HHID HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 6 Decimals: 0
..................................................................................
18167 000003-213479. Household Identification Number
PN RESPONDENT PERSON IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
..................................................................................
10033 010. Person Identifier
398 011. Person Identifier
10 012. Person Identifier
5516 020. Person Identifier
85 021. Person Identifier
5 022. Person Identifier
841 030. Person Identifier
31 031. Person Identifier
1 032. Person Identifier
1203 040. Person Identifier
42 041. Person Identifier
2 042. Person Identifier
HSUBHH 2002 SUB HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
..................................................................................
17305 0. Original sample household - no split from divorce or separation
of spouses or partners
456 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
339 2. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
17 5. Split household - one half of couple from SUBHH 1 or 2
2 6. Split household - one half of couple from SUBHH 1 or 2
48 7. Reunited household - respondents from split household reunite
GSUBHH 2000 SUB HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
..................................................................................
17490 0. Original sample household - no split from divorce or separation
of spouses or partners
356 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
275 2. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
11 5. Split household - one half of couple from SUBHH 1 or 2
1 6. Split household - one half of couple from SUBHH 1 or 2
34 7. Reunited household - respondents from split household reunite
HPN_SP 2002 SPOUSE/PARTNER PERSON NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
..................................................................................
5033 010. Person Identifier
371 011. Person Identifier
9 012. Person Identifier
4531 020. Person Identifier
78 021. Person Identifier
4 022. Person Identifier
720 030. Person Identifier
28 031. Person Identifier
2 032. Person Identifier
1034 040. Person Identifier
40 041. Person Identifier
3 042. Person Identifier
5 811. New Spouse of Non-Original Respondent
2 821. New Spouse of Non-Original Respondent
1 831. New Spouse of Non-Original Respondent
1 841. New Spouse of Non-Original Respondent
6305 Blank. INAP (Inapplicable)
HCSR 2002 WHETHER COVERSHEET RESPONDENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
..................................................................................
12350 1. YES
197 3. 2nd Coverscreen R, answers not retained
5620 5. NO
HFAMR 2002 WHETHER FAMILY RESPONDENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
..................................................................................
12347 1. Family R
12 3. 2nd Family R, answers not retained
5808 5. Non-Family R
HFINR 2002 WHETHER FINANCIAL RESPONDENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
..................................................................................
12319 1. Financial R
9 3. 2nd Financial R, answers not retained
5839 5. Non-Financial R
HN001 MEDICARE COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_GovCover.N001_ Ref 2000: G6238
The next questions are about health insurance, both public and private.
Medicare is a public health insurance program for people 65 or older and for
disabled persons. (Medicaid/STATE NAME FOR MEDICAID) is a public health
insurance program for people with low incomes.
Are you currently covered by Medicare health insurance?
..................................................................................
11299 1. YES
6818 5. NO
27 8. DK (Don't Know); NA (Not Ascertained)
10 9. RF (Refused)
13 Blank. INAP (Inapplicable)
Ask:
IF (((N001_ = YES) AND (piA019_RAge < 65)) OR ((N001_ <> YES) AND
((piA019_RAge > 65) OR (piA019_RAge = 65))))
HN002M1 WHY NOT MEDICARE COVERED
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_GovCover.N002_ Ref 2000: G6239M1
Why is that?
IWER: R IS [ELIGIBLE AGE], SO PROBE WHY R IS NOT COVERED BY MEDICARE
..................................................................................
602 1. R is disabled; R is on disability; Spouse on disability; R is
on Social Security disability or SSI
44 2. R has a specific medical problem. (E.g. If R says,'Disabled due
to medical condition,' code it as 02, not 01)
25 3. R has Medicare-NFS
1 4. R mentions has Part A and Part B of Medicare
2 5. R mentions has Part A of Medicare; the first half of Medicare
2 6. R mentions has Part B of Medicare; the second half of Medicare
1 7. R mentions a Medicare card or the mechanics of using it
8. R receives Medicare through a deceased spouse
71 9. R mentions his/her age in conjunction with having Medicare; R
has had Medicare since a certain age; R got Medicare 'early'
5 10. R pays into Medicare, but doesn't use it; R has Medicare, but
chooses not to use it
28 50. R never applied for Medicare or invested in it-NFS
7 51. R didn't work long enough to qualify for Medicare; R didn't
work enough quarters; R's spouse didn't work enough quarters to
qualify
18 52. R is still working (If R mentions other insurance coverage
through his/her employment, code the appropriate insurance
code only)
20 53. R never qualified for Medicare in his/her employment; R was in
the military/a federal employee/a postal worker etc.; R doesn't
get Social Security or Medicaid
3 54. R used to have Medicare-NFS; R had Medicare, but not now; R
dropped it
5 55. Medicare charges too much; Medicare too expensive for what you
receive
33 56. R will be on Medicare in the future; R not old enough to
qualify at present; R in the process of getting Medicare
57. R had Medicare through a deceased spouse and R no longer
receives it
58. R's spouse only receives Medicare
6 59. R is not familiar with Medicare; confusion about eligibility
14 70. R has other medical insurance/coverage-NFS
17 71. R has veteran's coverage or insurance; 'I'm covered by the VA'
8 72. R has federal employee/Postal Service insurance
10 73. R has private insurance; e.g. Cigna, Kaiser, Blue Cross/Blue
Shield
20 74. R is covered by Medicaid
37 75. R's spouse's medical insurance covers R
35 76. R covered under company health plan or health insurance; R
covered under former employer's health plan or health insurance
2 90. R mentions income level/group, home ownership, an economic
factor
7 91. R mentions Social Security; e.g. 'I have Social Security'(Note
that all mentions of SSI or disability go under codes 01 or 02)
20 92. R is not a U.S. citizen; R is an illegal alien; R lives
10 97. Other
41 98. DK (don't know); NA (not ascertained)
11 99. RF (refused)
17062 Blank. INAP (Inapplicable)
Ask:
IF (((N001_ = YES) AND (piA019_RAge < 65)) OR ((N001_ <> YES) AND
((piA019_RAge > 65) OR (piA019_RAge = 65))))
HN002M2 WHY NOT MEDICARE COVERED
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_GovCover.N002_ Ref 2000: G6239M1
Why is that?
IWER: R IS [ELIGIBLE AGE], SO PROBE WHY R IS NOT COVERED BY MEDICARE
..................................................................................
1 1. R is disabled; R is on disability; Spouse on disability; R is
on Social Security disability or SSI
2 2. R has a specific medical problem. (E.g. If R says,'Disabled due
to medical condition,' code it as 02, not 01)
3. R has Medicare-NFS
1 4. R mentions has Part A and Part B of Medicare
5. R mentions has Part A of Medicare; the first half of Medicare
6. R mentions has Part B of Medicare; the second half of Medicare
1 7. R mentions a Medicare card or the mechanics of using it
8. R receives Medicare through a deceased spouse
9. R mentions his/her age in conjunction with having Medicare; R
has had Medicare since a certain age; R got Medicare 'early'
3 10. R pays into Medicare, but doesn't use it; R has Medicare, but
chooses not to use it
50. R never applied for Medicare or invested in it-NFS
3 51. R didn't work long enough to qualify for Medicare; R didn't
work enough quarters; R's spouse didn't work enough quarters to
qualify
52. R is still working (If R mentions other insurance coverage
through his/her employment, code the appropriate insurance
code only)
2 53. R never qualified for Medicare in his/her employment; R was in
the military/a federal employee/a postal worker etc.; R doesn't
get Social Security or Medicaid
54. R used to have Medicare-NFS; R had Medicare, but not now; R
dropped it
4 55. Medicare charges too much; Medicare too expensive for what you
receive
2 56. R will be on Medicare in the future; R not old enough to
qualify at present; R in the process of getting Medicare
57. R had Medicare through a deceased spouse and R no longer
receives it
1 58. R's spouse only receives Medicare
59. R is not familiar with Medicare; confusion about eligibility
4 70. R has other medical insurance/coverage-NFS
3 71. R has veteran's coverage or insurance; 'I'm covered by the VA'
72. R has federal employee/Postal Service insurance
5 73. R has private insurance; e.g. Cigna, Kaiser, Blue Cross/Blue
Shield
1 74. R is covered by Medicaid
2 75. R's spouse's medical insurance covers R
2 76. R covered under company health plan or health insurance; R
covered under former employer's health plan or health insurance
90. R mentions income level/group, home ownership, an economic
factor
2 91. R mentions Social Security; e.g. 'I have Social Security'(Note
that all mentions of SSI or disability go under codes 01 or 02)
1 92. R is not a U.S. citizen; R is an illegal alien; R lives
2 97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
18125 Blank. INAP (Inapplicable)
Ask:
IF (N001_ = YES)
HN004 MEDICARE PART B COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_GovCover.N004_ Ref 2000: G6240
Part A of Medicare covers most hospital expenses. Part B covers many doctors
expenses including doctor visits, and the premium is usually deducted from
your Social Security. Are you covered under Part B of Medicare?
..................................................................................
10432 1. YES
615 5. NO
245 8. DK (Don't Know)
5 9. RF (Refused)
6870 Blank. INAP (Inapplicable)
HN005 MEDICAID COVERAGE SINCE PREV WAVE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_GovCover.N005_ Ref 2000: G6241
Have you been covered by health insurance through (Medicaid/[STATE NAME FOR
MEDICAID] or any other Medicaid program) at any time since [PREV WAVE IW
MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years)?
..................................................................................
1672 1. YES
16401 5. NO
64 8. DK (Don't Know)
16 9. RF (Refused)
14 Blank. INAP (Inapplicable)
Ask:
IF (N005_ = YES)
HN006 CURRENTLY COVERED BY MEDICAID
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_GovCover.N006_ Ref 2000: G6242
Are you currently covered by (Medicaid/[STATE NAME FOR MEDICAID])?
..................................................................................
1517 1. YES
149 5. NO
5 8. DK (Don't Know)
1 9. RF (Refused)
16495 Blank. INAP (Inapplicable)
HN007 CHAMPUS/CHAMPVA COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_GovCover.N007_ Ref 2000: G6251
Are you currently covered by TRI-CARE, CHAMPUS, CHAMP-VA, or any other
military health care plan?
DEF: (TRI-CARE is the new name for the military's health insurance programs.
It includes what used to be known as CHAMPUS and CHAMP-VA. CHAMPUS was a
health care program for active or retired military personnel and their
dependents or survivors. CHAMP-VA provided medical care for veterans and their
dependents or survivors of veterans who had a service-connected disability. VA
is not a health insurance program.)
..................................................................................
947 1. YES
17173 5. NO
17 8. DK (Don't Know)
16 9. RF (Refused)
14 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
HN009 MEDICARE/MEDICAID HMO
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N009_ Ref 2000: G6254
We are interested in how your (Medicare/(Medicaid/[STATE NAME FOR MEDICAID]))
health insurance works for routine care.
Do you receive your (Medicare/(Medicaid/[STATE NAME FOR MEDICAID])) benefits
through an HMO, that is a Health Maintenance Organization?
DEF: (With an HMO, the cost of the physician visit is typically covered in
full or you pay only a small amount. All of your routine care must be provided
by an HMO physician.)
..................................................................................
2332 1. YES
8676 5. NO
591 8. DK (Don't Know)
12 9. RF (Refused)
6556 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND ((piGovCoverN001_ = YES) AND (N009_ = YES))
HN243 HMO NEEDED FOR OTHER BENS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N243_
Did you have to join this HMO in order to receive supplemental benefits from
another plan?
..................................................................................
942 1. YES
1175 5. NO
128 8. DK (Don't Know)
1 9. RF (Refused)
15921 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
HN010 MEDICARE/MEDICAID HMO- HOW LONG - YRS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N010_ Ref 2000: G6255
About how long have you been receiving your (Medicare/(Medicaid/[STATE NAME
FOR MEDICAID])) benefits through this HMO?
YEARS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
2038 0 25 7.36 5.91 15973
-----------------------------------------------------------------
152 98. DK (Don't Know)
4 99. RF (Refused)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
AND ((N010_ = 0) OR N010_ = EMPTY)
HN011 MEDICARE/MEDICAID HMO- HOW LONG - MOS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N011_ Ref 2000: G6256
(About how long have you been receiving your (Medicare/(Medicaid/[STATE NAME
FOR MEDICAID])) benefits through this HMO?)
MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
152 0 34 5.91 5.59 17873
-----------------------------------------------------------------
141 98. DK (Don't Know)
1 99. RF (Refused)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ <> YES)
HN012 MEDICARE/MEDICAID HMO-HAS LIST OF DRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N012_HMOListDrs Ref 2000: G6334
Does this health insurance plan have a list or book of doctors that you are
encouraged or required to use?
..................................................................................
1073 1. YES
7918 5. NO
279 8. DK (Don't Know)
9 9. RF (Refused)
8888 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND ((N012_HMOListDrs = YES) OR (N009_ = YES))
HN013 MEDICARE/MEDICAID HMO-PAY DR NOT ON LIST
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N013_HMOPayMore Ref 2000: G6335
Does (this health insurance plan/the HMO) pay any of the costs of routine care
if you see a doctor who is not (on this list/in the HMO)?
..................................................................................
875 1. YES
670 2. YES, WITH A REFERRAL
1419 5. NO
439 8. DK (Don't Know)
2 9. RF (Refused)
14762 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
HN014 MEDICARE/MEDICAID HMO-AMT PAY
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N014_ Ref 2000: G6258
Not including co-pays or deductions from your Social Security, how much do
you, yourself, pay in premiums for this plan?
IWER: DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
6064 0-2400. Actual Value
773 9998. DK (Don't Know); NA (Not Ascertained)
38 9999. RF (Refused)
11292 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
AND (NOT (((N014_ = DONTKNOW) OR (N014_ = REFUSAL)) AND N015_ = EMPTY))
AND (((N014_ > 0) AND (N014_ <> REFUSAL)) AND (N014_ <> DONTKNOW))
HN018 MEDICARE/MEDICAID HMO-AMT PAY - PER
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N018_ Ref 2000: G6259
(Not including co-pays or deductions from your Social Security, how much do
you, yourself, pay for this plan?)
PER:
..................................................................................
1758 1. MONTH
77 2. QUARTER (EVERY 3 MONTHS)
6 3. SEMI-ANNUALLY (EVERY 6 MONTHS/TWICE A YEAR)
76 4. YEAR
16 7. OTHER (SPECIFY)
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16231 Blank. INAP (Inapplicable)
HN015 MEDICARE/MEDICAID HMO-AMT PAY - MIN
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N015_
N015_-N017_ Unfolding Sequence
Question text: Does it amount to less than $______per month, more than
$______per month, or what?
PROCEDURE: UNFM_2Up1Down
BREAKPOINTS: 15, 30, 60, 120
..................................................................................
495 0. Value of Breakpoint
9 15. Value of Breakpoint
32 16. Value of Breakpoint
65 30. Value of Breakpoint
118 31. Value of Breakpoint
27 60. Value of Breakpoint
37 61. Value of Breakpoint
14 120. Value of Breakpoint
17 121. Value of Breakpoint
17353 Blank. INAP (Inapplicable)
HN016 MEDICARE/MEDICAID HMO-AMT PAY - MAX
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N016_
..................................................................................
28 14. Value of Breakpoint
9 15. Value of Breakpoint
42 29. Value of Breakpoint
65 30. Value of Breakpoint
104 59. Value of Breakpoint
27 60. Value of Breakpoint
34 119. Value of Breakpoint
14 120. Value of Breakpoint
491 1200. Value of Breakpoint
17353 Blank. INAP (Inapplicable)
HN017 MEDICARE/MEDICAID HMO-AMT PAY - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N017_
..................................................................................
97. Data Not Available
452 98. DK (Don't Know); NA (Not Ascertained)
34 99. RF (Refused)
17681 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
HN020 LEFT MEDICARE HMO LAST TWO YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N020_
At any time since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE
IW YEAR]/(in the last two years), have you left an HMO that delivered Medicare
services?
..................................................................................
359 1. YES
6474 5. NO
35 8. DK (Don't Know)
3 9. RF (Refused)
11296 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
AND (N020_ = YES)
HN021M1 WHY LEAVE MEDICARE HMO- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N021M Ref 2000: G6376M1
Why did you leave that HMO?
[IWER: CHOOSE ALL THAT APPLY]
..................................................................................
14 1. OWN PHYSICIAN LEFT PLAN
98 2. HMO DIDN'T PROVIDE NEEDED SERVICES
70 3. HMO COSTS INCREASED; found cheaper plan
15 4. HMO ENCOURAGED ME TO LEAVE
16 5. Better coverage with new plan
91 6. Too far away from HMO; R moved; HMO not in region
10 10. Switched to Medicare
5 11. R retired, left, or changed jobs
1 12. Less convenient
28 13. Lost coverag; NFS
5 97. OTHER (SPECIFY)
6 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17808 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
AND (N020_ = YES)
HN021M2 WHY LEAVE MEDICARE HMO- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N021M Ref 2000: G6376M1
Why did you leave that HMO?
[IWER: CHOOSE ALL THAT APPLY]
..................................................................................
1 1. OWN PHYSICIAN LEFT PLAN
1 2. HMO DIDN'T PROVIDE NEEDED SERVICES
2 3. HMO COSTS INCREASED; found cheaper plan
4. HMO ENCOURAGED ME TO LEAVE
5. Better coverage with new plan
6. Too far away from HMO; R moved; HMO not in region
10. Switched to Medicare
11. R retired, left, or changed jobs
2 12. Less convenient
11 13. Lost coverag; NFS
3 97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18147 Blank. INAP (Inapplicable)
Ask:
IF ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
AND (N020_ = YES)
HN021M3 WHY LEAVE MEDICARE HMO- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N021M Ref 2000: G6376M1
Why did you leave that HMO?
[IWER: CHOOSE ALL THAT APPLY]
..................................................................................
1. OWN PHYSICIAN LEFT PLAN
2. HMO DIDN'T PROVIDE NEEDED SERVICES
3. HMO COSTS INCREASED; found cheaper plan
4. HMO ENCOURAGED ME TO LEAVE
5. Better coverage with new plan
6. Too far away from HMO; R moved; HMO not in region
10. Switched to Medicare
11. R retired, left, or changed jobs
12. Less convenient
13. Lost coverag; NFS
97. OTHER (SPECIFY)
98. DK (Don't Know)
99. RF (Refused)
18167 Blank. INAP (Inapplicable)
HN023 NUM PRIVATE HEALTH INS PLANS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN.N023_
Now, we'd like to ask about all the other types of health insurance plans you
might have, such as insurance through an employer or a business, coverage for
retirees, or health insurance you buy for yourself, including any (Medigap
or) other supplemental coverage. Do not include long-term care insurance .
Other than your Medicare HMO you've just told me about, how/, or anything that
you have just told me about. How many other such plans do you have?
IWER: ENTER ZERO FOR NONE
NUMBER OF PLANS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
18044 0 11 0.74 0.56 14
-----------------------------------------------------------------
66 98. DK (Don't Know); NA (Not Ascertained)
43 99. RF (Refused)
Ask:
IF (CNT <= N023_)
AND ((piGovCoverN001_ = YES) AND (CNT = 1))
HN025_1 WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N025_
Which is your primary plan, Medicare or [NAME OF FIRST PLAN] ?
..................................................................................
5999 1. MEDICARE
778 2. NAME OF PLAN (W22_1/N024_1)
75 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
11315 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN026_1 MEDIGAP PLAN LETTER- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N026_ Ref 2000: G6277
Many Medicare Supplemental or Medigap Plans are referred to by a plan letter.
Do you know the plan letter for your plan?
IWER: PROBE: What is it?
IWER: IF NO PLAN LETTER, ENTER 'Z'
ENTER LETTER (A-J):
..................................................................................
557 1. A
163 2. B
113 3. C
84 4. D
37 5. E
318 6. F
20 7. G
28 8. H
16 9. I
45 10. J
1760 95. Z, NO PLAN LETTER
2935 98. DK (Don't Know); NA (Not Ascertained)
10 99. RF (Refused)
12081 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN027_1 MEDIGAP HELP WITH COPAYMTS/DEDUCTIBLES-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N027_
Tell me how that plan works with Medicare. Does it provide help with
co-payments and deductibles for hospitalizations?
..................................................................................
5392 1. YES
363 5. NO
244 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
12168 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN028_1 MEDIGAP-HELP WITH SKILLED NURSING CARE-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N028_
(Does it provide help with...) paying for skilled nursing care?
..................................................................................
3525 1. YES
1260 5. NO
1213 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
12168 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN029_1 MEDIGAP-HELP PAY HOME HEALTH/HOSPICE- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N029_
(Does it provide help with...) paying for home health or hospice care?
..................................................................................
3009 1. YES
1631 5. NO
1355 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
12168 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN030_1 MEDIGAP-HELP PAY DR VISITS- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N030_
(Does it provide help with...) paying for doctor visits?
..................................................................................
5452 1. YES
373 5. NO
173 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
12168 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN031_1 MEDIGAP-HELP PAY FOR OUTPATIENT CARE- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N031_
(Does it provide help with...) paying for outpatient care?
..................................................................................
5199 1. YES
374 5. NO
425 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
12168 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN032_1 PRIVATE PLAN 1-3 HELP PAY REGULAR RX- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N032_
(Does it provide help with...) paying for regular prescription drugs?
..................................................................................
9188 1. YES
3100 5. NO
133 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
5743 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (piSecJWORKSTATUSJ020_WorkforPay = YES)
HN033_1 OBTAIN HI THRU CURRNT EMP/OWN BUSINESS-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N033_HowObtIns Ref 2000: G6269
Do you obtain this health insurance through your (own business or
professional organization/current employer)?
..................................................................................
2860 1. YES
2155 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
13148 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
HN034_1 OBTAIN INS THRU FORMER EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N034_
Do you obtain this health insurance through a former employer of yours?
..................................................................................
3162 1. YES
6383 5. NO
16 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
8603 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL))
HN035_1 OBTAIN INS THRU HWP CURRENT EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N035_
Do you obtain this health insurance through your (husband/wife/partner)'s
current employer?
..................................................................................
1388 1. YES
3088 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
13680 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL))
AND (N035_ <> YES)
HN036_1 OBTAIN INS THRU HWP FORMER EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N036_
Do you obtain this health insurance through your (husband/wife/partner)'s
former employer?
..................................................................................
1059 1. YES
2027 5. NO
13 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
15066 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((N035_ <> YES) AND (N036_ <> YES))
HN037_1 WHERE PURCHASE PRIVATE PLAN INSURANCE- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N037_
Did you purchase this plan directly from an insurance company, through your
(or your (husband/wife/partner]'s/or your) union, through a group such as
AARP, a church, or other organization, or what?
..................................................................................
2510 1. INSURANCE COMPANY
64 2. R`S UNION
14 3. SPOUSE`S UNION
635 4. GROUP
384 5. Former or deceased spouse's employer/union
275 7. OTHER (SPECIFY)
68 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
14211 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN039_1 PAY ALL/SOME/NONE PRIV PLAN HI COSTS- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N039_PayHlthInsCost Ref 2000: G6272
Including any help from your family, do you (or your (husband/wife/partner))
pay all of the costs, some of the costs, or none of the costs of the premium
for this health insurance coverage?
..................................................................................
6149 1. ALL
3531 2. SOME
2635 3. NONE
102 8. DK (Don't Know); NA (Not Ascertained)
8 9. RF (Refused)
5742 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
HN040_1 PRIV PLAN HI PAY PER/MONTH- AMT- 1
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N040_
How much do you (or your you/husband/wife/partner) pay every month in premiums
for this plan?
IWER: COUNT ANY PAYROLL DEDUCTIONS, BUT DO NOT INCLUDE ANY AMOUNT PAID BY THE
EMPLOYER)
DO NOT PROBE DK/RF
AMOUNT PER MONTH:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
7842 0 900 172.49 151.27 8377
-----------------------------------------------------------------
1857 998. DK (Don't Know)
91 999. RF (Refused)
HN041_1 PRIV PLAN HI PAY PER/MONTH- MIN- 1
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N041_
N041_-N043_ Unfolding Sequence
Question text: Does it amount to less than $______per month, more than
$______per month, or what?
PROCEDURE: UNFM_2UP1DOWN
BREAKPOINTS: 25, 50, 100, 150
..................................................................................
822 0. Value of Breakpoint
35 25. Value of Breakpoint
153 26. Value of Breakpoint
118 50. Value of Breakpoint
295 51. Value of Breakpoint
93 100. Value of Breakpoint
161 101. Value of Breakpoint
48 150. Value of Breakpoint
223 151. Value of Breakpoint
16219 Blank. INAP (Inapplicable)
HN042_1 PRIV PLAN HI PAY PER/MONTH- MAX- 1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_PlanDetails.N042_
..................................................................................
48 24. Value of Breakpoint
35 25. Value of Breakpoint
182 49. Value of Breakpoint
118 50. Value of Breakpoint
179 99. Value of Breakpoint
93 100. Value of Breakpoint
114 149. Value of Breakpoint
48 150. Value of Breakpoint
1131 1500. Value of Breakpoint
16219 Blank. INAP (Inapplicable)
HN043_1 PRIV PLAN HI PAY PER/MONTH- RESULT- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N043_
..................................................................................
97. Data Not Available
863 98. DK (Don't Know)
76 99. RF (Refused)
17228 Blank. INAP (Inapplicable)
Assign:
IF (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
AND (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))
OR NOT (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))))
AND (N037_ = OTH_SPECIFY
OR NOT (N037_ = OTH_SPECIFY))
HN046_1 BRANCHPNT-SOURCE OF HEALTH INSURANCE-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N046_ Ref 2000: G6271
..................................................................................
1888 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
652 2. INS THRU SOMEPLACE ELSE AT R15
7250 3. INS THRU CURRENT/FORMER EMPLOYER OR UNION
8377 Blank. INAP (Inapplicable)
Assign:
IF (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
AND (NOT (piGovCoverN001_ = YES)
OR piGovCoverN001_ = YES)
HN047_1 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N047_ Ref 2000: G6275
..................................................................................
5504 1. R IS COVERED BY MEDICARE
4286 2. ALL OTHERS
8377 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN048_1 PRIV PLAN HI- ANYONE ELSE COVERED- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N048_AnyElseCov Ref 2000: G6278
Besides you, is anyone else covered on this health insurance?
..................................................................................
6778 1. YES
5636 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
5743 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_1A PRIV PLAN HI- WHO COVERED- 1- 1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
446 041-990. Other Person Number
6255 991. R'S SPOUSE/PARTNER
6 993. ALL CHILDREN
7 994. ONE OR MORE GRANDCHILDREN
30 997. OTHER (SPECIFY); including ex-spouses; R's
employees
1 998. DK(Don't Know)
999. RF(Refused)
11422 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_1B PRIV PLAN HI- WHO COVERED- 1- 2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
314 041-990. Other Person Number
223 991. R'S SPOUSE/PARTNER
20 993. ALL CHILDREN
18 994. ONE OR MORE GRANDCHILDREN
9 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
17583 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_1C PRIV PLAN HI- WHO COVERED- 1- 3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
82 041-990. Other Person Number
78 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
2 994. ONE OR MORE GRANDCHILDREN
1 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18004 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_1D PRIV PLAN HI- WHO COVERED- 1- 4
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
22 041-990. Other Person Number
10 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
1 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18134 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_1E PRIV PLAN HI- WHO COVERED- 1- 5
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
4 041-990. Other Person Number
5 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
1 994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18157 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_1F PRIV PLAN HI- WHO COVERED- 1- 6
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
041-990. Other Person Number
991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND ((piRespondents1X065ACouplenss = MARRIED) AND ((N048_AnyElseCov = NO) OR
NOT (C91 IN puN049MWhoCov)))
HN051_1 PRIV HI- COULD SPOUSE BE COVERED- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N051_SPCoverage Ref 2000: G6332
Could you have obtained coverage for your spouse through this health insurance
plan?
..................................................................................
1151 1. YES
810 5. NO
77 8. DK (Don't Know)
4 9. RF (Refused)
16125 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN052_1 PRIVATE PLAN INSURANCE AN HMO- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N052_Plan1HMO Ref 2000: G6280
Is this plan an HMO, that is, a Health Maintenance Organization?
DEF: (With an HMO, the cost of the physician visit is typically covered in
full or you pay only a small amount. All of your routine care must be provided
by an HMO physician.)
..................................................................................
3242 1. YES
8801 5. NO
376 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
5744 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN053_1 NUMBER YEARS IN PLAN- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N053_NumYrPlan
How long have you been with this plan?
YEARS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
11175 0 50 13.91 13.04 6442
-----------------------------------------------------------------
537 98. DK (Don't Know); NA (Not Ascertained)
13 99. RF (Refused)
Ask:
IF (CNT <= N023_)
AND ((N053_NumYrPlan = 0) OR N053_NumYrPlan = EMPTY)
HN054_1 NUMBER MONTHS IN PLAN- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N054_NumMoPlan
(How long have you been with this plan?)
MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
725 1 12 5.05 2.98 16904
-----------------------------------------------------------------
526 98. DK (Don't Know)
12 99. RF (Refused)
Ask:
IF (CNT <= N023_)
HN055_1 PRIV PLAN HI- HAS LIST OF DRS- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N055_ListDoctor Ref 2000: G6281
Does this health insurance plan have a list or book of doctors that you are
encouraged or required to use?
..................................................................................
5835 1. YES
6436 5. NO
150 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
5744 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N055_ListDoctor = YES)
HN056_1 PLAN PAY FOR DOCTORS NOT ON LIST- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N056_DocNotList Ref 2000: G6282
Does this (health insurance plan/the HMO) pay any of the costs for routine
care if you see a doctor who is not (on this list/in the HMO)?
..................................................................................
2644 1. YES
1249 2. YES, WITH A REFERRAL
1422 5. NO
520 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
12332 Blank. INAP (Inapplicable)
Assign:
IF (CNT <= N023_)
AND ((piA019_RAge < 65) AND (N033_HowObtIns = YES)
OR NOT ((piA019_RAge < 65) AND (N033_HowObtIns = YES)))
AND ((piA019_RAge < 65) AND (N034_ = YES)
OR NOT ((piA019_RAge < 65) AND (N034_ = YES)))
HN058_1 PRIV HI FROM CUR/FOR EMP AND LESS 65- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N058_ Ref 2000: G6296
..................................................................................
2431 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
1029 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
8965 3. ALL OTHERS
5742 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND (piA019_RAge < 65)
HN059_1 EMPLOYER RETIREE COVERAGE UP TO 65- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N059_CovTo65 Ref 2000: G6297
(Can/If you left your current employer now, could) you continue this
insurance coverage for yourself up to the age of 65?
..................................................................................
1998 1. YES
1003 5. NO
255 8. DK (Don't Know)
2 9. RF (Refused)
14909 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND (piA019_RAge < 65)
AND (N059_CovTo65 = YES)
HN060_1 EMPLOYER RETIREE HI COVERAGE AFTER 65- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N060_EmpCovAft65 Ref 2000: G6298
(Does/If you left your current employer now, does) your employer offer some
type of health insurance coverage for you after the age of 65?
..................................................................................
1046 1. YES
748 5. NO
204 8. DK (Don't Know)
9. RF (Refused)
16169 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND ((piRespondents1X065ACouplenss = MARRIED) AND (piA019_RAge < 65))
HN062_1 EMP RETIREE HI COV FOR SP UP TO 65- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N062_CovSPTo65 Ref 2000: G6300
(Could your spouse be covered by this plan/If you left your current employer
now could you continue your current health insurance coverage for your spouse)
until (he/she) is age 65?
..................................................................................
1115 1. YES
996 5. NO
220 8. DK (Don't Know)
2 9. RF (Refused)
15834 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND ((piRespondents1X065ACouplenss = MARRIED) AND (piA019_RAge < 65))
AND (N062_CovSPTo65 = YES)
HN063_1 EMP RETIREE HI COV FOR SP AFTER 65- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N063_CovSPAft65 Ref 2000: G6301
(Does/If you left your current employer now, does) your employer offer some
type of health insurance coverage for your spouse after the age of 65?
..................................................................................
688 1. YES
328 5. NO
99 8. DK (Don't Know)
9. RF (Refused)
17052 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN066_1 LIMITS ON HI DUE TO PREEXISTING COND- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N066_LimitHlthIns Ref 2000: G6322
Are there any limits or restrictions on this health insurance plan due to a
preexisting condition?
..................................................................................
615 1. YES
11160 5. NO
645 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
5744 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND ((piGovCoverN001_ = YES) AND (CNT = 1))
HN025_2 WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N025_
Which is your primary plan, Medicare or [NAME OF FIRST PLAN] ?
USER NOTE: Due to a programming error in the loop counter, respondents were
skipped to HN032 instead of going through the second and third iterations of
this question.
..................................................................................
1. MEDICARE
2. NAME OF PLAN (W22_1/N024_1)
8. DK (Don't Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN026_2 MEDIGAP PLAN LETTER- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N026_ Ref 2000: G6277
Many Medicare Supplemental or Medigap Plans are referred to by a plan letter.
Do you know the plan letter for your plan?
IWER: PROBE: What is it?
IWER: IF NO PLAN LETTER, ENTER 'Z'
ENTER LETTER (A-J):
USER NOTE: Due to a programming error in the loop counter, respondents were
skipped to HN032 instead of going through the second and third iterations of
this question.
..................................................................................
1. A
2. B
3. C
4. D
5. E
6. F
7. G
8. H
9. I
10. J
95. Z, NO PLAN LETTER
98. DK (Don't Know)
99. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN027_2 MEDIGAP HELP WITH COPAYMTS/DEDUCTIBLES-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N027_
Tell me how that plan works with Medicare. Does it provide help with
co-payments and deductibles for hospitalizations?
USER NOTE: Due to a programming error in the loop counter, respondents were
skipped to HN032 instead of going through the second and third iterations of
this question.
..................................................................................
1. YES
5. NO
8. DK (Don't Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN028_2 MEDIGAP-HELP WITH SKILLED NURSING CARE-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N028_
(Does it provide help with...) paying for skilled nursing care?
USER NOTE: Due to a programming error in the loop counter, respondents were
skipped to HN032 instead of going through the second and third iterations of
this question.
..................................................................................
1. YES
5. NO
8. DK (Don't Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN029_2 MEDIGAP-HELP PAY HOME HEALTH/HOSPICE- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N029_
(Does it provide help with...) paying for home health or hospice care?
USER NOTE: Due to a programming error in the loop counter, respondents were
skipped to HN032 instead of going through the second and third iterations of
this question.
..................................................................................
1. YES
5. NO
8. DK (Don't Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN030_2 MEDIGAP-HELP PAY DR VISITS- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N030_
(Does it provide help with...) paying for doctor visits?
USER NOTE: Due to a programming error in the loop counter, respondents were
skipped to HN032 instead of going through the second and third iterations of
this question.
..................................................................................
1. YES
5. NO
8. DK (Don't Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN031_2 MEDIGAP-HELP PAY FOR OUTPATIENT CARE- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N031_
(Does it provide help with...) paying for outpatient care?
USER NOTE: Due to a programming error in the loop counter, respondents were
skipped to HN032 instead of going through the second and third iterations of
this question.
..................................................................................
1. YES
5. NO
8. DK (Don't Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN032_2 PRIVATE PLAN 1-3 HELP PAY REGULAR RX- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N032_
(Does it provide help with...) paying for regular prescription drugs?
..................................................................................
405 1. YES
312 5. NO
29 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
17418 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (piSecJWORKSTATUSJ020_WorkforPay = YES)
HN033_2 OBTAIN HI THRU CURRNT EMP/OWN BUSINESS-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N033_HowObtIns Ref 2000: G6269
Do you obtain this health insurance through your (own business or
professional organization/current employer)?
..................................................................................
117 1. YES
255 5. NO
8. DK (Don't Know)
9. RF (Refused)
17795 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
HN034_2 OBTAIN INS THRU FORMER EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N034_
Do you obtain this health insurance through a former employer of yours?
..................................................................................
163 1. YES
464 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
17535 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL))
HN035_2 OBTAIN INS THRU HWP CURRENT EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N035_
Do you obtain this health insurance through your (husband/wife/partner)'s
current employer?
..................................................................................
137 1. YES
236 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17792 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL))
AND (N035_ <> YES)
HN036_2 OBTAIN INS THRU HWP FORMER EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N036_
Do you obtain this health insurance through your (husband/wife/partner)'s
former employer?
..................................................................................
80 1. YES
156 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17929 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((N035_ <> YES) AND (N036_ <> YES))
HN037_2 WHERE PURCHASE PRIVATE PLAN INSURANCE- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N037_
Did you purchase this plan directly from an insurance company, through your
(or your (husband/wife/partner]'s/or your) union, through a group such as
AARP, a church, or other organization, or what?
..................................................................................
130 1. INSURANCE COMPANY
6 2. R`S UNION
3. SPOUSE`S UNION
64 4. GROUP
11 5. Former or deceased spouse's employer/union
29 7. OTHER (SPECIFY)
5 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
17918 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN039_2 PAY ALL/SOME/NONE PRIV PLAN HI COSTS- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N039_PayHlthInsCost Ref 2000: G6272
Including any help from your family, do you (or your (husband/wife/partner))
pay all of the costs, some of the costs, or none of the costs of the premium
for this health insurance coverage?
..................................................................................
374 1. ALL
159 2. SOME
198 3. NONE
14 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
17418 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
HN040_2 PRIV PLAN HI PAY PER/MONTH- AMT- 2
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N040_
How much do you (or your you/husband/wife/partner) pay every month in premiums
for this plan?
IWER: COUNT ANY PAYROLL DEDUCTIONS, BUT DO NOT INCLUDE ANY AMOUNT PAID BY THE
EMPLOYER)
DO NOT PROBE DK/RF
AMOUNT PER MONTH:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
417 0 500 79.57 96.43 17616
-----------------------------------------------------------------
124 998. DK (Don't Know)
10 999. RF (Refused)
HN041_2 PRIV PLAN HI PAY PER/MONTH- MIN- 2
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N041_
N041_-N043_ Unfolding Sequence
Question text: Does it amount to less than $______per month, more than
$______per month, or what?
PROCEDURE: UNFM_2UP1DOWN
BREAKPOINTS: 25, 50, 100, 150
..................................................................................
83 0. Value of Breakpoint
5 25. Value of Breakpoint
10 26. Value of Breakpoint
7 50. Value of Breakpoint
17 51. Value of Breakpoint
3 100. Value of Breakpoint
5 101. Value of Breakpoint
3 150. Value of Breakpoint
1 151. Value of Breakpoint
18033 Blank. INAP (Inapplicable)
HN042_2 PRIV PLAN HI PAY PER/MONTH- MAX- 2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_PlanDetails.N042_
..................................................................................
20 24. Value of Breakpoint
5 25. Value of Breakpoint
14 49. Value of Breakpoint
7 50. Value of Breakpoint
11 99. Value of Breakpoint
3 100. Value of Breakpoint
2 149. Value of Breakpoint
3 150. Value of Breakpoint
69 1500. Value of Breakpoint
18033 Blank. INAP (Inapplicable)
HN043_2 PRIV PLAN HI PAY PER/MONTH- RESULT- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N043_
..................................................................................
97. Data Not Available
62 98. DK (Don't Know)
10 99. RF (Refused)
18095 Blank. INAP (Inapplicable)
Assign:
IF (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
AND (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))
OR NOT (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))))
AND (N037_ = OTH_SPECIFY
OR NOT (N037_ = OTH_SPECIFY))
HN046_2 BRANCHPNT-SOURCE OF HEALTH INSURANCE-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N046_ Ref 2000: G6271
..................................................................................
141 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
44 2. INS THRU SOMEPLACE ELSE AT R15
366 3. INS THRU CURRENT/FORMER EMPLOYER OR UNION
17616 Blank. INAP (Inapplicable)
Assign:
IF (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
AND (NOT (piGovCoverN001_ = YES)
OR piGovCoverN001_ = YES)
HN047_2 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N047_ Ref 2000: G6275
..................................................................................
247 1. R IS COVERED BY MEDICARE
304 2. ALL OTHERS
17616 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN048_2 PRIV PLAN HI- ANYONE ELSE COVERED- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N048_AnyElseCov Ref 2000: G6278
Besides you, is anyone else covered on this health insurance?
..................................................................................
471 1. YES
275 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
17418 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_2A PRIV PLAN HI- WHO COVERED- 2- 1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
34 041-990. Other Person Number
430 991. R'S SPOUSE/PARTNER
1 993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
4 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
1 999. RF(Refused)
17697 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_2B PRIV PLAN HI- WHO COVERED- 2- 2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
23 041-990. Other Person Number
15 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
1 994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18128 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_2C PRIV PLAN HI- WHO COVERED- 2- 3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
6 041-990. Other Person Number
10 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18151 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_2D PRIV PLAN HI- WHO COVERED- 2- 4
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
041-990. Other Person Number
991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND ((piRespondents1X065ACouplenss = MARRIED) AND ((N048_AnyElseCov = NO) OR
NOT (C91 IN puN049MWhoCov)))
HN051_2 PRIV HI- COULD SPOUSE BE COVERED- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N051_SPCoverage Ref 2000: G6332
Could you have obtained coverage for your spouse through this health insurance
plan?
..................................................................................
56 1. YES
51 5. NO
4 8. DK (Don't Know)
2 9. RF (Refused)
18054 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN052_2 PRIVATE PLAN INSURANCE AN HMO- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N052_Plan1HMO Ref 2000: G6280
Is this plan an HMO, that is, a Health Maintenance Organization?
DEF: (With an HMO, the cost of the physician visit is typically covered in
full or you pay only a small amount. All of your routine care must be provided
by an HMO physician.)
..................................................................................
108 1. YES
608 5. NO
27 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
17418 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN053_2 NUMBER YEARS IN PLAN- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N053_NumYrPlan
How long have you been with this plan?
YEARS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
671 1 50 14.08 11.68 17454
-----------------------------------------------------------------
36 98. DK (Don't Know); NA (Not Ascertained)
6 99. RF (Refused)
Ask:
IF (CNT <= N023_)
AND ((N053_NumYrPlan = 0) OR N053_NumYrPlan = EMPTY)
HN054_2 NUMBER MONTHS IN PLAN- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N054_NumMoPlan
(How long have you been with this plan?)
MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
37 1 11 4.95 2.67 18090
-----------------------------------------------------------------
34 98. DK (Don't Know)
6 99. RF (Refused)
Ask:
IF (CNT <= N023_)
HN055_2 PRIV PLAN HI- HAS LIST OF DRS- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N055_ListDoctor Ref 2000: G6281
Does this health insurance plan have a list or book of doctors that you are
encouraged or required to use?
..................................................................................
197 1. YES
524 5. NO
22 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
17418 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N055_ListDoctor = YES)
HN056_2 PLAN PAY FOR DOCTORS NOT ON LIST- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N056_DocNotList Ref 2000: G6282
Does this (health insurance plan/the HMO) pay any of the costs for routine
care if you see a doctor who is not (on this list/in the HMO)?
..................................................................................
98 1. YES
32 2. YES, WITH A REFERRAL
49 5. NO
19 8. DK (Don't Know)
9. RF (Refused)
17969 Blank. INAP (Inapplicable)
Assign:
IF (CNT <= N023_)
AND ((piA019_RAge < 65) AND (N033_HowObtIns = YES)
OR NOT ((piA019_RAge < 65) AND (N033_HowObtIns = YES)))
AND ((piA019_RAge < 65) AND (N034_ = YES)
OR NOT ((piA019_RAge < 65) AND (N034_ = YES)))
HN058_2 PRIV HI FROM CUR/FOR EMP AND LESS 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N058_ Ref 2000: G6296
..................................................................................
105 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
53 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
591 3. ALL OTHERS
17418 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND (piA019_RAge < 65)
HN059_2 EMPLOYER RETIREE COVERAGE UP TO 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N059_CovTo65 Ref 2000: G6297
(Can/If you left your current employer now, could) you continue this
insurance coverage for yourself up to the age of 65?
..................................................................................
96 1. YES
41 5. NO
14 8. DK (Don't Know)
9. RF (Refused)
18016 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND (piA019_RAge < 65)
AND (N059_CovTo65 = YES)
HN060_2 EMPLOYER RETIREE HI COVERAGE AFTER 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N060_EmpCovAft65 Ref 2000: G6298
(Does/If you left your current employer now, does) your employer offer some
type of health insurance coverage for you after the age of 65?
..................................................................................
41 1. YES
42 5. NO
13 8. DK (Don't Know)
9. RF (Refused)
18071 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND ((piRespondents1X065ACouplenss = MARRIED) AND (piA019_RAge < 65))
HN062_2 EMP RETIREE HI COV FOR SP UP TO 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N062_CovSPTo65 Ref 2000: G6300
(Could your spouse be covered by this plan/If you left your current employer
now could you continue your current health insurance coverage for your spouse)
until (he/she) is age 65?
..................................................................................
51 1. YES
48 5. NO
10 8. DK (Don't Know)
9. RF (Refused)
18058 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND ((piRespondents1X065ACouplenss = MARRIED) AND (piA019_RAge < 65))
AND (N062_CovSPTo65 = YES)
HN063_2 EMP RETIREE HI COV FOR SP AFTER 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N063_CovSPAft65 Ref 2000: G6301
(Does/If you left your current employer now, does) your employer offer some
type of health insurance coverage for your spouse after the age of 65?
..................................................................................
24 1. YES
19 5. NO
8 8. DK (Don't Know)
9. RF (Refused)
18116 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN066_2 LIMITS ON HI DUE TO PREEXISTING COND- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N066_LimitHlthIns Ref 2000: G6322
Are there any limits or restrictions on this health insurance plan due to a
preexisting condition?
..................................................................................
42 1. YES
668 5. NO
33 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
17418 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND ((piGovCoverN001_ = YES) AND (CNT = 1))
HN025_3 WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N025_
Which is your primary plan, Medicare or [NAME OF FIRST PLAN] ?
USER NOTE: Due to a programming error in the loop counter, respondents were
skipped to HN032 instead of going through the second and third iterations of
this question.
..................................................................................
1. MEDICARE
2. NAME OF PLAN (W22_1/N024_1)
8. DK (Don't Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN026_3 MEDIGAP PLAN LETTER- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N026_ Ref 2000: G6277
Many Medicare Supplemental or Medigap Plans are referred to by a plan letter.
Do you know the plan letter for your plan?
IWER: PROBE: What is it?
IWER: IF NO PLAN LETTER, ENTER 'Z'
ENTER LETTER (A-J):
USER NOTE: Due to a programming error in the loop counter, respondents were
skipped to HN032 instead of going through the second and third iterations of
this question.
..................................................................................
1. A
2. B
3. C
4. D
5. E
6. F
7. G
8. H
9. I
10. J
95. Z, NO PLAN LETTER
98. DK (Don't Know)
99. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN027_3 MEDIGAP HELP WITH COPAYMTS/DEDUCTIBLES-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N027_
Tell me how that plan works with Medicare. Does it provide help with
co-payments and deductibles for hospitalizations?
USER NOTE: Due to a programming error in the loop counter, respondents were
skipped to HN032 instead of going through the second and third iterations of
this question.
..................................................................................
1. YES
5. NO
8. DK (Don't Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N025_ = MEDICARE)
HN028_3 MEDIGAP-HELP WITH SKILLED NURSING CARE-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N028_
(Does it provide help with...) paying for skilled nursing care?
USER NOTE: Due to a programming error in the loop counter, respondents were
skipped to HN032 instead of going through the second and third iterations of
this question.
..................................................................................
1. YES
5. NO
8. DK (Don't Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN032_3 PRIVATE PLAN 1-3 HELP PAY REGULAR RX- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N032_
(Does it provide help with...) paying for regular prescription drugs?
..................................................................................
16 1. YES
48 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
18095 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (piSecJWORKSTATUSJ020_WorkforPay = YES)
HN033_3 OBTAIN HI THRU CURRNT EMP/OWN BUSINESS-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N033_HowObtIns Ref 2000: G6269
Do you obtain this health insurance through your (own business or
professional organization/current employer)?
..................................................................................
14 1. YES
15 5. NO
1 8. DK (Don't Know)
9. RF (Refused)
18137 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
HN034_3 OBTAIN INS THRU FORMER EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N034_
Do you obtain this health insurance through a former employer of yours?
..................................................................................
14 1. YES
39 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
18109 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL))
HN035_3 OBTAIN INS THRU HWP CURRENT EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N035_
Do you obtain this health insurance through your (husband/wife/partner)'s
current employer?
..................................................................................
4 1. YES
27 5. NO
8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
18134 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL))
AND (N035_ <> YES)
HN036_3 OBTAIN INS THRU HWP FORMER EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N036_
Do you obtain this health insurance through your (husband/wife/partner)'s
former employer?
..................................................................................
6 1. YES
21 5. NO
8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
18138 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((N035_ <> YES) AND (N036_ <> YES))
HN037_3 WHERE PURCHASE PRIVATE PLAN INSURANCE- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N037_
Did you purchase this plan directly from an insurance company, through your
(or your (husband/wife/partner]'s/or your) union, through a group such as
AARP, a church, or other organization, or what?
..................................................................................
18 1. INSURANCE COMPANY
1 2. R`S UNION
3. SPOUSE`S UNION
2 4. GROUP
2 5. Former or deceased spouse's employer/union
3 7. OTHER (SPECIFY)
2 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
18135 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN039_3 PAY ALL/SOME/NONE PRIV PLAN HI COSTS-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N039_PayHlthInsCost Ref 2000: G6272
Including any help from your family, do you (or your (husband/wife/partner))
pay all of the costs, some of the costs, or none of the costs of the premium
for this health insurance coverage?
..................................................................................
40 1. ALL
10 2. SOME
18 3. NONE
1 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
18095 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
HN040_3 PRIV PLAN HI PAY PER/MONTH- AMT- 3
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N040_
How much do you (or your you/husband/wife/partner) pay every month in premiums
for this plan?
IWER: COUNT ANY PAYROLL DEDUCTIONS, BUT DO NOT INCLUDE ANY AMOUNT PAID BY THE
EMPLOYER)
DO NOT PROBE DK/RF
AMOUNT PER MONTH:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
35 0 565 52.77 98.67 18113
-----------------------------------------------------------------
14 998. DK (Don't Know)
5 999. RF (Refused)
HN041_3 PRIV PLAN HI PAY PER/MONTH- MIN- 3
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N041_
N041_-N043_ Unfolding Sequence
Question text: Does it amount to less than $______per month, more than
$______per month, or what?
PROCEDURE: UNFM_2UP1DOWN
BREAKPOINTS: 25, 50, 100, 150
..................................................................................
13 0. Value of Breakpoint
1 25. Value of Breakpoint
4 26. Value of Breakpoint
1 101. Value of Breakpoint
18148 Blank. INAP (Inapplicable)
HN042_3 PRIV PLAN HI PAY PER/MONTH- MAX- 3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_PlanDetails.N042_
..................................................................................
2 24. Value of Breakpoint
1 25. Value of Breakpoint
4 49. Value of Breakpoint
99. Value of Breakpoint
1 149. Value of Breakpoint
11 1500. Value of Breakpoint
18148 Blank. INAP (Inapplicable)
HN043_3 PRIV PLAN HI PAY PER/MONTH- RESULT- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N043_
..................................................................................
97. Data Not Available
6 98. DK (Don't Know)
5 99. RF (Refused)
18156 Blank. INAP (Inapplicable)
Assign:
IF (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
AND (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))
OR NOT (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))))
AND (N037_ = OTH_SPECIFY
OR NOT (N037_ = OTH_SPECIFY))
HN046_3 BRANCHPNT-SOURCE OF HEALTH INSURANCE- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N046_ Ref 2000: G6271
..................................................................................
7 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
4 2. INS THRU SOMEPLACE ELSE AT R15
43 3. INS THRU CURRENT/FORMER EMPLOYER OR UNION
18113 Blank. INAP (Inapplicable)
Assign:
IF (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
AND (NOT (piGovCoverN001_ = YES)
OR piGovCoverN001_ = YES)
HN047_3 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N047_ Ref 2000: G6275
..................................................................................
23 1. R IS COVERED BY MEDICARE
31 2. ALL OTHERS
18113 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN048_3 PRIV PLAN HI- ANYONE ELSE COVERED- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N048_AnyElseCov Ref 2000: G6278
Besides you, is anyone else covered on this health insurance?
..................................................................................
41 1. YES
29 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
18095 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_3A PRIV PLAN HI- WHO COVERED- 3- 1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
7 041-990. Other Person Number
33 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18127 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_3B PRIV PLAN HI- WHO COVERED- 3- 2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
3 041-990. Other Person Number
3 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18161 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_3C PRIV PLAN HI- WHO COVERED- 3- 2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
041-990. Other Person Number
2 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18165 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N048_AnyElseCov = YES)
HN049_3D PRIV PLAN HI- WHO COVERED- 3- 4
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_PlanDetails.N049AWhoCov Ref 2000: G6279M1
Who besides yourself is covered?
IWER: CHOOSE ALL THAT APPLY
..................................................................................
041-990. Other Person Number
991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK(Don't Know)
999. RF(Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND ((piRespondents1X065ACouplenss = MARRIED) AND ((N048_AnyElseCov = NO) OR
NOT (C91 IN puN049MWhoCov)))
HN051_3 PRIV HI- COULD SPOUSE BE COVERED- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N051_SPCoverage Ref 2000: G6332
Could you have obtained coverage for your spouse through this health insurance
plan?
..................................................................................
3 1. YES
9 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
18151 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN052_3 PRIVATE PLAN INSURANCE AN HMO- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N052_Plan1HMO Ref 2000: G6280
Is this plan an HMO, that is, a Health Maintenance Organization?
DEF: (With an HMO, the cost of the physician visit is typically covered in
full or you pay only a small amount. All of your routine care must be provided
by an HMO physician.)
..................................................................................
5 1. YES
60 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
18095 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN053_3 NUMBER YEARS IN PLAN- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N053_NumYrPlan
How long have you been with this plan?
YEARS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
61 0 50 13.05 11.19 18097
-----------------------------------------------------------------
5 98. DK (Don't Know); NA (Not Ascertained)
4 99. RF (Refused)
Ask:
IF (CNT <= N023_)
AND ((N053_NumYrPlan = 0) OR N053_NumYrPlan = EMPTY)
HN054_3 NUMBER MONTHS IN PLAN- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N054_NumMoPlan
(How long have you been with this plan?)
MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
14 3 9 7.29 2.05 18153
-----------------------------------------------------------------
4 3-7. Actual Value
6 98. DK (Don't Know)
4 99. RF (Refused)
18153 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN055_3 PRIV PLAN HI- HAS LIST OF DRS- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N055_ListDoctor Ref 2000: G6281
Does this health insurance plan have a list or book of doctors that you are
encouraged or required to use?
..................................................................................
10 1. YES
55 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
18095 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (N055_ListDoctor = YES)
HN056_3 PLAN PAY FOR DOCTORS NOT ON LIST- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N056_DocNotList Ref 2000: G6282
Does this (health insurance plan/the HMO) pay any of the costs for routine
care if you see a doctor who is not (on this list/in the HMO)?
..................................................................................
5 1. YES
2. YES, WITH A REFERRAL
4 5. NO
1 8. DK (Don't Know)
9. RF (Refused)
18157 Blank. INAP (Inapplicable)
Assign:
IF (CNT <= N023_)
AND ((piA019_RAge < 65) AND (N033_HowObtIns = YES)
OR NOT ((piA019_RAge < 65) AND (N033_HowObtIns = YES)))
AND ((piA019_RAge < 65) AND (N034_ = YES)
OR NOT ((piA019_RAge < 65) AND (N034_ = YES)))
HN058_3 PRIV HI FROM CUR/FOR EMP AND LESS 65- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N058_ Ref 2000: G6296
..................................................................................
13 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
6 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
53 3. ALL OTHERS
18095 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND (piA019_RAge < 65)
HN059_3 EMPLOYER RETIREE COVERAGE UP TO 65- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N059_CovTo65 Ref 2000: G6297
(Can/If you left your current employer now, could) you continue this
insurance coverage for yourself up to the age of 65?
..................................................................................
9 1. YES
10 5. NO
8. DK (Don't Know)
9. RF (Refused)
18148 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND (piA019_RAge < 65)
AND (N059_CovTo65 = YES)
HN060_3 EMPLOYER RETIREE HI COVERAGE AFTER 65- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N060_EmpCovAft65 Ref 2000: G6298
(Does/If you left your current employer now, does) your employer offer some
type of health insurance coverage for you after the age of 65?
..................................................................................
3 1. YES
3 5. NO
3 8. DK (Don't Know)
9. RF (Refused)
18158 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND ((piRespondents1X065ACouplenss = MARRIED) AND (piA019_RAge < 65))
HN062_3 EMP RETIREE HI COV FOR SP UP TO 65- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N062_CovSPTo65 Ref 2000: G6300
(Could your spouse be covered by this plan/If you left your current employer
now could you continue your current health insurance coverage for your spouse)
until (he/she) is age 65?
..................................................................................
4 1. YES
8 5. NO
1 8. DK (Don't Know)
9. RF (Refused)
18154 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
AND (((N033_HowObtIns = YES) AND (piJ021_EmpSelfOth = SOMEONEELSE)) OR (N034_
= YES))
AND ((piRespondents1X065ACouplenss = MARRIED) AND (piA019_RAge < 65))
AND (N062_CovSPTo65 = YES)
HN063_3 EMP RETIREE HI COV FOR SP AFTER 65- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N063_CovSPAft65 Ref 2000: G6301
(Does/If you left your current employer now, does) your employer offer some
type of health insurance coverage for your spouse after the age of 65?
..................................................................................
3 1. YES
1 5. NO
8. DK (Don't Know)
9. RF (Refused)
18163 Blank. INAP (Inapplicable)
Ask:
IF (CNT <= N023_)
HN066_3 LIMITS ON HI DUE TO PREEXISTING COND- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N066_LimitHlthIns Ref 2000: G6322
Are there any limits or restrictions on this health insurance plan due to a
preexisting condition?
..................................................................................
2 1. YES
63 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
18095 Blank. INAP (Inapplicable)
HN067 DENTAL COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_DentalPlans.N067_
Do you have any insurance that covers dental bills?
..................................................................................
6483 1. YES
11509 5. NO
138 8. DK (Don't Know)
22 9. RF (Refused)
15 Blank. INAP (Inapplicable)
Ask:
IF (N067_ = YES)
AND (NOT (ptN090_NumOfPlans = 0))
HN068 DENTAL COV - NEW OR PREV MENTION PLAN
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_DentalPlans.N068_DenCovNewPrev
Is that one of the plans you have already described, or a different plan?
..................................................................................
3825 1. PREVIOUSLY DESCRIBED PLAN
2623 2. DIFFERENT PLAN
33 8. DK (Don't Know)
2 9. RF (Refused)
11684 Blank. INAP (Inapplicable)
Ask:
IF (N067_ = YES)
AND (NOT (ptN090_NumOfPlans = 0))
AND (N068_DenCovNewPrev = PREVDESCRPLAN)
HN069 DENTAL COV - WHICH PREV MENTION PLAN
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_DentalPlans.N069_DenCovWhi
Which plan is that?
..................................................................................
2895 1. FIRST PLAN MENTIONED AT HN024
123 2. SECOND PLAN MENTIONED AT HN024
10 3. THIRD PLAN MENTIONED AT HN024
4. PLAN MENTIONED AT HN070
5. PLAN MENTIONED AT HN074
6. PLAN MENTIONED AT HN105
7. PLAN MENTIONED AT HN113
8. PLAN MENTIONED AT HN242
9. PLAN MENTIONED AT HN138
10. PLAN MENTIONED AT HN146
11. PLAN MENTIONED AT HN155
12. PLAN MENTIONED AT HN163
13. PLAN MENTIONED AT HN167
14. PLAN MENTIONED AT HN174
15. PLAN MENTIONED AT HN179
16. PLAN MENTIONED AT HN187
276 20. MEDICARE
271 21. MEDICAID
43 22. CHAMPUS
222 27. NOT ON LIST
22 98. DK (Don't Know)
1 99. RF (Refused)
14304 Blank. INAP (Inapplicable)
HN071 LTC INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N071_LTCIns Ref 2000: G6393
Not including government programs, do you now have any long term care
insurance which specifically covers nursing home care for a year or more or
any part of personal or medical care in your home?
..................................................................................
1962 1. YES
15920 5. NO
249 8. DK (Don't Know)
21 9. RF (Refused)
15 Blank. INAP (Inapplicable)
Ask:
IF (NOT (ptN090_NumOfPlans = 0))
HN072 LTC COV- NEW OR PRE MENTION PLAN
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N072_LTCCovNHNewPrev
Is that one of the plans you have already described, or a different plan?
..................................................................................
454 1. PREVIOUSLY DESCRIBED PLAN
1501 2. DIFFERENT PLAN
7 8. DK (Don't Know)
9. RF (Refused)
16205 Blank. INAP (Inapplicable)
Ask:
IF (NOT (ptN090_NumOfPlans = 0))
AND (N072_LTCCovNHNewPrev = PREVDESCRPLAN)
HN073 LTC COV- WHICH PREV MENTION PLAN
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N073_LTCCovNHWhi
Which plan is that?
..................................................................................
347 1. FIRST PLAN MENTIONED AT HN024
15 2. SECOND PLAN MENTIONED AT HN024
2 3. THIRD PLAN MENTIONED AT HN024
3 4. PLAN MENTIONED AT HN070
5. PLAN MENTIONED AT HN074
6. PLAN MENTIONED AT HN105
7. PLAN MENTIONED AT HN113
8. PLAN MENTIONED AT HN242
9. PLAN MENTIONED AT HN138
10. PLAN MENTIONED AT HN146
11. PLAN MENTIONED AT HN155
12. PLAN MENTIONED AT HN163
13. PLAN MENTIONED AT HN167
14. PLAN MENTIONED AT HN174
15. PLAN MENTIONED AT HN179
16. PLAN MENTIONED AT HN187
40 20. MEDICARE
17 21. MEDICAID
9 22. CHAMPUS
20 27. NOT ON LIST
2 98. DK (Don't Know)
99. RF (Refused)
17712 Blank. INAP (Inapplicable)
Ask:
IF (N071_LTCIns = YES)
HN075 COVER NURSING HOME/IN-HOME CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N075_CovNHInHome Ref 2000: G6394
Does this plan cover care in a nursing home facility only, personal or long-
term care at home, or both in-home and nursing home care?
..................................................................................
253 1. NURSING HOME CARE ONLY
98 2. IN-HOME CARE ONLY
1474 3. BOTH
19 7. OTHER (SPECIFY)
118 8. DK (Don't Know)
9. RF (Refused)
16205 Blank. INAP (Inapplicable)
Ask:
IF (N071_LTCIns = YES)
AND ((piRespondents1X065ACouplenss <> OTHER) AND ((N072_LTCCovNHNewPrev =
DIFFERENTPLAN) OR (N073_LTCCovNHWhi = Plan27)))
HN238 SPOUSE COVER NURSING HOME/IN-HOME CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N238_SPCovNHInHome
Does this plan provide long term care coverage for (your
(husband/wife/partner)) as well as for yourself?
..................................................................................
822 1. YES
308 5. NO
2 8. DK (Don't Know)
9. RF (Refused)
17035 Blank. INAP (Inapplicable)
Ask:
IF (N071_LTCIns = YES)
HN077 RECD BENEFITS UNDER LTC
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N077_RcvBenefLTC Ref 2000: G6395
Have you (or your (husband/wife/partner)) ever received benefits under your
long-term care policy?
..................................................................................
108 1. YES
1849 5. NO
5 8. DK (Don't Know)
9. RF (Refused)
16205 Blank. INAP (Inapplicable)
Ask:
IF (N071_LTCIns = YES)
HN078 PAYMENTS INCREASE W/ INFLATION
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N078_PlanPayIncInfl Ref 2000: G6396
Does this plan increase payments with inflation?
..................................................................................
867 1. YES
792 5. NO
303 8. DK (Don't Know)
9. RF (Refused)
16205 Blank. INAP (Inapplicable)
Ask:
IF (N071_LTCIns = YES)
AND (N072_LTCCovNHNewPrev <> PREVDESCRPLAN)
HN079 AMT PAY FOR LTC
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N079_AmtPayLTC Ref 2000: G6397
How much do you (or your (husband/wife/partner)) pay per month for this
plan?
IWER: ENTER 0 IF NO PAYMENTS ARE MADE
AMOUNT:
..................................................................................
1300 0-100000. Actual Value
190 999998. DK (Don't Know); NA (Not Ascertained)
18 999999. RF (Refused)
16659 Blank. INAP (Inapplicable)
Ask:
IF (N071_LTCIns = YES)
AND (N079_AmtPayLTC > 0)
HN083 AMT PAY FOR LTC PER
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N083_AmtPayLTCPer Ref 2000: G6398
(About how much do you pay for this plan?)
PER:
..................................................................................
435 1. YEAR
39 2. QUARTER (EVERY 3 MONTHS)
762 4. MONTH
6 6. Lump sum payment
15 7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16909 Blank. INAP (Inapplicable)
HN080 AMT PAY FOR LTC - MIN
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N080_
N080_-N082_ Unfolding Sequence
Question text: Does it amount to less than $______per month, more than
$______per month, or what?
PROCEDURE: UNFM_2up1down
BREAKPOINTS: 25, 100, 200, 400
..................................................................................
104 0. Value of Breakpoint
1 1. Value of Breakpoint
5 25. Value of Breakpoint
22 26. Value of Breakpoint
7 100. Value of Breakpoint
38 101. Value of Breakpoint
9 200. Value of Breakpoint
13 201. Value of Breakpoint
4 400. Value of Breakpoint
6 401. Value of Breakpoint
17958 Blank. INAP (Inapplicable)
HN081 AMT PAY FOR LTC - MAX
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N081_
..................................................................................
2 24. Value of Breakpoint
5 25. Value of Breakpoint
24 99. Value of Breakpoint
7 100. Value of Breakpoint
26 199. Value of Breakpoint
9 200. Value of Breakpoint
12 399. Value of Breakpoint
4 400. Value of Breakpoint
119 4000. Value of Breakpoint
17959 Blank. INAP (Inapplicable)
HN082 AMT PAY FOR LTC- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N082_
..................................................................................
97. Data Not Available
103 98. DK (Don't Know); NA (Not Ascertained)
13 99. RF (Refused)
18051 Blank. INAP (Inapplicable)
Ask:
IF (N071_LTCIns = YES)
HN086 HOW LONG HAVE LTC YEARS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N086_YrHaveLTC Ref 2000: G6401
About how long have you had this long-term care insurance?
IWER: ENTER YEARS HERE OR MOVE TO THE NEXT SCREEN TO ENTER MONTHS
YEARS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1747 1 50 7.95 8.48 16335
-----------------------------------------------------------------
85 98. DK (Don't Know)
99. RF (Refused)
Ask:
IF (N071_LTCIns = YES)
AND ((N086_YrHaveLTC = 0) OR N086_YrHaveLTC = EMPTY)
HN085 HOW LONG HAVE LTC-MONTHS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N085_MoHaveLTC Ref 2000: G6400
(About how long have you had this long-term care insurance?)
IWER: ENTER MONTHS HERE OR BACK UP TO THE PREVIOUS SCREEN TO ENTER YEARS
MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
139 0 18 6.15 4.78 17951
-----------------------------------------------------------------
77 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
HN087 LTC CANCELED/LAPSED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N087_LTCCancLap Ref 2000: G6403
Have you ever been covered by any long-term care insurance that you cancelled
or let lapse?
..................................................................................
375 1. YES
17677 5. NO
85 8. DK (Don't Know); NA (Not Ascertained)
14 9. RF (Refused)
16 Blank. INAP (Inapplicable)
Ask:
IF (N087_LTCCancLap = YES)
HN088 WHY LTC COVERAGE LAPSE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N088_WhyLTCCovLap Ref 2000: G6404
Did your coverage lapse because the premiums were too high, because you didn't
think you needed to carry it any longer, or what?
..................................................................................
183 1. PREMIUMS TOO HIGH
75 3. Coverage connected with job, or R moved
78 5. DIDN'T NEED IT; found a different plan
35 7. OTHER (SPECIFY); general or specific dissatisfaction with plan
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17793 Blank. INAP (Inapplicable)
Assign:
IF (GovCover.N001_ = YES
OR GovCover.N006_ = YES
OR GovCover.N007_ = YES)
HN090 NUMBER OF PUBLIC/PRIVATE HI PLANS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN.N090_NumOfPlans
IWER: CALCULATE NUMBER OF SUPPLEMENT PLANS FOR THOSE WITH MEDICARE, OR NUMBER
OF PRIVATE PLANS FOR THOSE WITHOUT MEDICARE
User Note: Only a maximum of 3 private plans from the HN024 loop contribute
to the count of plans in HN090, which may be fewer than the total number of
plans given at HN023. This variable is modified throughout the entire section
and the numbers presented represent all the plans mentioned (with a max of 3
plans from N023) not the number at the point in which this is first
calculated.
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
17636 1 8 1.93 0.81 531
-----------------------------------------------------------------
Ask:
IF (N090_NumOfPlans > 0)
HN091 EVER WITHOUT HI AMONG CURRENTLY INSURED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN.N091_NoInsurance Ref 2000: G6357
Were you ever without health insurance coverage at any time since [PREV WAVE
IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two
years)?
..................................................................................
450 1. YES
16864 5. NO
16 8. DK (Don't Know)
6 9. RF (Refused)
831 Blank. INAP (Inapplicable)
Ask:
IF ((((piJ021_EmpSelfOth = SOMEONEELSE) AND (PlanDetails[1].N033_HowObtIns <>
YES)) AND (PlanDetails[2].N033_HowObtIns <> YES)) AND
(PlanDetails[3].N033_HowObtIns <> YES))
HN092 EMP/UNION OFFER HI - WRKG R W/O EMP INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_RNotCoveredEmp.N092_EmplHlthIns Ref 2000: G6369
Does your employer or union offer a health insurance plan to any of its
employees?
..................................................................................
990 1. YES
1020 5. NO
46 8. DK (Don't Know)
5 9. RF (Refused)
16106 Blank. INAP (Inapplicable)
Ask:
IF ((((piJ021_EmpSelfOth = SOMEONEELSE) AND (PlanDetails[1].N033_HowObtIns <>
YES)) AND (PlanDetails[2].N033_HowObtIns <> YES)) AND
(PlanDetails[3].N033_HowObtIns <> YES))
AND (N092_EmplHlthIns = YES)
HN093 OFFERED HI THRU JOB- WRKNG R W/O EMP INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_RNotCoveredEmp.N093_JobHlthIns Ref 2000: G6370
Were you offered health insurance through your job?
..................................................................................
609 1. YES
378 5. NO
3 8. DK (Don't Know)
9. RF (Refused)
17177 Blank. INAP (Inapplicable)
Ask:
IF ((piJ021_EmpSelfOth = SOMEONEELSE) AND (((PlanDetails[1].N033_HowObtIns =
YES) OR (PlanDetails[2].N033_HowObtIns = YES)) OR
(PlanDetails[3].N033_HowObtIns = YES)))
HN094 CHOICE IN PLANS- WRKNG R W/ EMP INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_RCoveredEmp.N094_ChoicePlan Ref 2000: G6291
In the last two years, has your employer offered a choice of different health
insurance plans that provided hospital and physician benefits or was only one
health insurance plan offered to you?
..................................................................................
1030 1. YES, MORE THAN ONE PLAN
1514 5. NO, ONLY ONE PLAN
24 8. DK (Don't Know)
9. RF (Refused)
15599 Blank. INAP (Inapplicable)
Ask:
IF ((piJ021_EmpSelfOth = SOMEONEELSE) AND (((PlanDetails[1].N033_HowObtIns =
YES) OR (PlanDetails[2].N033_HowObtIns = YES)) OR
(PlanDetails[3].N033_HowObtIns = YES)))
AND (N094_ChoicePlan = YESMORETHANONEPLAN)
HN095 EMP OFFERED BETTER COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_RCoveredEmp.N095_BetterCov Ref 2000: G6292
Compared to your current coverage through your employer, did any of these
other plans provide better coverage?
..................................................................................
188 1. YES
793 5. NO
49 8. DK (Don't Know)
9. RF (Refused)
17137 Blank. INAP (Inapplicable)
Ask:
IF ((piJ021_EmpSelfOth = SOMEONEELSE) AND (((PlanDetails[1].N033_HowObtIns =
YES) OR (PlanDetails[2].N033_HowObtIns = YES)) OR
(PlanDetails[3].N033_HowObtIns = YES)))
AND (N094_ChoicePlan = YESMORETHANONEPLAN)
HN096 EMP OFFERED GREATER PHYSICIAN CHOICE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_RCoveredEmp.N096_MoreChoice Ref 2000: G6293
(Compared to your current coverage through your employer, did any of these
other plans...)
Provide greater choice of physicians?
..................................................................................
319 1. YES
635 5. NO
76 8. DK (Don't Know)
9. RF (Refused)
17137 Blank. INAP (Inapplicable)
Ask:
IF ((piJ021_EmpSelfOth = SOMEONEELSE) AND (((PlanDetails[1].N033_HowObtIns =
YES) OR (PlanDetails[2].N033_HowObtIns = YES)) OR
(PlanDetails[3].N033_HowObtIns = YES)))
AND (N094_ChoicePlan = YESMORETHANONEPLAN)
HN097 EMP OFFERED MORE COSTLY HI PLANS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_RCoveredEmp.N097_CostMore Ref 2000: G6294
(Compared to your current coverage through your employer, did any of these
other plans...)
Cost more than your plan?
..................................................................................
528 1. YES
435 5. NO
67 8. DK (Don't Know)
9. RF (Refused)
17137 Blank. INAP (Inapplicable)
Assign:
IF (((((PlanDetails[1].N032_ = YES) OR (PlanDetails[2].N032_ = YES)) OR
(PlanDetails[3].N032_ = YES)) OR (((PrescpDrug.N176_MedsCovIns =
COMPLETELYCOVRD) OR (PrescpDrug.N176_MedsCovIns = MOSTLYCOVRD)) OR
(PrescpDrug.N176_MedsCovIns = PARTIALLYCOVRD))) OR (DentalPlans.N067_ = YES)
OR NOT (((((PlanDetails[1].N032_ = YES) OR (PlanDetails[2].N032_ = YES)) OR
(PlanDetails[3].N032_ = YES)) OR (((PrescpDrug.N176_MedsCovIns =
COMPLETELYCOVRD) OR (PrescpDrug.N176_MedsCovIns = MOSTLYCOVRD)) OR
(PrescpDrug.N176_MedsCovIns = PARTIALLYCOVRD))) OR (DentalPlans.N067_ = YES)))
HN098 BRANCHPNT-DENTAL/MEDS COVRGE/ALL OTH
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN.N098_ Ref 2000: G6320
..................................................................................
10834 1. R`S HEALTH INSURANCE PAYS PART OF PRESCRIPTION AND/OR DENTAL
7332 2. ALL OTHERS
1 Blank. INAP (Inapplicable)
HN099 OVERNIGHT STAY IN HOSP-SINCE PREV IW/2YR
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HospitalStay.N099_OverniteHosp Ref 2000: G2567
The next questions are about health care you have received. Since [PREV WAVE
IW MONTH], [PREV WAVE IW YEAR]/Since [PREV WAVE IW YEAR]/In the last two
years), have you been a patient in a hospital overnight?
..................................................................................
5013 1. YES
13110 5. NO
23 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
15 Blank. INAP (Inapplicable)
Ask:
IF (N099_OverniteHosp = YES)
HN100 NUM TIMES R STAYED OVERNIGHT IN HOSP
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_HospitalStay.N100_TimeOverHosp Ref 2000: G2568
How many different times were you a patient in a hospital overnight since
[PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the
last two years)?
IWER: IF R ASKS, INCLUDE MENTAL HOSPITALS AND SANITARIUMS
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
4970 1 95 1.80 2.31 13154
-----------------------------------------------------------------
43 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
Ask:
IF (N099_OverniteHosp = YES)
HN101 NUM NIGHTS R SPENT OVERNIGHT IN HOSPITAL
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_HospitalStay.N101_NiteOverHosp Ref 2000: G2569
Altogether how/How) many nights were you a patient in the hospital since
[PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the
last two years)?
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
4890 0 730 9.74 21.87 13154
-----------------------------------------------------------------
123 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
Ask:
IF (N099_OverniteHosp = YES)
HN102 HOSPITAL STAYS COVERED BY INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HospitalStay.N102_HospCovIns Ref 2000: G2570
Were the costs for your hospital stay(s) completely covered by health
insurance, mostly covered, only partially covered, or not covered at all by
insurance?
..................................................................................
2999 1. COMPLETELY COVERED
1406 2. MOSTLY COVERED
342 3. PARTIALLY COVERED
88 5. NOT COVERED AT ALL
2 6. No charge (professional courtesy, friend or relative provided
services; part of a study)
136 7. COSTS NOT SETTLED YET
36 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
13154 Blank. INAP (Inapplicable)
Ask:
IF (N099_OverniteHosp = YES)
AND (((((N102_HospCovIns = COMPLETELYCOVRD) OR (N102_HospCovIns =
MOSTLYCOVRD)) OR (N102_HospCovIns = PARTIALLYCOVRD)) AND (ptN090_NumOfPlans >
0)) AND (PlanDetails[1].N025_ <> MEDICARE))
AND (ptN090_NumOfPlans = 1)
HN103 HOSPITAL STAYS COVERED BY PRIV HI- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HospitalStay.N103_HospCovPlan
Were your hospitalization costs covered by ([See Blaise Specifications for
fill ptMainPlan])?
..................................................................................
1336 1. YES
127 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16695 Blank. INAP (Inapplicable)
Ask:
IF (N099_OverniteHosp = YES)
AND (NOT (ptN090_NumOfPlans = 1))
AND (ptN090_NumOfPlans > 1)
AND (((((N102_HospCovIns = COMPLETELYCOVRD) OR (N102_HospCovIns =
MOSTLYCOVRD)) OR (N102_HospCovIns = PARTIALLYCOVRD)) AND (ptN090_NumOfPlans >
0)) AND (PlanDetails[1].N025_ <> MEDICARE))
AND (NOT (ptN090_NumOfPlans > 1))
HN104 WHICH PLAN COV LGST SHARE HOSPITAL COST
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_HospitalStay.N104_WhiPlanCovHosp
Which of your health insurance plans covered the largest share of the costs?
..................................................................................
516 1. FIRST PLAN MENTIONED AT HN024
7 2. SECOND PLAN MENTIONED AT HN024
3. THIRD PLAN MENTIONED AT HN024
24 4. PLAN MENTIONED AT HN070
2 5. PLAN MENTIONED AT HN074
6. PLAN MENTIONED AT HN105
7. PLAN MENTIONED AT HN113
8. PLAN MENTIONED AT HN242
9. PLAN MENTIONED AT HN138
1 10. PLAN MENTIONED AT HN146
11. PLAN MENTIONED AT HN155
12. PLAN MENTIONED AT HN163
13. PLAN MENTIONED AT HN167
14. PLAN MENTIONED AT HN174
15. PLAN MENTIONED AT HN179
16. PLAN MENTIONED AT HN187
477 20. MEDICARE
110 21. MEDICAID
37 22. CHAMPUS
71 27. NOT ON LIST
60 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
16862 Blank. INAP (Inapplicable)
Ask:
IF (N099_OverniteHosp = YES)
AND (N102_HospCovIns <> COMPLETELYCOVRD)
HN106 AMT PAID O-O-P HOSPITAL COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN_HospitalStay.N106_AmtOOPHospCost
About how much did you pay out-of-pocket for hospital bills since [PREV WAVE
IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two
years)?
IWER: DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1238 0 46000 1324.21 3361.67 16150
-----------------------------------------------------------------
770 99998. DK (Don't Know); NA (Not Ascertained)
9 99999. RF (Refused)
HN107 AMT PAID O-O-P HOSPITAL COSTS - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN_HospitalStay.N107_
N107_-N109_ Unfolding Sequence
Question text: Does it amount to less than $______, more than $______, or
what?
PROCEDURES: UNFM_2up2down; UNFM_1up3down; UNFM_3up1down
BREAKPOINTS: 500, 5000, 10000, 20000, 50000
RANDOM ENTRY POINT ASSIGNMENT: HZ084
..................................................................................
286 0. Value of Breakpoint
55 500. Value of Breakpoint
238 501. Value of Breakpoint
46 5000. Value of Breakpoint
53 5001. Value of Breakpoint
7 10000. Value of Breakpoint
78 10001. Value of Breakpoint
6 20000. Value of Breakpoint
6 20001. Value of Breakpoint
1 50000. Value of Breakpoint
3 50001. Value of Breakpoint
17388 Blank. INAP (Inapplicable)
HN108 AMT PAID O-O-P HOSPITAL COSTS - MAX
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_HospitalStay.N108_
..................................................................................
135 499. Value of Breakpoint
55 500. Value of Breakpoint
261 4999. Value of Breakpoint
46 5000. Value of Breakpoint
61 9999. Value of Breakpoint
7 10000. Value of Breakpoint
28 19999. Value of Breakpoint
6 20000. Value of Breakpoint
6 49999. Value of Breakpoint
1 50000. Value of Breakpoint
173 500000. Value of Breakpoint
17388 Blank. INAP (Inapplicable)
HN109 AMT PAID O-O-P HOSPITAL COSTS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_HospitalStay.N109_
..................................................................................
97. Data Not Available
215 98. DK (Don't Know); NA (Not Ascertained)
6 99. RF (Refused)
17946 Blank. INAP (Inapplicable)
Ask:
IF (NOT (N099_OverniteHosp = YES))
AND (((piGovCoverN001_ <> YES) AND (piGovCoverN006_ <> YES)) AND
(piGovCoverN007_ <> YES))
HN110 EXPECT INS TO COVER HOSPITAL COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HospitalStay.N110_ExpInsCovHosp
If you did need to stay in a hospital overnight, would you expect any of the
costs to be covered by insurance?
..................................................................................
4441 1. YES
716 5. NO
22 8. DK (Don't Know)
4 9. RF (Refused)
12984 Blank. INAP (Inapplicable)
Ask:
IF (NOT (N099_OverniteHosp = YES))
AND (((piGovCoverN001_ <> YES) AND (piGovCoverN006_ <> YES)) AND
(piGovCoverN007_ <> YES))
AND (N110_ExpInsCovHosp = YES)
AND (ptN090_NumOfPlans = 1)
HN111 WOULD HOSP STAYS BE COVERED BY ONLY PLAN
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HospitalStay.N111_ExpPlanCovHosp
Would your hospitalization costs be covered by ([See Blaise Specifications
for fill ptMainPlan])?
..................................................................................
2641 1. YES
19 5. NO
8. DK (Don't Know)
1 9. RF (Refused)
15506 Blank. INAP (Inapplicable)
Ask:
IF (((piGovCoverN001_ <> YES) AND (piGovCoverN006_ <> YES)) AND
(piGovCoverN007_ <> YES))
AND (N110_ExpInsCovHosp = YES)
AND (NOT (ptN090_NumOfPlans = 1))
AND (ptN090_NumOfPlans > 1)
AND (NOT (N099_OverniteHosp = YES))
AND (NOT (ptN090_NumOfPlans > 1))
HN112 WHICH PLAN COVER LGST SHARE HOSP COST
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_HospitalStay.N112_ExpWhiPlanHosp
Which of your health insurance plans would cover the largest share of the
costs?
..................................................................................
1644 1. FIRST PLAN MENTIONED AT HN024
14 2. SECOND PLAN MENTIONED AT HN024
1 3. THIRD PLAN MENTIONED AT HN024
8 4. PLAN MENTIONED AT HN070
1 5. PLAN MENTIONED AT HN074
6. PLAN MENTIONED AT HN105
7. PLAN MENTIONED AT HN113
8. PLAN MENTIONED AT HN242
9. PLAN MENTIONED AT HN138
10. PLAN MENTIONED AT HN146
1 11. PLAN MENTIONED AT HN155
1 12. PLAN MENTIONED AT HN163
13. PLAN MENTIONED AT HN167
14. PLAN MENTIONED AT HN174
15. PLAN MENTIONED AT HN179
16. PLAN MENTIONED AT HN187
20. MEDICARE
21. MEDICAID
22. CHAMPUS
105 27. NOT ON LIST
5 98. DK (Don't Know)
99. RF (Refused)
16387 Blank. INAP (Inapplicable)
Ask:
IF (NOT (piA028_RInNHome = YES)
OR piA028_RInNHome = YES)
HN114 EVER PATIENT OVERNIGHT IN NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_NursingHomeStays.N114_OverniteNH Ref 2000: G2571
(Since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/Since [PREV WAVE IW YEAR]/In
the last two years), have you been a patient overnight in a nursing home,
convalescent home, or other long-term health care facility?
..................................................................................
875 1. YES
17264 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
7 9. RF (Refused)
15 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
HN115 # TIMES SPENT OVERNIGHT IN NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_NursingHomeStays.N115_TimeOverNH Ref 2000: G2572
How many times including now, have you been a patient in a nursing home/were
you a patient in a nursing home) or other long-term care facility since [PREV
WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two
years)?
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
837 1 58 1.29 2.36 17292
-----------------------------------------------------------------
29 98. DK (Don't Know); NA (Not Ascertained)
9 99. RF (Refused)
Ask:
IF (N114_OverniteNH = YES)
HN116 NUM NIGHTS R SPENT OVERNIGHT IN NH
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_NursingHomeStays.N116_NiteOverNH Ref 2000: G2573
(Altogether, how/How) many nights or months have you been a patient in a
nursing home since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE
IW YEAR]/in the last two years)?
IWER: ENTER 996 FOR CONTINUOUS SINCE ENTERED OR since [PREV WAVE IW MONTH],
[PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years)
IF R ANSWERS IN MONTHS RATHER THAN NIGHTS, ENTER 0 FOR NIGHTS
NIGHTS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
468 0 900 40.30 95.81 17454
-----------------------------------------------------------------
204 996. CONTINUOUS SINCE ENTERED
34 998. DK (Don't Know); NA (Not Ascertained)
7 999. RF (Refused)
Ask:
IF (N114_OverniteNH = YES)
AND (N116_NiteOverNH = EMPTY)
HN117 NUM MOS R SPENT OVERNIGHT IN NH
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_NursingHomeStays.N117_MoOverNH Ref 2000: G2574
(Altogether, how/How) many nights or months have you been a patient in a
nursing home since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE
IW YEAR]/in the last two years)?
MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
169 1 36 12.88 9.14 17995
-----------------------------------------------------------------
3 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
Ask:
IF (N114_OverniteNH = YES)
HN118 NH COSTS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_NursingHomeStays.N118_InsCovCost Ref 2000: G2576
(Have the costs for your nursing home stay(s) been completely covered by/Were
the costs for your nursing home stay(s) completely covered by) insurance, only
partially covered, or not covered at all by insurance?
..................................................................................
477 1. COMPLETELY COVERED
71 2. MOSTLY COVERED
86 3. PARTIALLY COVERED
158 5. NOT COVERED AT ALL
23 7. COSTS NOT SETTLED YET
53 8. DK (Don't Know); NA (Not Ascertained)
8 9. RF (Refused)
17291 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (N118_InsCovCost <> COMPLETELYCOVRD)
HN119 AMT PAID O-O-P NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_NursingHomeStays.N119_AmtPayNHHosp Ref 2000: G2577
About how much did you pay out-of-pocket for nursing home bills since [PREV
WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two
years)?
IWER: DO NOT PROBE DK/RF
INCLUDE ANY AMOUNT PAID BY OTHERS
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
233 0 213000 23380.94 36990.72 17768
-----------------------------------------------------------------
153 999998. DK (Don't Know); NA (Not Ascertained)
13 999999. RF (Refused)
HN120 AMT PAID O-O-P NURSING HOME- MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN_NursingHomeStays.N120_
N120_-N122_ Unfolding Sequence
Question text: Does it amount to less than $______, more than $______, or
what?
PROCEDURES: UNFM_2up2down; UNFM_1up3down; UNFM_3Up1down
BREAKPOINTS: 500, 5000, 10000, 20000, 50000
RANDOM ENTRY POINT ASSIGNMENT: HZ084
..................................................................................
71 0. Value of Breakpoint
3 500. Value of Breakpoint
13 501. Value of Breakpoint
5 5000. Value of Breakpoint
5 5001. Value of Breakpoint
2 10000. Value of Breakpoint
49 10001. Value of Breakpoint
1 20000. Value of Breakpoint
6 20001. Value of Breakpoint
2 50000. Value of Breakpoint
8 50001. Value of Breakpoint
18002 Blank. INAP (Inapplicable)
HN121 AMT PAID O-O-P NURSING HOME- MAX
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_NursingHomeStays.N121_
..................................................................................
10 499. Value of Breakpoint
3 500. Value of Breakpoint
16 4999. Value of Breakpoint
5 5000. Value of Breakpoint
4 9999. Value of Breakpoint
2 10000. Value of Breakpoint
11 19999. Value of Breakpoint
1 20000. Value of Breakpoint
5 49999. Value of Breakpoint
2 50000. Value of Breakpoint
106 500000. Value of Breakpoint
18002 Blank. INAP (Inapplicable)
HN122 AMT PAID O-O-P NURSING HOME- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_NursingHomeStays.N122_
..................................................................................
1 97. Data Not Available
91 98. DK (Don't Know); NA (Not Ascertained)
14 99. RF (Refused)
18061 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((piA028_RInNHome <> YES) OR (piN115_TimeOverNH > 1)) AND
((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <> 996)))
HN123_1 MONTH R MOVED TO NURSING HOME- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N123_MoMovInNH1 Ref 2000: G2585
(Think back to the (first/second/current/last) time (since [PREV WAVE IW
MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years],
that you were a patient in a nursing home or other long-term care
facility./Think about your current stay at the nursing home or other long-term
care facility.)
In about what month and year did you go into the nursing home or health care
facility?
MONTH/SEASON:
..................................................................................
34 1. JAN
29 2. FEB
29 3. MAR
38 4. APR
32 5. MAY
39 6. JUN
34 7. JUL
29 8. AUG
25 9. SEP
26 10. OCT
28 11. NOV
24 12. DEC
6 13. WINTER
9 14. SPRING
6 15. SUMMER
5 16. FALL
25 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17749 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((piA028_RInNHome <> YES) OR (piN115_TimeOverNH > 1)) AND
((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <> 996)))
HN124_1 YEAR R MOVED TO NURSING HOME- 1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N124_YrMovInNH1 Ref 2000: G2586
(Think back to the (first/second/current/last) time (since [PREV WAVE IW
MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years],
that you were a patient in a nursing home or other long-term care
facility./Think about your current stay at the nursing home or other long-term
care facility.)
In about what month and year did you go into the nursing home or health care
facility?
YEAR:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
405 1996 2002 2001.02 0.91 17749
-----------------------------------------------------------------
13 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((piA028_RInNHome <> YES) OR (piN115_TimeOverNH > 1)) AND
((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <> 996)))
AND ((piA028_RInNHome <> YES) OR ((piA028_RInNHome = YES) AND (piLPCNTR <
piN115_TimeOverNH)))
HN125_1 MONTH R MOVED OUT OF NURSING HOME- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N125_MoMovOutNH1 Ref 2000: G2587
In about what month and year did you move out of the nursing home or health
care facility?
MONTH/SEASON:
..................................................................................
22 1. JAN
28 2. FEB
33 3. MAR
33 4. APR
39 5. MAY
28 6. JUN
38 7. JUL
39 8. AUG
22 9. SEP
24 10. OCT
25 11. NOV
28 12. DEC
5 13. WINTER
9 14. SPRING
8 15. SUMMER
3 16. FALL
15 95. Continuous since entered
20 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17748 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((piA028_RInNHome <> YES) OR (piN115_TimeOverNH > 1)) AND
((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <> 996)))
AND ((piA028_RInNHome <> YES) OR ((piA028_RInNHome = YES) AND (piLPCNTR <
piN115_TimeOverNH)))
HN126_1 YEAR R MOVED OUT OF NURSING HOME- 1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N126_YrMovOutNH1 Ref 2000: G2588
(In about what month and year did you move out of the nursing home or health
care facility?)
YEAR:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
391 1998 2003 2001.18 0.77 17763
-----------------------------------------------------------------
13 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES)
HN127_1 ELIGIBLE FOR MEDICAID START NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N127_ Ref 2000: G6244
Were you eligible for (Medicaid/STATE NAME FOR MEDICAID) at the time your
(first/second/current/last) nursing home stay started?
..................................................................................
188 1. YES
64 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17906 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES)
AND (N127_ = NO)
HN128_1 ELIGIBLE FOR MEDICAID DURNG NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N128_ Ref 2000: G6245
Did you become eligible for (Medicaid/STATE NAME FOR MEDICAID) during that
nursing home stay?
..................................................................................
45 1. YES
19 5. NO
8. DK (Don't Know)
9. RF (Refused)
18103 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES)
AND ((((N127_ = YES) OR (N128_ = YES)) AND (piLPCNTR = piN115_TimeOverNH)) AND
(piA028_RInNHome = NO))
HN130_1 LOSE ELIGIBILITY-LAST NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N130_ Ref 2000: G6250
Did you lose your eligibility for (Medicaid/STATE NAME FOR MEDICAID) when you
were discharged from your (last) nursing home stay?
..................................................................................
5 1. YES
33 5. NO
3 8. DK (Don't Know)
9. RF (Refused)
18126 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((piLPCNTR < piN115_TimeOverNH) AND (piA028_RInNHome = YES)) OR
(piA028_RInNHome <> YES))
HN131_1 WHERE R LIVE AFTER NURSING HOME STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N131_LiveAftNH1 Ref 2000: G2589
Where did you live after leaving the nursing home or health care facility?
(Did you live alone, (with your (husband/wife/partner) only), with one of your
children and his or her own family, with other relatives, in a retirement
center, or what?)
..................................................................................
114 1. R LIVED BY HIM/HER SELF, ALONE
149 2. R LIVED WITH SPOUSE/PARTNER ONLY
64 3. R LIVED WITH CHILD AND CHILD'S FAMILY
17 4. R LIVED WITH OTHER RELATIVE(S)
4 5. R LIVED IN RETIREMENT CENTER
46 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
14 7. OTHER (SPECIFY)
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17754 Blank. INAP (Inapplicable)
Assign:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((piLPCNTR < piN115_TimeOverNH) AND (piA028_RInNHome = YES)) OR
(piA028_RInNHome <> YES))
AND (N131_LiveAftNH1 = RLIVEDWITHCHILDCHILDSFAM)
HN133_1 LIVE WITH WHICH CHILD AFTER NH STAY- 1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N133_WhiChldNH1 Ref 2000: G2590M1
(Which child is that?)
IWER: IF GRANDCHILD: (Which of your children is the parent of that
grandchild?)
..................................................................................
63 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
996. ALL CHILDREN - "EQUALLY" NOT MENTIONED
998. DK(Don't Know)
999. RF(Refused)
18104 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((piA028_RInNHome <> YES) OR (piN115_TimeOverNH > 1)) AND
((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <> 996)))
HN123_2 MONTH R MOVED TO NURSING HOME- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N123_MoMovInNH1 Ref 2000: G2585
(Think back to the (first/second/current/last) time (since [PREV WAVE IW
MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years],
that you were a patient in a nursing home or other long-term care
facility./Think about your current stay at the nursing home or other long-term
care facility.)
In about what month and year did you go into the nursing home or health care
facility?
MONTH/SEASON:
..................................................................................
6 1. JAN
6 2. FEB
6 3. MAR
9 4. APR
6 5. MAY
8 6. JUN
9 7. JUL
11 8. AUG
4 9. SEP
6 10. OCT
4 11. NOV
6 12. DEC
1 13. WINTER
1 14. SPRING
2 15. SUMMER
2 16. FALL
8 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18072 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((piA028_RInNHome <> YES) OR (piN115_TimeOverNH > 1)) AND
((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <> 996)))
HN124_2 YEAR R MOVED TO NURSING HOME- 2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N124_YrMovInNH1 Ref 2000: G2586
(Think back to the (first/second/current/last) time (since [PREV WAVE IW
MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years],
that you were a patient in a nursing home or other long-term care
facility./Think about your current stay at the nursing home or other long-term
care facility.)
In about what month and year did you go into the nursing home or health care
facility?
YEAR:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
90 2000 2002 2001.41 0.62 18072
-----------------------------------------------------------------
5 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((piA028_RInNHome <> YES) OR (piN115_TimeOverNH > 1)) AND
((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <> 996)))
AND ((piA028_RInNHome <> YES) OR ((piA028_RInNHome = YES) AND (piLPCNTR <
piN115_TimeOverNH)))
HN125_2 MONTH R MOVED OUT OF NURSING HOME- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N125_MoMovOutNH1 Ref 2000: G2587
In about what month and year did you move out of the nursing home or health
care facility?
MONTH/SEASON:
..................................................................................
2 1. JAN
5 2. FEB
4 3. MAR
3 4. APR
2 5. MAY
4 6. JUN
7 7. JUL
8 8. AUG
3 9. SEP
3 10. OCT
11. NOV
9 12. DEC
1 13. WINTER
1 14. SPRING
1 15. SUMMER
2 16. FALL
2 95. Continuous since entered
8 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18102 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((piA028_RInNHome <> YES) OR (piN115_TimeOverNH > 1)) AND
((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <> 996)))
AND ((piA028_RInNHome <> YES) OR ((piA028_RInNHome = YES) AND (piLPCNTR <
piN115_TimeOverNH)))
HN126_2 YEAR R MOVED OUT OF NURSING HOME- 2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N126_YrMovOutNH1 Ref 2000: G2588
(In about what month and year did you move out of the nursing home or health
care facility?)
YEAR:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
60 2000 2002 2001.42 0.65 18104
-----------------------------------------------------------------
3 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES)
HN127_2 ELIGIBLE FOR MEDICAID START NH STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N127_ Ref 2000: G6244
Were you eligible for (Medicaid/STATE NAME FOR MEDICAID) at the time your
(first/second/current/last) nursing home stay started?
..................................................................................
23 1. YES
4 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18140 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES)
AND (N127_ = NO)
HN128_2 ELIGIBLE FOR MEDICAID DURNG NH STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N128_ Ref 2000: G6245
Did you become eligible for (Medicaid/STATE NAME FOR MEDICAID) during that
nursing home stay?
..................................................................................
4 1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18163 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES)
AND ((((N127_ = YES) OR (N128_ = YES)) AND (piLPCNTR = piN115_TimeOverNH)) AND
(piA028_RInNHome = NO))
HN130_2 LOSE ELIGIBILITY-LAST NH STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N130_ Ref 2000: G6250
Did you lose your eligibility for (Medicaid/STATE NAME FOR MEDICAID) when you
were discharged from your (last) nursing home stay?
..................................................................................
1 1. YES
2 5. NO
8. DK (Don't Know)
9. RF (Refused)
18164 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((piLPCNTR < piN115_TimeOverNH) AND (piA028_RInNHome = YES)) OR
(piA028_RInNHome <> YES))
HN131_2 WHERE R LIVE AFTER NURSING HOME STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N131_LiveAftNH1 Ref 2000: G2589
Where did you live after leaving the nursing home or health care facility?
(Did you live alone, (with your (husband/wife/partner) only), with one of your
children and his or her own family, with other relatives, in a retirement
center, or what?)
..................................................................................
14 1. R LIVED BY HIM/HER SELF, ALONE
25 2. R LIVED WITH SPOUSE/PARTNER ONLY
10 3. R LIVED WITH CHILD AND CHILD'S FAMILY
4. R LIVED WITH OTHER RELATIVE(S)
5. R LIVED IN RETIREMENT CENTER
12 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
3 7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18102 Blank. INAP (Inapplicable)
Assign:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((piLPCNTR < piN115_TimeOverNH) AND (piA028_RInNHome = YES)) OR
(piA028_RInNHome <> YES))
AND (N131_LiveAftNH1 = RLIVEDWITHCHILDCHILDSFAM)
HN133_2 LIVE WITH WHICH CHILD AFTER NH STAY- 2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N133_WhiChldNH1 Ref 2000: G2590M1
(Which child is that?)
IWER: IF GRANDCHILD: (Which of your children is the parent of that
grandchild?)
..................................................................................
9 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
996. ALL CHILDREN - "EQUALLY" NOT MENTIONED
998. DK(Don't Know)
999. RF(Refused)
18158 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((piA028_RInNHome <> YES) OR (piN115_TimeOverNH > 1)) AND
((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <> 996)))
HN123_3 MONTH R MOVED TO NURSING HOME- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N123_MoMovInNH1 Ref 2000: G2585
(Think back to the (first/second/current/last) time (since [PREV WAVE IW
MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years],
that you were a patient in a nursing home or other long-term care
facility./Think about your current stay at the nursing home or other long-term
care facility.)
In about what month and year did you go into the nursing home or health care
facility?
MONTH/SEASON:
..................................................................................
2 1. JAN
1 2. FEB
2 3. MAR
3 4. APR
5. MAY
2 6. JUN
7. JUL
8. AUG
2 9. SEP
2 10. OCT
1 11. NOV
1 12. DEC
1 13. WINTER
14. SPRING
15. SUMMER
2 16. FALL
3 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
18144 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((piA028_RInNHome <> YES) OR (piN115_TimeOverNH > 1)) AND
((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <> 996)))
HN124_3 YEAR R MOVED TO NURSING HOME- 3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N124_YrMovInNH1 Ref 2000: G2586
(Think back to the (first/second/current/last) time (since [PREV WAVE IW
MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years],
that you were a patient in a nursing home or other long-term care
facility./Think about your current stay at the nursing home or other long-term
care facility.)
In about what month and year did you go into the nursing home or health care
facility?
YEAR:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
20 2000 2002 2001.65 0.59 18144
-----------------------------------------------------------------
2 9998. DK (Don't Know); NA (Not Ascertained)
1 9999. RF (Refused)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((piA028_RInNHome <> YES) OR (piN115_TimeOverNH > 1)) AND
((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <> 996)))
AND ((piA028_RInNHome <> YES) OR ((piA028_RInNHome = YES) AND (piLPCNTR <
piN115_TimeOverNH)))
HN125_3 MONTH R MOVED OUT OF NURSING HOME- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N125_MoMovOutNH1 Ref 2000: G2587
In about what month and year did you move out of the nursing home or health
care facility?
MONTH/SEASON:
..................................................................................
1. JAN
2. FEB
1 3. MAR
1 4. APR
1 5. MAY
1 6. JUN
7. JUL
1 8. AUG
9. SEP
10. OCT
11. NOV
1 12. DEC
13. WINTER
1 14. SPRING
15. SUMMER
1 16. FALL
5 95. Continuous since entered
2 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
18151 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((piA028_RInNHome <> YES) OR (piN115_TimeOverNH > 1)) AND
((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <> 996)))
AND ((piA028_RInNHome <> YES) OR ((piA028_RInNHome = YES) AND (piLPCNTR <
piN115_TimeOverNH)))
HN126_3 YEAR R MOVED OUT OF NURSING HOME- 3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N126_YrMovOutNH1 Ref 2000: G2588
(In about what month and year did you move out of the nursing home or health
care facility?)
YEAR:
..................................................................................
9 2000-2002. Actual Value
2 9998. DK (Don't Know); NA (Not Ascertained)
1 9999. RF (Refused)
18155 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES)
HN127_3 ELIGIBLE FOR MEDICAID START NH STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N127_ Ref 2000: G6244
Were you eligible for (Medicaid/STATE NAME FOR MEDICAID) at the time your
(first/second/current/last) nursing home stay started?
..................................................................................
7 1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18160 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES)
AND (N127_ = NO)
HN128_3 ELIGIBLE FOR MEDICAID DURNG NH STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N128_ Ref 2000: G6245
Did you become eligible for (Medicaid/STATE NAME FOR MEDICAID) during that
nursing home stay?
..................................................................................
1. YES
5. NO
8. DK (Don't Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES)
AND ((((N127_ = YES) OR (N128_ = YES)) AND (piLPCNTR = piN115_TimeOverNH)) AND
(piA028_RInNHome = NO))
HN130_3 LOSE ELIGIBILITY-LAST NH STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N130_ Ref 2000: G6250
Did you lose your eligibility for (Medicaid/STATE NAME FOR MEDICAID) when you
were discharged from your (last) nursing home stay?
..................................................................................
1. YES
2 5. NO
8. DK (Don't Know)
9. RF (Refused)
18165 Blank. INAP (Inapplicable)
Ask:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((piLPCNTR < piN115_TimeOverNH) AND (piA028_RInNHome = YES)) OR
(piA028_RInNHome <> YES))
HN131_3 WHERE R LIVE AFTER NURSING HOME STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N131_LiveAftNH1 Ref 2000: G2589
Where did you live after leaving the nursing home or health care facility?
(Did you live alone, (with your (husband/wife/partner) only), with one of your
children and his or her own family, with other relatives, in a retirement
center, or what?)
..................................................................................
3 1. R LIVED BY HIM/HER SELF, ALONE
3 2. R LIVED WITH SPOUSE/PARTNER ONLY
1 3. R LIVED WITH CHILD AND CHILD'S FAMILY
4. R LIVED WITH OTHER RELATIVE(S)
1 5. R LIVED IN RETIREMENT CENTER
2 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
7. OTHER (SPECIFY)
2 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
18154 Blank. INAP (Inapplicable)
Assign:
IF (N114_OverniteNH = YES)
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((piLPCNTR < piN115_TimeOverNH) AND (piA028_RInNHome = YES)) OR
(piA028_RInNHome <> YES))
AND (N131_LiveAftNH1 = RLIVEDWITHCHILDCHILDSFAM)
HN133_3 LIVE WITH WHICH CHILD AFTER NH STAY- 3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N133_WhiChldNH1 Ref 2000: G2590M1
(Which child is that?)
IWER: IF GRANDCHILD: (Which of your children is the parent of that
grandchild?)
..................................................................................
1 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
996. ALL CHILDREN - "EQUALLY" NOT MENTIONED
998. DK(Don't Know)
999. RF(Refused)
18166 Blank. INAP (Inapplicable)
HN134 OUTPATIENT SURGERY- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_OutpatSurgery.N134_OutSurgLst2Yrs Ref 2000: G2610
(Not counting overnight hospital stays,(since [PREV WAVE IW MONTH], [PREV WAVE
IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years), /(Since [PREV WAVE
IW MONTH], [PREV WAVE IW YEAR]/Since [PREV WAVE IW YEAR]/In the last two
years),) have you had outpatient surgery?)
..................................................................................
3669 1. YES
14453 5. NO
23 8. DK (Don't Know); NA (Not Ascertained)
7 9. RF (Refused)
15 Blank. INAP (Inapplicable)
Ask:
IF (N134_OutSurgLst2Yrs = YES)
HN135 OUTPATIENT SURG COSTS COVERED BY HI
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_OutpatSurgery.N135_SurgCov Ref 2000: G2611
Were the expenses for your outpatient surgery completely covered by health
insurance, mostly covered, only partially covered, or not covered at all by
insurance?
..................................................................................
2064 1. COMPLETELY COVERED
1144 2. MOSTLY COVERED
269 3. PARTIALLY COVERED
69 5. NOT COVERED AT ALL
105 7. COSTS NOT SETTLED YET
18 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
14498 Blank. INAP (Inapplicable)
Ask:
IF (N134_OutSurgLst2Yrs = YES)
AND (N135_SurgCov <> COMPLETELYCOVRD)
HN139 AMT PAID O-O-P OUTPAT SURGERY
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN_OutpatSurgery.N139_AmtOOPOutSurg
About how much did you pay out-of-pocket for outpatient surgery since [PREV
WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two
years)?
IWER: DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1084 0 27800 601.40 1737.42 16562
-----------------------------------------------------------------
515 99998. DK (Don't Know); NA (Not Ascertained)
6 99999. RF (Refused)
HN140 AMT PAID O-O-P OUTPAT SURGERY - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN_OutpatSurgery.N140_
N140_-N142_ Unfolding Sequence
Question text: Does it amount to less than $______, more than $______, or
what?
PROCEDURES: UNFM_1up3down; UNFM_2up2down; UNFM_3Up1down
BREAKPOINTS: 500, 2000, 5000, 10000, 20000
RANDOM ENTRY POINT ASSIGNMENT: HZ084
..................................................................................
271 0. Value of Breakpoint
46 500. Value of Breakpoint
93 501. Value of Breakpoint
19 2000. Value of Breakpoint
31 2001. Value of Breakpoint
3 5000. Value of Breakpoint
49 5001. Value of Breakpoint
2 10000. Value of Breakpoint
2 10001. Value of Breakpoint
17651 Blank. INAP (Inapplicable)
HN141 AMT PAID O-O-P OUTPAT SURGERY - MAX
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_OutpatSurgery.N141_
..................................................................................
176 499. Value of Breakpoint
46 500. Value of Breakpoint
110 1999. Value of Breakpoint
19 2000. Value of Breakpoint
34 4999. Value of Breakpoint
3 5000. Value of Breakpoint
14 9999. Value of Breakpoint
2 10000. Value of Breakpoint
2 19999. Value of Breakpoint
110 200000. Value of Breakpoint
17651 Blank. INAP (Inapplicable)
HN142 AMT PAID O-O-P OUTPAT SURGERY - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_OutpatSurgery.N142_
..................................................................................
5 97. Data Not Available
134 98. DK (Don't Know); NA (Not Ascertained)
4 99. RF (Refused)
18024 Blank. INAP (Inapplicable)
Ask:
IF (NOT (N134_OutSurgLst2Yrs = YES))
HN143 EXPECT INS TO COVER OUTPAT SURGERY COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_OutpatSurgery.N143_ExpInsCovOutSurg
If you did need to have outpatient surgery, would you expect any of the costs
to be covered by insurance?
..................................................................................
13043 1. YES
1169 5. NO
243 8. DK (Don't Know); NA (Not Ascertained)
14 9. RF (Refused)
3698 Blank. INAP (Inapplicable)
HN147 # TIMES SEEN DR- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_DoctorVisit.N147_TimeSeeDoc Ref 2000: G2603
(Aside from any hospital stays,/Aside from any outpatient surgery,/Aside from
any hospital stays and outpatient surgery,) how many times have you seen or
talked to a medical doctor about your health, including emergency room or
clinic visits since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV
WAVE IW YEAR]/in the last two years)?
IWER: USE ZERO FOR NONE
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
17270 0 900 10.64 20.37 15
-----------------------------------------------------------------
865 998. DK (Don't Know); NA (Not Ascertained)
17 999. RF (Refused)
Ask:
IF (N147_TimeSeeDoc = NONRESPONSE)
HN148 NUMBER TIMES SEEN DOCTOR 20X
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_DoctorVisit.N148_TimeSeeDoc20 Ref 2000: G2604
Did it amount to less than 20 times, more than 20 times, or what?
..................................................................................
305 1. LESS THAN 20 TIMES
109 3. ABOUT 20 TIMES
397 5. MORE THAN 20 TIMES
57 8. DK (Don't Know); NA (Not Ascertained)
15 9. RF (Refused)
17284 Blank. INAP (Inapplicable)
Ask:
IF (N147_TimeSeeDoc = NONRESPONSE)
AND (N148_TimeSeeDoc20 <> ABT20TIMES)
AND (N148_TimeSeeDoc20 <> MORETHAN20TIMES)
AND (N148_TimeSeeDoc20 <> NONRESPONSE)
HN149 NUMBER TIMES SEEN DOCTOR 5X
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_DoctorVisit.N149_TimeSeeDoc5 Ref 2000: G2605
Did it amount to less than 5 times, more than 5 times, or what?
..................................................................................
32 1. LESS THAN 5 TIMES
33 3. ABOUT 5 TIMES
227 5. MORE THAN 5 TIMES
13 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17862 Blank. INAP (Inapplicable)
Ask:
IF (N147_TimeSeeDoc = NONRESPONSE)
AND (N148_TimeSeeDoc20 <> ABT20TIMES)
AND (N148_TimeSeeDoc20 <> MORETHAN20TIMES)
AND ((N149_TimeSeeDoc5 <> ABT5TIMES) AND (N149_TimeSeeDoc5 <> MORETHAN5TIMES))
HN150 HAS R SOUGHT DOC ADVICE IN PAST 2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_DoctorVisit.N150_DocAdvPast2Yrs Ref 2000: G2606
Do you think you have seen a medical doctor about your health at least once
since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in
the last two years)?
..................................................................................
107 1. YES
2 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
7 9. RF (Refused)
18050 Blank. INAP (Inapplicable)
Ask:
IF (N147_TimeSeeDoc = NONRESPONSE)
AND (N148_TimeSeeDoc20 <> ABT20TIMES)
AND (N148_TimeSeeDoc20 = MORETHAN20TIMES)
HN151 R SEEK DOC ADVICE 50X
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_DoctorVisit.N151_SkDocAdv50 Ref 2000: G2607
Did it amount to less than 50 times, more than 50 times, or what?
..................................................................................
226 1. LESS THAN 50 TIMES
40 3. ABOUT 50 TIMES
113 5. MORE THAN 50 TIMES
17 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17770 Blank. INAP (Inapplicable)
Ask:
IF (((N150_DocAdvPast2Yrs = YES) OR N150_DocAdvPast2Yrs = NONRESPONSE) OR
((((N147_TimeSeeDoc > 0) OR (N148_TimeSeeDoc20 = RESPONSE)) OR
(N149_TimeSeeDoc5 = ABT5TIMES)) OR (N149_TimeSeeDoc5 = MORETHAN5TIMES)))
HN152 DOCTOR VISITS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_DoctorVisit.N152_VisitCovIns Ref 2000: G2609
Were the costs for your doctor or clinic bills completely covered by health
insurance, mostly covered, only partially covered, or not covered at all by
insurance?
..................................................................................
6148 1. COMPLETELY COVERED
7833 2. MOSTLY COVERED
2171 3. PARTIALLY COVERED
755 5. NOT COVERED AT ALL
3 6. No charge (professional courtesy, friend or relative provided
services; part of a study)
70 7. COSTS NOT SETTLED YET
92 8. DK (Don't Know); NA (Not Ascertained)
23 9. RF (Refused)
1072 Blank. INAP (Inapplicable)
Ask:
IF (((N150_DocAdvPast2Yrs = YES) OR N150_DocAdvPast2Yrs = NONRESPONSE) OR
((((N147_TimeSeeDoc > 0) OR (N148_TimeSeeDoc20 = RESPONSE)) OR
(N149_TimeSeeDoc5 = ABT5TIMES)) OR (N149_TimeSeeDoc5 = MORETHAN5TIMES)))
AND (N152_VisitCovIns <> COMPLETELYCOVRD)
HN156 AMT PAY O-O-P FOR DOC VISITS
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_DoctorVisit.N156_AmtOOPVisit
About how much did you pay out-of-pocket for doctor or clinic visits since
[PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the
last two years)?
IWER: DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
8027 0 100000 349.72 1429.83 7221
-----------------------------------------------------------------
2844 999998. DK (Don't Know); NA (Not Ascertained)
75 999999. RF (Refused)
HN157 AMT PAY O-O-P FOR DOC VISITS - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN_DoctorVisit.N157_
N157_-N159_ Unfolding Sequence
Question text: Does it amount to less than $______, more than $______, or
what?
PROCEDURES: UNFM_3Up1down; UNFM_2up2down; UNFM_1up3down
BREAKPOINTS: 500, 2000, 5000, 10000, 20000
RANDOM ENTRY POINT ASSIGNMENT: HZ084
..................................................................................
1394 0. Value of Breakpoint
256 500. Value of Breakpoint
576 501. Value of Breakpoint
219 2000. Value of Breakpoint
176 2001. Value of Breakpoint
61 5000. Value of Breakpoint
200 5001. Value of Breakpoint
17 10000. Value of Breakpoint
11 10001. Value of Breakpoint
8 20001. Value of Breakpoint
15249 Blank. INAP (Inapplicable)
HN158 AMT PAY O-O-P FOR DOC VISITS - MAX
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_DoctorVisit.N158_
..................................................................................
995 499. Value of Breakpoint
256 500. Value of Breakpoint
638 1999. Value of Breakpoint
219 2000. Value of Breakpoint
194 4999. Value of Breakpoint
61 5000. Value of Breakpoint
70 9999. Value of Breakpoint
17 10000. Value of Breakpoint
11 19999. Value of Breakpoint
457 200000. Value of Breakpoint
15249 Blank. INAP (Inapplicable)
HN159 AMT PAY O-O-P FOR DOC VISITS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_DoctorVisit.N159_
..................................................................................
1 97. Data Not Available
508 98. DK (Don't Know); NA (Not Ascertained)
63 99. RF (Refused)
17595 Blank. INAP (Inapplicable)
Ask:
IF (NOT (((N150_DocAdvPast2Yrs = YES) OR N150_DocAdvPast2Yrs = NONRESPONSE) OR
((((N147_TimeSeeDoc > 0) OR (N148_TimeSeeDoc20 = RESPONSE)) OR
(N149_TimeSeeDoc5 = ABT5TIMES)) OR (N149_TimeSeeDoc5 = MORETHAN5TIMES))))
HN160 EXPECT HI TO COVER DR VISIT COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_DoctorVisit.N160_ExpDocCovIns
If you did need to see a medical doctor, would you expect any of the costs to
be covered by insurance?
..................................................................................
812 1. YES
231 5. NO
12 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
17110 Blank. INAP (Inapplicable)
HN164 SEEN DENTIST SINCE PREV IW/2YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_DentalCare.N164_SeeDentPW Ref 2000: G2612
(Since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/Since [PREV WAVE IW YEAR]/In
the last two years) have you seen a dentist for dental care, including
dentures?
..................................................................................
10760 1. YES
7343 5. NO
39 8. DK (Don't Know)
10 9. RF (Refused)
15 Blank. INAP (Inapplicable)
Ask:
IF (N164_SeeDentPW = YES)
HN165 DENTAL COSTS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_DentalCare.N165_DentCovIns Ref 2000: G2613
Were your dental expenses completely covered by health insurance, mostly
covered, only partially covered, or not covered at all by insurance?
..................................................................................
1274 1. COMPLETELY COVERED
1877 2. MOSTLY COVERED
2094 3. PARTIALLY COVERED
5422 5. NOT COVERED AT ALL
16 6. No charge (professional courtesy, friend or relative provided
services; part of a study)
43 7. COSTS NOT SETTLED YET
31 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
7407 Blank. INAP (Inapplicable)
Ask:
IF (N164_SeeDentPW = YES)
AND (N165_DentCovIns <> COMPLETELYCOVRD)
HN168 AMT PAY O-O-P DENTAL
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN_DentalCare.N168_AmtPayOOPDental
About how much did you pay out-of-pocket for dental bills since [PREV WAVE IW
MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years)?
IWER: DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
8169 0 44000 788.95 1497.97 8684
-----------------------------------------------------------------
1262 99998. DK (Don't Know); NA (Not Ascertained)
52 99999. RF (Refused)
HN169 AMT PAY O-O-P DENTAL - MIN
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_DentalCare.N169_
N169_-N171_ Unfolding Sequence
Question text: Does it amount to less than $______, more than $______, or
what?
PROCEDURES: UNFM_3Up1down; UNFM_2up2down; UNFM_1up3down
BREAKPOINTS: 100, 500, 1500, 3000, 5000
RANDOM ENTRY POINT ASSIGNMENT: HZ084
..................................................................................
360 0. Value of Breakpoint
62 100. Value of Breakpoint
327 101. Value of Breakpoint
110 500. Value of Breakpoint
199 501. Value of Breakpoint
66 1500. Value of Breakpoint
149 1501. Value of Breakpoint
8 3000. Value of Breakpoint
13 3001. Value of Breakpoint
7 5000. Value of Breakpoint
13 5001. Value of Breakpoint
16853 Blank. INAP (Inapplicable)
HN170 AMT PAY O-O-P DENTAL - MAX
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_DentalCare.N170_
..................................................................................
128 99. Value of Breakpoint
62 100. Value of Breakpoint
376 499. Value of Breakpoint
110 500. Value of Breakpoint
175 1499. Value of Breakpoint
66 1500. Value of Breakpoint
65 2999. Value of Breakpoint
8 3000. Value of Breakpoint
39 4999. Value of Breakpoint
7 5000. Value of Breakpoint
270 50000. Value of Breakpoint
8 500000. Value of Breakpoint
16853 Blank. INAP (Inapplicable)
HN171 AMT PAY O-O-P DENTAL - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_DentalCare.N171_
..................................................................................
97. Data Not Available
252 98. DK (Don't Know); NA (Not Ascertained)
46 99. RF (Refused)
17869 Blank. INAP (Inapplicable)
Ask:
IF (NOT (N164_SeeDentPW = YES))
HN172 EXPECT HI TO COVER DENTAL COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_DentalCare.N172_DentCovInsNeed
If you did need to see a dentist, would you expect any of the costs to be
covered by insurance?
..................................................................................
1949 1. YES
5249 5. NO
180 8. DK (Don't Know)
14 9. RF (Refused)
10775 Blank. INAP (Inapplicable)
Ask:
IF (NOT (((((((piC006_HBPMeds = YES) OR (piC011_DiabetesMeds = YES)) OR
(piC012_DiabetesInsulin = YES)) OR (piC046_AnginaMeds = YES)) OR
(piC050_HeartFailMeds = YES)) OR (piC060_StrokeMeds = YES)) OR
(piC068_PsychMeds = YES))
OR ((((((piC006_HBPMeds = YES) OR (piC011_DiabetesMeds = YES)) OR
(piC012_DiabetesInsulin = YES)) OR (piC046_AnginaMeds = YES)) OR
(piC050_HeartFailMeds = YES)) OR (piC060_StrokeMeds = YES)) OR
(piC068_PsychMeds = YES))
HN175 TAKE PRESCRIPTION DRUGS REGULARLY
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PrescpDrug.N175_TkMedsReg Ref 2000: G2622
Do you regularly take prescription medications?
..................................................................................
4426 1. YES
3459 5. NO
10264 7. MEDICATIONS KNOWN (Assigned)
5 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
7 Blank. INAP (Inapplicable)
Ask:
IF ((N175_TkMedsReg = YES) OR (N175_TkMedsReg = MEDICATIONSKNOWN))
HN176 DRUG COSTS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PrescpDrug.N176_MedsCovIns Ref 2000: G2623
(Earlier you said you are taking prescription medications.) Have the costs of
your prescription medications been completely covered by health insurance,
mostly covered, only partially covered, or not covered at all by health
insurance?
..................................................................................
1836 1. COMPLETELY COVERED
5835 2. MOSTLY COVERED
3931 3. PARTIALLY COVERED
2985 5. NOT COVERED AT ALL
4 6. No charge (professional courtesy, friend or relative provided
services; part of a study)
19 7. COSTS NOT SETTLED YET
58 8. DK (Don't Know); NA (Not Ascertained)
14 9. RF (Refused)
3485 Blank. INAP (Inapplicable)
Ask:
IF ((N175_TkMedsReg = YES) OR (N175_TkMedsReg = MEDICATIONSKNOWN))
AND (((N176_MedsCovIns = COMPLETELYCOVRD) OR (N176_MedsCovIns = MOSTLYCOVRD))
OR (N176_MedsCovIns = PARTIALLYCOVRD))
AND (ptN090_NumOfPlans = 1)
HN177 DRUG COSTS COVERED BY ONLY PLAN
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PrescpDrug.N177_MedsCovPlan
Were your medications covered by ([See Blaise Specifications for fill
ptMainPlan])?
..................................................................................
3068 1. YES
517 5. NO
20 8. DK (Don't Know)
1 9. RF (Refused)
14561 Blank. INAP (Inapplicable)
Ask:
IF (ptN090_NumOfPlans > 1)
AND ((N175_TkMedsReg = YES) OR (N175_TkMedsReg = MEDICATIONSKNOWN))
AND (((N176_MedsCovIns = COMPLETELYCOVRD) OR (N176_MedsCovIns = MOSTLYCOVRD))
OR (N176_MedsCovIns = PARTIALLYCOVRD))
AND (NOT (ptN090_NumOfPlans = 1))
AND (NOT (ptN090_NumOfPlans > 1))
HN178 WHICH PLAN COVERED DRUG COSTS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PrescpDrug.N178_WhiPlanCovMeds
Which of your health insurance plans covered the largest share of the costs?
..................................................................................
4817 1. FIRST PLAN MENTIONED AT HN024
139 2. SECOND PLAN MENTIONED AT HN024
3 3. THIRD PLAN MENTIONED AT HN024
200 4. PLAN MENTIONED AT HN070
19 5. PLAN MENTIONED AT HN074
83 6. PLAN MENTIONED AT HN105
14 7. PLAN MENTIONED AT HN113
1 8. PLAN MENTIONED AT HN242
19 9. PLAN MENTIONED AT HN138
37 10. PLAN MENTIONED AT HN146
58 11. PLAN MENTIONED AT HN155
2 12. PLAN MENTIONED AT HN163
15 13. PLAN MENTIONED AT HN167
44 14. PLAN MENTIONED AT HN174
15. PLAN MENTIONED AT HN179
1 16. PLAN MENTIONED AT HN187
658 20. MEDICARE
710 21. MEDICAID
338 22. CHAMPUS
724 27. NOT ON LIST
110 98. DK (Don't Know); NA (Not Ascertained)
3 99. RF (Refused)
10172 Blank. INAP (Inapplicable)
Ask:
IF ((N175_TkMedsReg = YES) OR (N175_TkMedsReg = MEDICATIONSKNOWN))
AND (N176_MedsCovIns <> COMPLETELYCOVRD)
HN180 AMT PAY O-O-P RX DRUGS PER MONTH
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN_PrescpDrug.N180_AmtOOPMeds Ref 2000: G2624
On average, about how much have you paid out-of-pocket per month for these
prescriptions (since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV
WAVE IW YEAR]/in the last two years)?
IWER: DO NOT PROBE DK/RF
AMOUNT PER MONTH:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
11102 0 50000 116.72 646.07 5326
-----------------------------------------------------------------
1681 99998. DK (Don't Know); NA (Not Ascertained)
58 99999. RF (Refused)
HN181 AMT PAY O-O-P RX DRUGS PER MONTH- MIN
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_PrescpDrug.N181_
N181_-N183_ Unfolding Sequence
Question text: Does it amount to less than $______per month, more than
$______per month, or what?
PROCEDURES: UNFM_3Up1down; UNFM_1up3down; UNFM_2up2down
BREAKPOINTS: 5, 10, 20, 100, 500
RANDOM ENTRY POINT ASSIGNMENT: HZ086
..................................................................................
254 0. Value of Breakpoint
17 5. Value of Breakpoint
30 6. Value of Breakpoint
72 10. Value of Breakpoint
89 11. Value of Breakpoint
101 20. Value of Breakpoint
655 21. Value of Breakpoint
123 100. Value of Breakpoint
323 101. Value of Breakpoint
31 500. Value of Breakpoint
43 501. Value of Breakpoint
16429 Blank. INAP (Inapplicable)
HN182 AMT PAY O-O-P RX DRUGS PER MONTH- MAX
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_PrescpDrug.N182_
..................................................................................
19 4. Value of Breakpoint
17 5. Value of Breakpoint
33 9. Value of Breakpoint
72 10. Value of Breakpoint
82 19. Value of Breakpoint
101 20. Value of Breakpoint
545 99. Value of Breakpoint
123 100. Value of Breakpoint
311 499. Value of Breakpoint
31 500. Value of Breakpoint
404 5000. Value of Breakpoint
16429 Blank. INAP (Inapplicable)
HN183 AMT PAY O-O-P RX DRUGS PER MONTH- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PrescpDrug.N183_
..................................................................................
1 97. Data Not Available
339 98. DK (Don't Know); NA (Not Ascertained)
50 99. RF (Refused)
17777 Blank. INAP (Inapplicable)
Ask:
IF (NOT ((N175_TkMedsReg = YES) OR (N175_TkMedsReg = MEDICATIONSKNOWN)))
HN184 EXPECT INS TO COVER DRUG COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PrescpDrug.N184_MedsCovInsNeed
If your doctor did prescribe medication, would you expect any of the costs to
be covered by insurance?
..................................................................................
2323 1. YES
1079 5. NO
61 8. DK (Don't Know); NA (Not Ascertained)
7 9. RF (Refused)
14697 Blank. INAP (Inapplicable)
Ask:
IF (NOT ((N175_TkMedsReg = YES) OR (N175_TkMedsReg = MEDICATIONSKNOWN)))
AND (N184_MedsCovInsNeed = YES)
AND (ptN090_NumOfPlans = 1)
HN185 WOULD DRUG COSTS BE COVERED BY ONLY PLAN
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PrescpDrug.N185_MedsCovPlanNeed
Would your doctor bills be covered by ([See Blaise Specifications for fill
ptMainPlan])?
..................................................................................
987 1. YES
29 5. NO
8. DK (Don't Know)
9. RF (Refused)
17151 Blank. INAP (Inapplicable)
Ask:
IF (NOT (ptN090_NumOfPlans = 1))
AND (ptN090_NumOfPlans > 1)
AND (NOT ((N175_TkMedsReg = YES) OR (N175_TkMedsReg = MEDICATIONSKNOWN)))
AND (N184_MedsCovInsNeed = YES)
AND (NOT (ptN090_NumOfPlans > 1))
HN186 WHICH PLAN WOULD COVER DRUG COSTS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PrescpDrug.N186_WhiPlanCovMedsNd
What is the name of the plan that would cover those costs?
..................................................................................
930 1. FIRST PLAN MENTIONED AT HN024
20 2. SECOND PLAN MENTIONED AT HN024
3. THIRD PLAN MENTIONED AT HN024
26 4. PLAN MENTIONED AT HN070
2 5. PLAN MENTIONED AT HN074
2 6. PLAN MENTIONED AT HN105
9 7. PLAN MENTIONED AT HN113
8. PLAN MENTIONED AT HN242
9. PLAN MENTIONED AT HN138
8 10. PLAN MENTIONED AT HN146
3 11. PLAN MENTIONED AT HN155
1 12. PLAN MENTIONED AT HN163
1 13. PLAN MENTIONED AT HN167
6 14. PLAN MENTIONED AT HN174
15. PLAN MENTIONED AT HN179
16. PLAN MENTIONED AT HN187
102 20. MEDICARE
51 21. MEDICAID
35 22. CHAMPUS
93 27. NOT ON LIST
15 98. DK (Don't Know); NA (Not Ascertained)
3 99. RF (Refused)
16860 Blank. INAP (Inapplicable)
HN188 EVER TAKE LESS MEDS BECAUSE OF COST
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PrescpDrug.N188_TkLessMedsCost Ref 2000: G2632
Sometimes people delay taking medication or filling prescriptions because of
the cost. At any time since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/since
[PREV WAVE IW YEAR]/in the last two years) have you ended up taking less
medication than was prescribed for you because of the cost?
..................................................................................
1354 1. YES
16782 5. NO
10 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
15 Blank. INAP (Inapplicable)
Ask:
IF (piN116_NiteOverNH <> 996)
HN189 USED HOME HEALTH SVC- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_InHomeCare.N189_HomeHlthSvc Ref 2000: G2634
(Since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/Since [PREV WAVE IW YEAR]/In
the last two years), has any medically-trained person come to your home to
help you, yourself?
IWER: WE ONLY WANT TO INCLUDE HELP GIVEN TO R, NOT HELP FOR R WHEN R IS A
CAREGIVER FOR SOMEONE ELSE
DEF: (Medically-trained persons include professional nurses, visiting nurse's
aides, physical or occupational therapists, chemotherapists, and respiratory
oxygen therapists.)
..................................................................................
1314 1. YES
16633 5. NO
13 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
201 Blank. INAP (Inapplicable)
Ask:
IF (piN116_NiteOverNH <> 996)
AND (N189_HomeHlthSvc = YES)
HN190 HOME HEALTH SERVICE COST COVERED BY INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_InHomeCare.N190_HHSvcCovIns Ref 2000: G2636
Were the costs of your home medical care completely covered by health
insurance, mostly covered, only partially covered, or not covered at all by
insurance?
..................................................................................
1066 1. COMPLETELY COVERED
113 2. MOSTLY COVERED
43 3. PARTIALLY COVERED
50 5. NOT COVERED AT ALL
1 6. No charge (professional courtesy, friend or relative provided
services; part of a study)
23 7. COSTS NOT SETTLED YET
17 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
16853 Blank. INAP (Inapplicable)
Ask:
IF (piN116_NiteOverNH <> 996)
AND (N189_HomeHlthSvc = YES)
AND (N190_HHSvcCovIns <> COMPLETELYCOVRD)
HN194 AMT PAY O-O-P HOME HEALTH SVC
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN_InHomeCare.N194_AmtPayOOPHHS Ref 2000: G2641
About how much did you pay out-of-pocket for in-home medical care since [PREV
WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two
years)?
IWER: DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
144 0 32000 991.61 4141.20 17920
-----------------------------------------------------------------
100 99998. DK (Don't Know); NA (Not Ascertained)
3 99999. RF (Refused)
HN195 AMT PAY O-O-P HOME HEALTH SVC - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN_InHomeCare.N195_
N195_-N197_ Unfolding Sequence
Question text: Does it amount to less than $______, more than $______, or
what?
PROCEDURES: UNFM_2up2down; UNFM_1up3down; UNFM_3Up1down
BREAKPOINTS: 500, 2000, 5000, 10000, 20000
RANDOM ENTRY POINT ASSIGNMENT: HZ084
..................................................................................
60 0. Value of Breakpoint
5 500. Value of Breakpoint
14 501. Value of Breakpoint
4 2000. Value of Breakpoint
3 2001. Value of Breakpoint
1 5000. Value of Breakpoint
13 5001. Value of Breakpoint
2 20001. Value of Breakpoint
18065 Blank. INAP (Inapplicable)
HN196 AMT PAY O-O-P HOME HEALTH SVC - MAX
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_InHomeCare.N196_
..................................................................................
32 499. Value of Breakpoint
5 500. Value of Breakpoint
15 1999. Value of Breakpoint
4 2000. Value of Breakpoint
2 4999. Value of Breakpoint
1 5000. Value of Breakpoint
2 9999. Value of Breakpoint
41 200000. Value of Breakpoint
18065 Blank. INAP (Inapplicable)
HN197 AMT PAY O-O-P HOME HEALTH SVC - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_InHomeCare.N197_
..................................................................................
1 97. Data Not Available
39 98. DK (Don't Know); NA (Not Ascertained)
3 99. RF (Refused)
18124 Blank. INAP (Inapplicable)
Ask:
IF (piN116_NiteOverNH <> 996)
AND (NOT (N189_HomeHlthSvc = YES))
HN198 EXPECT HI COVER HOME HEALTH SVC COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_InHomeCare.N198_HHSCovIns
If you were to need medical care in your home, would you expect any of the
costs to be covered by insurance?
..................................................................................
9673 1. YES
4925 5. NO
2035 8. DK (Don't Know)
20 9. RF (Refused)
1514 Blank. INAP (Inapplicable)
HN202 USED OTHER HEALTH SVC- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_OthHealthCare.N202_UseOthSvc Ref 2000: G2638
IWER: READ SLOWLY
(Since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/Since [PREV WAVE IW YEAR]/In
the last two years), did you use any special facility or service which we
haven't talked about, such as: an adult care center, a social worker, an
outpatient rehabilitation program, or transportation or meals for the elderly
or disabled?
..................................................................................
1420 1. YES
16708 5. NO
15 8. DK (Don't Know)
9 9. RF (Refused)
15 Blank. INAP (Inapplicable)
Ask:
IF (N202_UseOthSvc = YES)
HN203 OTHER HEALTH SVC PAID BY R/SP/P
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_OthHealthCare.N203_OthSvcCovIns
Did you (or your (husband/wife/partner)) have to pay for any of these
services?
..................................................................................
436 1. YES
963 5. NO
21 8. DK (Don't Know)
9. RF (Refused)
16747 Blank. INAP (Inapplicable)
Ask:
IF (N202_UseOthSvc = YES)
AND (N203_OthSvcCovIns = YES)
HN239 AMT PAY O-O-P OTHER HEALTH SERVICE
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN_OthHealthCare.N239_OthSvcCost
Altogether, about how much did you have to pay?
IWER: DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
348 0 19000 460.24 1591.68 17731
-----------------------------------------------------------------
86 99998. DK (Don't Know); NA (Not Ascertained)
2 99999. RF (Refused)
HN246 AMT PAY O-O-P OTHER HEALTH SERVICE- MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN_OthHealthCare.N246_
N246_-N248_ Unfolding Sequence
Question text: Does it amount to less than $______, more than $______, or
what?
PROCEDURE: UNFM_2UP2DOWN
BREAKPOINTS: 500, 1000, 5000, 10000, 20000
..................................................................................
55 0. Value of Breakpoint
4 500. Value of Breakpoint
9 501. Value of Breakpoint
2 1000. Value of Breakpoint
13 1001. Value of Breakpoint
1 5000. Value of Breakpoint
3 5001. Value of Breakpoint
1 20001. Value of Breakpoint
18079 Blank. INAP (Inapplicable)
HN247 AMT PAY O-O-P OTHER HEALTH SERVICE- MAX
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_OthHealthCare.N247_
..................................................................................
37 499. Value of Breakpoint
4 500. Value of Breakpoint
12 999. Value of Breakpoint
2 1000. Value of Breakpoint
13 4999. Value of Breakpoint
1 5000. Value of Breakpoint
3 9999. Value of Breakpoint
16 200000. Value of Breakpoint
18079 Blank. INAP (Inapplicable)
HN248 AMT PAY O-O-P OTHER HEALTH SVC- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_OthHealthCare.N248_
..................................................................................
97. Data Not Available
18 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
18147 Blank. INAP (Inapplicable)
Assign:
IF (HospitalStay.N106_AmtOOPHospCost = RESPONSE
OR NOT (HospitalStay.N106_AmtOOPHospCost = RESPONSE))
AND (((HospitalStay.N106_AmtOOPHospCost = DONTKNOW) OR
(HospitalStay.N106_AmtOOPHospCost = REFUSAL)) AND (HospitalStay.N107_ =
RESPONSE)
OR NOT (((HospitalStay.N106_AmtOOPHospCost = DONTKNOW) OR
(HospitalStay.N106_AmtOOPHospCost = REFUSAL)) AND (HospitalStay.N107_ =
RESPONSE)))
HN204 ASSIGN HOSPITAL COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN.N204_AssgnHospCost
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
18166 0 50001 197.74 1513.37 1
-----------------------------------------------------------------
Assign:
IF (NHomeStay.N119_AmtPayNHHosp = RESPONSE
OR NOT (NHomeStay.N119_AmtPayNHHosp = RESPONSE))
AND (((NHomeStay.N119_AmtPayNHHosp = DONTKNOW) OR (NHomeStay.N119_AmtPayNHHosp
= REFUSAL)) AND (NHomeStay.N120_ = RESPONSE)
OR NOT (((NHomeStay.N119_AmtPayNHHosp = DONTKNOW) OR
(NHomeStay.N119_AmtPayNHHosp = REFUSAL)) AND (NHomeStay.N120_ = RESPONSE)))
HN205 ASSIGN NURSING HOME COSTS
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN.N205_AssgnNHCost
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
18166 0 213000 354.91 4905.88 1
-----------------------------------------------------------------
Assign:
IF (NOT (OutPatSurgery.N139_AmtOOPOutSurg = RESPONSE)
OR OutPatSurgery.N139_AmtOOPOutSurg = RESPONSE)
AND (((OutPatSurgery.N139_AmtOOPOutSurg = DONTKNOW) OR
(OutPatSurgery.N139_AmtOOPOutSurg = REFUSAL)) AND (OutPatSurgery.N140_ =
RESPONSE)
OR NOT (((OutPatSurgery.N139_AmtOOPOutSurg = DONTKNOW) OR
(OutPatSurgery.N139_AmtOOPOutSurg = REFUSAL)) AND (OutPatSurgery.N140_ =
RESPONSE)))
HN206 ASSIGN OUTPATIENT SURGERY COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN.N206_AssgnOutSurgCost
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
18166 0 27800 62.24 553.62 1
-----------------------------------------------------------------
Assign:
IF (DocVisit.N156_AmtOOPVisit = RESPONSE
OR NOT (DocVisit.N156_AmtOOPVisit = RESPONSE))
AND (((DocVisit.N156_AmtOOPVisit = DONTKNOW) OR (DocVisit.N156_AmtOOPVisit =
REFUSAL)) AND (DocVisit.N157_ = RESPONSE)
OR NOT (((DocVisit.N156_AmtOOPVisit = DONTKNOW) OR (DocVisit.N156_AmtOOPVisit
= REFUSAL)) AND (DocVisit.N157_ = RESPONSE)))
HN207 ASSIGN DOCTOR VISIT COSTS
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN.N207_AssgnDocVstCost
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
18166 0 100000 316.90 1282.50 1
-----------------------------------------------------------------
Assign:
IF (DentalCare.N168_AmtPayOOPDental = RESPONSE
OR NOT (DentalCare.N168_AmtPayOOPDental = RESPONSE))
AND (((DentalCare.N168_AmtPayOOPDental = DONTKNOW) OR
(DentalCare.N168_AmtPayOOPDental = REFUSAL)) AND (DentalCare.N169_ = RESPONSE)
OR NOT (((DentalCare.N168_AmtPayOOPDental = DONTKNOW) OR
(DentalCare.N168_AmtPayOOPDental = REFUSAL)) AND (DentalCare.N169_ =
RESPONSE)))
HN208 ASSIGN DENTAL COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN.N208_AssgnDentCost
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
18165 0 44000 392.21 1097.37 2
-----------------------------------------------------------------
Assign:
IF (NOT (PrescpDrug.N180_AmtOOPMeds = RESPONSE)
OR PrescpDrug.N180_AmtOOPMeds = RESPONSE)
AND (((PrescpDrug.N180_AmtOOPMeds = DONTKNOW) OR (PrescpDrug.N180_AmtOOPMeds =
REFUSAL)) AND (PrescpDrug.N181_ = RESPONSE)
OR NOT (((PrescpDrug.N180_AmtOOPMeds = DONTKNOW) OR
(PrescpDrug.N180_AmtOOPMeds = REFUSAL)) AND (PrescpDrug.N181_ = RESPONSE)))
HN209 ASSIGN PRESCRIPTION COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN.N209_AssgnPresCost Ref 2000: G2650
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
18166 0 50000 76.83 508.72 1
-----------------------------------------------------------------
Assign:
IF (InHomeCare.N194_AmtPayOOPHHS = RESPONSE
OR NOT (InHomeCare.N194_AmtPayOOPHHS = RESPONSE))
AND (((InHomeCare.N194_AmtPayOOPHHS = DONTKNOW) OR
(InHomeCare.N194_AmtPayOOPHHS = REFUSAL)) AND (InHomeCare.N195_ = RESPONSE)
OR NOT (((InHomeCare.N194_AmtPayOOPHHS = DONTKNOW) OR
(InHomeCare.N194_AmtPayOOPHHS = REFUSAL)) AND (InHomeCare.N195_ = RESPONSE)))
HN210 ASSIGN IN-HOME HEALTH CARE COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN.N210_AssgnHomeHCCost Ref 2000: G2651
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
18166 0 32000 15.21 455.73 1
-----------------------------------------------------------------
HN211 TOTAL O-O-P FOR MAJOR MEDICAL COSTS
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN.N211_TotMajMedExp Ref 2000: G2652
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
18166 0 213950 1418.16 5700.21 1
-----------------------------------------------------------------
HN212 HELP PAY HEALTH CARE COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HowPayMedBill.N212_HelpPayHCCost Ref 2000: G2654
Besides any costs covered by insurance, has anyone helped you (and your
(husband/wife/partner) pay for your health care costs (since [PREV WAVE IW
MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years),
or helped you pay the cost of health insurance or for long-term care
insurance?
..................................................................................
333 1. YES
17790 5. NO
17 8. DK (Don't Know)
12 9. RF (Refused)
15 Blank. INAP (Inapplicable)
Ask:
IF (N212_HelpPayHCCost = YES)
HN213 WHO HELP PAY HEALTH CARE COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HowPayMedBill.N213_WhoHelpPayHCCost Ref 2000: G2655M1
Is that a (child or other relative) of yours (and your
(husband's/wife's/partner's), or is that someone else?
..................................................................................
220 1. CHILD/CHILD-IN-LAW/GRANDCHILD
40 2. OTHER RELATIVE
73 3. SOMEONE ELSE
8. DK (Don't Know)
9. RF (Refused)
17834 Blank. INAP (Inapplicable)
Ask:
IF (N212_HelpPayHCCost = YES)
AND (N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD)
HN214M1 WHICH CHILD PAY HEALTH CARE COSTS
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_HowPayMedBill.N214AWhiChldPayHC Ref 2000: G2656M1
(Which child is that?)
IWER: CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE: Which child helps the most?
IF GRANDCHILD: (Which of your children is the parent of that grandchild?)
..................................................................................
185 041-990. Other Person Number
992. DECEASED CHILD
30 993. ALL CHILDREN EQUALLY
3 998. DK(Don't Know)
2 999. RF(Refused)
17947 Blank. INAP (Inapplicable)
Ask:
IF (N212_HelpPayHCCost = YES)
AND (N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD)
HN214M2 WHICH CHILD PAY HEALTH CARE COSTS
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_HowPayMedBill.N214AWhiChldPayHC Ref 2000: G2656M1
(Which child is that?)
IWER: CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE: Which child helps the most?
IF GRANDCHILD: (Which of your children is the parent of that grandchild?)
..................................................................................
37 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK(Don't Know)
999. RF(Refused)
18130 Blank. INAP (Inapplicable)
Ask:
IF (N212_HelpPayHCCost = YES)
AND (N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD)
HN214M3 WHICH CHILD PAY HEALTH CARE COSTS
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_HowPayMedBill.N214AWhiChldPayHC Ref 2000: G2656M1
(Which child is that?)
IWER: CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE: Which child helps the most?
IF GRANDCHILD: (Which of your children is the parent of that grandchild?)
..................................................................................
15 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK(Don't Know)
999. RF(Refused)
18152 Blank. INAP (Inapplicable)
Ask:
IF (N212_HelpPayHCCost = YES)
AND (N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD)
HN214M4 WHICH CHILD PAY HEALTH CARE COSTS
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_HowPayMedBill.N214AWhiChldPayHC Ref 2000: G2656M1
(Which child is that?)
IWER: CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE: Which child helps the most?
IF GRANDCHILD: (Which of your children is the parent of that grandchild?)
..................................................................................
4 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK(Don't Know)
999. RF(Refused)
18163 Blank. INAP (Inapplicable)
Ask:
IF (N212_HelpPayHCCost = YES)
AND (N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD)
HN214M5 WHICH CHILD PAY HEALTH CARE COSTS
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_HowPayMedBill.N214AWhiChldPayHC Ref 2000: G2656M1
(Which child is that?)
IWER: CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE: Which child helps the most?
IF GRANDCHILD: (Which of your children is the parent of that grandchild?)
..................................................................................
1 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK(Don't Know)
999. RF(Refused)
18166 Blank. INAP (Inapplicable)
Ask:
IF (N212_HelpPayHCCost = YES)
AND (N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD)
HN214M6 WHICH CHILD PAY HEALTH CARE COSTS
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_HowPayMedBill.N214AWhiChldPayHC Ref 2000: G2656M1
(Which child is that?)
IWER: CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE: Which child helps the most?
IF GRANDCHILD: (Which of your children is the parent of that grandchild?)
..................................................................................
041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK(Don't Know)
999. RF(Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF (N212_HelpPayHCCost = YES)
HN215 AMT OF OTHER HELP
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_HowPayMedBill.N215_AmtOthHelp Ref 2000: G2658
Altogether, about how much money did that help amount to?
IWER: DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
181 1 100000 3239.05 9299.04 17834
-----------------------------------------------------------------
148 999998. DK (Don't Know)
4 999999. RF (Refused)
HN216 AMT OF OTHER HELP - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN_HowPayMedBill.N216_
N216_-N218_ Unfolding Sequence
Question text: Does it amount to less than $______, more than $______, or
what?
PROCEDURE: UNFM_2up1down
BREAKPOINTS: 500, 1000, 3000, 10000
..................................................................................
72 0. Value of Breakpoint
14 500. Value of Breakpoint
14 501. Value of Breakpoint
14 1000. Value of Breakpoint
16 1001. Value of Breakpoint
3 3000. Value of Breakpoint
13 3001. Value of Breakpoint
6 10001. Value of Breakpoint
18015 Blank. INAP (Inapplicable)
HN217 AMT OF OTHER HELP - MAX
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_HowPayMedBill.N217_
..................................................................................
28 499. Value of Breakpoint
14 500. Value of Breakpoint
17 999. Value of Breakpoint
14 1000. Value of Breakpoint
16 2999. Value of Breakpoint
3 3000. Value of Breakpoint
12 9999. Value of Breakpoint
48 100000. Value of Breakpoint
18015 Blank. INAP (Inapplicable)
HN218 AMT OF OTHER HELP - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_HowPayMedBill.N218_
..................................................................................
97. Data Not Available
44 98. DK (Don't Know)
1 99. RF (Refused)
18122 Blank. INAP (Inapplicable)
Ask:
IF ((N211_TotMajMedExp > 10000) OR (N217_ > 10000))
HN219M1 HOW FINANCE LARGE MEDICAL EXPENSES
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HOWPAYMEDBILL.N219_HowFinLgMedExp Ref 2000: G2659M1
(You have just told me that you have had some rather large out-of pocket
medical expenditures. Apart from what you received from others,/You have just
told me that you have had some rather large out-of-pocket medical
expenditures.) How did you finance these -- Did you pay directly from your
savings or earnings, did you take out a loan, have you not yet paid these
bills, or what?
IWER: CHOOSE ALL THAT APPLY
IF PAYMENTS ARE STILL BEING MADE, ENTER BOTH CODE 3 AND CODE 4
..................................................................................
306 1. PAID USING SAVINGS/EARNINGS
8 2. TOOK OUT A LOAN
46 3. HAVE NOT YET PAID
45 4. MADE OR MAKING PAYMENTS
23 5. Not paid by R (filed for bankruptcy, someone else [like a
relative] paid, doctor let the bills drop, etc
8 7. OTHER (SPECIFY)
37 8. DK (Don't Know); NA (Not Ascertained)
9 9. RF (Refused)
17685 Blank. INAP (Inapplicable)
Ask:
IF ((N211_TotMajMedExp > 10000) OR (N217_ > 10000))
HN219M2 HOW FINANCE LARGE MEDICAL EXPENSES
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HOWPAYMEDBILL.N219_HowFinLgMedExp Ref 2000: G2659M1
(You have just told me that you have had some rather large out-of pocket
medical expenditures. Apart from what you received from others,/You have just
told me that you have had some rather large out-of-pocket medical
expenditures.) How did you finance these -- Did you pay directly from your
savings or earnings, did you take out a loan, have you not yet paid these
bills, or what?
IWER: CHOOSE ALL THAT APPLY
IF PAYMENTS ARE STILL BEING MADE, ENTER BOTH CODE 3 AND CODE 4
..................................................................................
4 1. PAID USING SAVINGS/EARNINGS
4 2. TOOK OUT A LOAN
9 3. HAVE NOT YET PAID
11 4. MADE OR MAKING PAYMENTS
2 5. Not paid by R (filed for bankruptcy, someone else [like a
relative] paid, doctor let the bills drop, etc
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18137 Blank. INAP (Inapplicable)
Ask:
IF ((N211_TotMajMedExp > 10000) OR (N217_ > 10000))
HN219M3 HOW FINANCE LARGE MEDICAL EXPENSES
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HOWPAYMEDBILL.N219_HowFinLgMedExp Ref 2000: G2659M1
(You have just told me that you have had some rather large out-of pocket
medical expenditures. Apart from what you received from others,/You have just
told me that you have had some rather large out-of-pocket medical
expenditures.) How did you finance these -- Did you pay directly from your
savings or earnings, did you take out a loan, have you not yet paid these
bills, or what?
IWER: CHOOSE ALL THAT APPLY
IF PAYMENTS ARE STILL BEING MADE, ENTER BOTH CODE 3 AND CODE 4
..................................................................................
1 1. PAID USING SAVINGS/EARNINGS
2. TOOK OUT A LOAN
2 3. HAVE NOT YET PAID
3 4. MADE OR MAKING PAYMENTS
5. Not paid by R (filed for bankruptcy, someone else [like a
relative] paid, doctor let the bills drop, etc
7. OTHER (SPECIFY)
8. DK (Don’t Know)
9. RF (Refused)
18161 Blank. INAP (Inapplicable)
Ask:
IF ((N211_TotMajMedExp > 10000) OR (N217_ > 10000))
HN219M4 HOW FINANCE LARGE MEDICAL EXPENSES
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HOWPAYMEDBILL.N219_HowFinLgMedExp Ref 2000: G2659M1
(You have just told me that you have had some rather large out-of pocket
medical expenditures. Apart from what you received from others,/You have just
told me that you have had some rather large out-of-pocket medical
expenditures.) How did you finance these -- Did you pay directly from your
savings or earnings, did you take out a loan, have you not yet paid these
bills, or what?
IWER: CHOOSE ALL THAT APPLY
IF PAYMENTS ARE STILL BEING MADE, ENTER BOTH CODE 3 AND CODE 4
..................................................................................
1. PAID USING SAVINGS/EARNINGS
2. TOOK OUT A LOAN
3. HAVE NOT YET PAID
2 4. MADE OR MAKING PAYMENTS
5. Not paid by R (filed for bankruptcy, someone else [like a
relative] paid, doctor let the bills drop, etc
7. OTHER (SPECIFY)
8. DK (Don’t Know)
9. RF (Refused)
18165 Blank. INAP (Inapplicable)
Ask:
IF ((N211_TotMajMedExp > 10000) OR (N217_ > 10000))
HN219M5 HOW FINANCE LARGE MEDICAL EXPENSES
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HOWPAYMEDBILL.N219_HowFinLgMedExp Ref 2000: G2659M1
(You have just told me that you have had some rather large out-of pocket
medical expenditures. Apart from what you received from others,/You have just
told me that you have had some rather large out-of-pocket medical
expenditures.) How did you finance these -- Did you pay directly from your
savings or earnings, did you take out a loan, have you not yet paid these
bills, or what?
IWER: CHOOSE ALL THAT APPLY
IF PAYMENTS ARE STILL BEING MADE, ENTER BOTH CODE 3 AND CODE 4
..................................................................................
1. PAID USING SAVINGS/EARNINGS
2. TOOK OUT A LOAN
3. HAVE NOT YET PAID
4. MADE OR MAKING PAYMENTS
5. Not paid by R (filed for bankruptcy, someone else [like a
relative] paid, doctor let the bills drop, etc
7. OTHER (SPECIFY)
8. DK (Don’t Know)
9. RF (Refused)
18167 Blank. INAP (Inapplicable)
Ask:
IF ((((((((((((HospitalStay.N099_OverniteHosp = YES) OR
(NHomeStay.N114_OverniteNH = YES)) OR (piA028_RInNHome = YES)) OR
(DocVisit.N147_TimeSeeDoc > 0)) OR (DocVisit.N147_TimeSeeDoc = DONTKNOW)) OR
(DocVisit.N147_TimeSeeDoc = REFUSAL)) OR (OutPatSurgery.N134_OutSurgLst2Yrs =
YES)) OR (DentalCare.N164_SeeDentPW = YES)) OR (PrescpDrug.N175_TkMedsReg =
YES)) OR (PrescpDrug.N175_TkMedsReg = MEDICATIONSKNOWN)) OR
(InHomeCare.N189_HomeHlthSvc = YES)) OR (OthHealthCare.N202_UseOthSvc = YES))
HN221 TOTAL MEDICAL COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN.N221_TotMedCost Ref 2000: G2660
We would like to get a very rough idea of the total cost of your (hospital
stays, /nursing home stays, /doctor and clinic visits, /outpatient surgery,
dental visits, /prescriptions, /in-home-medical care, /(and) all other medical
costs for you) (since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV
WAVE IW YEAR]/in the last two years), including costs covered by health
insurance.
..................................................................................
15312 1. CONTINUE
116 8. DK (Don't Know)
23 9. RF (Refused)
2716 Blank. INAP (Inapplicable)
HN222 TOTAL MEDICAL COSTS - MIN
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN.N222_
N222_-N224_ Unfolding Sequence
Question text: Does it amount to less than $______, more than $______, or
what?
PROCEDURES: UNFM_3Up1down; UNFM_1up3down; UNFM_2up2down
BREAKPOINTS: 1000, 5000, 25000, 100000, 500000
RANDOM ENTRY POINT ASSIGNMENT: HZ083
User Note: Entry breakpoint for this unfolding sequence was randomly assigned
in HZ083, located in H02PR_R.
..................................................................................
3006 0. Value of Breakpoint
725 1000. Value of Breakpoint
3161 1001. Value of Breakpoint
1133 5000. Value of Breakpoint
3748 5001. Value of Breakpoint
655 25000. Value of Breakpoint
2148 25001. Value of Breakpoint
264 100000. Value of Breakpoint
489 100001. Value of Breakpoint
37 500000. Value of Breakpoint
84 500001. Value of Breakpoint
2717 Blank. INAP (Inapplicable)
HN223 TOTAL MEDICAL COSTS - MAX
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
CAI Reference: BN.N223_
..................................................................................
2037 999. Value of Breakpoint
725 1000. Value of Breakpoint
3243 4999. Value of Breakpoint
1133 5000. Value of Breakpoint
3757 24999. Value of Breakpoint
655 25000. Value of Breakpoint
1900 99999. Value of Breakpoint
264 100000. Value of Breakpoint
462 499999. Value of Breakpoint
37 500000. Value of Breakpoint
1237 5000000. Value of Breakpoint
2717 Blank. INAP (Inapplicable)
HN224 TOTAL MEDICAL COSTS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN.N224_
..................................................................................
97. Data Not Available
1419 98. DK (Don't Know)
89 99. RF (Refused)
16659 Blank. INAP (Inapplicable)
Ask:
IF (piA028_RInNHome = NO)
HN225 DAYS IN BED LAST MONTH
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN.N225_DaysInBed Ref 2000: G2686
(Aside from any hospital stays,) about how many days did you stay in bed more
than half the day because of illness or injury during the last month?
IWER: USE ZERO FOR NONE
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
17536 0 31 0.82 3.68 566
-----------------------------------------------------------------
60 98. DK (Don't Know); NA (Not Ascertained)
5 99. RF (Refused)
Ask:
IF (SecA.StartInterview.A009_SelfPrxy = SLF)
AND ((piZ113_GaveMedcareNo_V <> YES) AND (piGovCoverN001_ = YES))
HN226 MEDICARE NUMBER RECORDED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCareCaidNumber.N226_MedicareNumRec Ref 2000: G6501
We would like to understand how people's medical history affects their
financial status, and how use of health care may change as people age. To do
that, we need to obtain information about health care costs and diagnoses for
statistical purposes. The best place to get this information without taking up
a lot more of your time is in the Medicare files.
Could you give me your Medicare number for this purpose? (Under the Privacy
Act of 1974, providing your number is a voluntary decision. The benefits you
may be receiving under this program will not be affected in any way by your
decision.)
..................................................................................
1297 1. NUMBER RECORDED
996 4. R REFUSED NUMBER
399 5. NUMBER NOT RECORDED (NOT REFUSED)
32 8. DK (Don't Know)
26 9. RF (Refused)
15417 Blank. INAP (Inapplicable)
Ask:
IF (SecA.StartInterview.A009_SelfPrxy = SLF)
AND ((piGovCoverN006_ = YES) AND (piGovCoverN001_ <> YES))
HN231 MEDICAID NUMBER RECORDED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCareCaidNumber.N231_MedicaidNumRec Ref 2000: G6507
(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 your Medicaid number for this purpose?
(Under the Privacy Act of 1974, providing your number is (also) a voluntary
decision. The benefits you may be receiving under this program will not be
affected in any way by your decision.)
..................................................................................
131 1. NUMBER RECORDED
64 4. R REFUSED NUMBER
91 5. NUMBER NOT RECORDED (NOT REFUSED)
2 8. DK (Don't Know)
1 9. RF (Refused)
17878 Blank. INAP (Inapplicable)
HN235 HOW SATISFIED W/ HEALTH CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN.N235_SatisfWHlthCare Ref 2000: G6405
Now, thinking about the quality, cost, and convenience of your health care,
altogether would you say that you are very satisfied, somewhat satisfied, or
not satisfied at all with your health care?
..................................................................................
10111 1. VERY SATISFIED
6720 3. SOMEWHAT SATISFIED
1102 5. NOT SATISFIED AT ALL
188 8. DK (Don't Know)
30 9. RF (Refused)
16 Blank. INAP (Inapplicable)
HN236 ASSIST SECTION N
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN.N236_AssistN
IWER: HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION N - HEALTH
SERVICES AND INSURANCE?
..................................................................................
17499 1. NEVER
422 2. A FEW TIMES
161 3. MOST OR ALL OF THE TIME
69 4. THE SECTION WAS DONE BY A PROXY REPORTER
8. DK (Don't Know)
9. RF (Refused)
16 Blank. INAP (Inapplicable)
HVERSION 2002 DATA RELEASE VERSION
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
..................................................................................
18167 2. Second Data Release
HQNR BLAISE IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 11 Decimals: 0
..................................................................................
18167 00000300010-21347900020. Blaise Identification Number
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