HHID HOUSEHOLD IDENTIFIER
Section: R Level: Respondent CAI Reference: Q9001
Type: Character Width: 6 Decimals: 0
................................................................................
1348 010003-213471. Household ID
PN PERSON NUMBER
Section: R Level: Respondent CAI Reference: Q9002
Type: Character Width: 3 Decimals: 0
................................................................................
929 010. Person Number
12 011. Person Number
320 020. Person Number
2 021. Person Number
36 030. Person Number
1 031. Person Number
47 040. Person Number
1 041. Person Number
RSUBHH 2000 SUB-HOUSEHOLD IDENTIFIER
Section: R Level: Respondent CAI Reference: Q9004
Type: Character Width: 1 Decimals: 0
................................................................................
1296 3. 1st deceased respondent from a household
52 4. 2nd deceased respondent from a household
FSUBHH 1998 SUB-HOUSEHOLD IDENTIFIER
Section: R Level: Respondent CAI Reference: Q9003
Type: Character Width: 1 Decimals: 0
................................................................................
1306 0. Original sample household - no split from divorce or separation
of spouses or partners
14 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
13 2. Split household - other half of couple from SUBHH 0 and new
spouse or partner, if any
15 3. 1st deceased respondent from a household
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
RPN_SP 2000 SPOUSE/PARTNER PERSON NUMBER
Section: R Level: Respondent CAI Reference: Q9005
Type: Character Width: 3 Decimals: 0
................................................................................
276 010. Spouse Person Number
14 011. Spouse Person Number
292 020. Spouse Person Number
4 021. Spouse Person Number
25 030. Spouse Person Number
34 040. Spouse Person Number
703 Blank. No Spouse at Death
RQNR SURVEYCRAFT CASE NUMBER
Section: R Level: Respondent CAI Reference: Q9006
Type: Numeric Width: 5 Decimals: 0
................................................................................
999 80001-80999. AHEAD/CODA Surveycraft Case Number
349 90001-90349. HRS/WAR BABY Surveycraft Case Number
R2584 R0.INTRO
Section: R Level: Respondent CAI Reference: Q2584
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.
................................................................................
1348 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18)
R2585 R1.MEDICARE COVERAGE
Section: R Level: Respondent CAI Reference: Q2585
Type: Numeric Width: 1 Decimals: 0
R1.
Was
[Q754-CS22Y31.R FIRST NAME] covered by Medicare health insurance
at the time of (his/her) death?
................................................................................
1187 1. YES
142 5. NO
16 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
3 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18)
R2586 R1Y1.65 + NO MEDICARE CONFIRM
Section: R Level: Respondent CAI Reference: Q2586
Type: Numeric Width: 1 Decimals: 0
R1Y1.
R WAS OVER 65 AND NOT COVERED BY MEDICARE. PLEASE CONFIRM.
................................................................................
27 1. CONFIRMED
2. CORRECT THE MEDICARE QUESTION.
1321 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q1086:A21Y1] IS (LE 64) OR [Q2585]
IS (NE 5)
R2587 R2.MEDICARE PART B COVERAGE
Section: R Level: Respondent CAI Reference: Q2587
Type: Numeric Width: 1 Decimals: 0
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
[Q754-CS22Y31.R FIRST NAME]'s
death, was (he/she) covered by Medicare Part B?
................................................................................
1078 1. YES
53 5. NO
56 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
161 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2585] IS (NE 1)
R2588 R4.MEDICAID SINCE PREV WAVE?
Section: R Level: Respondent CAI Reference: Q2588
Type: Numeric Width: 1 Decimals: 0
R4.
Was (he/she) covered by (Medicaid/STATE NAME FOR MEDICAID)
health insurance at any time
IF Q753 IS (1)
since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] , to when (he/she) died?
ELSE
in the two years before (his/her) death?
END
................................................................................
337 1. YES
959 5. NO
48 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
3 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18)
R2589 R5.CURRENTLY COVERED BY MEDICAID
Section: R Level: Respondent CAI Reference: Q2589
Type: Numeric Width: 1 Decimals: 0
R5.
Was (he/she) covered by (Medicaid/STATE
NAME FOR MEDICAID) at the time (he/she) died?
................................................................................
306 1. YES
28 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1011 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2588] IS (NE 1)
ASSIGNMENT STATEMENTS
* if [Q1754] IS (1) OR [Q558:CS11] IS (1) then [R2590.R5a.CHECKPOINT] = 1
* if [Q1:PR1] IS (GE 0 OR LE 0) then [R2590.R5a.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
R2590 R5a.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q2590
Type: Numeric Width: 1 Decimals: 0
................................................................................
196 1. R NURSING HOME STAY 1 OR MORE TIMES SINCE WAVE 2 IW
141 2. ALL OTHERS
1011 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2588] IS (NE 1)
ASSIGNMENT STATEMENTS
* Jump from R2590 [R5a.CHECKPOINT] when [Q1:PR1] IS (GE 0
OR LE 0)
* Jump from R2590 [R5a.CHECKPOINT] when [Q1754] IS (1) OR
[Q558:CS11] IS (1)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
R2591 R6.MEDICAID AT TIME OF NURS HOME-FIRST
Section: R Level: Respondent CAI Reference: Q2591
Type: Numeric Width: 1 Decimals: 0
R6.
Earlier you told me that
[Q754-CS22Y31.R FIRST NAME] had (a/several)
stay(.../s) at a nursing home
IF Q753 IS (1)
from
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] to when (he/she) died.
ELSE
in the last two years.
END
Was
[Q754-CS22Y31.R FIRST NAME] eligible for (Medicaid/STATE NAME FOR
MEDICAID)
at the time (his/her) (.../first) nursing home stay started?
................................................................................
135 1. YES
56 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1152 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2588] IS (NE 1); [Q2590:R5a] IS (2)
R2592 R7.MEDICAID DURING NURSING HOME-FIRST
Section: R Level: Respondent CAI Reference: Q2592
Type: Numeric Width: 1 Decimals: 0
R7.
Did (he/she) become eligible for
(Medicaid/STATE NAME FOR MEDICAID)
during (his/her) (.../first) nursing home stay?
................................................................................
38 1. YES
18 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1292 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2588] IS (NE 1); [Q2590:R5a] IS
(2); [Q2591] IS (1); [Q2591] IS (DK OR RF)
ASSIGNMENT STATEMENTS
* if [Q1755] IS (GT 1) then [R2594.R8a.CHECKPOINT] = 1
* if [Q1:PR1] IS (GE 0 OR LE 0) then [R2594.R8a.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
R2594 R8a.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q2594
Type: Numeric Width: 1 Decimals: 0
................................................................................
33 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE/IN THE
LAST 2 YEARS
158 2. ALL OTHERS
1157 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2588] IS (NE 1); [Q2590:R5a] IS
(2); [Q2591] IS (DK OR RF)
ASSIGNMENT STATEMENTS
* Jump from R2594 [R8a.CHECKPOINT] when [Q1755] IS (GT 1)
* Jump from R2594 [R8a.CHECKPOINT] when [Q1:PR1] IS (GE 0
OR LE 0)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
R2595 R8aa.MEDICAID AT TIME OF NURS HOME-LAST
Section: R Level: Respondent CAI Reference: Q2595
Type: Numeric Width: 1 Decimals: 0
R8aa.
Was (he/she) eligible for (Medicaid/STATE NAME FOR MEDICAID)
at the time
(his/her) last nursing home stay started?
................................................................................
26 1. YES
7 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1315 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2588] IS (NE 1); [Q2590:R5a] IS
(2); [Q2591] IS (DK OR RF); [Q2594:R8a] IS (2)
R2596 R8b.MEDICAID DURING NURSING HOME-LAST
Section: R Level: Respondent CAI Reference: Q2596
Type: Numeric Width: 1 Decimals: 0
R8b.
Did (he/she) become eligible for
(Medicaid/STATE NAME FOR MEDICAID)
during (his/her) last nursing home stay?
................................................................................
4 1. YES
3 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1341 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2588] IS (NE 1); [Q2590:R5a] IS
(2); [Q2591] IS (DK OR RF); [Q2594:R8a] IS (2); [Q2595] IS (1);
[Q2595] IS (DK OR RF)
R2597 R8c.LOSE ELIGIBILITY WHEN DISCARDED-LAST
Section: R Level: Respondent CAI Reference: Q2597
Type: Numeric Width: 1 Decimals: 0
R8c.
Did (he/she) lose (his/her) eligibility for
(Medicaid/STATE NAME FOR MEDICAID) when (he/she) was
discharged from (his/her) last nursing home stay?
................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1348 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2588] IS (NE 1); [Q2590:R5a] IS
(2); [Q2591] IS (DK OR RF); [Q2594:R8a] IS (2); [Q2595] IS (DK
OR RF); [Q2596] IS (5 OR DK OR RF) OR [Q558:CS11] IS (1) OR
[Q2589] IS (1)
R2598 R9.CHAMPUS/CHAMPVA COVERAGE
Section: R Level: Respondent CAI Reference: Q2598
Type: Numeric Width: 1 Decimals: 0
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.
................................................................................
27 1. YES
1307 5. NO
11 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
3 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18)
ASSIGNMENT STATEMENTS
* if [Q2585] IS (NE 1) AND [Q2589] IS (1) then [R2599.R11.CHECKPOINT] = 2
* if [Q2585] IS (1) OR [Q2589] IS (1) then [R2599.R11.CHECKPOINT] = 1
* if [Q1:PR1] IS (GE 0 OR LE 0) then [R2599.R11.CHECKPOINT] = 3
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
R2599 R11.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q2599
Type: Numeric Width: 1 Decimals: 0
................................................................................
1187 1. R IS COVERED BY MEDICARE OR (MEDICARE AND MEDICAID)
28 2. R IS COVERED BY MEDICAID AND NOT MEDICARE
130 3. ALL OTHERS
3 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18)
ASSIGNMENT STATEMENTS
* Jump from R2599 [R11.CHECKPOINT] when [Q2585] IS (NE 1)
AND [Q2589] IS (1)
* Jump from R2599 [R11.CHECKPOINT] when [Q2585] IS (1) OR
[Q2589] IS (1)
* Jump from R2599 [R11.CHECKPOINT] when [Q1:PR1] IS (GE 0
OR LE 0)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
R2600 R10. R10 INTRO
Section: R Level: Respondent CAI Reference: Q2600
Type: Numeric Width: 1 Decimals: 0
R10.
Now I'm going to ask you about how (his/her) health insurance
worked.
................................................................................
1348 Blank. No Data Collected
R2601 R11Y.MEDICARE/MEDICAID THROUGH HMO
Section: R Level: Respondent CAI Reference: Q2601
Type: Numeric Width: 1 Decimals: 0
R11Y.
First we are interested in how (his/her)
(Medicare/Medicare or (Medicaid/STATE NAME FOR MEDICAID))
health insurance worked for routine care.
Did
[Q754-CS22Y31.R FIRST NAME] receive (his/her) Medicare
(.../or (Medicaid/STATE NAME FOR MEDICAID))
benefits through an HMO, that is a Health Maintenance Organization?
DEF: With an HMO, the cost of the physician visit is typically
covered in full or one pays only a small amount. All
routine care must be provided by an HMO physician.
................................................................................
209 1. YES
874 5. NO
103 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
161 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2599:R11] IS (2); [Q2599:R11] IS
(3)
R2602 R11a.HOW LONG-YEARS
Section: R Level: Respondent CAI Reference: Q2602
Type: Numeric Width: 2 Decimals: 0
R11a.
At the time of (his/her) death,
about how long had (he/she) been receiving (his/her)
Medicare (.../or (Medicaid/STATE NAME FOR MEDICAID)) benefits
through this HMO?
YEARS:
OR
MONTHS:
................................................................................
152 0-25. Actual Value
38 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1158 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS
(18); [Q2581] IS (16); [Q2581] IS (18); [Q2599:R11]
IS (2); [Q2599:R11] IS (3); [Q2601] IS (NE 1)
R2603 R11Y1a.(R11a) HOW LONG-MONTHS
Section: R Level: Respondent CAI Reference: Q2603
Type: Numeric Width: 2 Decimals: 0
................................................................................
18 0-48. Actual Value
39 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1291 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS
(18); [Q2581] IS (16); [Q2581] IS (18); [Q2599:R11]
IS (2); [Q2599:R11] IS (3); [Q2601] IS (NE 1);
[Q2602] IS (1-25)
R2605 R11b.AMOUNT PAY FOR PLAN
Section: R Level: Respondent CAI Reference: Q2605
Type: Numeric Width: 4 Decimals: 0
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:
................................................................................
158 0-9996. Actual Value
51 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1139 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS
(18); [Q2581] IS (16); [Q2581] IS (18); [Q2599:R11]
IS (2); [Q2599:R11] IS (3); [Q2601] IS (NE 1)
R2606 R11Y1b.PER
Section: R Level: Respondent CAI Reference: Q2606
Type: Numeric Width: 1 Decimals: 0
................................................................................
148 1. MONTH
6 2. QUARTER (EVERY 3 MONTHS)
1 3. SEMI-ANNUALLY (EVERY 6 MONTHS/TWICE A YEAR)
1 4. YEAR
1 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1191 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2599:R11] IS (2); [Q2599:R11] IS
(3); [Q2601] IS (NE 1); [Q2605] IS (DK OR RF)
R2607 R12.MEDICAID THROUGH HMO
Section: R Level: Respondent CAI Reference: Q2607
Type: Numeric Width: 1 Decimals: 0
R12.
We are interested in how (his/her)
(Medicaid/STATE NAME FOR MEDICAID) health insurance
worked for routine care.
Did (he/she) receive (his/her)
(Medicaid/STATE NAME FOR MEDICAID) benefits through
an HMO, that is a Health Maintenance Organization?
DEF: With an HMO, the cost of the physician visit is typically
covered in full or one pays only a small amount. All
routine care must be provided by an HMO physician.
................................................................................
1 1. YES
21 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1320 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2599:R11] IS (3); [Q2601] IS (NE
1); [Q2589] IS (1) AND [Q2585] IS (1); [Q2588] IS (NE 1);
[Q2589] IS (A AND NE 1)
R2608 R12a.HOW LONG-YEARS
Section: R Level: Respondent CAI Reference: Q2608
Type: Numeric Width: 2 Decimals: 0
R12a.
About how long had (he/she) been receiving (his/her)
(Medicaid/STATE NAME FOR MEDICAID) benefits through this HMO?
YEARS OR MONTHS
................................................................................
1-20. Actual Value
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1348 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS
(18); [Q2581] IS (16); [Q2581] IS (18); [Q2599:R11]
IS (3); [Q2601] IS (NE 1); [Q2589] IS (1) AND [Q2585]
IS (1); [Q2588] IS (NE 1); [Q2589] IS (A AND NE 1);
[Q2607] IS (NE 1)
R2609 R12Y1a.(R12a) HOW LONG-MONTHS
Section: R Level: Respondent CAI Reference: Q2609
Type: Numeric Width: 2 Decimals: 0
................................................................................
1 1-48. Actual Value
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1347 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS
(18); [Q2581] IS (16); [Q2581] IS (18); [Q2599:R11]
IS (3); [Q2601] IS (NE 1); [Q2589] IS (1) AND [Q2585]
IS (1); [Q2588] IS (NE 1); [Q2589] IS (A AND NE 1);
[Q2607] IS (NE 1)
ASSIGNMENT STATEMENTS
* if [Q289:PR289] IS (2) then [R2610.R12x.CHECKPOINT] = 1
* if [Q289:PR289] IS (NE 2) then [R2610.R12x.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
R2610 R12x.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q2610
Type: Numeric Width: 1 Decimals: 0
................................................................................
30 1. R IS CURRENTLY SELF-EMPLOYED
1315 2. ALL OTHERS
3 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18)
ASSIGNMENT STATEMENTS
* Jump from R2610 [R12x.CHECKPOINT] when [Q289:PR289] IS
(NE 2)
* Jump from R2610 [R12x.CHECKPOINT] when [Q289:PR289] IS
(2)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
R2611 R12aa.SELF-EMP INSURANCE
Section: R Level: Respondent CAI Reference: Q2611
Type: Numeric Width: 1 Decimals: 0
R12aa.
You mentioned earlier that (he/she) was self-employed.
Did (he/she) have health insurance through that business
that paid hospital bills?
................................................................................
7 1. YES
23 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1318 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2610:R12x] IS (2)
R2613 R13.ANY INSURANCE THRU AN EMPLOYER
Section: R Level: Respondent CAI Reference: Q2613
Type: Numeric Width: 1 Decimals: 0
R13.
At the time of (his/her) death,
(not including Medicare/(Medicaid/STATE NAME FOR MEDICAID)
/CHAMPUS/CHAMP-VA)
Was
[Q754-CS22Y31.R FIRST NAME]
covered by any employer-provided health insurance, through
either (a/(his/her) or (his/her) spouse's/(his/her) or (his/her)
partner's) current or past employer?
................................................................................
411 1. YES
895 5. NO
31 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
10 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2611] IS (1)
R2614 R14.NUMBER OF PLANS
Section: R Level: Respondent CAI Reference: Q2614
Type: Numeric Width: 1 Decimals: 0
R14.
How many different employer-provided health insurance
plans was
[Q754-CS22Y31.R FIRST NAME] covered by
when (he/she) died?
ENTER NUMBER OF PLANS:
IWER: ENTER 7 FOR MORE THAN 6 PLANS
................................................................................
409 1-7. Actual Value
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
937 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS
(18); [Q2581] IS (16); [Q2581] IS (18); [Q2611] IS
(1); [Q2613] IS (NE 1)
R2616 R15.HOW OBTAIN INSURANCE
Section: R Level: Respondent CAI Reference: Q2616
Type: Numeric Width: 1 Decimals: 0
R15.
IF Q2614 IS (GT1)
For this next set of questions I'd like you to think about the
employer-provided health insurance plan that (he/she)
considered as (his/her) primary or most important health
insurance plan.
END
Did (he/she) obtain this health insurance through (his/her)
IF Q514 IS (NE2)
(or (his/her) husband's/or (his/her) wife's/or (his/her)
partner's/...) current employer,
ELSE
or your current employer,
END
former employer or union, or from someplace else?
ASK "WHOSE EMPLOYER?" IF NOT CLEAR
................................................................................
22 1. R'S CURRENT EMPLOYER (R's employer at time of death)
217 2. R'S FORMER EMPLOYER
10 3. R'S UNION
27 4. SPOUSE'S CURRENT EMPLOYER
123 5. SPOUSE'S FORMER EMPLOYER
4 6. SPOUSE'S UNION
4 7. SOMEPLACE ELSE; self, not through any organization
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
937 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2611] IS (1); [Q2613] IS (NE 1)
ASSIGNMENT STATEMENTS
* if [Q597:CS15D] IS (1) AND [Q2616] IS (4 OR 5 OR 6) then
[R2618.R15b.CHECKPOINT] = 1
* if [Q2616] IS (7) then [R2618.R15b.CHECKPOINT] = 2
* if [Q1:PR1] IS (GE 0 OR LE 0) then [R2618.R15b.CHECKPOINT] = 3
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
R2618 R15b.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q2618
Type: Numeric Width: 1 Decimals: 0
................................................................................
99 1. INS THRU SPOUSE AND R WAS MARRIED, DIVORCED, OR SEPARATED
6 2. INS THRU SOMEPLACE ELSE AT R15
306 3. INS THRU CURRENT/FORMER EMPLOYER OR UNION
937 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2611] IS (1); [Q2613] IS (NE 1)
ASSIGNMENT STATEMENTS
* Jump from R2618 [R15b.CHECKPOINT] when [Q597:CS15D] IS
(1) AND [Q2616] IS (4 OR 5 OR 6)
* Jump from R2618 [R15b.CHECKPOINT] when [Q1:PR1] IS (GE
0 OR LE 0)
* Jump from R2618 [R15b.CHECKPOINT] when [Q2616] IS (7)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
R2619 R16.PAY COSTS FOR HEALTH INSURANCE
Section: R Level: Respondent CAI Reference: Q2619
Type: Numeric Width: 1 Decimals: 0
R16.
IF Q514 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?
................................................................................
52 1. ALL
107 2. SOME
116 3. NONE
37 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1036 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2611] IS (1); [Q2613] IS (NE 1);
[Q2618:R15b] IS (1)
R2620 R17.AMT PAID
Section: R Level: Respondent CAI Reference: Q2620
Type: Numeric Width: 4 Decimals: 0
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:
................................................................................
96 1-9996. Actual Value
62 9998. DK (Don't Know); NA (Not Ascertained)
1 9999. RF (Refused)
1189 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS
(18); [Q2581] IS (16); [Q2581] IS (18); [Q2611] IS
(1); [Q2613] IS (NE 1); [Q2618:R15b] IS (1); [Q2619]
IS (3 OR DK OR RF)
R2621 R17Y1.(R17) PER
Section: R Level: Respondent CAI Reference: Q2621
Type: Numeric Width: 2 Decimals: 0
................................................................................
14 1. YEAR
6 2. QUARTERLY/EVERY 3 MONTHS
1 3. BIMONTHLY/EVERY 2 MONTHS
73 4. MONTH
1 5. WEEK
6. BIWEEKLY/EVERY 2 WEEKS
1 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)
1252 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2611] IS (1); [Q2613] IS (NE 1);
[Q2618:R15b] IS (1); [Q2619] IS (3 OR DK OR RF); [Q2620] IS (DK
OR RF)
ASSIGNMENT STATEMENTS
* if [Q2585] IS (1) then [R2622.R18a.CHECKPOINT] = 1
* if [Q2585] IS (NE 1) then [R2622.R18a.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
R2622 R18a.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q2622
Type: Numeric Width: 1 Decimals: 0
................................................................................
259 1. R IS COVERED BY MEDICARE
53 2. ALL OTHERS
1036 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2611] IS (1); [Q2613] IS (NE 1);
[Q2618:R15b] IS (1)
ASSIGNMENT STATEMENTS
* Jump from R2622 [R18a.CHECKPOINT] when [Q2585] IS (1)
* Jump from R2622 [R18a.CHECKPOINT] when [Q2585] IS (NE
1)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
R2623 R19a.MEDICARE SUPP/MEDIGAP PLAN
Section: R Level: Respondent CAI Reference: Q2623
Type: Numeric Width: 1 Decimals: 0
R19a.
IF Q1755 IS (GT1)
Were any of these plans a Medicare Supplement or Medigap plan?
ELSE
Was this plan a Medicare Supplement or Medigap plan?
END
................................................................................
122 1. YES
108 5. NO
29 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1089 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2611] IS (1); [Q2613] IS (NE 1);
[Q2618:R15b] IS (1); [Q2622:R18a] IS (2)
R2624 R19b.PLAN LETTER
Section: R Level: Respondent CAI Reference: Q2624
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 (his/her) plan?
IWER: IF MORE THAN ONE PLAN, ENTER ADDITIONAL LETTER IN F2 NOTE
PROBE: What is it?
IF NO PLAN LETTER, ENTER 'z'
ENTER LETTER (A-J):
................................................................................
7 1. A
2 2. B
2 3. C
3 4. D
5. E
6. F
7. G
8. H
9. I
1 10. J
22 11. Z
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1311 Blank. INAP (Inapplicable)
R2625 R20.MEDICARE SUPP/MEDIGAP AN HMO?
Section: R Level: Respondent CAI Reference: Q2625
Type: Numeric Width: 1 Decimals: 0
R20.
I'd like to ask you a few questions about how (his/her) health
insurance worked for non-emergency care.
IF Q1755 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.
................................................................................
55 1. YES
217 5. NO
18 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1058 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2611] IS (1); [Q2613] IS (NE 1);
[Q2618:R15b] IS (1); [Q2624] IS (NE "z" AND NE "Z" AND NE "|")
R2626 R21.IF LIST OF DOCTORS
Section: R Level: Respondent CAI Reference: Q2626
Type: Numeric Width: 1 Decimals: 0
R21.
Did this health insurance plan have a list or book of doctors
that (he/she) was encouraged or required to use?
................................................................................
46 1. YES
164 5. NO
25 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1113 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2611] IS (1); [Q2613] IS (NE 1);
[Q2618:R15b] IS (1); [Q2624] IS (NE "z" AND NE "Z" AND NE "|");
[Q2625] IS (1)
R2627 R22.PLAN PAY FOR DOCTORS NOT ON LIST
Section: R Level: Respondent CAI Reference: Q2627
Type: Numeric Width: 1 Decimals: 0
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?
................................................................................
26 1. YES
4 2. YES, WITH A REFERRAL
6 5. NO
10 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1302 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2611] IS (1); [Q2613] IS (NE 1);
[Q2618:R15b] IS (1); [Q2624] IS (NE "z" AND NE "Z" AND NE "|");
[Q2625] IS (1); [Q2626] IS (NE 1)
R2628 R25.HMO: IF R PAYS FOR DR VISITS
Section: R Level: Respondent CAI Reference: Q2628
Type: Numeric Width: 1 Decimals: 0
R25.
Under this health insurance plan, did
[Q754-CS22Y31.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?
................................................................................
37 1. PERCENT
81 2. DOLLAR AMOUNT/COPAY
88 3. R DOESN'T PAY ANYTHING
9 7. OTHER (SPECIFY)
29 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1104 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2611] IS (1); [Q2613] IS (NE 1);
[Q2618:R15b] IS (1); [Q2624] IS (NE "z" AND NE "Z" AND NE "|");
[Q2625] IS (NE 1) AND [Q2626] IS (1)
R2629 R26.NON HMO:IF PLAN PAYS DR VISITS
Section: R Level: Respondent CAI Reference: Q2629
Type: Numeric Width: 1 Decimals: 0
R26.
(After all deductibles were met,) Did this plan pay any
of the costs of routine visits to the doctor?
................................................................................
42 1. YES
3 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1302 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2611] IS (1); [Q2613] IS (NE 1);
[Q2618:R15b] IS (1); [Q2624] IS (NE "z" AND NE "Z" AND NE "|");
[Q2628] IS (A)
R2630 R27.PLAN COVER PRESCRIPTIONS
Section: R Level: Respondent CAI Reference: Q2630
Type: Numeric Width: 1 Decimals: 0
R27.
Did this health insurance pay any part of the cost of
prescription medicines?
................................................................................
259 1. YES
38 5. NO
15 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1036 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2611] IS (1); [Q2613] IS (NE 1);
[Q2618:R15b] IS (1)
ASSIGNMENT STATEMENTS
* if [Q2585] IS (1) AND [Q2623] IS (NE 1) then [R2632.R45b.CHECKPOINT] = 1
* if [Q1:PR1] IS (GE 0 OR LE 0) then [R2632.R45b.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
R2632 R45b.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q2632
Type: Numeric Width: 1 Decimals: 0
................................................................................
1065 1. R IS COVERED BY MEDICARE AND NO MEDIGAP INSURANCE
280 2. ALL OTHERS
3 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18)
ASSIGNMENT STATEMENTS
* Jump from R2632 [R45b.CHECKPOINT] when [Q1:PR1] IS (GE
0 OR LE 0)
* Jump from R2632 [R45b.CHECKPOINT] when [Q2585] IS (1)
AND [Q2623] IS (NE 1)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
R2633 R46.OTHER INSURANCE
Section: R Level: Respondent CAI Reference: Q2633
Type: Numeric Width: 1 Decimals: 0
R46.
Not counting long-term care insurance or Medicare
or any other insurance we've discussed, did (he/she) have any
additional insurance that pays any part of hospital or doctor
bills? Sometimes this is called a Medigap or Medicare
Supplement policy.
................................................................................
289 1. YES
730 5. NO
45 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
283 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2632:R45b] IS (2)
R2634 R46a.PLAN LETTER
Section: R Level: Respondent CAI Reference: Q2634
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
(his/her) plan?
IWER: IF MORE THAN ONE PLAN, ENTER ADDITIONAL LETTER IN F2 NOTE
PROBE: What was it?
IF NO PLAN LETTER, ENTER 'z'
ENTER LETTER (A-J):
................................................................................
12 1. A
5 2. B
8 3. C
2 4. D
1 5. E
11 6. F
2 7. G
2 8. H
9. I
1 10. J
35 11. Z
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1269 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2632:R45b] IS (2); [Q2633] IS (NE
1)
R2635 R46b.PAY ALL/SOME/NONE OF PREMIUM
Section: R Level: Respondent CAI Reference: Q2635
Type: Numeric Width: 1 Decimals: 0
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?
................................................................................
238 1. ALL
22 2. SOME
21 3. NONE
8 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1059 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2632:R45b] IS (2); [Q2633] IS (NE
1)
R2636 R46c.AMT PAY
Section: R Level: Respondent CAI Reference: Q2636
Type: Numeric Width: 6 Decimals: 0
R46c.
About 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:
................................................................................
197 0-999996. Actual Value
61 999998. DK (Don't Know); NA (Not Ascertained)
2 999999. RF (Refused)
1088 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS
(18); [Q2581] IS (16); [Q2581] IS (18); [Q2632:R45b]
IS (2); [Q2633] IS (NE 1); [Q2635] IS (3 OR DK OR RF)
R2637 R46ca.PER
Section: R Level: Respondent CAI Reference: Q2637
Type: Numeric Width: 2 Decimals: 0
................................................................................
36 1. YEAR
30 2. QUARTERLY/EVERY 3 MONTHS
4 3. BIMONTHLY/EVERY 2 MONTHS
121 4. MONTH
5. WEEK
6. BIWEEKLY/EVERY 2 WEEKS
5 7. SEMI-ANNUALLY/2 TIMES PER YEAR
1 8. SEMI-MONTHLY/2 TIMES PER MONTH
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1151 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2632:R45b] IS (2); [Q2633] IS (NE
1); [Q2635] IS (3 OR DK OR RF); [Q2636] IS (DK OR RF)
R2639 R46e.PLAN PAY PART PRESCRIPTION DRUGS
Section: R Level: Respondent CAI Reference: Q2639
Type: Numeric Width: 1 Decimals: 0
R46e.
Did this health insurance plan pay any part of the
cost of prescription medicines?
................................................................................
109 1. YES
171 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1059 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2632:R45b] IS (2); [Q2633] IS (NE
1)
R2645 R48.ANY HEALTH INSUR
Section: R Level: Respondent CAI Reference: Q2645
Type: Numeric Width: 1 Decimals: 0
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.
................................................................................
5 1. YES
36 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1305 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2585] IS (1); [Q2611] IS (1);
[Q2589] IS (1) OR [Q2598] IS (1) OR [Q2613] IS (1)
R2647 R50.COVER HOSPITAL/PHYSICAL VISITS
Section: R Level: Respondent CAI Reference: Q2647
Type: Numeric Width: 1 Decimals: 0
R50.
Did this insurance cover the costs for hospital care?
................................................................................
5 1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1343 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2585] IS (1); [Q2611] IS (1);
[Q2645] IS (NE 1)
R2648 R52.AMT PAY FOR HEALTH INSURANCE
Section: R Level: Respondent CAI Reference: Q2648
Type: Numeric Width: 6 Decimals: 0
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:
................................................................................
7 0-999996. Actual Value
1 999998. DK (Don't Know); NA (Not Ascertained)
999999. RF (Refused)
1340 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS
(18); [Q2581] IS (16); [Q2581] IS (18); [Q2585] IS
(1); [Q2645] IS (NE 1)
R2649 R52a.PER
Section: R Level: Respondent CAI Reference: Q2649
Type: Numeric Width: 2 Decimals: 0
................................................................................
1 1. YEAR
1 2. QUARTERLY/EVERY 3 MONTHS
3. BIMONTHLY/EVERY 2 MONTHS
5 4. MONTH
5. WEEK
6. BIWEEKLY/EVERY 2 WEEKS
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)
1341 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2585] IS (1); [Q2645] IS (NE 1);
[Q2648] IS (DK OR RF)
R2654 R55.IS THIS HMO
Section: R Level: Respondent CAI Reference: Q2654
Type: Numeric Width: 1 Decimals: 0
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.
................................................................................
3 1. YES
5 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1340 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2585] IS (1); [Q2645] IS (NE 1)
R2655 R55a.IF LIST OF DOCTORS
Section: R Level: Respondent CAI Reference: Q2655
Type: Numeric Width: 1 Decimals: 0
R55a.
Did this health insurance plan have a list or book of doctors
that one is encouraged or required to use?
................................................................................
2 1. YES
3 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1343 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2585] IS (1); [Q2645] IS (NE 1);
[Q2654:R55] IS (1)
R2656 R55b.PAY ROUTINE CARE
Section: R Level: Respondent CAI Reference: Q2656
Type: Numeric Width: 1 Decimals: 0
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?
................................................................................
1 1. YES
1 2. YES, WITH A REFERRAL
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1346 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2585] IS (1); [Q2645] IS (NE 1);
[Q2654:R55] IS (1); [Q2655] IS (5 OR DK OR RF)
R2657 R55d.HMO:IF R PAYS FOR DR VISITS
Section: R Level: Respondent CAI Reference: Q2657
Type: Numeric Width: 1 Decimals: 0
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. PERCENT
3 2. DOLLAR AMOUNT/COPAY
3. R DOESN'T PAY ANYTHING
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1345 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2585] IS (1); [Q2645] IS (NE 1);
[Q2654:R55] IS (NE 1)
R2658 R55e.NON HMO:IF PLAN PAYS DR VISITS
Section: R Level: Respondent CAI Reference: Q2658
Type: Numeric Width: 1 Decimals: 0
R55e.
Did this plan pay any of the costs of routine
visits to the doctor?
................................................................................
3 1. YES
2 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1343 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2585] IS (1); [Q2645] IS (NE 1);
[Q2654:R55] IS (1)
R2659 R55f.PAY PRESCRIPTION DRUGS
Section: R Level: Respondent CAI Reference: Q2659
Type: Numeric Width: 1 Decimals: 0
R55f.
Did this health insurance plan pay any part of the cost
of prescription medicines?
................................................................................
8 1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1340 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2585] IS (1); [Q2645] IS (NE 1)
R2663 R57a.LIMITS ON HEALTH INSUR
Section: R Level: Respondent CAI Reference: Q2663
Type: Numeric Width: 1 Decimals: 0
R57a.
Are there any limits or restrictions on this health
insurance plan due to a preexisting condition?
................................................................................
1 1. YES
6 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1340 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2585] IS (1); [Q2645] IS (NE 1)
ASSIGNMENT STATEMENTS
* if [Q2585] IS (1) OR [Q2589] IS (1) OR [Q2598] IS (1) OR [Q2611] IS (1) OR
[Q2613] IS (1) OR [Q2645] IS (1) then [R2677.R57b.CHECKPOINT] = 1
* if [Q2676:RTIME5] IS (A) then [R2677.R57b.CHECKPOINT] = 2
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
R2677 R57b.CHECKPOINT
Section: R Level: Respondent CAI Reference: Q2677
Type: Numeric Width: 1 Decimals: 0
................................................................................
1307 1. R IS COVERED BY MEDICARE, MEDICAID, CHAMPUS/CHAMPVA OR OTHER
INSURANCE
38 2. ALL OTHERS
3 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18)
ASSIGNMENT STATEMENTS
* Jump from R2677 [R57b.CHECKPOINT] when [Q2676:RTIME5]
IS (A)
* Jump from R2677 [R57b.CHECKPOINT] when [Q2585] IS (1)
OR [Q2589] IS (1) OR [Q2598] IS (1) OR [Q2611] IS (1) OR [Q2613] IS (1) OR
[Q2645] IS (1)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
R2678 R58.WITHOUT INSUR
Section: R Level: Respondent CAI Reference: Q2678
Type: Numeric Width: 1 Decimals: 0
R58.
Was
[Q754-CS22Y31.R FIRST NAME] ever without health insurance
coverage at any time
IF Q753 IS (1)
from
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] until (his/her) death?
ELSE
?
END
................................................................................
10 1. YES
1289 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
41 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2677:R57b] IS (2)
R2682 R61.EXPENSES WITHOUT COVERAGE
Section: R Level: Respondent CAI Reference: Q2682
Type: Numeric Width: 1 Decimals: 0
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?
................................................................................
3 1. YES
7 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1338 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2677:R57b] IS (2); [Q2678] IS (5 OR
DK OR RF)
R2686 R67.NO COVER BY GOVT/PRIV HEALTH INSUR
Section: R Level: Respondent CAI Reference: Q2686
Type: Numeric Width: 1 Decimals: 0
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?
................................................................................
21 1. YES
10 5. NO
7 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1310 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2677:R57b] IS (1)
R2688 R78.WITHDRAWN FROM HMO SINCE PREV WAVE
Section: R Level: Respondent CAI Reference: Q2688
Type: Numeric Width: 1 Decimals: 0
R78.
IF Q753 IS (1)
Since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] until (his/her) death
ELSE
In the last two years
END
had (he/she) left an HMO for any reason?
................................................................................
11 1. YES
1139 5. NO
37 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
161 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2686:R67] IS (1 OR DK OR RF);
[Q2585] IS (NE 1)
R2689 R79.VOLUNTARILY LEAVE
Section: R Level: Respondent CAI Reference: Q2689
Type: Numeric Width: 1 Decimals: 0
R79.
Did (he/she) voluntarily leave that HMO?
................................................................................
8 1. YES
3 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1337 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2686:R67] IS (1 OR DK OR RF);
[Q2585] IS (NE 1); [Q2688] IS (5 OR DK OR RF)
R2690M1 R80.WHY LEAVE HMO-1
Section: R Level: Respondent CAI Reference: Q2690
Type: Numeric Width: 2 Decimals: 0
R80.
Why did (he/she) leave that HMO?
CHOOSE ALL THAT APPLY
................................................................................
1. OWN PHYSICIAN LEFT PLAN
3 2. HMO DIDN'T PROVIDE NEEDED SERVICES
1 3. HMO COSTS INCREASED
4. HMO ENCOURAGED (him/her) TO LEAVE
1 5. Better coverage with new plan
1 6. Too far away from HMO; R moved and HMO not in new region
7. OTHER (SPECIFY)
1 10. Switched to Medicare
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1340 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2686:R67] IS (1 OR DK OR RF);
[Q2585] IS (NE 1); [Q2688] IS (5 OR DK OR RF); [Q2689:R79] IS
(5 OR DK OR RF)
R2690M2 R80.WHY LEAVE HMO-2
Section: R Level: Respondent CAI Reference: Q2690
Type: Numeric Width: 2 Decimals: 0
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 (him/her) TO LEAVE
5. Better coverage with new plan
6. Too far away from HMO; R moved and HMO not in new region
7. OTHER (SPECIFY)
10. Switched to Medicare
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1348 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2686:R67] IS (1 OR DK OR RF);
[Q2585] IS (NE 1); [Q2688] IS (5 OR DK OR RF); [Q2689:R79] IS
(5 OR DK OR RF)
R2691 R81.HOW LONG BEFORE COVERED-MONTHS
Section: R Level: Respondent CAI Reference: Q2691
Type: Numeric Width: 2 Decimals: 0
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 "96" MONTHS IF NO GAP.
MONTHS:
OR
YEARS:
OR
................................................................................
3 1-50. Actual Value
7 96. NO GAP
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1337 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS
(18); [Q2581] IS (16); [Q2581] IS (18); [Q2686:R67]
IS (1 OR DK OR RF); [Q2585] IS (NE 1); [Q2688] IS (5
OR DK OR RF)
R2692 R81Y1.HOW LONG BEFORE COVERED-YEARS
Section: R Level: Respondent CAI Reference: Q2692
Type: Numeric Width: 2 Decimals: 0
................................................................................
1-50. Actual Value
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1348 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS
(18); [Q2581] IS (16); [Q2581] IS (18); [Q2686:R67]
IS (1 OR DK OR RF); [Q2585] IS (NE 1); [Q2688] IS (5
OR DK OR RF); [Q2691:R81] IS (96); [Q2691:R81] IS (1-
50 OR DK OR RF)
R2693 R81Y2.NO NEW HEALTH INSURANCE PLAN
Section: R Level: Respondent CAI Reference: Q2693
Type: Numeric Width: 1 Decimals: 0
................................................................................
1. NO NEW HEALTH INSURANCE PLAN
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1348 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2686:R67] IS (1 OR DK OR RF);
[Q2585] IS (NE 1); [Q2688] IS (5 OR DK OR RF); [Q2691:R81] IS
(96); [Q2691:R81] IS (1-50 OR DK OR RF); [Q2692:R81Y1] IS (1-50
OR DK OR RF)
R2695 R82.OTHER CHANGES SINCE PREV WAVE
Section: R Level: Respondent CAI Reference: Q2695
Type: Numeric Width: 1 Decimals: 0
R82.
IF Q2585 IS (1)
(Other than the changes you've already told me about,)
END
IF Q753 IS (1)
Since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.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?
................................................................................
104 1. YES
1128 5. NO
85 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
31 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2686:R67] IS (1 OR DK OR RF)
R2696M1 R83.WHAT CHANGE IN HEALTH INSURANCE-1
Section: R Level: Respondent CAI Reference: Q2696
Type: Numeric Width: 2 Decimals: 0
R83.
What changed about (his/her) health insurance?
CHOOSE ALL THAT APPLY
................................................................................
74 1. COST BECAME HIGHER
1 2. COST BECAME LOWER
3 3. FEWER SERVICES COVERED
1 4. MORE SERVICES COVERED
1 5. LESS CHOICE OF PHYSICIANS
6. MORE CHOICE OF PHYSICIANS
7. MORE CONVENIENT
2 8. LOST PLAN
14 9. CHANGED TO A COMPLETELY DIFFERENT PLAN; provider
6 97. OTHER (SPECIFY)
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1244 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2686:R67] IS (1 OR DK OR RF);
[Q2695] IS (5 OR DK OR RF)
R2696M2 R83.WHAT CHANGE IN HEALTH INSURANCE-2
Section: R Level: Respondent CAI Reference: Q2696
Type: Numeric Width: 2 Decimals: 0
R83.
What changed about (his/her) health insurance?
CHOOSE ALL THAT APPLY
................................................................................
1 1. COST BECAME HIGHER
2. COST BECAME LOWER
2 3. FEWER SERVICES COVERED
1 4. MORE SERVICES COVERED
5. LESS CHOICE OF PHYSICIANS
2 6. MORE CHOICE OF PHYSICIANS
7. MORE CONVENIENT
1 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)
1340 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2686:R67] IS (1 OR DK OR RF);
[Q2695] IS (5 OR DK OR RF)
R2696M3 R83.WHAT CHANGE IN HEALTH INSURANCE-3
Section: R Level: Respondent CAI Reference: Q2696
Type: Numeric Width: 2 Decimals: 0
R83.
What changed about (his/her) health insurance?
CHOOSE ALL THAT APPLY
................................................................................
1. COST BECAME HIGHER
2. COST BECAME LOWER
3. FEWER SERVICES COVERED
1 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)
1347 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2686:R67] IS (1 OR DK OR RF);
[Q2695] IS (5 OR DK OR RF)
R2696M4 R83.WHAT CHANGE IN HEALTH INSURANCE-4
Section: R Level: Respondent CAI Reference: Q2696
Type: Numeric Width: 2 Decimals: 0
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
1 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)
1347 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2686:R67] IS (1 OR DK OR RF);
[Q2695] IS (5 OR DK OR RF)
R2696M5 R83.WHAT CHANGE IN HEALTH INSURANCE-5
Section: R Level: Respondent CAI Reference: Q2696
Type: Numeric Width: 2 Decimals: 0
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)
1347 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2686:R67] IS (1 OR DK OR RF);
[Q2695] IS (5 OR DK OR RF)
R2696M6 R83.WHAT CHANGE IN HEALTH INSURANCE-6
Section: R Level: Respondent CAI Reference: Q2696
Type: Numeric Width: 2 Decimals: 0
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)
1348 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2686:R67] IS (1 OR DK OR RF);
[Q2695] IS (5 OR DK OR RF)
R2697 R84.CHOICE IN CHANGE INSURANCE
Section: R Level: Respondent CAI Reference: Q2697
Type: Numeric Width: 1 Decimals: 0
R84.
Did
[Q754-CS22Y31.R FIRST NAME] choose to make (this change/these
changes) in (his/her)
health insurance or provider, or did (he/she) not have a choice
in the change(s)?
................................................................................
8 1. R MADE CHANGE
2 3. PARTLY R'S CHOICE AND PARTLY NOT
94 5. R HAD NO CHOICE
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1244 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2686:R67] IS (1 OR DK OR RF);
[Q2695] IS (5 OR DK OR RF)
R2700 R85.LTC INSURANCE
Section: R Level: Respondent CAI Reference: Q2700
Type: Numeric Width: 1 Decimals: 0
R85.
Not including government programs, did
[Q754-CS22Y31.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?
................................................................................
61 1. YES
1250 5. NO
34 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
3 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18)
R2701 R87.COVER NURSING HOME/IN-HOME CARE
Section: R Level: Respondent CAI Reference: Q2701
Type: Numeric Width: 1 Decimals: 0
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
3 2. IN-HOME CARE ONLY
29 3. BOTH
1 7. OTHER (SPECIFY)
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1287 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2700] IS (5 OR DK OR RF)
R2702 R88.RECD BENEFITS UNDER LTC
Section: R Level: Respondent CAI Reference: Q2702
Type: Numeric Width: 1 Decimals: 0
R88.
Had
[Q754-CS22Y31.R FIRST NAME] ever received benefits under (his/her)
long-term care policy?
................................................................................
28 1. YES
32 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1287 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2700] IS (5 OR DK OR RF)
R2703 R89.PAYMENTS INCREASE WITH INFLATION
Section: R Level: Respondent CAI Reference: Q2703
Type: Numeric Width: 1 Decimals: 0
R89.
Did this plan increase payments with inflation?
................................................................................
12 1. YES
34 5. NO
15 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1287 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2700] IS (5 OR DK OR RF)
R2704 R90.AMT PAY FOR LTC
Section: R Level: Respondent CAI Reference: Q2704
Type: Numeric Width: 6 Decimals: 0
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
................................................................................
46 0-999996. Actual Value
15 999998. DK (Don't Know); NA (Not Ascertained)
999999. RF (Refused)
1287 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS
(18); [Q2581] IS (16); [Q2581] IS (18); [Q2700] IS (5
OR DK OR RF)
R2705 R90Y1.PER
Section: R Level: Respondent CAI Reference: Q2705
Type: Numeric Width: 1 Decimals: 0
................................................................................
14 1. YEAR
3 2. QUARTER (EVERY 3 MONTHS)
18 4. MONTH
1 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1312 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2700] IS (5 OR DK OR RF);
[Q2704:R90] IS (0 OR DK OR RF)
R2707 R91.HOW LONG HAVE LTC-MONTHS
Section: R Level: Respondent CAI Reference: Q2707
Type: Numeric Width: 2 Decimals: 0
R91.
About how long did (he/she) have this long-term care insurance?
MONTHS:
OR
YEARS:
................................................................................
9 0-50. Actual Value
9 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1330 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS
(18); [Q2581] IS (16); [Q2581] IS (18); [Q2700] IS (5
OR DK OR RF)
R2708 R91Y1.HOW LONG HAVE LTC-YEARS
Section: R Level: Respondent CAI Reference: Q2708
Type: Numeric Width: 2 Decimals: 0
................................................................................
40 1-50. Actual Value
3 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1305 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS
(18); [Q2581] IS (16); [Q2581] IS (18); [Q2700] IS (5
OR DK OR RF); [Q2707:R91] IS ("0" OR DK OR RF OR 1-
50)
R2710 R92.LTC CANCELED/LAPSED
Section: R Level: Respondent CAI Reference: Q2710
Type: Numeric Width: 1 Decimals: 0
R92.
Was (he/she) ever covered by any long-term care
insurance that (he/she) cancelled or let lapse?
................................................................................
16 1. YES
1295 5. NO
34 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
3 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18)
R2711 R93.WHY LTC COVERAGE LAPSE
Section: R Level: Respondent CAI Reference: Q2711
Type: Numeric Width: 1 Decimals: 0
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?
................................................................................
7 1. PREMIUMS TOO HIGH
2 3. Coverage connected with job, or R moved
7 5. DIDN'T NEED IT; found a different plan
7. OTHER (SPECIFY); general or specific dissatisfaction with plan
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1332 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2710:R92] IS (5 OR DK OR RF)
R2718 R117.MEDICARE NUMBER RECORDED?
Section: R Level: Respondent CAI Reference: Q2718
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 (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?
................................................................................
44 1. NUMBER RECORDED
54 4. R REFUSED NUMBER
81 5. NUMBER NOT RECORDED (NOT REFUSED)
12 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1157 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q247:PR247] IS (1) OR [Q2585] IS (NE
1)
R2724 R118.MEDICAID NUMBER RECORDED?
Section: R Level: Respondent CAI Reference: Q2724
Type: Numeric Width: 1 Decimals: 0
R118.
IF Q2719 IS (A AND NEK1)
Since (he/she) was also covered by (Medicaid/STATE NAME FOR
MEDICAID),
we would like to have (his/her) (Medicaid/STATE NAME FOR MEDICAID)
number. It will help us in the same way that having the
Medicare number helps our research.
ELSE
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 (Medicaid/STATE NAME FOR MEDICAID) files. Could you
give me (his/her) Medicaid number for this purpose?
END
(Under the Privacy Act of 1974, providing (his/her) number is (also) 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 MEDICAID NUMBER: --
................................................................................
66 1. NUMBER RECORDED
46 4. R REFUSED NUMBER
172 5. NUMBER NOT RECORDED (NOT REFUSED)
8 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1056 Blank. INAP (Inapplicable): [Q2311] IS (16); [Q2311] IS (18); [Q2581]
IS (16); [Q2581] IS (18); [Q2589] IS (NE 1); [Q2718:R117] IS
(4)
RVERSION 2000 EXIT FINAL RELEASE VERSION NUMBER
Section: R Level: Respondent CAI Reference: Q9007
Type: Numeric Width: 1 Decimals: 0
................................................................................
1348 1. First Data Release
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