a] IS (2); [Q2573:R9a] IS (3); [Q2575:R11]
IS (NE 1)
Q2580 R11b.AMT PAY FOR PLAN - PER
Section: R Level: Respondent CAI Reference: Q2580
Type: Numeric Width: 1 Decimals:
................................................................................
168 1. MONTH
6 2. QUARTER (EVERY 3 MONTHS)
2 3. SEMI-ANNUALLY (EVERY 6 MONTHS/TWICE A YEAR)
4 4. YEAR
1 7. OTHER (SPECIFY)
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1070 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2573:R9a] IS
(2); [Q2573:R9a] IS (3); [Q2575:R11] IS (NE 1)
Q2581 R12.MEDICAID THROUGH HMO
Section: R Level: Respondent CAI Reference: Q2581
Type: Numeric Width: 1 Decimals:
R12.
We are interested in how (his/her) Medicaid health insurance
worked for routine care.
Did (he/she) receive (his/her) Medicaid benefits through
an HMO, that is a Health Maintenance Organization?
DEF: With an HMO, the cost of the physician visit is typically
covered in full or one pays only a small amount. All
routine care must be provided by an HMO physician.
................................................................................
6 1. YES
33 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1213 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2573:R9a] IS
(3); [Q2575:R11] IS (NE 1); [Q2562:R4] IS (NE 1); [Q2563:R5] IS
(A AND NE 1); [Q2563:R5] IS (1) AND [Q2560:R1] IS (1)
Q2582 R12a.HOW LONG-YEARS
Section: R Level: Respondent CAI Reference: Q2582
Type: Numeric Width: 2 Decimals:
R12a.
About how long had (he/she) been receiving (his/her)
Medicaid benefits through this HMO?
YEARS OR MONTHS
................................................................................
3 1-20. Actual Value
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1249 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q2573:R9a] IS (3); [Q2575:R11] IS (NE 1); [Q2562:R4]
IS (NE 1); [Q2563:R5] IS (A AND NE 1); [Q2563:R5] IS
(1) AND [Q2560:R1] IS (1); [Q2581:R12] IS (NE 1)
Q2583 R12a.HOW LONG-MONTHS
Section: R Level: Respondent CAI Reference: Q2583
Type: Numeric Width: 2 Decimals:
................................................................................
1 1-48. Actual Value
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1252 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q2573:R9a] IS (3); [Q2575:R11] IS (NE 1); [Q2562:R4]
IS (NE 1); [Q2563:R5] IS (A AND NE 1); [Q2563:R5] IS
(1) AND [Q2560:R1] IS (1); [Q2581:R12] IS (NE 1)
Q2584 R12b.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q2584
Type: Numeric Width: 1 Decimals:
................................................................................
1. R IS CURRENTLY SELF-EMPLOYED
1253 2. ALL OTHERS
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q2585 R13.ANY INSURANCE FOR HOSP/DR BILLS
Section: R Level: Respondent CAI Reference: Q2585
Type: Numeric Width: 1 Decimals:
R13.
At the time of (his/her) death,
(not including Medicare/Medicaid/CHAMPUS/CHAMP-VA)
Was
[Q685-R FIRST NAME]
covered by any employer-provided health insurance?
................................................................................
352 1. YES
874 5. NO
25 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q2586 R14.NUMBER OF PLANS
Section: R Level: Respondent CAI Reference: Q2586
Type: Numeric Width: 1 Decimals:
R14.
How many different employer-provided health insurance
plans was
[Q685-R FIRST NAME] covered by
when (he/she) died?
ENTER NUMBER OF PLANS:
IWER: ENTER 7 FOR MORE THAN 6 PLANS
................................................................................
343 1. ONE
7 2. TWO
3. THREE
1 4. FOUR
5. FIVE
6. SIX
7. SEVEN
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
902 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2585:R13] IS
(NE 1)
Q2590 R15b.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q2590
Type: Numeric Width: 1 Decimals:
................................................................................
1. R15=SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
2. R15=SOMEPLACE ELSE
352 3. ALL OTHERS
902 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2585:R13] IS
(NE 1); [Q2584:R12b] IS (1)
Q2591 R16.PAY COSTS FOR HEALTH INSURANCE
Section: R Level: Respondent CAI Reference: Q2591
Type: Numeric Width: 1 Decimals:
R16.
IF Q483 IS (NE2)
Did (he/she) (or (his/her) husband/or (his/her) wife/or (his/her)
partner/...) pay all of the costs, some
ELSE
Did (he/she) or you pay all of the costs, some
END
of the costs, or none of the costs of the premium for this
health insurance coverage?
................................................................................
58 1. ALL
110 2. SOME
165 3. NONE
19 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
902 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2585:R13] IS
(NE 1); [Q2590:R15b] IS (1)
Q2592 R17.AMT PAID
Section: R Level: Respondent CAI Reference: Q2592
Type: Numeric Width: 4 Decimals:
R17.
How much was (he/she) paying for this health insurance
coverage?
PROBE: Include all amounts deducted from (his/her) pay check but
not the amount paid by the employer.
AMOUNT:
PER:
................................................................................
107 1-9996. Actual Value
59 9998. DK (Don't Know); NA (Not Ascertained)
2 9999. RF (Refused)
1086 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q2585:R13] IS (NE 1); [Q2590:R15b] IS (1);
[Q2591:R16] IS (3 OR DK OR RF)
Q2593 R17.AMT PAID FOR HEALTH INS-PER
Section: R Level: Respondent CAI Reference: Q2593
Type: Numeric Width: 2 Decimals:
................................................................................
10 1. YEAR
4 2. QUARTERLY/EVERY 3 MONTHS
3. BIMONTHLY/EVERY 2 MONTHS
81 4. MONTH
8 5. WEEK
2 6. BIWEEKLY/EVERY 2 WEEKS
7. SEMI-ANNUALLY/2 TIMES PER YEAR
8. SEMI-MONTHLY/2 TIMES PER MONTH
97. OTHER (SPECIFY)
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1147 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2585:R13] IS
(NE 1); [Q2590:R15b] IS (1); [Q2591:R16] IS (3 OR DK OR RF);
[Q2592:R17] IS (DK OR RF)
Q2594 R18a.CHECKPOINT-MEDICARE
Section: R Level: Respondent CAI Reference: Q2594
Type: Numeric Width: 1 Decimals:
................................................................................
284 1. R IS COVERED BY MEDICARE
68 2. ALL OTHERS
902 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2585:R13] IS
(NE 1); [Q2590:R15b] IS (1)
Q2595 R19a.MEDICARE SUPP/MEDIGAP PLAN
Section: R Level: Respondent CAI Reference: Q2595
Type: Numeric Width: 1 Decimals:
R19a.
IF Q2586 IS (GT1)
Were any of these plans a Medicare Supplement or Medigap plan?
ELSE
Was this plan a Medicare Supplement or Medigap plan?
END
................................................................................
140 1. YES
124 5. NO
20 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
970 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2585:R13] IS
(NE 1); [Q2590:R15b] IS (1); [Q2594:R18a] IS (2)
Q2596 R19b.PLAN LETTER
Section: R Level: Respondent CAI Reference: Q2596
Type: Character Width: 2 Decimals:
R19b.
Many Medicare Supplemental or Medigap Plans are referred to by a
Plan Letter. Do you know the Plan Letter for (his/her) plan?
IWER: IF MORE THAN ONE PLAN, ENTER ADDITIONAL LETTER IN F2 NOTE
PROBE: What is it?
ENTER LETTER (A-J):
................................................................................
10 01. A
1 02. B
03. C
04. D
05. E
06. F
1 07. J
1 08. H
3 09. Z
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1238 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2585:R13] IS
(NE 1); [Q2590:R15b] IS (1); [Q2594:R18a] IS (2); [Q2595:R19a]
IS (NE 1)
Q2597 R20.MEDICARE SUPP/MEDIGAP AN HMO?
Section: R Level: Respondent CAI Reference: Q2597
Type: Numeric Width: 1 Decimals:
R20.
I'd like to ask you a few questions about how (his/her) health
insurance worked for non-emergency care.
IF Q2586 IS (GT1)
Thinking of the most important of these plans,
END
Was (his/her) plan an HMO, that is, a Health Maintenance
Organization?
DEF: With an HMO, the cost of the physician visit is typically
covered in full or one pays only a small amount. All
routine care must be provided by an HMO physician.
................................................................................
26 1. YES
111 5. NO
7 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1110 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2585:R13] IS
(NE 1); [Q2590:R15b] IS (1); [Q2594:R18a] IS (2); [Q2596:R19b]
IS (A OR DK OR RF)
Q2598 R21.IF LIST OF DOCTORS
Section: R Level: Respondent CAI Reference: Q2598
Type: Numeric Width: 1 Decimals:
R21.
Did this health insurance plan have a list or book of doctors
that (he/she) was encouraged or required to use?
................................................................................
16 1. YES
95 5. NO
7 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1136 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2585:R13] IS
(NE 1); [Q2590:R15b] IS (1); [Q2594:R18a] IS (2); [Q2596:R19b]
IS (A OR DK OR RF); [Q2597:R20] IS (1)
Q2599 R22.PLAN PAY FOR DOCTORS NOT ON LIST
Section: R Level: Respondent CAI Reference: Q2599
Type: Numeric Width: 1 Decimals:
R22.
Did this health insurance plan pay any of the costs for
routine care if (he/she) saw a doctor who was not on this list?
................................................................................
8 1. YES
4 2. YES, WITH A REFERRAL
3 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1238 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2585:R13] IS
(NE 1); [Q2590:R15b] IS (1); [Q2594:R18a] IS (2); [Q2596:R19b]
IS (A OR DK OR RF); [Q2597:R20] IS (1); [Q2598:R21] IS (NE 1)
Q2600 R25.HMO: IF R PAYS FOR DR VISITS
Section: R Level: Respondent CAI Reference: Q2600
Type: Numeric Width: 1 Decimals:
R25.
Under this health insurance plan, did
[Q685-R FIRST NAME]
pay a percentage of the doctor's charge, the same dollar
amount each time (he/she) visited a doctor, or did
(he/she) not pay anything at all for doctor visits?
................................................................................
1 1. PERCENT
17 2. DOLLAR AMOUNT/COPAY
6 3. R DIDN'T PAY ANYTHING
7. OTHER (SPECIFY)
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1228 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2585:R13] IS
(NE 1); [Q2590:R15b] IS (1); [Q2594:R18a] IS (2); [Q2596:R19b]
IS (A OR DK OR RF); [Q2597:R20] IS (NE 1)
Q2601 R26.NON HMO:IF PLAN PAYS DR VISITS
Section: R Level: Respondent CAI Reference: Q2601
Type: Numeric Width: 1 Decimals:
R26.
(After all deductibles were met,) Did this plan pay any
of the costs of routine visits to the doctor?
................................................................................
89 1. YES
22 5. NO
7 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1136 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2585:R13] IS
(NE 1); [Q2590:R15b] IS (1); [Q2594:R18a] IS (2); [Q2596:R19b]
IS (A OR DK OR RF); [Q2597:R20] IS (1)
Q2602 R27.PLAN COVER PRESCRIPTIONS
Section: R Level: Respondent CAI Reference: Q2602
Type: Numeric Width: 1 Decimals:
R27.
Did this health insurance pay any part of the cost of
prescription medicines?
................................................................................
237 1. YES
40 5. NO
7 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
970 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2585:R13] IS
(NE 1); [Q2590:R15b] IS (1); [Q2594:R18a] IS (2)
Q2604 R28a.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q2604
Type: Numeric Width: 1 Decimals:
................................................................................
237 1. R'S HEALTH INSURANCE PAID FOR PRESCRIPTIONS OR ROUTINE DENTAL
CARE
47 2. ALL OTHERS
970 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2585:R13] IS
(NE 1); [Q2590:R15b] IS (1); [Q2594:R18a] IS (2)
Q2608 R45b.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q2608
Type: Numeric Width: 1 Decimals:
................................................................................
956 1. R IS COVERED BY MEDICARE AND NO MEDIGAP INSURANCE
297 2. ALL OTHERS
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q2609 R46.OTHER INSURANCE
Section: R Level: Respondent CAI Reference: Q2609
Type: Numeric Width: 1 Decimals:
R46.
Not counting long-term care insurance or Medicare,
(or Medicaid/or any other insurance we've discussed),
did (he/she) have any other insurance that paid any part of
hospital or doctor bills? Sometimes this is called a
Medigap or Medicare Supplement policy.
................................................................................
288 1. YES
636 5. NO
31 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
298 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2608:R45b] IS
(2)
Q2610 R46a.PLAN LETTER
Section: R Level: Respondent CAI Reference: Q2610
Type: Character Width: 2 Decimals:
R46a.
Many Medicare Supplemental or Medigap Plans are referred
to by a Plan Letter. Do you know the Plan Letter for
(his/her) plan?
PROBE: What was it?
ENTER LETTER (A-J):
................................................................................
21 01. A
6 02. B
11 03. C
1 04. D
2 05. E
5 06. F
1 07. J
08. H
11 09. Z
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1196 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2585:R13] IS
(NE 1); [Q2590:R15b] IS (1); [Q2594:R18a] IS (2); [Q2595:R19a]
IS (NE 1)
Q2611 R46b.PAY ALL/SOME/NONE OF PREMIUM
Section: R Level: Respondent CAI Reference: Q2611
Type: Numeric Width: 1 Decimals:
R46b.
Did (he/she) pay all of the costs, some of the costs,
or none of the costs of the premium for this health
insurance coverage?
................................................................................
250 1. ALL
13 2. SOME
16 3. NONE
9 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
966 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2608:R45b] IS
(2); [Q2609:R46] IS (NE 1)
Q2612 R46c.AMT PAY OTHER HEALTH INS
Section: R Level: Respondent CAI Reference: Q2612
Type: Numeric Width: 6 Decimals:
R46c.
About how much was (he/she) paying for this health insurance?
AMOUNT:
PER:
................................................................................
176 0-999996. Actual Value
86 999998. DK (Don't Know); NA (Not Ascertained)
1 999999. RF (Refused)
991 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q2608:R45b] IS (2); [Q2609:R46] IS (NE 1);
[Q2611:R46b] IS (3 OR DK OR RF)
Q2613 R46ca.OTHER HEALTH INS-PER
Section: R Level: Respondent CAI Reference: Q2613
Type: Numeric Width: 1 Decimals:
................................................................................
198 1. MONTH
37 2. QUARTER (EVERY 3 MONTHS)
2 3. SEMI-ANNUALLY (EVERY 6 MONTHS/TWICE A YEAR)
22 4. YEAR
3 7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
991 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2608:R45b] IS
(2); [Q2609:R46] IS (NE 1); [Q2611:R46b] IS (3 OR DK OR RF)
Q2615 R46e.OTHER PLAN PAY PART PRESCRIPTION DR
Section: R Level: Respondent CAI Reference: Q2615
Type: Numeric Width: 1 Decimals:
R46e.
Did this health insurance plan pay any part of the
cost of prescription medicines?
................................................................................
92 1. YES
182 5. NO
14 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
966 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2608:R45b] IS
(2); [Q2609:R46] IS (NE 1)
Q2617 R46ff.CHECKPOINT-OTHER PLAN PRESCRIPTION
Section: R Level: Respondent CAI Reference: Q2617
Type: Numeric Width: 1 Decimals:
................................................................................
92 1. R'S HEALTH INSURANCE PAID PART OF PRESCRIPTION
196 2. ALL OTHERS
966 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2608:R45b] IS
(2); [Q2609:R46] IS (NE 1)
Q2621 R48.ANY OTHER PURCHASED HEALTH INSUR
Section: R Level: Respondent CAI Reference: Q2621
Type: Numeric Width: 1 Decimals:
R48.
Did (he/she) 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.
................................................................................
25 1. YES
77 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1146 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2560:R1] IS
(1) OR [Q2563:R5] IS (1) OR [Q2572:R9] IS (1)
Q2622 R50.COVER HOSPITAL/PHYSICAL VISITS
Section: R Level: Respondent CAI Reference: Q2622
Type: Numeric Width: 1 Decimals:
R50.
Did this insurance cover the costs for hospital care?
................................................................................
20 1. YES
4 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1229 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2560:R1] IS
(1) OR [Q2563:R5] IS (1) OR [Q2572:R9] IS (1); [Q2621:R48] IS
(5 OR DK OR RF)
Q2624 R52.AMT PAY FOR PURCHASED HEALTH INSURAN
Section: R Level: Respondent CAI Reference: Q2624
Type: Numeric Width: 6 Decimals:
R52.
How much was (he/she) paying for this health insurance?
PROBE: Include the amount deducted from (his/her) pay
check but not the amount paid by the employer.
AMOUNT:
PER:
................................................................................
14 1-999996. Actual Value
11 999998. DK (Don't Know); NA (Not Ascertained)
999999. RF (Refused)
1229 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q2560:R1] IS (1) OR [Q2563:R5] IS (1) OR [Q2572:R9]
IS (1); [Q2621:R48] IS (5 OR DK OR RF); [Q2623:R51]
IS (3 OR DK OR RF)
Q2625 R52a.PURCHASED HEALTH INS - PER
Section: R Level: Respondent CAI Reference: Q2625
Type: Numeric Width: 1 Decimals:
................................................................................
19 1. MONTH
3 2. QUARTER (EVERY 3 MONTHS)
1 3. SEMI-ANNUALLY (EVERY 6 MONTHS/TWICE A YEAR)
1 4. YEAR
7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1229 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2560:R1] IS
(1) OR [Q2563:R5] IS (1) OR [Q2572:R9] IS (1); [Q2621:R48] IS
(5 OR DK OR RF); [Q2623:R51] IS (3 OR DK OR RF)
Q2630 R55.IF PURCHASED HEALTH INS - HMO
Section: R Level: Respondent CAI Reference: Q2630
Type: Numeric Width: 1 Decimals:
R55.
I'd like to ask you a few questions about how this health
insurance worked for non-emergency care.
Was this plan an HMO, that is, a Health Maintenance Organization?
DEF: With an HMO, the cost of the physician visit is typically
covered in full or one pays only a small amount. All
routine care must be provided by an HMO physician.
................................................................................
6 1. YES
18 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1229 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2560:R1] IS
(1) OR [Q2563:R5] IS (1) OR [Q2572:R9] IS (1); [Q2621:R48] IS
(5 OR DK OR RF)
Q2631 R55a.IF PURCHASED INS HAD A LIST OF DOCT
Section: R Level: Respondent CAI Reference: Q2631
Type: Numeric Width: 1 Decimals:
R55a.
Did this health insurance plan have a list or book of doctors
that one is encouraged or required to use?
................................................................................
8 1. YES
9 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1235 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2560:R1] IS
(1) OR [Q2563:R5] IS (1) OR [Q2572:R9] IS (1); [Q2621:R48] IS
(5 OR DK OR RF); [Q2630:R55] IS (1)
Q2632 R55b.PAY ROUTINE CARE
Section: R Level: Respondent CAI Reference: Q2632
Type: Numeric Width: 1 Decimals:
R55b.
Did this health insurance plan pay any of the costs of
routine care if one sees a doctor who is not on this list?
................................................................................
5 1. YES
1 2. YES, WITH A REFERRAL
1 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1246 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2560:R1] IS
(1) OR [Q2563:R5] IS (1) OR [Q2572:R9] IS (1); [Q2621:R48] IS
(5 OR DK OR RF); [Q2630:R55] IS (1); [Q2631:R55a] IS (5 OR DK
OR RF)
Q2633 R55d.PURCH HMO:IF R PAYS FOR DR VISITS
Section: R Level: Respondent CAI Reference: Q2633
Type: Numeric Width: 1 Decimals:
R55d.
Under this health insurance plan, did (he/she) pay a percentage
of the doctor's charge, the same dollar amount each time
(he/she) visited the doctor, or did (he/she) not pay
anything at all for doctor visits?
................................................................................
1 1. PERCENT
5 2. DOLLAR AMOUNT/COPAY
3. R DIDN'T PAY ANYTHING
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1248 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2560:R1] IS
(1) OR [Q2563:R5] IS (1) OR [Q2572:R9] IS (1); [Q2621:R48] IS
(5 OR DK OR RF); [Q2630:R55] IS (NE 1)
Q2634 R55e.PURCH NON HMO:IF PLAN PAYS DR VISIT
Section: R Level: Respondent CAI Reference: Q2634
Type: Numeric Width: 1 Decimals:
R55e.
Did this plan pay any of the costs of routine
visits to the doctor?
................................................................................
10 1. YES
6 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1235 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2560:R1] IS
(1) OR [Q2563:R5] IS (1) OR [Q2572:R9] IS (1); [Q2621:R48] IS
(5 OR DK OR RF); [Q2630:R55] IS (1)
Q2635 R55f.PAY PERSCRIPTION DRUGS
Section: R Level: Respondent CAI Reference: Q2635
Type: Numeric Width: 1 Decimals:
R55f.
Did this health insurance plan pay any part of the cost
of prescription medicines?
................................................................................
16 1. YES
7 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1229 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2560:R1] IS
(1) OR [Q2563:R5] IS (1) OR [Q2572:R9] IS (1); [Q2621:R48] IS
(5 OR DK OR RF)
Q2637 R56a.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q2637
Type: Numeric Width: 1 Decimals:
................................................................................
16 1. R ANSWERED YES TO R55f
9 2. ALL OTHERS
1229 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2560:R1] IS
(1) OR [Q2563:R5] IS (1) OR [Q2572:R9] IS (1); [Q2621:R48] IS
(5 OR DK OR RF)
Q2639 R57a.LIMITS ON HEALTH INSUR
Section: R Level: Respondent CAI Reference: Q2639
Type: Numeric Width: 1 Decimals:
R57a.
Are there any limits or restrictions on this health
insurance plan due to a preexisting condition?
................................................................................
3 1. YES
18 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1229 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2560:R1] IS
(1) OR [Q2563:R5] IS (1) OR [Q2572:R9] IS (1); [Q2621:R48] IS
(5 OR DK OR RF)
Q2641 R57b.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q2641
Type: Numeric Width: 1 Decimals:
................................................................................
1229 1. R IS COVERED BY MEDICARE, MEDICAID, CHAMPUS/CHAMPVA OR OTHER
INSURANCE
24 2. ALL OTHERS
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q2642 R58.WITHOUT INSUR
Section: R Level: Respondent CAI Reference: Q2642
Type: Numeric Width: 1 Decimals:
R58.
Was
[Q685-R FIRST NAME] ever without health insurance
coverage at any time
IF Q684 IS (1)
from
[Q218-PREV WAVE IW MONTH]
[Q219-PREV WAVE IW YEAR] until (his/her) death?
ELSE
?
END
................................................................................
18 1. YES
1206 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
25 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2641:R57b] IS
(2)
Q2646 R61.EXPENSES WITHOUT COVERAGE
Section: R Level: Respondent CAI Reference: Q2646
Type: Numeric Width: 1 Decimals:
R61.
During the time (he/she) was not covered by health
insurance, did (he/she) have any medical expenses for
which (he/she) had to pay $100 or more?
................................................................................
14 1. YES
4 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1236 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2641:R57b] IS
(2); [Q2642:R58] IS (5 OR DK OR RF)
Q2651 R67.NOT COVERED BY GOVT/PRIV HEALTH INSU
Section: R Level: Respondent CAI Reference: Q2651
Type: Numeric Width: 1 Decimals:
R67.
According to my information, at the time of (his/her) death,
(he/she) was not covered by any government or private
health insurance plans that provide for medical care.
Is that correct?
................................................................................
17 1. YES
2 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1230 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2641:R57b] IS
(1)
Q2653 R78.WITHDRAWN FROM HMO SINCE PREV WAVE
Section: R Level: Respondent CAI Reference: Q2653
Type: Numeric Width: 1 Decimals:
R78.
IF Q684 IS (1)
Since
[Q218-PREV WAVE IW MONTH]
[Q219-PREV WAVE IW YEAR] until (his/her) death
ELSE
In the last two years
END
had (he/she) withdrawn from an HMO?
................................................................................
13 1. YES
560 5. NO
14 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
666 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q2563:R5] IS
(1) OR [Q2572:R9] IS (1) OR [Q2585:R13] IS (1) OR [Q2621:R48]
IS (1); [Q2560:R1] IS (NE 1) AND [Q2563:R5] IS (NE 1) AND
[Q2572:R9] IS (NE 1) AND [Q2621:R48] IS (NE 1); [Q2651:R67] IS
(1 OR DK OR RF)
Q2654 R79.VOLUNTARILY LEAVE
Section: R Level: Respondent CAI Reference: Q2654
Type: Numeric Width: 1 Decimals:
R79.
Did (he/she) voluntarily leave that HMO?
................................................................................
10 1. YES
2 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1241 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q2563:R5] IS
(1) OR [Q2572:R9] IS (1) OR [Q2585:R13] IS (1) OR [Q2621:R48]
IS (1); [Q2560:R1] IS (NE 1) AND [Q2563:R5] IS (NE 1) AND
[Q2572:R9] IS (NE 1) AND [Q2621:R48] IS (NE 1); [Q2651:R67] IS
(1 OR DK OR RF); [Q2653:R78] IS (5 OR DK OR RF)
Q2655M1 R80.WHY LEAVE HMO-1
Section: R Level: Respondent CAI Reference: Q2655
Type: Numeric Width: 1 Decimals:
R80.
Why did (he/she) leave that HMO?
CHOOSE ALL THAT APPLY
................................................................................
1 1. OWN PHYSICIAN LEFT PLAN
5 2. HMO DIDN'T PROVIDE NEEDED SERVICES
1 3. HMO COSTS INCREASED
4. HMO ENCOURAGED TO LEAVE
3 6. Too far away from HMO; R moved and HMO not in new region
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1244 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q2563:R5] IS
(1) OR [Q2572:R9] IS (1) OR [Q2585:R13] IS (1) OR [Q2621:R48]
IS (1); [Q2560:R1] IS (NE 1) AND [Q2563:R5] IS (NE 1) AND
[Q2572:R9] IS (NE 1) AND [Q2621:R48] IS (NE 1); [Q2651:R67] IS
(1 OR DK OR RF); [Q2653:R78] IS (5 OR DK OR RF); [Q2654:R79] IS
(5 OR DK OR RF)
Q2655M2 R80.WHY LEAVE HMO-2
Section: R Level: Respondent CAI Reference: Q2655
Type: Numeric Width: 1 Decimals:
R80.
Why did (he/she) leave that HMO?
CHOOSE ALL THAT APPLY
................................................................................
1. OWN PHYSICIAN LEFT PLAN
1 2. HMO DIDN'T PROVIDE NEEDED SERVICES
3. HMO COSTS INCREASED
1 4. HMO ENCOURAGED TO LEAVE
6. Too far away from HMO; R moved and HMO not in new region
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1252 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q2563:R5] IS
(1) OR [Q2572:R9] IS (1) OR [Q2585:R13] IS (1) OR [Q2621:R48]
IS (1); [Q2560:R1] IS (NE 1) AND [Q2563:R5] IS (NE 1) AND
[Q2572:R9] IS (NE 1) AND [Q2621:R48] IS (NE 1); [Q2651:R67] IS
(1 OR DK OR RF); [Q2653:R78] IS (5 OR DK OR RF); [Q2654:R79] IS
(5 OR DK OR RF)
Q2655M3 R80.WHY LEAVE HMO-3
Section: R Level: Respondent CAI Reference: Q2655
Type: Numeric Width: 1 Decimals:
R80.
Why did (he/she) leave that HMO?
CHOOSE ALL THAT APPLY
................................................................................
1. OWN PHYSICIAN LEFT PLAN
2. HMO DIDN'T PROVIDE NEEDED SERVICES
3. HMO COSTS INCREASED
4. HMO ENCOURAGED TO LEAVE
6. Too far away from HMO; R moved and HMO not in new region
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1254 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q2563:R5] IS
(1) OR [Q2572:R9] IS (1) OR [Q2585:R13] IS (1) OR [Q2621:R48]
IS (1); [Q2560:R1] IS (NE 1) AND [Q2563:R5] IS (NE 1) AND
[Q2572:R9] IS (NE 1) AND [Q2621:R48] IS (NE 1); [Q2651:R67] IS
(1 OR DK OR RF); [Q2653:R78] IS (5 OR DK OR RF); [Q2654:R79] IS
(5 OR DK OR RF)
Q2656 R81.HOW LONG BEFORE COVERED-MONTHS
Section: R Level: Respondent CAI Reference: Q2656
Type: Numeric Width: 2 Decimals:
R81.
From the time (he/she) left that HMO, about how long was it
before (he/she) was fully covered by (his/her) new health
insurance plan?
ENTER "0" MONTHS IF NO GAP.
MONTHS:
OR
YEARS:
OR
................................................................................
10 0-50. Actual Value
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1243 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5);
[Q2563:R5] IS (1) OR [Q2572:R9] IS (1) OR [Q2585:R13]
IS (1) OR [Q2621:R48] IS (1); [Q2560:R1] IS (NE 1)
AND [Q2563:R5] IS (NE 1) AND [Q2572:R9] IS (NE 1) AND
[Q2621:R48] IS (NE 1); [Q2651:R67] IS (1 OR DK OR
RF); [Q2653:R78] IS (5 OR DK OR RF)
Q2657 R81.HOW LONG BEFORE COVERED-YEARS
Section: R Level: Respondent CAI Reference: Q2657
Type: Numeric Width: 2 Decimals:
................................................................................
0-50. Actual Value
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1254 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5);
[Q2563:R5] IS (1) OR [Q2572:R9] IS (1) OR [Q2585:R13]
IS (1) OR [Q2621:R48] IS (1); [Q2560:R1] IS (NE 1)
AND [Q2563:R5] IS (NE 1) AND [Q2572:R9] IS (NE 1) AND
[Q2621:R48] IS (NE 1); [Q2651:R67] IS (1 OR DK OR
RF); [Q2653:R78] IS (5 OR DK OR RF); [Q2656:R81] IS
(0 AND NE ``!``)
Q2658 R81.NO NEW HEALTH INSURANCE PLAN
Section: R Level: Respondent CAI Reference: Q2658
Type: Numeric Width: 1 Decimals:
................................................................................
2 1. NO NEW HEALTH INSURANCE PLAN
1252 Blank. INAP (Inapplicable):[Q456:CS CONTINUE] IS (5); [Q2563:R5] IS
(1) OR [Q2572:R9] IS (1) OR [Q2585:R13] IS (1) OR [Q2621:R48]
IS (1); [Q2560:R1] IS (NE 1) AND [Q2563:R5] IS (NE 1) AND
[Q2572:R9] IS (NE 1) AND [Q2621:R48] IS (NE 1); [Q2651:R67] IS
(1 OR DK OR RF); [Q2653:R78] IS (5 OR DK OR RF); [Q2656:R81] IS
(0 AND NE ``!``); [Q2656:R81] IS (NE ``!``) AND [Q2657:R81] IS
(NE ``!``)
Q2660 R82.OTHER CHANGES SINCE PREV WAVE
Section: R Level: Respondent CAI Reference: Q2660
Type: Numeric Width: 1 Decimals:
R82.
IF Q2560 IS (1)
(Other than the changes you've already told me about,)
END
IF Q684 IS (1)
Since
[Q218-PREV WAVE IW MONTH]
[Q219-PREV WAVE IW YEAR] until (his/her) death,
ELSE
In the last two years,
END
were there any (other) changes in the type, cost, or
in the services or doctors covered by (his/her) health insurance?
................................................................................
109 1. YES
1070 5. NO
50 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
23 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2651:R67] IS
(1 OR DK OR RF)
Q2661M1 R83.WHAT CHANGED IN HEALTH INSURANCE-1
Section: R Level: Respondent CAI Reference: Q2661
Type: Numeric Width: 2 Decimals:
R83.
What changed about (his/her) health insurance?
CHOOSE ALL THAT APPLY
................................................................................
66 1. COST BECAME HIGHER
2 2. COST BECAME LOWER
7 3. FEWER SERVICES COVERED
6 4. MORE SERVICES COVERED
5 5. LESS CHOICE OF PHYSICIANS
6. MORE CHOICE OF PHYSICIANS
7. MORE CONVENIENT
2 8. LOST PLAN
20 9. CHANGED TO A COMPLETELY DIFFERENT PLAN; Provider
97. OTHER (SPECIFY)
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1145 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2651:R67] IS
(1 OR DK OR RF); [Q2660:R82] IS (5 OR DK OR RF)
Q2661M2 R83.WHAT CHANGED IN HEALTH INSURANCE-2
Section: R Level: Respondent CAI Reference: Q2661
Type: Numeric Width: 2 Decimals:
R83.
What changed about (his/her) health insurance?
CHOOSE ALL THAT APPLY
................................................................................
1. COST BECAME HIGHER
1 2. COST BECAME LOWER
2 3. FEWER SERVICES COVERED
1 4. MORE SERVICES COVERED
1 5. LESS CHOICE OF PHYSICIANS
1 6. MORE CHOICE OF PHYSICIANS
7. MORE CONVENIENT
8. LOST PLAN
2 9. CHANGED TO A COMPLETELY DIFFERENT PLAN; Provider
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1246 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2651:R67] IS
(1 OR DK OR RF); [Q2660:R82] IS (5 OR DK OR RF)
Q2661M3 R83.WHAT CHANGED IN HEALTH INSURANCE-3
Section: R Level: Respondent CAI Reference: Q2661
Type: Numeric Width: 2 Decimals:
R83.
What changed about (his/her) health insurance?
CHOOSE ALL THAT APPLY
................................................................................
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
1 7. MORE CONVENIENT
8. LOST PLAN
9. CHANGED TO A COMPLETELY DIFFERENT PLAN; Provider
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1253 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2651:R67] IS
(1 OR DK OR RF); [Q2660:R82] IS (5 OR DK OR RF)
Q2661M4 R83.WHAT CHANGED IN HEALTH INSURANCE-4
Section: R Level: Respondent CAI Reference: Q2661
Type: Numeric Width: 2 Decimals:
R83.
What changed about (his/her) health insurance?
CHOOSE ALL THAT APPLY
................................................................................
1. COST BECAME HIGHER
2. COST BECAME LOWER
3. FEWER SERVICES COVERED
4. MORE SERVICES COVERED
1 5. LESS CHOICE OF PHYSICIANS
6. MORE CHOICE OF PHYSICIANS
7. MORE CONVENIENT
8. LOST PLAN
9. CHANGED TO A COMPLETELY DIFFERENT PLAN; Provider
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1253 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2651:R67] IS
(1 OR DK OR RF); [Q2660:R82] IS (5 OR DK OR RF)
Q2661M5 R83.WHAT CHANGED IN HEALTH INSURANCE-5
Section: R Level: Respondent CAI Reference: Q2661
Type: Numeric Width: 2 Decimals:
R83.
What changed about (his/her) health insurance?
CHOOSE ALL THAT APPLY
................................................................................
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; Provider
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1253 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2651:R67] IS
(1 OR DK OR RF); [Q2660:R82] IS (5 OR DK OR RF)
Q2661M6 R83.WHAT CHANGED IN HEALTH INSURANCE-5
Section: R Level: Respondent CAI Reference: Q2661
Type: Numeric Width: 2 Decimals:
R83.
What changed about (his/her) health insurance?
CHOOSE ALL THAT APPLY
................................................................................
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
9. CHANGED TO A COMPLETELY DIFFERENT PLAN; Provider
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1254 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2651:R67] IS
(1 OR DK OR RF); [Q2660:R82] IS (5 OR DK OR RF)
Q2662 R84.CHOICE IN CHANGING INSURANCE
Section: R Level: Respondent CAI Reference: Q2662
Type: Numeric Width: 1 Decimals:
R84.
Did
[Q685-R FIRST NAME] choose to change (his/her) health
insurance or provider, or did (he/she) not have a choice
in the change?
................................................................................
21 1. R MADE CHANGE
87 5. R HAD NO CHOICE
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1145 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2651:R67] IS
(1 OR DK OR RF); [Q2660:R82] IS (5 OR DK OR RF)
Q2664 R85.LTC INSURANCE
Section: R Level: Respondent CAI Reference: Q2664
Type: Numeric Width: 1 Decimals:
R85.
Not including government programs, did
[Q685-R FIRST NAME]
have any insurance which specifically covered any part of personal
or medical care in (his/her) home or in a nursing home for a
year or more?
................................................................................
66 1. YES
1137 5. NO
49 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q2665 R87.COVER NURSING HOME/IN-HOME CARE
Section: R Level: Respondent CAI Reference: Q2665
Type: Numeric Width: 1 Decimals:
R87.
Did 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?
................................................................................
22 1. NURSING HOME CARE ONLY
6 2. IN-HOME CARE ONLY
35 3. BOTH
7. OTHER (SPECIFY)
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1188 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2664:R85] IS
(5 OR DK OR RF)
Q2666 R88.RECD BENEFITS UNDER LTC
Section: R Level: Respondent CAI Reference: Q2666
Type: Numeric Width: 1 Decimals:
R88.
Had
[Q685-R FIRST NAME] ever received benefits under (his/her)
long-term care policy?
................................................................................
25 1. YES
40 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1188 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2664:R85] IS
(5 OR DK OR RF)
Q2667 R89.PAYMENTS INCREASE WITH INFLATION
Section: R Level: Respondent CAI Reference: Q2667
Type: Numeric Width: 1 Decimals:
R89.
Did this plan increase payments with inflation?
................................................................................
23 1. YES
24 5. NO
19 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1188 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2664:R85] IS
(5 OR DK OR RF)
Q2668 R90.AMT PAY FOR LTC
Section: R Level: Respondent CAI Reference: Q2668
Type: Numeric Width: 6 Decimals:
R90.
About how much was (he/she) paying for this plan
before (his/her) death?
AMOUNT:
PER:
IWER: ENTER "0" IF NO PAYMENTS WERE MADE
................................................................................
16 0. NO PAYMENTS WERE MADE
24 1-999996. Actual Value
26 999998. DK (Don't Know); NA (Not Ascertained)
999999. RF (Refused)
1188 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2664:R85] IS
(5 OR DK OR RF)
Q2669 R90.PAY FOR LONG TERM CARE - PER
Section: R Level: Respondent CAI Reference: Q2669
Type: Numeric Width: 1 Decimals:
................................................................................
9 1. YEAR
2. QUARTER (EVERY 3 MONTHS)
15 4. MONTH
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1230 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2664:R85] IS
(5 OR DK OR RF); [Q2668:R90] IS (0 OR DK OR RF OR Over Limit)
Q2671 R91.HOW LONG HAVE LTC-MONTHS
Section: R Level: Respondent CAI Reference: Q2671
Type: Numeric Width: 2 Decimals:
R91.
About how long did (he/she) have this long-term care insurance?
MONTHS:
OR
YEARS:
................................................................................
7 0-50. Actual Value
13 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1234 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q2664:R85] IS (5 OR DK OR RF)
Q2672 R91.HOW LONG HAVE LTC-YEARS
Section: R Level: Respondent CAI Reference: Q2672
Type: Numeric Width: 2 Decimals:
................................................................................
44 1-50. Actual Value
3 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1207 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5);
[Q2664:R85] IS (5 OR DK OR RF)
Q2674 R92.LTC CANCELED/LAPSED
Section: R Level: Respondent CAI Reference: Q2674
Type: Numeric Width: 1 Decimals:
R92.
Was (he/she) ever covered by any long-term care
insurance that (he/she) cancelled or let lapse?
................................................................................
19 1. YES
1195 5. NO
37 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
1 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5)
Q2675 R93.WHY LTC COVERAGE LAPSE
Section: R Level: Respondent CAI Reference: Q2675
Type: Numeric Width: 1 Decimals:
R93.
Did (his/her) coverage lapse because the premiums were too
high, because (he/she) didn't think (he/she) needed
to carry it any longer, or what?
................................................................................
11 1. PREMIUMS TOO HIGH
3 5. DIDN'T NEED IT
4 7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1235 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q2674:R92] IS
(5 OR DK OR RF)
Q2681 R117.MEDICARE NUMBER RECORDED?
Section: R Level: Respondent CAI Reference: Q2681
Type: Numeric Width: 1 Decimals:
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 (his/her) Medicare
number for this purpose?
(Under the Privacy Act of 1974, providing (his/her) number is a
voluntary decision. The benefits (he/she) 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 (his/her) Medicare number?
................................................................................
104 1. NUMBER RECORDED
136 5. NO NUMBER RECORDED
10 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
998 Blank. INAP (Inapplicable): [Q456:CS CONTINUE] IS (5); [Q247:PREV WAVE
GAVE MED NUMBER] IS (1) OR [Q2560:R1] IS (NE 1)
QVERSION 1998 EXIT RELEASE VERSION NUMBER
Section: R Level: Respondent CAI Reference: Q9008
Type: Numeric Width: 1 Decimals:
................................................................................
1254 1. First Final Release
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