HHID HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 6 Decimals: 0
..................................................................................
1501 000002-213399. Household Identifier
PN RESPONDENT PERSON IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
..................................................................................
1047 010. Person Identifier
14 011. Person Identifier
341 020. Person Identifier
2 021. Person Identifier
50 030. Person Identifier
47 040. Person Identifier
SSUBHH 2002 SUB-HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
..................................................................................
1429 3. 1st deceased respondent from a household
72 4. 2nd deceased respondent from a household
GSUBHH 2000 SUB-HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
..................................................................................
1450 0. Original sample household - no split from divorce or separation
of spouses or partners
16 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
15 2. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
17 3. 1st deceased respondent from a household
1 4. 2nd deceased respondent from a household
2 7. Reunited household - respondents from split household reunite
SPN_SP 2002 SPOUSE PERSON IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
..................................................................................
254 010. Person Identifier
27 011. Person Identifier
1 012. Person Identifier
312 020. Person Identifier
2 021. Person Identifier
22 030. Person Identifier
2 031. Person Identifier
38 040. Person Identifier
1 041. Person Identifier
2 810. Person Identifier
1 811. Person Identifier
839 Blank. R not coupled
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
SN001 MEDICARE COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_GovCover.N001_
The next questions are about health insurance, both public and private.
Medicare is a public health insurance program for people 65 or older and for
disabled persons. (Medicaid/STATE NAME FOR MEDICAID) is a public health
insurance program for people with low incomes.
Was [RESPONDENT FIRST NAME] covered by Medicare health insurance at the time
of (her/his) death?
..................................................................................
1339 1. YES
147 5. NO
13 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); ((N001_ = YES)
AND (piA019_RAge < 65)) OR ((N001_ <> YES) AND ((piA019_RAge > 65) OR
(piA019_RAge = 65)));
SN002M1 WHY NOT MEDICARE COVERED- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_GovCover.N002_
Why is that?
INTERVIEWER: R WAS AGE ([See Blaise Specifications for fill piA019_RAge]), SO
PROBE WHY R IS (NOT) COVERED BY MEDICARE
..................................................................................
44 1. R is disabled; R is on disability; Spouse on disability; R is
on Social Security disability or SSI
3 2. R has a specific medical problem. (E.g. If R says,'Disabled due
to medical condition,' code it as 02, not 01)
4 3. R has Medicare-NFS
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
7. R mentions a Medicare card or the mechanics of using it
8. R receives Medicare through a deceased spouse
9. R mentions his/her age in conjunction with having Medicare; R
has had Medicare since a certain age; R got Medicare 'early'
10. R pays into Medicare, but doesn't use it; R has Medicare, but
chooses not to use it
3 50. R never applied for Medicare or invested in it-NFS
2 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)
3 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
2 54. R used to have Medicare-NFS; R had Medicare, but not now; R
dropped it
1 55. Medicare charges too much; Medicare too expensive for what you
receive
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
59. R is not familiar with Medicare; confusion about eligibility
2 70. R has other medical insurance/coverage-NFS
5 71. R has veteran's coverage or insurance; 'I'm covered by the VA'
1 72. R has federal employee/Postal Service insurance
3 73. R has private insurance; e.g. Cigna, Kaiser, Blue Cross/Blue
Shield
6 74. R is covered by Medicaid
3 75. R's spouse's medical insurance covers R
3 76. R covered under company health plan or health insurance; R
covered under former employer's health plan or health insurance
2 90. R mentions income level/group, home ownership, an economic
factor
1 91. R mentions Social Security; e.g. 'I have Social Security'(Note
that all mentions of SSI or disability go under codes 01 or 02)
2 92. R is not a U.S. citizen; R is an illegal alien; R lives
10 97. Other
6 98. DK (Don’t Know); NA (Not Ascertained)
99. RF (Refused)
1395 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); ((N001_ = YES)
AND (piA019_RAge < 65)) OR ((N001_ <> YES) AND ((piA019_RAge > 65) OR
(piA019_RAge = 65)));
SN002M2 WHY NOT MEDICARE COVERED- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_GovCover.N002_
Why is that?
INTERVIEWER: R WAS AGE ([See Blaise Specifications for fill piA019_RAge]), SO
PROBE WHY R IS (NOT) COVERED BY MEDICARE
..................................................................................
3 1. R is disabled; R is on disability; Spouse on disability; R is
on Social Security disability or SSI
2. R has a specific medical problem. (E.g. If R says,'Disabled due
to medical condition,' code it as 02, not 01)
3. R has Medicare-NFS
4. 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
7. R mentions a Medicare card or the mechanics of using it
8. R receives Medicare through a deceased spouse
9. R mentions his/her age in conjunction with having Medicare; R
has had Medicare since a certain age; R got Medicare 'early'
10. R pays into Medicare, but doesn't use it; R has Medicare, but
chooses not to use it
1 50. R never applied for Medicare or invested in it-NFS
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)
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
55. Medicare charges too much; Medicare too expensive for what you
receive
1 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
59. R is not familiar with Medicare; confusion about eligibility
70. R has other medical insurance/coverage-NFS
71. R has veteran's coverage or insurance; 'I'm covered by the VA'
72. R has federal employee/Postal Service insurance
73. R has private insurance; e.g. Cigna, Kaiser, Blue Cross/Blue
Shield
1 74. R is covered by Medicaid
75. R's spouse's medical insurance covers R
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
91. R mentions Social Security; e.g. 'I have Social Security'(Note
that all mentions of SSI or disability go under codes 01 or 02)
92. R is not a U.S. citizen; R is an illegal alien; R lives
97. Other
98. DK (Don’t Know); NA (Not Ascertained)
99. RF (Refused)
1495 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); N001_ = YES;
SN004 MEDICARE PART B COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_GovCover.N004_
Part A of Medicare covers most hospital expenses.
Part B covers many doctors' expenses including doctor visits, and the premium
is usually deducted from (her/his) Social Security.
At the time of [RESPONDENT FIRST NAME]'s death, was (she/he) covered by
Medicare Part B?
..................................................................................
1189 1. YES
65 5. NO
83 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
163 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
SN005 MEDICAID COVERAGE SINCE PREV WAVE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_GovCover.N005_
Was (she/he) covered by health insurance through (Medicaid/STATE NAME FOR
MEDICAID or any other Medicaid program) at any time (between [PREV WAVE IW
MONTH], [PREV WAVE IW YEAR] and when (she/he) died/in the two years before
(her/his) death)?
..................................................................................
376 1. YES
1055 5. NO
68 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); N005_ = YES;
SN006 CURRENTLY COVERED BY MEDICAID
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_GovCover.N006_
Was (she/he) covered by (Medicaid/STATE NAME FOR MEDICAID) at the time
(she/he) died?
..................................................................................
363 1. YES
11 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1125 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
SN007 CHAMPUS/CHAMPVA COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_GovCover.N007_
At the time of (her/his) death, was (she/he) covered by TRI-CARE, CHAMPUS,
CHAMP-VA, or any other military health care plan?
DEFINITION: (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.)
..................................................................................
52 1. YES
1421 5. NO
26 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); (N001_ <> YES)
AND (N006_ = YES); ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND
(RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <>
SECREPEATPOST); NOT ((N001_ <> YES) AND (N006_ = YES)); (N001_ = YES) AND
(N006_ = YES); ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND
(RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <>
SECREPEATPOST); NOT ((N001_ <> YES) AND (N006_ = YES)); NOT ((N001_ = YES) AND
(N006_ = YES));
SN008 BRANCHPNT-MEDICARE/MEDICAID COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_GovCover.N008_
..................................................................................
319 1. R IS COVERED BY MEDICARE OR (MEDICARE AND MEDICAID)
44 2. R IS COVERED BY MEDICAID AND NOT MEDICARE
1136 3. ALL OTHERS
2 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
SN009 MEDICARE/MEDICAID HMO
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N009_
We are interested in how (her/his) (Medicare/Medicare or (Medicaid/STATE NAME
FOR MEDICAID)) health insurance worked for routine care.
Did [RESPONDENT FIRST NAME] receive (her/his) (Medicare /(Medicaid/STATE NAME
FOR MEDICAID)) benefits through an HMO, that is a Health Maintenance
Organization?
DEFINITION: (With an HMO, the cost of the physician visit is typically covered
in full or you pay only a small amount. All of your routine care must be
provided by an HMO physician.)
..................................................................................
210 1. YES
1009 5. NO
163 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
119 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES); (piGovCoverN001_ = YES) AND
(N009_ = YES);
SN243 HMO NEEDED FOR OTHER BENS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N243_
Did (she/he) have to join this HMO in order to receive supplemental benefits
from another plan?
..................................................................................
84 1. YES
95 5. NO
28 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1294 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES); N009_ = YES;
SN010 MEDICARE/MEDICAID HMO- HOW LONG - YRS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N010_
At the time of (her/his) death, about how long had (she/he) been receiving
(her/his) (Medicare /(Medicaid/STATE NAME FOR MEDICAID)) benefits through this
HMO?
YEARS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
157 0 25 9.63 7.48 1298
-----------------------------------------------------------------
46 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES); N009_ = YES; (N010_ = 0) OR
N010_ = EMPTY;
SN011 MEDICARE/MEDICAID HMO- HOW LONG - MOS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N011_
At the time of (her/his) death, about how long had (she/he) been receiving
(her/his) (Medicare /(Medicaid/STATE NAME FOR MEDICAID)) benefits through this
HMO?
MONTHS:
..................................................................................
7 3-18. Actual Value
45 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1448 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES); N009_ <> YES;
SN012 MEDICARE/MEDICAID HMO-HAS LIST OF DRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N012_HMOListDrs
Did this health insurance plan have a list or book of doctors that one is
encouraged or required to use?
..................................................................................
88 1. YES
952 5. NO
132 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
329 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES); (N012_HMOListDrs = YES) OR
(N009_ = YES);
SN013 MEDICARE/MEDICAID HMO-PAY DR NOT ON LIST
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N013_HMOPayMore
Did (this health insurance plan/the HMO) plan pay any of the costs of routine
care if one saw a doctor who was not (on this list/in the HMO)?
..................................................................................
71 1. YES
58 2. YES, WITH A REFERRAL
125 5. NO
43 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1203 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES); N009_ = YES;
SN014 MEDICARE/MEDICAID HMO-AMT PAY
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N014_
Not including co-pays or deductions from (her/his) Social Security, how much
did (she/he), (herself/himself), pay in premiums for this plan?
INTERVIEWER: DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
137 0-982. Actual Value
71 998. DK (Don't Know); NA (Not Ascertained)
2 999. RF (Refused)
1291 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES); N009_ = YES; NOT (((N014_ =
DONTKNOW) OR (N014_ = REFUSAL)) AND N015_ = EMPTY); ((N014_ > 0) AND (N014_ <>
REFUSAL)) AND (N014_ <> DONTKNOW);
SN018 MEDICARE/MEDICAID HMO-AMT PAY - PER
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N018_
Not including co-pays or deductions from (her/his) Social Security, how much
did (she/he), (herself/himself), pay for this plan?
PER:
..................................................................................
46 1. MONTH
3 2. QUARTER (EVERY 3 MONTHS)
3. SEMI-ANNUALLY (EVERY 6 MONTHS/TWICE A YEAR)
2 4. YEAR
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1450 Blank. INAP (Inapplicable)
SN015 MEDICARE/MEDICAID HMO-AMT PAY - MIN
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N015_
N015_ - N017_ Unfolding Sequence
Did it amount to less than $___, more than $___per month, or what?
BREAKPOINTS: 15, 30, 60, 120
PROCEDURE(S): UNFM_2Up1Down
ENTRY POINT(S): 30
..................................................................................
40 0. Value of Breakpoint
7 16. Value of Breakpoint
4 30. Value of Breakpoint
12 31. Value of Breakpoint
1 60. Value of Breakpoint
9 61. Value of Breakpoint
1428 Blank. INAP (Inapplicable)
SN016 MEDICARE/MEDICAID HMO-AMT PAY - MAX
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N016_
..................................................................................
1 14. Value of Breakpoint
8 29. Value of Breakpoint
4 30. Value of Breakpoint
8 59. Value of Breakpoint
1 60. Value of Breakpoint
9 119. Value of Breakpoint
42 1200. Value of Breakpoint
1428 Blank. INAP (Inapplicable)
SN017 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
41 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
1458 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES); N009_ = YES;
SN020 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 before (her/his) death), had (she/he) left an
HMO that delivered Medicare services?
..................................................................................
8 1. YES
195 5. NO
7 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1291 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES); N009_ = YES; N020_ = YES;
SN021M1 WHY LEAVE MEDICARE HMO- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N021M
Why did (she/he) leave that HMO?
INTERVIEWER: CHOOSE ALL THAT APPLY
..................................................................................
1. OWN PHYSICIAN LEFT PLAN
2 2. HMO DIDN'T PROVIDE NEEDED SERVICES
3. HMO COSTS INCREASED; found cheaper plan
2 4. HMO ENCOURAGED ME TO LEAVE
2 5. Better coverage with new plan
1 6. Too far away from HMO; R moved; HMO not in region
7. OTHER (SPECIFY)
10. Switched to Medicare
11. R retired, left, or changed jobs
12. Less convenient
13. Lost coverage NFS
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1493 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES); N009_ = YES; N020_ = YES;
SN021M2 WHY LEAVE MEDICARE HMO- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MediCaidCarePlan.N021M
Why did (she/he) leave that HMO?
INTERVIEWER: 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
7. OTHER (SPECIFY)
10. Switched to Medicare
11. R retired, left, or changed jobs
12. Less convenient
13. Lost coverage NFS
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1501 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
SN023 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 the other types of health insurance plans (she/he)
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 (her/his) Medicare HMO
you've just told me about, how/, or anything that you have just told me about.
How) many other such plans did (she/he) have at the time of (her/his) death?
INTERVIEWER: ENTER ZERO FOR NONE
NUMBER OF PLANS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1442 0 11 0.57 0.61 2
-----------------------------------------------------------------
57 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
(piGovCoverN001_ = YES) AND (CNT = 1);
SN025_1 WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N025_
Which was (her/his) primary plan, Medicare or ([NAME OF INSURANCE PLAN]) ?
..................................................................................
621 1. MEDICARE
67 2. NAME OF PLAN (W22_1/N024_1)
7 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
806 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N025_ = MEDICARE;
SN026_1 MEDIGAP PLAN LETTER- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.puN026_
Many Medicare Supplemental or Medigap Plans are referred to by a Plan Letter.
Do you know the Plan Letter for (her/his) plan?
INTERVIEWER: PROBE: What is it?
IF NO PLAN LETTER ENTER 'Z'
ENTER LETTER (A-J):
User Note: Due to programming error, some people who should have been asked
SN026 were not.
..................................................................................
36 1. A
7 2. B
4 3. C
2 4. D
4 5. E
9 6. F
1 7. G
8. H
9. I
2 10. J
168 95. Z
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1267 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N025_ = MEDICARE;
SN027_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 worked with Medicare. Did it provide help with...
copayments and deductibles for hospitalizations?
..................................................................................
558 1. YES
27 5. NO
36 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
880 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N025_ = MEDICARE;
SN028_1 MEDIGAP-HELP WITH SKILLED NURSING CARE-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N028_
(Did it provide help with...) paying for skilled nursing care?
..................................................................................
369 1. YES
149 5. NO
103 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
880 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N025_ = MEDICARE;
SN029_1 MEDIGAP-HELP PAY HOME HEALTH/HOSPICE- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N029_
(Did it provide help with...) paying for home health or hospice care?
..................................................................................
335 1. YES
171 5. NO
114 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
880 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N025_ = MEDICARE;
SN030_1 MEDIGAP-HELP PAY DR VISITS- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N030_
(Did it provide help with...) paying for doctor visits?
..................................................................................
567 1. YES
31 5. NO
23 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
880 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N025_ = MEDICARE;
SN031_1 MEDIGAP-HELP PAY FOR OUTPATIENT CARE- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N031_
(Did it provide help with...) paying for outpatient care?
..................................................................................
530 1. YES
41 5. NO
50 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
880 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
SN032_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_
(Did it provide help with...) paying for regular prescription drugs?
..................................................................................
500 1. YES
254 5. NO
29 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
718 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
((piSecJWORKSTATUSJ020_WorkforPay = YES) AND ((ACTIVELANGUAGE <> EXTENG) AND
(ACTIVELANGUAGE <> EXTSPN))) OR ((RVARS.Z123_CurWorkng_V = YES) AND
((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)));
SN033_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
Did (she/he) obtain this health insurance through (her/his) own business or an
employer?
ASK 'WHOSE EMPLOYER?' IF NOT CLEAR
..................................................................................
49 1. YES
41 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1411 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N033_HowObtIns <> YES; N034_ <> YES; (piRespondents1X065ACouplenss = MARRIED)
OR (piRespondents1X065ACouplenss = PARTNERED_VOL);
SN035_1 OBTAIN INS THRU HWP CURRENT EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N035_
Did (she/he) obtain this health insurance through ( your/his/her) current
employer?
..................................................................................
65 1. YES
308 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1127 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N033_HowObtIns <> YES; N034_ <> YES; (piRespondents1X065ACouplenss = MARRIED)
OR (piRespondents1X065ACouplenss = PARTNERED_VOL); N035_ <> YES;
SN036_1 OBTAIN INS THRU HWP FORMER EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N036_
Did (she/he) obtain this health insurance through ( your/his/her) former
employer?
..................................................................................
83 1. YES
225 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1192 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N033_HowObtIns <> YES; N034_ <> YES; (N035_ <> YES) AND (N036_ <> YES);
SN037_1 WHERE PURCHASE PRIVATE PLAN INSURANCE- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N037_
Did (she/he) purchase this plan directly from an insurance company, through
(her/his) (or/or (her/his)) (husband/wife/partner)'s/or your) union, through a
group such as AARP, a church, or other organization, or what?
..................................................................................
251 1. INSURANCE COMPANY
47 2. R`S UNION
11 3. SPOUSE`S UNION
79 4. GROUP
20 5. Former or deceased spouse's employer/union
99 6. Includes federal, state or military programs
49 7. OTHER (SPECIFY)
30 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
915 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
SN039_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
Including any help from [his/her] family, did [he/she] (or [you/[his/her]
[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?
..................................................................................
467 1. ALL
125 2. SOME
159 3. NONE
32 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
718 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N039_PayHlthInsCost <> NONE;
SN040_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 did [he/she] (or [you/[his/her] [husband/wife/partner]]) pay every
month in premiums for this plan?
(INTERVIEWER: 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
356 0 600 144.40 98.62 877
-----------------------------------------------------------------
264 998. DK (Don't Know); NA (Not Ascertained)
4 999. RF (Refused)
SN041_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
Did it amount to less than $____ per month, more than $____ per month, or
what?
BREAKPOINTS: 25, 50, 100, 150
PROCEDURE(S): UNFM_2UP1DOWN
ENTRY POINT(S): 50
..................................................................................
122 0. Value of Breakpoint
4 25. Value of Breakpoint
13 26. Value of Breakpoint
10 50. Value of Breakpoint
37 51. Value of Breakpoint
11 100. Value of Breakpoint
19 101. Value of Breakpoint
12 150. Value of Breakpoint
40 151. Value of Breakpoint
1233 Blank. INAP (Inapplicable)
SN042_1 PRIV PLAN HI PAY PER/MONTH- MAX- 1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_PlanDetails.N042_
..................................................................................
4 25. Value of Breakpoint
15 49. Value of Breakpoint
10 50. Value of Breakpoint
25 99. Value of Breakpoint
11 100. Value of Breakpoint
15 149. Value of Breakpoint
12 150. Value of Breakpoint
176 1500. Value of Breakpoint
1233 Blank. INAP (Inapplicable)
SN043_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
134 98. DK (Don't Know); NA (Not Ascertained)
4 99. RF (Refused)
1363 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N039_PayHlthInsCost <> NONE; ((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES)); ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N039_PayHlthInsCost <> NONE; NOT (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))); N037_ = OTH_SPECIFY; ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND
(RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <>
SECREPEATPOST); CNT <= N023_; N039_PayHlthInsCost <> NONE; NOT
(((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss =
PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ = YES))); NOT (N037_ =
OTH_SPECIFY);
SN046_1 BRANCHPNT-SOURCE OF HEALTH INSURANCE- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N046_
..................................................................................
102 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
119 2. INS THRU SOMEPLACE ELSE
403 3. INS THRU CURRENT/FORMER EMPLOYER OR UNION
877 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N039_PayHlthInsCost <> NONE; piGovCoverN001_ = YES; ((RVARS.Z145_TypeExit_V <>
NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND
(RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_; N039_PayHlthInsCost <>
NONE; NOT (piGovCoverN001_ = YES);
SN047_1 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N047_
..................................................................................
555 1. R IS COVERED BY MEDICARE
69 2. ALL OTHERS
877 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
SN052_1 PRIVATE PLAN INSURANCE AN HMO- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N052_Plan1HMO
Was (her/his) plan an HMO, that is, a Health Maintenance Organization?
DEFINITION: (With an HMO, the cost of the physician visit is typically covered
in full or you pay only a small amount. All of your routine care must be
provided by an HMO physician.)
..................................................................................
104 1. YES
626 5. NO
53 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
718 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
SN053_1 NUMBER YEARS IN PLAN- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N053_NumYrPlan
How long had (she/he) been with this plan?
YEARS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
617 1 50 18.83 13.40 726
-----------------------------------------------------------------
158 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
(N053_NumYrPlan = 0) OR N053_NumYrPlan = EMPTY;
SN054_1 NUMBER MONTHS IN PLAN- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N054_NumMoPlan
How long has (she/he) been with this plan?
MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
10 1 12 4.70 3.92 1335
-----------------------------------------------------------------
156 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
SN055_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
Did this health insurance plan have a list or book of doctors that (she/he)
was encouraged or required to use?
..................................................................................
170 1. YES
548 5. NO
65 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
718 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N055_ListDoctor = YES;
SN056_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
Did (this health insurance plan/the HMO) pay any of the costs for routine care
if (she/he) saw a doctor who was not (on this list/in the HMO)?
..................................................................................
61 1. YES
60 2. YES, WITH A REFERRAL
33 5. NO
16 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1331 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
(piA019_RAge < 65) AND (N033_HowObtIns = YES); ((RVARS.Z145_TypeExit_V <>
NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND
(RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_; NOT ((piA019_RAge < 65)
AND (N033_HowObtIns = YES)); (piA019_RAge < 65) AND (N034_ = YES);
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
NOT ((piA019_RAge < 65) AND (N033_HowObtIns = YES)); NOT ((piA019_RAge < 65)
AND (N034_ = YES));
SN058_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_
..................................................................................
23 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
760 3. ALL OTHERS
718 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
SN066_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
Were there any limits or restrictions on this health insurance plan due to a
preexisting condition?
..................................................................................
9 1. YES
711 5. NO
62 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
718 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
SN032_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_
(Did it provide help with...) paying for regular prescription drugs?
..................................................................................
11 1. YES
8 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1479 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
((piSecJWORKSTATUSJ020_WorkforPay = YES) AND ((ACTIVELANGUAGE <> EXTENG) AND
(ACTIVELANGUAGE <> EXTSPN))) OR ((RVARS.Z123_CurWorkng_V = YES) AND
((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)));
SN033_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
Did (she/he) obtain this health insurance through (her/his) own business or an
employer?
ASK 'WHOSE EMPLOYER?' IF NOT CLEAR
..................................................................................
1 1. YES
5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1499 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N033_HowObtIns <> YES; N034_ <> YES; (piRespondents1X065ACouplenss = MARRIED)
OR (piRespondents1X065ACouplenss = PARTNERED_VOL);
SN035_2 OBTAIN INS THRU HWP CURRENT EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N035_
Did (she/he) obtain this health insurance through ( your/his/her) current
employer?
..................................................................................
2 1. YES
8 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1490 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N033_HowObtIns <> YES; N034_ <> YES; (piRespondents1X065ACouplenss = MARRIED)
OR (piRespondents1X065ACouplenss = PARTNERED_VOL); N035_ <> YES;
SN036_2 OBTAIN INS THRU HWP FORMER EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N036_
Did (she/he) obtain this health insurance through ( your/his/her) former
employer?
..................................................................................
2 1. YES
5 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1492 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N033_HowObtIns <> YES; N034_ <> YES; (N035_ <> YES) AND (N036_ <> YES);
SN037_2 WHERE PURCHASE PRIVATE PLAN INSURANCE- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N037_
Did (she/he) purchase this plan directly from an insurance company, through
(her/his) (or/or (her/his)) (husband/wife/partner)'s/or your) union, through a
group such as AARP, a church, or other organization, or what?
..................................................................................
3 1. INSURANCE COMPANY
2 2. R`S UNION
1 3. SPOUSE`S UNION
5 4. GROUP
5. Former or deceased spouse's employer/union
3 6. Includes federal, state or military programs
1 7. OTHER (SPECIFY)
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1484 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
SN039_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
Including any help from [his/her] family, did [he/she] (or [you/[his/her]
[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?
..................................................................................
12 1. ALL
2 2. SOME
6 3. NONE
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1479 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N039_PayHlthInsCost <> NONE;
SN040_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 did [he/she] (or [you/[his/her] [husband/wife/partner]]) pay every
month in premiums for this plan?
(INTERVIEWER: COUNT ANY PAYROLL DEDUCTIONS, BUT DO NOT INCLUDE ANY AMOUNT PAID
BY THE EMPLOYER)
DO NOT PROBE DK/RF
AMOUNT PER MONTH:
..................................................................................
4 13-178. Actual Value
12 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1485 Blank. INAP (Inapplicable)
SN041_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
Did it amount to less than $____ per month, more than $____ per month, or
what?
BREAKPOINTS: 25, 50, 100, 150
PROCEDURE(S): UNFM_2UP1DOWN
ENTRY POINT(S): 50
..................................................................................
9 0. Value of Breakpoint
1 26. Value of Breakpoint
1 101. Value of Breakpoint
1 150. Value of Breakpoint
1489 Blank. INAP (Inapplicable)
SN042_2 PRIV PLAN HI PAY PER/MONTH- MAX- 2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_PlanDetails.N042_
..................................................................................
1 49. Value of Breakpoint
1 150. Value of Breakpoint
10 1500. Value of Breakpoint
1489 Blank. INAP (Inapplicable)
SN043_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
10 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1491 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N039_PayHlthInsCost <> NONE; ((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES)); ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N039_PayHlthInsCost <> NONE; NOT (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))); N037_ = OTH_SPECIFY; ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND
(RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <>
SECREPEATPOST); CNT <= N023_; N039_PayHlthInsCost <> NONE; NOT
(((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss =
PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ = YES))); NOT (N037_ =
OTH_SPECIFY);
SN046_2 BRANCHPNT-SOURCE OF HEALTH INSURANCE- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N046_
..................................................................................
2 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
2 2. INS THRU SOMEPLACE ELSE
12 3. INS THRU CURRENT/FORMER EMPLOYER OR UNION
1485 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N039_PayHlthInsCost <> NONE; piGovCoverN001_ = YES; ((RVARS.Z145_TypeExit_V <>
NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND
(RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_; N039_PayHlthInsCost <>
NONE; NOT (piGovCoverN001_ = YES);
SN047_2 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N047_
..................................................................................
15 1. R IS COVERED BY MEDICARE
1 2. ALL OTHERS
1485 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
SN052_2 PRIVATE PLAN INSURANCE AN HMO- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N052_Plan1HMO
Was (her/his) plan an HMO, that is, a Health Maintenance Organization?
DEFINITION: (With an HMO, the cost of the physician visit is typically covered
in full or you pay only a small amount. All of your routine care must be
provided by an HMO physician.)
..................................................................................
3 1. YES
17 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1479 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
SN053_2 NUMBER YEARS IN PLAN- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N053_NumYrPlan
How long had (she/he) been with this plan?
YEARS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
18 3 50 24.11 12.60 1479
-----------------------------------------------------------------
4 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
(N053_NumYrPlan = 0) OR N053_NumYrPlan = EMPTY;
SN054_2 NUMBER MONTHS IN PLAN- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N054_NumMoPlan
How long has (she/he) been with this plan?
MONTHS:
..................................................................................
4 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1497 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
SN055_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
Did this health insurance plan have a list or book of doctors that (she/he)
was encouraged or required to use?
..................................................................................
3 1. YES
16 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1479 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N055_ListDoctor = YES;
SN056_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
Did (this health insurance plan/the HMO) pay any of the costs for routine care
if (she/he) saw a doctor who was not (on this list/in the HMO)?
..................................................................................
2 1. YES
2. YES, WITH A REFERRAL
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1498 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
(piA019_RAge < 65) AND (N033_HowObtIns = YES); ((RVARS.Z145_TypeExit_V <>
NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND
(RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_; NOT ((piA019_RAge < 65)
AND (N033_HowObtIns = YES)); (piA019_RAge < 65) AND (N034_ = YES);
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
NOT ((piA019_RAge < 65) AND (N033_HowObtIns = YES)); NOT ((piA019_RAge < 65)
AND (N034_ = YES));
SN058_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_
..................................................................................
1 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
21 3. ALL OTHERS
1479 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
SN066_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
Were there any limits or restrictions on this health insurance plan due to a
preexisting condition?
..................................................................................
1. YES
18 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1479 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
SN032_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_
(Did it provide help with...) paying for regular prescription drugs?
..................................................................................
1. YES
1 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1497 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
((piSecJWORKSTATUSJ020_WorkforPay = YES) AND ((ACTIVELANGUAGE <> EXTENG) AND
(ACTIVELANGUAGE <> EXTSPN))) OR ((RVARS.Z123_CurWorkng_V = YES) AND
((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)));
SN033_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
Did (she/he) obtain this health insurance through (her/his) own business or an
employer?
ASK 'WHOSE EMPLOYER?' IF NOT CLEAR
..................................................................................
1 1. YES
5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1499 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N033_HowObtIns <> YES; N034_ <> YES; (piRespondents1X065ACouplenss = MARRIED)
OR (piRespondents1X065ACouplenss = PARTNERED_VOL);
SN035_3 OBTAIN INS THRU HWP CURRENT EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N035_
Did (she/he) obtain this health insurance through ( your/his/her) current
employer?
..................................................................................
1. YES
1 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1499 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N033_HowObtIns <> YES; N034_ <> YES; (piRespondents1X065ACouplenss = MARRIED)
OR (piRespondents1X065ACouplenss = PARTNERED_VOL); N035_ <> YES;
SN036_3 OBTAIN INS THRU HWP FORMER EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N036_
Did (she/he) obtain this health insurance through ( your/his/her) former
employer?
..................................................................................
1. YES
1 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1499 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N033_HowObtIns <> YES; N034_ <> YES; (N035_ <> YES) AND (N036_ <> YES);
SN037_3 WHERE PURCHASE PRIVATE PLAN INSURANCE- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N037_
Did (she/he) purchase this plan directly from an insurance company, through
(her/his) (or/or (her/his)) (husband/wife/partner)'s/or your) union, through a
group such as AARP, a church, or other organization, or what?
..................................................................................
1. INSURANCE COMPANY
2. R`S UNION
3. SPOUSE`S UNION
1 4. GROUP
5. Former or deceased spouse's employer/union
6. Includes federal, state or military programs
7. OTHER (SPECIFY)
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1498 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
SN039_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
Including any help from [his/her] family, did [he/she] (or [you/[his/her]
[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?
..................................................................................
1 1. ALL
1 2. SOME
3. NONE
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1497 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N039_PayHlthInsCost <> NONE;
SN040_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 did [he/she] (or [you/[his/her] [husband/wife/partner]]) pay every
month in premiums for this plan?
(INTERVIEWER: COUNT ANY PAYROLL DEDUCTIONS, BUT DO NOT INCLUDE ANY AMOUNT PAID
BY THE EMPLOYER)
DO NOT PROBE DK/RF
AMOUNT PER MONTH:
..................................................................................
4 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1497 Blank. INAP (Inapplicable)
SN041_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
Did it amount to less than $____ per month, more than $____ per month, or
what?
BREAKPOINTS: 25, 50, 100, 150
PROCEDURE(S): UNFM_2UP1DOWN
ENTRY POINT(S): 50
..................................................................................
4 0. Value of Breakpoint
1497 Blank. INAP (Inapplicable)
SN042_3 PRIV PLAN HI PAY PER/MONTH- MAX- 3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_PlanDetails.N042_
..................................................................................
4 1500. Value of Breakpoint
1497 Blank. INAP (Inapplicable)
SN043_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
4 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1497 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N039_PayHlthInsCost <> NONE; ((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES)); ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N039_PayHlthInsCost <> NONE; NOT (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))); N037_ = OTH_SPECIFY; ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND
(RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <>
SECREPEATPOST); CNT <= N023_; N039_PayHlthInsCost <> NONE; NOT
(((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss =
PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ = YES))); NOT (N037_ =
OTH_SPECIFY);
SN046_3 BRANCHPNT-SOURCE OF HEALTH INSURANCE- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N046_
..................................................................................
1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
1 2. INS THRU SOMEPLACE ELSE
3 3. INS THRU CURRENT/FORMER EMPLOYER OR UNION
1497 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N039_PayHlthInsCost <> NONE; piGovCoverN001_ = YES; ((RVARS.Z145_TypeExit_V <>
NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND
(RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_; N039_PayHlthInsCost <>
NONE; NOT (piGovCoverN001_ = YES);
SN047_3 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N047_
..................................................................................
3 1. R IS COVERED BY MEDICARE
1 2. ALL OTHERS
1497 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
SN052_3 PRIVATE PLAN INSURANCE AN HMO- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PlanDetails.N052_Plan1HMO
Was (her/his) plan an HMO, that is, a Health Maintenance Organization?
DEFINITION: (With an HMO, the cost of the physician visit is typically covered
in full or you pay only a small amount. All of your routine care must be
provided by an HMO physician.)
..................................................................................
1 1. YES
1 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1497 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
SN053_3 NUMBER YEARS IN PLAN- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N053_NumYrPlan
How long had (she/he) been with this plan?
YEARS:
..................................................................................
1 3. Actual Value
3 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1497 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
(N053_NumYrPlan = 0) OR N053_NumYrPlan = EMPTY;
SN054_3 NUMBER MONTHS IN PLAN- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_PlanDetails.N054_NumMoPlan
How long has (she/he) been with this plan?
MONTHS:
..................................................................................
3 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1498 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
SN055_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
Did this health insurance plan have a list or book of doctors that (she/he)
was encouraged or required to use?
..................................................................................
1. YES
1 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1497 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
N055_ListDoctor = YES;
SN056_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
Did (this health insurance plan/the HMO) pay any of the costs for routine care
if (she/he) saw a doctor who was not (on this list/in the HMO)?
..................................................................................
1. YES
2. YES, WITH A REFERRAL
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1501 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
(piA019_RAge < 65) AND (N033_HowObtIns = YES); ((RVARS.Z145_TypeExit_V <>
NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND
(RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_; NOT ((piA019_RAge < 65)
AND (N033_HowObtIns = YES)); (piA019_RAge < 65) AND (N034_ = YES);
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
NOT ((piA019_RAge < 65) AND (N033_HowObtIns = YES)); NOT ((piA019_RAge < 65)
AND (N034_ = YES));
SN058_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_
..................................................................................
1 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
3 3. ALL OTHERS
1497 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); CNT <= N023_;
SN066_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
Were there any limits or restrictions on this health insurance plan due to a
preexisting condition?
..................................................................................
1. YES
1 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1497 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
SN067 DENTAL COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_DentalPlans.N067_
Did (she/he) have any insurance that covers dental bills?
..................................................................................
262 1. YES
1144 5. NO
93 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); N067_ = YES;
ptN090_NumOfPlans = 0;
SN068 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?
..................................................................................
196 1. PREVIOUSLY DESCRIBED PLAN
63 2. DIFFERENT PLAN
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1239 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); N067_ = YES;
NOT (ptN090_NumOfPlans = 0); N068_DenCovNewPrev = PREVDESCRPLAN;
SN069 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?
User Note: Due to a programming error, respondents who responded 2. DIFFERENT
PLAN at SN068 were not correctly assigned to 27. NOT ON LIST.
..................................................................................
103 1. FIRST PLAN MENTIONED AT SN024
7 2. SECOND PLAN MENTIONED AT SN024
3. THIRD PLAN MENTIONED AT SN024
4. PLAN MENTIONED AT SN070
5. PLAN MENTIONED AT SN074
6. PLAN MENTIONED AT SN105
7. PLAN MENTIONED AT SN113
8. PLAN MENTIONED AT SN242
9. PLAN MENTIONED AT SN138
10. PLAN MENTIONED AT SN146
11. PLAN MENTIONED AT SN155
12. PLAN MENTIONED AT SN163
13. PLAN MENTIONED AT SN167
14. PLAN MENTIONED AT SN174
15. PLAN MENTIONED AT SN179
16. PLAN MENTIONED AT SN187
19 20. MEDICARE
46 21. MEDICAID
6 22. CHAMPUS
14 27. NOT ON LIST
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1304 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
SN071 LTC INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N071_LTCIns
Not including government programs, did [RESPONDENT FIRST NAME] have any
insurance which specifically covered nursing home care for a year or more or
any part of personal or medical care in (her/his) home?)
..................................................................................
101 1. YES
1330 5. NO
68 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); N071_LTCIns =
YES; NOT (ptN090_NumOfPlans = 0);
SN072 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?
..................................................................................
44 1. PREVIOUSLY DESCRIBED PLAN
57 2. DIFFERENT PLAN
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1400 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); N071_LTCIns =
YES; ptN090_NumOfPlans = 0;
SN073 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?
User Note: Due to a programming error, respondents who responded 2. DIFFERENT
PLAN at SN072 were not correctly assigned to 27. NOT ON LIST.
..................................................................................
21 1. FIRST PLAN MENTIONED AT SN024
2. SECOND PLAN MENTIONED AT SN024
3. THIRD PLAN MENTIONED AT SN024
4. PLAN MENTIONED AT SN070
5. PLAN MENTIONED AT SN074
6. PLAN MENTIONED AT SN105
7. PLAN MENTIONED AT SN113
8. PLAN MENTIONED AT SN242
9. PLAN MENTIONED AT SN138
10. PLAN MENTIONED AT SN146
11. PLAN MENTIONED AT SN155
12. PLAN MENTIONED AT SN163
13. PLAN MENTIONED AT SN167
14. PLAN MENTIONED AT SN174
15. PLAN MENTIONED AT SN179
16. PLAN MENTIONED AT SN187
7 20. MEDICARE
5 21. MEDICAID
2 22. CHAMPUS
7 27. NOT ON LIST
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1457 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); N071_LTCIns =
YES;
SN075 COVER NURSING HOME/IN-HOME CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N075_CovNHInHome
Did this plan cover care in a nursing home facility only, personal or long-
term care at home, or both in-home and nursing home care?
..................................................................................
32 1. NURSING HOME CARE ONLY
9 2. IN-HOME CARE ONLY
49 3. BOTH
1 7. OTHER (SPECIFY)
10 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1400 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); N071_LTCIns =
YES;
SN077 RECD BENEFITS UNDER LTC
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N077_RcvBenefLTC
Did [RESPONDENT FIRST NAME] ever receive benefits under (her/his) long-term
care policy?
..................................................................................
42 1. YES
57 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1400 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); N071_LTCIns =
YES; N072_LTCCovNHNewPrev <> PREVDESCRPLAN;
SN079 AMT PAY FOR LTC
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N079_AmtPayLTC
How much did (she/he) (or [you/[his/her] [husband/wife/partner]]) pay per
month for this (plan/long term coverage)?
INTERVIEWER: ENTER 0 IF NO PAYMENTS ARE MADE
AMOUNT:
..................................................................................
32 0-25000. Actual Value
25 99998. DK (Don't Know); NA (Not Ascertained)
99999. RF (Refused)
1444 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); N071_LTCIns =
YES; N079_AmtPayLTC > 0;
SN083 AMT PAY FOR LTC PER
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N083_AmtPayLTCPer
About how much was (she/he) paying for this plan before (her/his) death?
PER:
..................................................................................
5 1. YEAR
1 2. QUARTER (EVERY 3 MONTHS)
24 4. MONTH
1 6. Lump sum payment
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1470 Blank. INAP (Inapplicable)
SN080 AMT PAY FOR LTC - MIN
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N080_
N080_ - N082_ Unfolding Sequence
Did it amount to less than $____ per month, more than $____ per month, or
what?
BREAKPOINTS: 25, 100, 200, 400
PROCEDURE(S): UNFM_2up1down
ENTRY POINT(S): 100
..................................................................................
16 0. Value of Breakpoint
4 26. Value of Breakpoint
2 101. Value of Breakpoint
1 200. Value of Breakpoint
2 201. Value of Breakpoint
1476 Blank. INAP (Inapplicable)
SN081 AMT PAY FOR LTC - MAX
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N081_
..................................................................................
1 24. Value of Breakpoint
4 99. Value of Breakpoint
1 199. Value of Breakpoint
1 200. Value of Breakpoint
2 399. Value of Breakpoint
16 4000. Value of Breakpoint
1476 Blank. INAP (Inapplicable)
SN082 AMT PAY FOR LTC- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_NursingHomeInsurance.N082_
..................................................................................
97. Data Not Available
16 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1485 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); GovCover.N001_
= YES; ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); GovCover.N006_
= YES; ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); GovCover.N007_
= YES;
SN090 NUMBER OF PUBLIC/PRIVATE HI PLANS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN.N090_NumOfPlans
User Note: Only a maximum of 3 private plans from the SN024 loop contribute
to the count of plans in SN090, which may be fewer than the total number of
plans given at SN023. 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
1470 1 4 1.84 0.65 31
-----------------------------------------------------------------
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(N090_NumOfPlans > 0) AND ((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <>
EXTSPN));
SN091 EVER WITHOUT HI AMONG CURRENTLY INSURED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN.N091_NoInsurance
Was [RESPONDENT FIRST NAME] 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 before (her/his) death)?
User Note: Due to an unknown error, no respondents received SN091.
..................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1501 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); (ACTIVELANGUAGE
<> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN); ((((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); ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND
(RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <>
SECREPEATPOST); (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN); 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));
SN098 BRANCHPNT-DENTAL/MEDS COVRGE/ALL OTH
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN.N098_
User Note: Due to programming error, no respondents were assigned a value at
this branchpoint.
..................................................................................
1. R`S HEALTH INSURANCE PAYS PART OF PRESCRIPTION AND/OR DENTAL
2. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1501 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(SecA.ContinuInterview.A124_PlaceDied = INHOSPITAL);
SN301 TIME IN HOSPITAL BEFORE DEATH
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN.N301_
The next questions are about health care (she/he) had received. Earlier you
told me that [RESPONDENT FIRST NAME] died while in a hospital. How long had
(she/he) been a patient in that hospital before (her/his) death?
INTERVIEWER ENTER '1 HOUR' IF LESS THAN ONE HOUR
NUMBER:
..................................................................................
614 1-93. Actual Value
12 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
875 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(SecA.ContinuInterview.A124_PlaceDied = INHOSPITAL);
SN302 TIME IN HOSPITAL BEFORE DEATH- UNIT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN.N302_
The next questions are about health care (she/he) had received. Earlier you
told me that [RESPONDENT FIRST NAME] died while in a hospital. How long had
(she/he) been a patient in that hospital before (her/his) death?
INTERVIEWER ENTER '1 HOUR' IF LESS THAN ONE HOUR
UNIT:
..................................................................................
54 1. HOURS
391 2. DAYS
116 3. WEEKS
53 4. MONTHS
6 5. YEARS
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
876 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(SecA.ContinuInterview.A124_PlaceDied = INHOSPITAL);
SN303 REASON IN HOSPITAL
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN.N303_
Why had (she/he) been admitted to the hospital? Was it to have surgery,
receive other treatments, relieve (her/his) symptoms, or what?
..................................................................................
69 1. SURGERY
232 2. OTHER TREATMENTS
296 3. RELIEVE SYMPTOMS
22 7. OTHER (SPECIFY)
6 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
875 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
SN099 OVERNIGHT STAY IN HOSP-SINCE PREV IW/2YR
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HospitalStay.N099_OverniteHosp
(In addition to that hospital stay,/The next questions are about health care
(she/he) had received ,) (Since [PREV WAVE IW MONTH], [PREV WAVE IW
YEAR]/Since [PREV WAVE IW YEAR]/In the two years before (her/his) death), had
(she/he) been a patient in a hospital overnight?
..................................................................................
947 1. YES
536 5. NO
16 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) OR (piA124_PlaceDied
= INHOSPITAL)) OR (N099_OverniteHosp = YES); ((ACTIVELANGUAGE <> EXTENG) AND
(ACTIVELANGUAGE <> EXTSPN)) OR (N099_OverniteHosp = YES); (((ACTIVELANGUAGE =
EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) OR (piA124_PlaceDied <> INHOSPITAL)) OR
(N099_OverniteHosp = YES);
SN100 NUM TIMES R STAYED OVERNIGHT IN HOSP
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_HospitalStay.N100_TimeOverHosp
(Including (her/his) final hospitalization,) How many different times was
(she/he) 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 before
(her/his) death))?
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
874 1 90 3.24 4.37 555
-----------------------------------------------------------------
72 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) OR (piA124_PlaceDied
= INHOSPITAL)) OR (N099_OverniteHosp = YES); ((ACTIVELANGUAGE <> EXTENG) AND
(ACTIVELANGUAGE <> EXTSPN)) OR (N099_OverniteHosp = YES); (((ACTIVELANGUAGE =
EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) OR (piA124_PlaceDied <> INHOSPITAL)) OR
(N099_OverniteHosp = YES);
SN101 NUM NIGHTS R SPENT OVERNIGHT IN HOSPITAL
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_HospitalStay.N101_NiteOverHosp
(Altogether) How many nights was (she/he) a patient in a hospital ( (since
[PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the
last two years before (her/his) death))?
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
810 1 450 24.75 39.86 555
-----------------------------------------------------------------
135 998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) OR (piA124_PlaceDied
= INHOSPITAL)) OR (N099_OverniteHosp = YES); ((ACTIVELANGUAGE <> EXTENG) AND
(ACTIVELANGUAGE <> EXTSPN)) OR (N099_OverniteHosp = YES); (ACTIVELANGUAGE =
EXTENG) OR (ACTIVELANGUAGE = EXTSPN);
SN305 SPEND TIME IN ICU
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HospitalStay.N305_
(During any of those hospital stays /During (her/his) hospital stay) did
[RESPONDENT FIRST NAME] spend any time in an intensive care unit?
..................................................................................
412 1. YES
516 5. NO
18 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
555 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) OR (piA124_PlaceDied
= INHOSPITAL)) OR (N099_OverniteHosp = YES); ((ACTIVELANGUAGE <> EXTENG) AND
(ACTIVELANGUAGE <> EXTSPN)) OR (N099_OverniteHosp = YES); (ACTIVELANGUAGE =
EXTENG) OR (ACTIVELANGUAGE = EXTSPN);
SN306 USED LIFE SUPPORT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HospitalStay.N306_
(During any of those hospital stays /During (her/his) hospital stay) did
(she/he) use life support equipment, such as a respirator?
..................................................................................
244 1. YES
683 5. NO
18 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
555 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) OR (piA124_PlaceDied
= INHOSPITAL)) OR (N099_OverniteHosp = YES); ((ACTIVELANGUAGE <> EXTENG) AND
(ACTIVELANGUAGE <> EXTSPN)) OR (N099_OverniteHosp = YES); (ACTIVELANGUAGE =
EXTENG) OR (ACTIVELANGUAGE = EXTSPN);
SN307 USED KIDNEY DIALYSIS SERVICES
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HospitalStay.N307_
(During any of those hospital stays /During (her/his) hospital stay)did
(she/he) use kidney dialysis services?
..................................................................................
69 1. YES
869 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
555 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) OR (piA124_PlaceDied
= INHOSPITAL)) OR (N099_OverniteHosp = YES); ((ACTIVELANGUAGE <> EXTENG) AND
(ACTIVELANGUAGE <> EXTSPN)) OR (N099_OverniteHosp = YES); (ACTIVELANGUAGE =
EXTENG) OR (ACTIVELANGUAGE = EXTSPN);
SN308 RECEIVE ANTIBIOTICS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HospitalStay.N308_
(During any of those hospital stays /During (her/his) hospital stay) did
(she/he) receive antibiotics to treat pneumonia or other infection?
..................................................................................
569 1. YES
296 5. NO
80 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
555 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) OR (piA124_PlaceDied
= INHOSPITAL)) OR (N099_OverniteHosp = YES); ((ACTIVELANGUAGE <> EXTENG) AND
(ACTIVELANGUAGE <> EXTSPN)) OR (N099_OverniteHosp = YES);
SN102 HOSPITAL STAYS COVERED BY INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HospitalStay.N102_HospCovIns
Were the costs for (her/his) hospital stay(s) completely covered by health
insurance, partly covered by insurance, or not covered at all by insurance?
..................................................................................
653 1. COMPLETELY COVERED
167 2. MOSTLY COVERED
75 3. PARTIALLY COVERED
7 5. NOT COVERED AT ALL
14 7. COSTS NOT SETTLED YET
30 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
555 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) OR (piA124_PlaceDied
= INHOSPITAL)) OR (N099_OverniteHosp = YES); ((ACTIVELANGUAGE <> EXTENG) AND
(ACTIVELANGUAGE <> EXTSPN)) OR (N099_OverniteHosp = YES); N102_HospCovIns <>
COMPLETELYCOVRD;
SN106 AMT PAID O-O-P HOSPITAL COSTS
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_HospitalStay.N106_AmtOOPHospCost
About how much did [he/she] pay out-of-pocket for hospital bills [since R's
LAST IW MONTH, YEAR/in the last two years before [his/her] death]?
[IWER: DO NOT PROBE DK/RF]
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
97 1 400000 5922.92 40542.26 1208
-----------------------------------------------------------------
16 0. None; includes cost not settled yet
178 999998. DK (Don't Know); NA (Not Ascertained)
2 999999. RF (Refused)
SN107 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
Did it amount to less than $____ , more than $____ , or what?
BREAKPOINTS: 500 5000 10000 20000 50000
PROCEDURE(S): ENTRY POINT(S):
UNFM_1up3down 20000
UNFM_2up2down 10000
UNFM_3up1down 5000
User Note: The entry point for the SN107 - SN109 unfolding sequence is
determined by the random assignment variable SZ084.
..................................................................................
65 0. Value of Breakpoint
6 500. Value of Breakpoint
59 501. Value of Breakpoint
5 5000. Value of Breakpoint
13 5001. Value of Breakpoint
2 10000. Value of Breakpoint
23 10001. Value of Breakpoint
4 20001. Value of Breakpoint
3 50001. Value of Breakpoint
1321 Blank. INAP (Inapplicable)
SN108 AMT PAID O-O-P HOSPITAL COSTS - MAX
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_HospitalStay.N108_
..................................................................................
11 499. Value of Breakpoint
6 500. Value of Breakpoint
64 4999. Value of Breakpoint
5 5000. Value of Breakpoint
16 9999. Value of Breakpoint
2 10000. Value of Breakpoint
6 19999. Value of Breakpoint
4 49999. Value of Breakpoint
66 500000. Value of Breakpoint
1321 Blank. INAP (Inapplicable)
SN109 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
77 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1424 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((SecA.Relations.puA028_RInNHome = YESNURSINGHOME) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME));
SN309 NURSING HOME B/F DEATH- DAYS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_NursingHomeStays.N309_
Earlier you told me that [RESPONDENT FIRST NAME] (died while/was living) in a
nursing home. How long had (she/he) been a patient in that nursing home before
(her/his) death?
# DAYS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
176 1 365 31.82 60.91 1307
-----------------------------------------------------------------
17 998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((SecA.Relations.puA028_RInNHome = YESNURSINGHOME) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)); (N309_ = DONTKNOW) OR
N309_ = EMPTY;
SN310 NURSING HOME B/F DEATH- MONTHS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_NursingHomeStays.N310_
Earlier you told me that [RESPONDENT FIRST NAME] (died while/was living) in a
nursing home. How long had (she/he) been a patient in that nursing home before
(her/his) death?
# MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
159 1 132 12.65 17.53 1324
-----------------------------------------------------------------
18 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((SecA.Relations.puA028_RInNHome = YESNURSINGHOME) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)); (N309_ = DONTKNOW) OR
N309_ = EMPTY; (N310_ = DONTKNOW) OR N310_ = EMPTY;
SN311 NURSING HOME B/F DEATH- SINCE MONTH
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_NursingHomeStays.N311_
Earlier you told me that [RESPONDENT FIRST NAME] (died while/was living) in a
nursing home. How long had (she/he) been a patient in that nursing home before
(her/his) death?
SINCE MONTH:
..................................................................................
3 1. JAN
4 2. FEB
4 3. MAR
3 4. APR
6 5. MAY
4 6. JUN
7. JUL
5 8. AUG
5 9. SEP
6 10. OCT
2 11. NOV
3 12. DEC
17 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1439 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((SecA.Relations.puA028_RInNHome = YESNURSINGHOME) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)); (N309_ = DONTKNOW) OR
N309_ = EMPTY; (N310_ = DONTKNOW) OR N310_ = EMPTY;
SN313 NURSING HOME B/F DEATH- SINCE YEAR
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_NursingHomeStays.N313_
Earlier you told me that [RESPONDENT FIRST NAME] (died while/was living) in a
nursing home. How long had (she/he) been a patient in that nursing home before
(her/his) death?
SINCE YEAR:
..................................................................................
118 1989-2002. Actual Value
13 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1370 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((SecA.Relations.puA028_RInNHome = YESNURSINGHOME) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME));
SN314M1M WHY ADMITTED - FINAL- 1- MASKED
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_NursingHomeStays.N314_
Why had (she/he) been admitted to the nursing home?
User note: Code categories have been collapsed to protect respondent
confidentiality. Values 181, 182, and 183 were recoded to 189; Values 194,
and 195 were recoded to 196.
..................................................................................
10 101-103. Cancers and tumors; skin conditions
26 111-119. Musculoskeletal system and connective tissue
42 121-129. Heart, circulatory and blood conditions
5 131-139. Allergies; hayfever; sinusitis; tonsillitis
2 141-149. Endocrine, metabolic and nutritional conditions
10 151-159. Digestive system (stomach, liver, gallbladder,
kidney, bladder)
20 161-169. Neurological and sensory conditions
171-179. Reproductive system and prostate conditions
2 181-189. Emotional and psychological conditions
51 191-196. Miscellaneous
3 595-597. Other symptoms
217 701. No other care arrangements available
17 702. Deteriorating health; health condition not
specified
29 703. To recover/rehab for injury/surgery
990. No text displayed
2 996. None
20 997. Other health condition
7 998. DK (Don’t Know); NA (Not Ascertained)
999. RF (Refused)
1038 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((SecA.Relations.puA028_RInNHome = YESNURSINGHOME) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME));
SN314M2M WHY ADMITTED - FINAL- 2- MASKED
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_NursingHomeStays.N314_
Why had (she/he) been admitted to the nursing home?
User note: Code categories have been collapsed to protect respondent
confidentiality. Values 181, 182, and 183 were recoded to 189; Values 194,
and 195 were recoded to 196.
..................................................................................
1 101-103. Cancers and tumors; skin conditions
10 111-119. Musculoskeletal system and connective tissue
11 121-129. Heart, circulatory and blood conditions
5 131-139. Allergies; hayfever; sinusitis; tonsillitis
3 141-149. Endocrine, metabolic and nutritional conditions
13 151-159. Digestive system (stomach, liver, gallbladder,
kidney, bladder)
6 161-169. Neurological and sensory conditions
1 171-179. Reproductive system and prostate conditions
2 181-189. Emotional and psychological conditions
21 191-196. Miscellaneous
2 595-597. Other symptoms
46 701. No other care arrangements available
10 702. Deteriorating health; health condition not
specified
9 703. To recover/rehab for injury/surgery
990. No text displayed
996. None
6 997. Other health condition
998. DK (Don’t Know); NA (Not Ascertained)
999. RF (Refused)
1355 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME) OR
(SecA.Relations.puA028_RInNHome = YESNURSINGHOME); ((RVARS.Z145_TypeExit_V <>
NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND
(RVARS.Z145_TypeExit_V <> SECREPEATPOST); NOT
((SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME) OR
(SecA.Relations.puA028_RInNHome = YESNURSINGHOME));
SN114 EVER PATIENT OVERNIGHT IN NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_NursingHomeStays.N114_OverniteNH
Excluding any hospice stays, ((since [PREV WAVE IW MONTH], [PREV WAVE IW
YEAR]/since [PREV WAVE IW YEAR]/in the last two years) before (her/his)
death)), had (she/he) been a patient overnight in a nursing home, convalescent
home, or other long-term health care facility?
User Note: Prior to Exit Datamodel 3, exit proxies for the respondent who was
in a nursing home when he/she died were asked at SN114 if the respondent had
any nursing home stays besides the one when he/she died, and, if not, skipped
questions SN115 - SN117. Therefore, they were skipped over the SN123 loop and
missed questions SN127 - SN133.
..................................................................................
336 1. YES
1157 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
2 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); N114_OverniteNH
= YES;
SN115 # TIMES SPENT OVERNIGHT IN NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_NursingHomeStays.N115_TimeOverNH
(Including (her/his) final stay,) How many different times was (she/he) 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
before (her/his) death)?
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
325 1 21 1.33 1.26 1165
-----------------------------------------------------------------
10 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); N114_OverniteNH
= YES;
SN116 NUM NIGHTS R SPENT OVERNIGHT IN NH
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_NursingHomeStays.N116_NiteOverNH
(Altogether, how/How) many nights or months was (she/he) 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 before (her/his) death)?
INTERVIEWER: 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
before (her/his) death)
IF R ANSWERS IN MONTHS RATHER THAN NIGHTS, ENTER 0 FOR NIGHTS
NIGHTS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
161 0 800 42.06 100.77 1255
-----------------------------------------------------------------
62 996. CONTINUOUS SINCE ENTERED; R died while living in nursing home
22 998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); N114_OverniteNH
= YES; N116_NiteOverNH = EMPTY;
SN117 NUM MOS R SPENT OVERNIGHT IN NH
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_NursingHomeStays.N117_MoOverNH
(Altogether, how/How) many nights or months was (she/he) 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 before (her/his) death)?
MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
90 1 50 9.29 8.62 1408
-----------------------------------------------------------------
3 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME);
SN118 NH COSTS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_NursingHomeStays.N118_InsCovCost
Were the costs for (her/his) nursing home stay(s) completely covered by
insurance, only partially covered, or not covered at all by insurance?
..................................................................................
307 1. COMPLETELY COVERED
47 2. MOSTLY COVERED
67 3. PARTIALLY COVERED
113 5. NOT COVERED AT ALL
4 7. COSTS NOT SETTLED YET
29 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
932 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME);
N118_InsCovCost <> COMPLETELYCOVRD;
SN119 AMT PAID O-O-P NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_NursingHomeStays.N119_AmtPayNHHosp
About how much did (she/he) 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 before (her/his) death)?
INTERVIEWER: DO NOT PROBE DK/RF
INCLUDE ANY AMOUNT PAID BY OTHERS
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
146 0 161000 19788.68 29483.76 1240
-----------------------------------------------------------------
112 999998. DK (Don't Know); NA (Not Ascertained)
3 999999. RF (Refused)
SN120 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
Did it amount to less than $____ , more than $____ , or what?
BREAKPOINTS: 500 5000 10000 20000 50000
PROCEDURE(S): ENTRY POINT(S):
UNFM_1up3down 20000
UNFM_2up2down 10000
UNFM_3Up1down 5000
User Note: The entry point for the SN120 - SN122 unfolding sequence is
determined by the random assignment variable SZ084.
..................................................................................
36 0. Value of Breakpoint
2 500. Value of Breakpoint
19 501. Value of Breakpoint
1 5000. Value of Breakpoint
8 5001. Value of Breakpoint
2 10000. Value of Breakpoint
19 10001. Value of Breakpoint
3 20000. Value of Breakpoint
13 20001. Value of Breakpoint
2 50000. Value of Breakpoint
10 50001. Value of Breakpoint
1386 Blank. INAP (Inapplicable)
SN121 AMT PAID O-O-P NURSING HOME- MAX
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_NursingHomeStays.N121_
..................................................................................
7 499. Value of Breakpoint
2 500. Value of Breakpoint
19 4999. Value of Breakpoint
1 5000. Value of Breakpoint
10 9999. Value of Breakpoint
2 10000. Value of Breakpoint
1 19999. Value of Breakpoint
3 20000. Value of Breakpoint
13 49999. Value of Breakpoint
2 50000. Value of Breakpoint
55 500000. Value of Breakpoint
1386 Blank. INAP (Inapplicable)
SN122 AMT PAID O-O-P NURSING HOME- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_NursingHomeStays.N122_
..................................................................................
97. Data Not Available
45 98. DK (Don't Know); NA (Not Ascertained)
3 99. RF (Refused)
1453 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; ((SecA.Relations.puA028_RInNHome <> YESNURSINGHOME) OR
(piN115_TimeOverNH > 1)) AND ((piX008AInNHome_V <> INNURSINGHOME) OR
(piN116_NiteOverNH <> 996));
SN123_1 MONTH R MOVED TO NURSING HOME- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N123_MoMovInNH1
(Think back to the (first/second/last) time (since [PREV WAVE IW MONTH], [PREV
WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years before (her/his)
death], that (she/he) was a patient in a nursing home or other long-term care
facility./Think about (her/his) last stay at the nursing home or other long-
term care facility./Think back to the (first/second/last) time (since [PREV
WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two
years before (her/his) death], that (she/he) was a patient in a nursing home
or other long-term care facility.)
In about what month and year did (she/he) go into the nursing home or health
care facility?
MONTH/SEASON:
..................................................................................
15 1. JAN
11 2. FEB
9 3. MAR
12 4. APR
8 5. MAY
12 6. JUN
8 7. JUL
9 8. AUG
13 9. SEP
8 10. OCT
11 11. NOV
6 12. DEC
4 13. WINTER
1 14. SPRING
15. SUMMER
2 16. FALL
20 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1351 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; ((SecA.Relations.puA028_RInNHome <> YESNURSINGHOME) OR
(piN115_TimeOverNH > 1)) AND ((piX008AInNHome_V <> INNURSINGHOME) OR
(piN116_NiteOverNH <> 996));
SN124_1 YEAR R MOVED TO NURSING HOME- 1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N124_YrMovInNH1
(Think back to the (first/second/last) time [ since [PREV WAVE IW MONTH],
[PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years before
(her/his) death], that (she/he) was a patient in a nursing home or other long-
term care facility./Think about (her/his) last stay at the nursing home or
other long-term care facility./Think back to the (first/second/last) time [
since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in
the last two years before (her/his) death], that (she/he) was a patient in a
nursing home or other long-term care facility.)
In about what month and year did (she/he) go into the nursing home or health
care facility?)
YEAR:
..................................................................................
138 1988-2002. Actual Value
12 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1351 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; ((SecA.Relations.puA028_RInNHome <> YESNURSINGHOME) OR
(piN115_TimeOverNH > 1)) AND ((piX008AInNHome_V <> INNURSINGHOME) OR
(piN116_NiteOverNH <> 996)); (SecA.Relations.puA028_RInNHome <> YESNURSINGHOME)
OR ((SecA.Relations.puA028_RInNHome = YESNURSINGHOME) AND (piLPCNTR <
piN115_TimeOverNH));
SN125_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
In about what month and year did (she/he) move out of the nursing home or
health care facility?
MONTH/SEASON:
..................................................................................
13 1. JAN
6 2. FEB
11 3. MAR
6 4. APR
9 5. MAY
11 6. JUN
11 7. JUL
7 8. AUG
11 9. SEP
10 10. OCT
8 11. NOV
10 12. DEC
3 13. WINTER
2 14. SPRING
15. SUMMER
1 16. FALL
12 95. Continuous since entered
18 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1351 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; ((SecA.Relations.puA028_RInNHome <> YESNURSINGHOME) OR
(piN115_TimeOverNH > 1)) AND ((piX008AInNHome_V <> INNURSINGHOME) OR
(piN116_NiteOverNH <> 996)); (SecA.Relations.puA028_RInNHome <> YESNURSINGHOME)
OR ((SecA.Relations.puA028_RInNHome = YESNURSINGHOME) AND (piLPCNTR <
piN115_TimeOverNH));
SN126_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
(In about what month and year did (she/he) move out of the nursing home or
health care facility?)
YEAR:
..................................................................................
127 1997-2002. Actual Value
11 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1363 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; piGovCoverN005_ = YES;
SN127_1 ELIGIBLE FOR MEDICAID START NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N127_
Was (Was [RESPONDENT FIRST NAME] eligible for (Medicaid/STATE NAME FOR
MEDICAID) at the time (her/his) (first/second/last) nursing home stay started?
..................................................................................
103 1. YES
18 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1379 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; piGovCoverN005_ = YES; N127_ = NO;
SN128_1 ELIGIBLE FOR MEDICAID DURNG NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N128_
Did (she/he) become eligible for (Medicaid/STATE NAME FOR MEDICAID) during
that nursing home stay?
..................................................................................
13 1. YES
4 5. NO
8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1483 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; piGovCoverN005_ = YES; piN115_TimeOverNH > 1;
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; piGovCoverN005_ = YES; NOT (piN115_TimeOverNH > 1);
SN129_1 BRNCHPNT-MORE THAN 1 NH STAY/ALL OTH- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N129_
..................................................................................
20 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE/IN THE
LAST TWO YEARS
102 2. ALL OTHERS
1379 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; piGovCoverN005_ = YES; ((((N127_ = YES) OR (N128_ = YES))
AND (piLPCNTR = piN115_TimeOverNH)) AND (piA028_RInNHome = NO)) AND
((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN));
SN130_1 LOSE ELIGIBILITY-LAST NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N130_
Did [he/she] lose [his/her] eligibility for (Medicaid/STATE NAME FOR
MEDICAID) when [he/she] was discharged from [his/her] (last) nursing home
stay?
..................................................................................
8 1. YES
8 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1481 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; ((piLPCNTR < piN115_TimeOverNH) AND
(SecA.Relations.puA028_RInNHome = YESNURSINGHOME)) OR
(SecA.Relations.puA028_RInNHome <> YESNURSINGHOME);
SN131_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
Where did (she/he) live after leaving the nursing home or health care
facility? (Did (she/he) live alone, (with you only,/with (her/his)
(you/husband/wife/partner) only,) with one of (her/his) 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
29 2. R LIVED WITH SPOUSE/PARTNER ONLY
11 3. R LIVED WITH CHILD AND CHILD'S FAMILY
9 4. R LIVED WITH OTHER RELATIVE(S)
5. R LIVED IN RETIREMENT CENTER
59 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
30 7. OTHER (SPECIFY)
2 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1346 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; ((piLPCNTR < piN115_TimeOverNH) AND
(SecA.Relations.puA028_RInNHome = YESNURSINGHOME)) OR
(SecA.Relations.puA028_RInNHome <> YESNURSINGHOME); N131_LiveAftNH1 =
RLIVEDWITHCHILDCHILDSFAM;
SN133_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
(Which child is that?)
INTERVIEWER: IF GRANDCHILD: (Which of (his/her) children is the parent of that
grandchild?)
..................................................................................
11 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
996. ALL CHILDREN -- 'EQUALLY' NOT MENTIONED
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1490 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; ((SecA.Relations.puA028_RInNHome <> YESNURSINGHOME) OR
(piN115_TimeOverNH > 1)) AND ((piX008AInNHome_V <> INNURSINGHOME) OR
(piN116_NiteOverNH <> 996));
SN123_2 MONTH R MOVED TO NURSING HOME- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N123_MoMovInNH1
(Think back to the (first/second/last) time (since [PREV WAVE IW MONTH], [PREV
WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years before (her/his)
death], that (she/he) was a patient in a nursing home or other long-term care
facility./Think about (her/his) last stay at the nursing home or other long-
term care facility./Think back to the (first/second/last) time (since [PREV
WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two
years before (her/his) death], that (she/he) was a patient in a nursing home
or other long-term care facility.)
In about what month and year did (she/he) go into the nursing home or health
care facility?
MONTH/SEASON:
..................................................................................
8 1. JAN
5 2. FEB
2 3. MAR
2 4. APR
3 5. MAY
12 6. JUN
2 7. JUL
1 8. AUG
3 9. SEP
10. OCT
6 11. NOV
4 12. DEC
3 13. WINTER
1 14. SPRING
15. SUMMER
1 16. FALL
9 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1439 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; ((SecA.Relations.puA028_RInNHome <> YESNURSINGHOME) OR
(piN115_TimeOverNH > 1)) AND ((piX008AInNHome_V <> INNURSINGHOME) OR
(piN116_NiteOverNH <> 996));
SN124_2 YEAR R MOVED TO NURSING HOME- 2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N124_YrMovInNH1
(Think back to the (first/second/last) time [ since [PREV WAVE IW MONTH],
[PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years before
(her/his) death], that (she/he) was a patient in a nursing home or other long-
term care facility./Think about (her/his) last stay at the nursing home or
other long-term care facility./Think back to the (first/second/last) time [
since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in
the last two years before (her/his) death], that (she/he) was a patient in a
nursing home or other long-term care facility.)
In about what month and year did (she/he) go into the nursing home or health
care facility?)
YEAR:
..................................................................................
57 1997-2002. Actual Value
5 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1439 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; ((SecA.Relations.puA028_RInNHome <> YESNURSINGHOME) OR
(piN115_TimeOverNH > 1)) AND ((piX008AInNHome_V <> INNURSINGHOME) OR
(piN116_NiteOverNH <> 996)); (SecA.Relations.puA028_RInNHome <> YESNURSINGHOME)
OR ((SecA.Relations.puA028_RInNHome = YESNURSINGHOME) AND (piLPCNTR <
piN115_TimeOverNH));
SN125_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
In about what month and year did (she/he) move out of the nursing home or
health care facility?
MONTH/SEASON:
..................................................................................
2 1. JAN
2 2. FEB
1 3. MAR
1 4. APR
1 5. MAY
3 6. JUN
2 7. JUL
1 8. AUG
9. SEP
1 10. OCT
4 11. NOV
3 12. DEC
1 13. WINTER
14. SPRING
2 15. SUMMER
1 16. FALL
4 95. Continuous since entered
7 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1464 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; ((SecA.Relations.puA028_RInNHome <> YESNURSINGHOME) OR
(piN115_TimeOverNH > 1)) AND ((piX008AInNHome_V <> INNURSINGHOME) OR
(piN116_NiteOverNH <> 996)); (SecA.Relations.puA028_RInNHome <> YESNURSINGHOME)
OR ((SecA.Relations.puA028_RInNHome = YESNURSINGHOME) AND (piLPCNTR <
piN115_TimeOverNH));
SN126_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
(In about what month and year did (she/he) move out of the nursing home or
health care facility?)
YEAR:
..................................................................................
30 1997-2002. Actual Value
3 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1468 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; piGovCoverN005_ = YES;
SN127_2 ELIGIBLE FOR MEDICAID START NH STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N127_
Was (Was [RESPONDENT FIRST NAME] eligible for (Medicaid/STATE NAME FOR
MEDICAID) at the time (her/his) (first/second/last) nursing home stay started?
..................................................................................
16 1. YES
4 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1481 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; piGovCoverN005_ = YES; N127_ = NO;
SN128_2 ELIGIBLE FOR MEDICAID DURNG NH STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N128_
Did (she/he) become eligible for (Medicaid/STATE NAME FOR MEDICAID) during
that nursing home stay?
..................................................................................
2 1. YES
2 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1497 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; piGovCoverN005_ = YES; piN115_TimeOverNH > 1;
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; piGovCoverN005_ = YES; NOT (piN115_TimeOverNH > 1);
SN129_2 BRNCHPNT-MORE THAN 1 NH STAY/ALL OTH-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N129_
..................................................................................
20 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE/IN THE
LAST TWO YEARS
2. ALL OTHERS
1481 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; piGovCoverN005_ = YES; ((((N127_ = YES) OR (N128_ = YES))
AND (piLPCNTR = piN115_TimeOverNH)) AND (piA028_RInNHome = NO)) AND
((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN));
SN130_2 LOSE ELIGIBILITY-LAST NH STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N130_
Did [he/she] lose [his/her] eligibility for (Medicaid/STATE NAME FOR
MEDICAID) when [he/she] was discharged from [his/her] (last) nursing home
stay?
..................................................................................
1. YES
2 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1499 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; ((piLPCNTR < piN115_TimeOverNH) AND
(SecA.Relations.puA028_RInNHome = YESNURSINGHOME)) OR
(SecA.Relations.puA028_RInNHome <> YESNURSINGHOME);
SN131_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
Where did (she/he) live after leaving the nursing home or health care
facility? (Did (she/he) live alone, (with you only,/with (her/his)
(you/husband/wife/partner) only,) with one of (her/his) children and his or
her own family, with other relatives, in a retirement center, or what?)
..................................................................................
5 1. R LIVED BY HIM/HER SELF, ALONE
7 2. R LIVED WITH SPOUSE/PARTNER ONLY
2 3. R LIVED WITH CHILD AND CHILD'S FAMILY
1 4. R LIVED WITH OTHER RELATIVE(S)
1 5. R LIVED IN RETIREMENT CENTER
14 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
6 7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1464 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; ((piLPCNTR < piN115_TimeOverNH) AND
(SecA.Relations.puA028_RInNHome = YESNURSINGHOME)) OR
(SecA.Relations.puA028_RInNHome <> YESNURSINGHOME); N131_LiveAftNH1 =
RLIVEDWITHCHILDCHILDSFAM;
SN133_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
(Which child is that?)
INTERVIEWER: IF GRANDCHILD: (Which of (his/her) children is the parent of that
grandchild?)
..................................................................................
2 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
996. ALL CHILDREN -- 'EQUALLY' NOT MENTIONED
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1499 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; ((SecA.Relations.puA028_RInNHome <> YESNURSINGHOME) OR
(piN115_TimeOverNH > 1)) AND ((piX008AInNHome_V <> INNURSINGHOME) OR
(piN116_NiteOverNH <> 996));
SN123_3 MONTH R MOVED TO NURSING HOME- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N123_MoMovInNH1
(Think back to the (first/second/last) time (since [PREV WAVE IW MONTH], [PREV
WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years before (her/his)
death], that (she/he) was a patient in a nursing home or other long-term care
facility./Think about (her/his) last stay at the nursing home or other long-
term care facility./Think back to the (first/second/last) time (since [PREV
WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two
years before (her/his) death], that (she/he) was a patient in a nursing home
or other long-term care facility.)
In about what month and year did (she/he) go into the nursing home or health
care facility?
MONTH/SEASON:
..................................................................................
2 1. JAN
1 2. FEB
1 3. MAR
4. APR
5. MAY
1 6. JUN
1 7. JUL
1 8. AUG
1 9. SEP
10. OCT
1 11. NOV
2 12. DEC
1 13. WINTER
1 14. SPRING
15. SUMMER
1 16. FALL
4 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1483 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; ((SecA.Relations.puA028_RInNHome <> YESNURSINGHOME) OR
(piN115_TimeOverNH > 1)) AND ((piX008AInNHome_V <> INNURSINGHOME) OR
(piN116_NiteOverNH <> 996));
SN124_3 YEAR R MOVED TO NURSING HOME- 3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N124_YrMovInNH1
(Think back to the (first/second/last) time [ since [PREV WAVE IW MONTH],
[PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years before
(her/his) death], that (she/he) was a patient in a nursing home or other long-
term care facility./Think about (her/his) last stay at the nursing home or
other long-term care facility./Think back to the (first/second/last) time [
since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in
the last two years before (her/his) death], that (she/he) was a patient in a
nursing home or other long-term care facility.)
In about what month and year did (she/he) go into the nursing home or health
care facility?)
YEAR:
..................................................................................
15 1998-2002. Actual Value
3 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1483 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; ((SecA.Relations.puA028_RInNHome <> YESNURSINGHOME) OR
(piN115_TimeOverNH > 1)) AND ((piX008AInNHome_V <> INNURSINGHOME) OR
(piN116_NiteOverNH <> 996)); (SecA.Relations.puA028_RInNHome <> YESNURSINGHOME)
OR ((SecA.Relations.puA028_RInNHome = YESNURSINGHOME) AND (piLPCNTR <
piN115_TimeOverNH));
SN125_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
In about what month and year did (she/he) move out of the nursing home or
health care facility?
MONTH/SEASON:
..................................................................................
1. JAN
3 2. FEB
3. MAR
4. APR
5. MAY
6. JUN
7. JUL
8. AUG
9. SEP
10. OCT
1 11. NOV
1 12. DEC
13. WINTER
14. SPRING
15. SUMMER
1 16. FALL
3 95. Continuous since entered
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1491 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; ((SecA.Relations.puA028_RInNHome <> YESNURSINGHOME) OR
(piN115_TimeOverNH > 1)) AND ((piX008AInNHome_V <> INNURSINGHOME) OR
(piN116_NiteOverNH <> 996)); (SecA.Relations.puA028_RInNHome <> YESNURSINGHOME)
OR ((SecA.Relations.puA028_RInNHome = YESNURSINGHOME) AND (piLPCNTR <
piN115_TimeOverNH));
SN126_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
(In about what month and year did (she/he) move out of the nursing home or
health care facility?)
YEAR:
..................................................................................
6 1998-2002. Actual Value
1 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1494 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; piGovCoverN005_ = YES;
SN127_3 ELIGIBLE FOR MEDICAID START NH STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N127_
Was (Was [RESPONDENT FIRST NAME] eligible for (Medicaid/STATE NAME FOR
MEDICAID) at the time (her/his) (first/second/last) nursing home stay started?
..................................................................................
5 1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1496 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; piGovCoverN005_ = YES; N127_ = NO;
SN128_3 ELIGIBLE FOR MEDICAID DURNG NH STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N128_
Did (she/he) become eligible for (Medicaid/STATE NAME FOR MEDICAID) during
that nursing home stay?
..................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1501 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; piGovCoverN005_ = YES; piN115_TimeOverNH > 1;
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; piGovCoverN005_ = YES; NOT (piN115_TimeOverNH > 1);
SN129_3 BRNCHPNT-MORE THAN 1 NH STAY/ALL OTH-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N129_
..................................................................................
5 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE/IN THE
LAST TWO YEARS
2. ALL OTHERS
1496 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; piGovCoverN005_ = YES; ((((N127_ = YES) OR (N128_ = YES))
AND (piLPCNTR = piN115_TimeOverNH)) AND (piA028_RInNHome = NO)) AND
((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN));
SN130_3 LOSE ELIGIBILITY-LAST NH STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MedicaidNHomeStay.N130_
Did [he/she] lose [his/her] eligibility for (Medicaid/STATE NAME FOR
MEDICAID) when [he/she] was discharged from [his/her] (last) nursing home
stay?
..................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1501 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; ((piLPCNTR < piN115_TimeOverNH) AND
(SecA.Relations.puA028_RInNHome = YESNURSINGHOME)) OR
(SecA.Relations.puA028_RInNHome <> YESNURSINGHOME);
SN131_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
Where did (she/he) live after leaving the nursing home or health care
facility? (Did (she/he) live alone, (with you only,/with (her/his)
(you/husband/wife/partner) only,) with one of (her/his) children and his or
her own family, with other relatives, in a retirement center, or what?)
..................................................................................
1 1. R LIVED BY HIM/HER SELF, ALONE
1 2. R LIVED WITH SPOUSE/PARTNER ONLY
3. R LIVED WITH CHILD AND CHILD'S FAMILY
4. R LIVED WITH OTHER RELATIVE(S)
5. R LIVED IN RETIREMENT CENTER
4 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
1 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1493 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.puA028_RInNHome = YESNURSINGHOME); piLPCNTR
<= piN115_TimeOverNH; ((piLPCNTR < piN115_TimeOverNH) AND
(SecA.Relations.puA028_RInNHome = YESNURSINGHOME)) OR
(SecA.Relations.puA028_RInNHome <> YESNURSINGHOME); N131_LiveAftNH1 =
RLIVEDWITHCHILDCHILDSFAM;
SN133_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
(Which child is that?)
INTERVIEWER: IF GRANDCHILD: (Which of (his/her) children is the parent of that
grandchild?)
..................................................................................
041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
996. ALL CHILDREN -- 'EQUALLY' NOT MENTIONED
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1501 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); (ACTIVELANGUAGE
= EXTENG) OR (ACTIVELANGUAGE = EXTSPN); piA124_PlaceDied = INHOSPICE;
SN315 HOSPICE- DAYS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_Hospice.N315_
(Earlier you told me that [RESPONDENT FIRST NAME] died while in a hospice.)
How long had (she/he) been a patient in that hospice before (her/his) death?
# DAYS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
42 1 60 11.00 12.53 1455
-----------------------------------------------------------------
3 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); (ACTIVELANGUAGE
= EXTENG) OR (ACTIVELANGUAGE = EXTSPN); piA124_PlaceDied = INHOSPICE; N315_ =
EMPTY OR (N315_ = DONTKNOW);
SN316 HOSPICE- NUMBER MONTHS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_Hospice.N316_
(Earlier you told me that [RESPONDENT FIRST NAME] died while in a hospice.)
How long had (she/he) been a patient in that hospice before (her/his) death?
#MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
12 1 18 3.58 4.93 1487
-----------------------------------------------------------------
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); (ACTIVELANGUAGE
= EXTENG) OR (ACTIVELANGUAGE = EXTSPN); piA124_PlaceDied = INHOSPICE; N315_ =
EMPTY OR (N315_ = DONTKNOW); N316_ = EMPTY OR (N316_ = DONTKNOW);
SN317 HOSPICE- SINCE MONTH
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_Hospice.N317_
(Earlier you told me that [RESPONDENT FIRST NAME] died while in a hospice.)
How long had (she/he) been a patient in that hospice before (her/his) death?
SINCE MONTH:
..................................................................................
1. JAN
2. FEB
3. MAR
4. APR
5. MAY
6. JUN
7. JUL
8. AUG
9. SEP
10. OCT
11. NOV
12. DEC
3 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1498 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); (ACTIVELANGUAGE
= EXTENG) OR (ACTIVELANGUAGE = EXTSPN); piA124_PlaceDied = INHOSPICE; N315_ =
EMPTY OR (N315_ = DONTKNOW); N316_ = EMPTY OR (N316_ = DONTKNOW);
SN319 HOSPICE- SINCE YEAR
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_Hospice.N319_
(Earlier you told me that [RESPONDENT FIRST NAME] died while in a hospice.)
How long had (she/he) been a patient in that hospice before (her/his) death?
SINCE YEAR:
..................................................................................
3 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1498 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); (ACTIVELANGUAGE
= EXTENG) OR (ACTIVELANGUAGE = EXTSPN);
SN320 SINCE LAST IW- HOSPICE PATIENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_Hospice.N320_
(In addition to that hospice stay,) (since [PREV WAVE IW MONTH], [PREV WAVE IW
YEAR]/since [PREV WAVE IW YEAR]/in the last two years before (her/his) death),
had (she/he) been a patient overnight in a hospice?
..................................................................................
52 1. YES
1441 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
2 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); (ACTIVELANGUAGE
= EXTENG) OR (ACTIVELANGUAGE = EXTSPN); (piA124_PlaceDied = INHOSPICE) OR
(N320_ = YES); N320_ = YES;
SN321 HOSPICE PATIENT # TIMES
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_Hospice.N321_
(Including (her/his) final stay,) How many different times was (she/he) a
patient in a hospice (since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/since
[PREV WAVE IW YEAR]/in the last two years before (her/his) death)?
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
51 1 5 1.33 0.93 1449
-----------------------------------------------------------------
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); (ACTIVELANGUAGE
= EXTENG) OR (ACTIVELANGUAGE = EXTSPN); (piA124_PlaceDied = INHOSPICE) OR
(N320_ = YES); N320_ = YES;
SN322 SINCE LAST IW- HOSPICE # NIGHTS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_Hospice.N322_
(Altogether,) How many nights was (she/he) a patient in a hospice (since [PREV
WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two
years before (her/his) death)?
USE 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 before (her/his)
death)
# NIGHTS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
48 1 270 25.75 53.42 1450
-----------------------------------------------------------------
1 996. CONTINUOUS SINCE ENTERED
2 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); (ACTIVELANGUAGE
= EXTENG) OR (ACTIVELANGUAGE = EXTSPN); (piA124_PlaceDied = INHOSPICE) OR
(N320_ = YES); N320_ = YES; N322_ = EMPTY;
SN323 SINCE LAST IW- HOSPICE # MONTHS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_Hospice.N323_
(Altogether,) How many nights was (she/he) a patient in a hospice (since [PREV
WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two
years before (her/his) death)?
USE 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 before (her/his)
death)
MONTHS:
..................................................................................
1 2. Actual Value
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1500 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); (ACTIVELANGUAGE
= EXTENG) OR (ACTIVELANGUAGE = EXTSPN); (piA124_PlaceDied = INHOSPICE) OR
(N320_ = YES);
SN324 HOSPICE STAY COV BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_Hospice.N324_
Were the costs for (her/his) hospice stay(s) completely covered by health
insurance, partly covered by insurance, or not covered at all by insurance?
..................................................................................
71 1. COMPLETELY COVERED
5 2. MOSTLY COVERED
5 3. PARTIALLY COVERED
9 5. NOT COVERED AT ALL
2 6. No charge (professional courtesy, friend or relative provided
services; part of a study, free clinic, pro bono)
4 7. COSTS NOT SETTLED YET
2 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1402 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); (ACTIVELANGUAGE
= EXTENG) OR (ACTIVELANGUAGE = EXTSPN); (piA124_PlaceDied = INHOSPICE) OR
(N320_ = YES); N324_ <> COMPLETELYCOVRD;
SN328 OOP COSTS- HOSPICE- AMT
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_Hospice.N328_
About how much did (she/he) pay out-of-pocket for hospice bills (since [PREV
WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two
years before (her/his) death)?
INTERVIEWER DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
18 0 6000 658.28 1416.97 1473
-----------------------------------------------------------------
9 9998. DK (Don't Know); NA (Not Ascertained)
1 9999. RF (Refused)
SN329 OOP COSTS- HOSPICE- MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN_Hospice.N329_
N329–N331 Unfolding Sequence
Question text: Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: UNFM_3Up1Down, UNFM_2Up2Down, UNFM_1Up3Down
BREAKPOINTS: $500, $5,000, $10,000, $20,000, $50,000
RANDOM ENTRY POINTS: $5,000, $10,000, $20,000
ENTRY POINT ASSIGNMENT 1, 2 OR 3 AT Q125/Z084
..................................................................................
3 0. Value of Breakpoint
3 501. Value of Breakpoint
4 10001. Value of Breakpoint
1491 Blank. INAP (Inapplicable)
SN330 OOP COSTS- HOSPICE- MAX
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_Hospice.N330_
..................................................................................
3 4999. Value of Breakpoint
7 500000. Value of Breakpoint
1491 Blank. INAP (Inapplicable)
SN331 OOP COSTS- HOSPICE- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_Hospice.N331_
..................................................................................
97. Data Not Available
6 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1494 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
SN147 # TIMES SEEN DR- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: BN_DoctorVisit.N147_TimeSeeDoc
(Aside from any hospital stays,/Aside from any outpatient surgery,/Aside from
any hospital stays and outpatient surgery,)
How many times did (she/he) see or talk to a medical doctor about (her/his)
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 before
(her/his) death)?
INTERVIEWER: USE ZERO FOR NONE
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1108 0 730 21.54 40.70 2
-----------------------------------------------------------------
390 998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); N147_TimeSeeDoc
= NONRESPONSE;
SN148 NUMBER TIMES SEEN DOCTOR 20X
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_DoctorVisit.N148_TimeSeeDoc20
Did it amount to less than 20 times, more than 20 times, or what?
..................................................................................
119 1. LESS THAN 20 TIMES
38 3. ABOUT 20 TIMES
169 5. MORE THAN 20 TIMES
64 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1110 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); N147_TimeSeeDoc
= NONRESPONSE; N148_TimeSeeDoc20 <> ABT20TIMES; N148_TimeSeeDoc20 <>
MORETHAN20TIMES; N148_TimeSeeDoc20 <> NONRESPONSE;
SN149 NUMBER TIMES SEEN DOCTOR 5X
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_DoctorVisit.N149_TimeSeeDoc5
Did it amount to less than 5 times, more than 5 times, or what?
..................................................................................
23 1. LESS THAN 5 TIMES
14 3. ABOUT 5 TIMES
76 5. MORE THAN 5 TIMES
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1382 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); N147_TimeSeeDoc
= NONRESPONSE; N148_TimeSeeDoc20 <> ABT20TIMES; N148_TimeSeeDoc20 <>
MORETHAN20TIMES; (N149_TimeSeeDoc5 <> ABT5TIMES) AND (N149_TimeSeeDoc5 <>
MORETHAN5TIMES);
SN150 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
Do you think (she/he) saw a medical doctor about (her/his) health at least
once (since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW
YEAR]/in the last two years before (her/his) death)?
..................................................................................
81 1. YES
4 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1407 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); N147_TimeSeeDoc
= NONRESPONSE; N148_TimeSeeDoc20 <> ABT20TIMES; N148_TimeSeeDoc20 =
MORETHAN20TIMES;
SN151 R SEEK DOC ADVICE 50X
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_DoctorVisit.N151_SkDocAdv50
Did it amount to less than 50 times, more than 50 times, or what?
..................................................................................
76 1. LESS THAN 50 TIMES
23 3. ABOUT 50 TIMES
53 5. MORE THAN 50 TIMES
17 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1332 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N150_DocAdvPast2Yrs = YES) OR N150_DocAdvPast2Yrs = NONRESPONSE) OR
((((N147_TimeSeeDoc > 0) OR (N148_TimeSeeDoc20 = RESPONSE)) OR
(N149_TimeSeeDoc5 = ABT5TIMES)) OR (N149_TimeSeeDoc5 = MORETHAN5TIMES));
SN152 DOCTOR VISITS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_DoctorVisit.N152_VisitCovIns
Were the costs for (her/his) doctor or clinic bills completely covered by
health insurance, mostly covered, only partially covered, or not covered at
all by insurance?
..................................................................................
829 1. COMPLETELY COVERED
370 2. MOSTLY COVERED
134 3. PARTIALLY COVERED
31 5. NOT COVERED AT ALL
6 7. COSTS NOT SETTLED YET
59 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
72 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((N150_DocAdvPast2Yrs = YES) OR N150_DocAdvPast2Yrs = NONRESPONSE) OR
((((N147_TimeSeeDoc > 0) OR (N148_TimeSeeDoc20 = RESPONSE)) OR
(N149_TimeSeeDoc5 = ABT5TIMES)) OR (N149_TimeSeeDoc5 = MORETHAN5TIMES));
N152_VisitCovIns <> COMPLETELYCOVRD;
SN156 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 (she/he) 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 before (her/his) death)?
INTERVIEWER: DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
207 2 150000 1588.85 10577.62 900
-----------------------------------------------------------------
20 0. None; includes cost not settled yet
371 999998. DK (Don't Know); NA (Not Ascertained)
3 999999. RF (Refused)
SN157 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
Did it amount to less than $____ , more than $____ , or what?
BREAKPOINTS: 500 2000 5000 10000 20000
PROCEDURE(S): ENTRY POINT(S):
UNFM_1up3down 10000
UNFM_2up2down 5000
UNFM_3Up1down 2000
User Note: The entry point for the SN157 - SN159 unfolding sequence is
determined by the random assignment variable SZ084.
..................................................................................
184 0. Value of Breakpoint
18 500. Value of Breakpoint
45 501. Value of Breakpoint
21 2000. Value of Breakpoint
34 2001. Value of Breakpoint
15 5000. Value of Breakpoint
48 5001. Value of Breakpoint
3 10000. Value of Breakpoint
4 10001. Value of Breakpoint
2 20001. Value of Breakpoint
1127 Blank. INAP (Inapplicable)
SN158 AMT PAY O-O-P FOR DOC VISITS - MAX
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_DoctorVisit.N158_
..................................................................................
66 499. Value of Breakpoint
18 500. Value of Breakpoint
59 1999. Value of Breakpoint
21 2000. Value of Breakpoint
46 4999. Value of Breakpoint
15 5000. Value of Breakpoint
14 9999. Value of Breakpoint
3 10000. Value of Breakpoint
4 19999. Value of Breakpoint
128 200000. Value of Breakpoint
1127 Blank. INAP (Inapplicable)
SN159 AMT PAY O-O-P FOR DOC VISITS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_DoctorVisit.N159_
..................................................................................
97. Data Not Available
156 98. DK (Don't Know); NA (Not Ascertained)
4 99. RF (Refused)
1341 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((((((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); ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND
(RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <>
SECREPEATPOST); 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));
SN175 TAKE PRESCRIPTION DRUGS REGULARLY
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PrescpDrug.N175_TkMedsReg
Was (she/he) regularly taking any prescription medications before (her/his)
death?
..................................................................................
1361 1. YES
118 5. NO
7. MEDICATIONS KNOWN
20 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); (N175_TkMedsReg
= YES) OR (N175_TkMedsReg = MEDICATIONSKNOWN);
SN176 DRUG COSTS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_PrescpDrug.N176_MedsCovIns
(Earlier you said (she/he) was taking prescription medications.)
Were the costs of (her/his) prescription medications completely covered by
health insurance, partly covered by insurance, or not covered at all by health
insurance?
..................................................................................
411 1. COMPLETELY COVERED
314 2. MOSTLY COVERED
277 3. PARTIALLY COVERED
291 5. NOT COVERED AT ALL
3 7. COSTS NOT SETTLED YET
65 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
140 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); (N175_TkMedsReg
= YES) OR (N175_TkMedsReg = MEDICATIONSKNOWN); N176_MedsCovIns <>
COMPLETELYCOVRD;
SN180 AMT PAY O-O-P RX DRUGS PER MONTH
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_PrescpDrug.N180_AmtOOPMeds
On average, about how much has (she/he) 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 before (her/his) death)?
INTERVIEWER: DO NOT PROBE DK/RF
AMOUNT PER MONTH:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
560 0 7380 219.56 527.76 551
-----------------------------------------------------------------
390 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
SN181 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
Did it amount to less than $____ per month, more than $____ per month, or
what?
BREAKPOINTS: 5 10 20 100 500
PROCEDURE(S): ENTRY POINT(S):
UNFM_1up3down 100
UNFM_2up2down 20
UNFM_3Up1down 10
User Note: The entry point for the SN181 - SN183 unfolding sequence is
determined by the random assignment variable SZ086.
..................................................................................
95 0. Value of Breakpoint
4 5. Value of Breakpoint
3 6. Value of Breakpoint
9 10. Value of Breakpoint
12 11. Value of Breakpoint
14 20. Value of Breakpoint
146 21. Value of Breakpoint
35 100. Value of Breakpoint
59 101. Value of Breakpoint
6 500. Value of Breakpoint
7 501. Value of Breakpoint
1111 Blank. INAP (Inapplicable)
SN182 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_
..................................................................................
1 4. Value of Breakpoint
4 5. Value of Breakpoint
4 9. Value of Breakpoint
9 10. Value of Breakpoint
8 19. Value of Breakpoint
14 20. Value of Breakpoint
98 99. Value of Breakpoint
35 100. Value of Breakpoint
56 499. Value of Breakpoint
6 500. Value of Breakpoint
155 5000. Value of Breakpoint
1111 Blank. INAP (Inapplicable)
SN183 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_
..................................................................................
97. Data Not Available
154 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1346 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
piN116_NiteOverNH <> 996;
SN189 USED HOME HEALTH SVC- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_InHomeCare.N189_HomeHlthSvc
(Since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/Since [PREV WAVE IW YEAR]/In
the last two years before (her/his) death) , did any medically-trained person
come to (her/his) home to help (her/him)?
INTERVIEWER: WE ONLY WANT TO INCLUDE HELP GIVEN TO R, NOT HELP FOR R WHEN R IS
A CAREGIVER FOR SOMEONE ELSE
DEFINITION: (Medically-trained persons include professional nurses,visiting
nurse's aides, physical or occupational therapists, chemotherapists, and
respiratory oxygen therapists.)
..................................................................................
555 1. YES
869 5. NO
15 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
62 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
piN116_NiteOverNH <> 996; N189_HomeHlthSvc = YES;
SN190 HOME HEALTH SERVICE COST COVERED BY INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_InHomeCare.N190_HHSvcCovIns
Were the costs of (her/his) home medical care completely covered by health
insurance, mostly covered, only partially covered, or not covered at all by
insurance?
..................................................................................
442 1. COMPLETELY COVERED
40 2. MOSTLY COVERED
20 3. PARTIALLY COVERED
24 5. NOT COVERED AT ALL
3 6. No charge (professional courtesy, friend or relative provided
services; part of a study, free clinic, pro bono)
1 7. COSTS NOT SETTLED YET
25 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
946 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
piN116_NiteOverNH <> 996; N189_HomeHlthSvc = YES; N190_HHSvcCovIns <>
COMPLETELYCOVRD;
SN194 AMT PAY O-O-P HOME HEALTH SVC
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN_InHomeCare.N194_AmtPayOOPHHS
About how much did (she/he) 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 before (her/his) death)?
INTERVIEWER: DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
39 0 57000 3215.46 10886.72 1388
-----------------------------------------------------------------
74 99998. DK (Don't Know); NA (Not Ascertained)
99999. RF (Refused)
SN195 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
Did it amount to less than $____ , more than $____ , or what?
BREAKPOINTS: 500 2000 5000 10000 20000
PROCEDURE(S): ENTRY POINT(S):
UNFM_1up3down 10000
UNFM_2up2down 5000
UNFM_3Up1down 2000
User Note: The entry point for the SN195 - SN197 unfolding sequence is
determined by the random assignment variable SZ084.
..................................................................................
33 0. Value of Breakpoint
3 500. Value of Breakpoint
12 501. Value of Breakpoint
2 2000. Value of Breakpoint
8 2001. Value of Breakpoint
15 5001. Value of Breakpoint
1 20001. Value of Breakpoint
1427 Blank. INAP (Inapplicable)
SN196 AMT PAY O-O-P HOME HEALTH SVC - MAX
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_InHomeCare.N196_
..................................................................................
4 499. Value of Breakpoint
3 500. Value of Breakpoint
13 1999. Value of Breakpoint
2 2000. Value of Breakpoint
8 4999. Value of Breakpoint
6 9999. Value of Breakpoint
38 200000. Value of Breakpoint
1427 Blank. INAP (Inapplicable)
SN197 AMT PAY O-O-P HOME HEALTH SVC - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_InHomeCare.N197_
..................................................................................
97. Data Not Available
39 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1462 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
SN202 USED OTHER HEALTH SVC- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_OthHealthCare.N202_UseOthSvc
INTERVIEWER: READ SLOWLY
(Since [PREV WAVE IW MONTH], [PREV WAVE IW YEAR]/Since [PREV WAVE IW YEAR]/In
the last two years before (her/his) death), did (she/he) 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?
..................................................................................
206 1. YES
1283 5. NO
10 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); N202_UseOthSvc
= YES;
SN203 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 [he/she] (or [you/[his/her] [husband/wife/partner]]) have to pay for any
of these services?
..................................................................................
54 1. YES
149 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1295 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); N202_UseOthSvc
= YES; N203_OthSvcCovIns = YES;
SN239 AMT PAY O-O-P OTHER HEALTH SERVICE
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_OthHealthCare.N239_OthSvcCost
Altogether, about how much did (she/he) have to pay?
INTERVIEWER: DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
35 1 6000 700.17 1439.39 1447
-----------------------------------------------------------------
19 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
SN246 AMT PAY O-O-P OTHER HEALTH SERVICE- MIN
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN_OthHealthCare.N246_
N246_ - N248_ Unfolding Sequence
Did it amount to less than $____ , more than $____ , or what?
BREAKPOINTS: 500, 1000, 5000, 10000, 20000
PROCEDURE(S): UNFM_2UP2DOWN
ENTRY POINT(S): 5000
..................................................................................
13 0. Value of Breakpoint
1 500. Value of Breakpoint
2 501. Value of Breakpoint
1 1000. Value of Breakpoint
1 1001. Value of Breakpoint
1 5001. Value of Breakpoint
1482 Blank. INAP (Inapplicable)
SN247 AMT PAY O-O-P OTHER HEALTH SERVICE- MAX
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_OthHealthCare.N247_
..................................................................................
8 499. Value of Breakpoint
1 500. Value of Breakpoint
2 999. Value of Breakpoint
1 1000. Value of Breakpoint
2 4999. Value of Breakpoint
1 9999. Value of Breakpoint
4 200000. Value of Breakpoint
1482 Blank. INAP (Inapplicable)
SN248 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
5 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1496 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); (ACTIVELANGUAGE
= EXTENG) OR (ACTIVELANGUAGE = EXTSPN);
SN332 OTHER OOP MEDICAL EXPENSES
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_OthHealthCare.N332_
Aside from the medical expenses we already mentioned, did [RESPONDENT FIRST
NAME] have any other out-of-pocket medical expenses, that is, expenses not
covered by insurance, such as medications, special food, equipment such as a
special bed or chair, visits by doctors or other health professionals, or
other costs?
..................................................................................
265 1. YES
1204 5. NO
30 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); (ACTIVELANGUAGE
= EXTENG) OR (ACTIVELANGUAGE = EXTSPN); N332_ = YES;
SN333 OTHER OOP COSTS- AMT
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN_OthHealthCare.N333_
About how much did (she/he) pay out-of-pocket for these (since [PREV WAVE IW
MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years
before (her/his) death)?
INTERVIEWER DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
160 0 17000 1236.06 2420.17 1236
-----------------------------------------------------------------
104 99998. DK (Don't Know); NA (Not Ascertained)
1 99999. RF (Refused)
SN334 OTHER OOP COSTS- MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN_OthHealthCare.N334_
N334-N336 Unfolding Sequence
Question text: Did it amount to less than $____ , more than $____ , or what?
PROCEDURE: 2Up2Down
BREAKPOINTS: $500, $1,000, $5,000, $10,000, $20,000
ENTRY POINT: $5,000
..................................................................................
52 0. Value of Breakpoint
4 500. Value of Breakpoint
12 501. Value of Breakpoint
6 1000. Value of Breakpoint
21 1001. Value of Breakpoint
3 5000. Value of Breakpoint
6 5001. Value of Breakpoint
1 10001. Value of Breakpoint
1396 Blank. INAP (Inapplicable)
SN335 OTHER OOP COSTS- MAX
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_OthHealthCare.N335_
..................................................................................
20 499. Value of Breakpoint
4 500. Value of Breakpoint
14 999. Value of Breakpoint
6 1000. Value of Breakpoint
22 4999. Value of Breakpoint
3 5000. Value of Breakpoint
5 9999. Value of Breakpoint
1 19999. Value of Breakpoint
30 200000. Value of Breakpoint
1396 Blank. INAP (Inapplicable)
SN336 OTHER OOP COSTS- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_OthHealthCare.N336_
..................................................................................
97. Data Not Available
31 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
1468 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
HospitalStay.N106_AmtOOPHospCost = RESPONSE; ((RVARS.Z145_TypeExit_V <>
NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND
(RVARS.Z145_TypeExit_V <> SECREPEATPOST); NOT (HospitalStay.N106_AmtOOPHospCost
= RESPONSE); ((HospitalStay.N106_AmtOOPHospCost = DONTKNOW) OR
(HospitalStay.N106_AmtOOPHospCost = REFUSAL)) AND (HospitalStay.N107_ =
RESPONSE); ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V
<> FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); NOT
(HospitalStay.N106_AmtOOPHospCost = RESPONSE); NOT
(((HospitalStay.N106_AmtOOPHospCost = DONTKNOW) OR
(HospitalStay.N106_AmtOOPHospCost = REFUSAL)) AND (HospitalStay.N107_ =
RESPONSE));
SN204 ASSIGN HOSPITAL COSTS
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN.N204_AssgnHospCost
User Note: Users should calculate amount at assignment variables because the
comment coding process sometimes changes data in the variables that are used
to create assignment variables. This may also affect skip patterns. For
reference purposes, SN106 assigns SN204.
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1499 0 400000 785.27 10725.94 2
-----------------------------------------------------------------
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
NHomeStay.N119_AmtPayNHHosp = RESPONSE; ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT)
AND (RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <>
SECREPEATPOST); NOT (NHomeStay.N119_AmtPayNHHosp = RESPONSE);
((NHomeStay.N119_AmtPayNHHosp = DONTKNOW) OR (NHomeStay.N119_AmtPayNHHosp =
REFUSAL)) AND (NHomeStay.N120_ = RESPONSE); ((RVARS.Z145_TypeExit_V <>
NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND
(RVARS.Z145_TypeExit_V <> SECREPEATPOST); NOT (NHomeStay.N119_AmtPayNHHosp =
RESPONSE); NOT (((NHomeStay.N119_AmtPayNHHosp = DONTKNOW) OR
(NHomeStay.N119_AmtPayNHHosp = REFUSAL)) AND (NHomeStay.N120_ = RESPONSE));
SN205 ASSIGN NURSING HOME COSTS
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN.N205_AssgnNHCost
User Note: Users should calculate amount at assignment variables because the
comment coding process sometimes changes data in the variables that are used
to create assignment variables. This may also affect skip patterns. For
reference purposes, SN119 assigns SN205.
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1499 0 161000 2764.72 11930.44 2
-----------------------------------------------------------------
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
DocVisit.N156_AmtOOPVisit = RESPONSE; ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT)
AND (RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <>
SECREPEATPOST); NOT (DocVisit.N156_AmtOOPVisit = RESPONSE);
((DocVisit.N156_AmtOOPVisit = DONTKNOW) OR (DocVisit.N156_AmtOOPVisit =
REFUSAL)) AND (DocVisit.N157_ = RESPONSE); ((RVARS.Z145_TypeExit_V <>
NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND
(RVARS.Z145_TypeExit_V <> SECREPEATPOST); NOT (DocVisit.N156_AmtOOPVisit =
RESPONSE); NOT (((DocVisit.N156_AmtOOPVisit = DONTKNOW) OR
(DocVisit.N156_AmtOOPVisit = REFUSAL)) AND (DocVisit.N157_ = RESPONSE));
SN207 ASSIGN DOCTOR VISIT COSTS
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN.N207_AssgnDocVstCost
User Note: Users should calculate amount at assignment variables because the
comment coding process sometimes changes data in the variables that are used
to create assignment variables. This may also affect skip patterns. For
reference purposes, SN156 assigns SN207.
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1499 0 150000 597.41 4193.87 2
-----------------------------------------------------------------
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
PrescpDrug.N180_AmtOOPMeds = RESPONSE; ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT)
AND (RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <>
SECREPEATPOST); NOT (PrescpDrug.N180_AmtOOPMeds = RESPONSE);
((PrescpDrug.N180_AmtOOPMeds = DONTKNOW) OR (PrescpDrug.N180_AmtOOPMeds =
REFUSAL)) AND (PrescpDrug.N181_ = RESPONSE); ((RVARS.Z145_TypeExit_V <>
NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND
(RVARS.Z145_TypeExit_V <> SECREPEATPOST); NOT (PrescpDrug.N180_AmtOOPMeds =
RESPONSE); NOT (((PrescpDrug.N180_AmtOOPMeds = DONTKNOW) OR
(PrescpDrug.N180_AmtOOPMeds = REFUSAL)) AND (PrescpDrug.N181_ = RESPONSE));
SN209 ASSIGN PRESCRIPTION COSTS
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: BN.N209_AssgnPresCost
User Note: Users should calculate amount at assignment variables because the
comment coding process sometimes changes data in the variables that are used
to create assignment variables. This may also affect skip patterns. For
reference purposes, SN180 assigns SN209.
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1499 0 7380 95.08 340.25 2
-----------------------------------------------------------------
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
InHomeCare.N194_AmtPayOOPHHS = RESPONSE; ((RVARS.Z145_TypeExit_V <>
NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <> FIRSTREPEATPOST)) AND
(RVARS.Z145_TypeExit_V <> SECREPEATPOST); NOT (InHomeCare.N194_AmtPayOOPHHS =
RESPONSE); ((InHomeCare.N194_AmtPayOOPHHS = DONTKNOW) OR
(InHomeCare.N194_AmtPayOOPHHS = REFUSAL)) AND (InHomeCare.N195_ = RESPONSE);
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); NOT
(InHomeCare.N194_AmtPayOOPHHS = RESPONSE); NOT (((InHomeCare.N194_AmtPayOOPHHS
= DONTKNOW) OR (InHomeCare.N194_AmtPayOOPHHS = REFUSAL)) AND (InHomeCare.N195_
= RESPONSE));
SN210 ASSIGN IN-HOME HEALTH CARE COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN.N210_AssgnHomeHCCost
User Note: Users should calculate amount at assignment variables because the
comment coding process sometimes changes data in the variables that are used
to create assignment variables. This may also affect skip patterns. For
reference purposes, SN194 assigns SN210.
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1499 0 57000 165.40 1948.09 2
-----------------------------------------------------------------
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
SN211 TOTAL O-O-P FOR MAJOR MEDICAL COSTS
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN.N211_TotMajMedExp
User Note: Users should calculate amount at assignment variables because the
comment coding process sometimes changes data in the variables that are used
to create assignment variables. This may also affect skip patterns. For
reference purposes, SN204+SN205+SN206+SN207+SN208+SN209+SN210 equals the
assignment at SN211.
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1499 0 550500 4433.42 19024.65 2
-----------------------------------------------------------------
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
SN212 HELP PAY HEALTH CARE COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HowPayMedBill.N212_HelpPayHCCost
Besides any costs covered by insurance, did anyone help [him/her] (and
[you/[his/her] [husband/wife/partner]]) pay for [his/her] health care costs
[since R’s LAST IW MONTH, YEAR/in the last two years before [his/her] death],
or help [him/her] pay the cost of health insurance or for long-term care
insurance?
..................................................................................
89 1. YES
1382 5. NO
28 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
N212_HelpPayHCCost = YES;
SN213 WHO HELP PAY HEALTH CARE COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HowPayMedBill.N213_WhoHelpPayHCCost
Was that a (child or other) relative of ([RESPONDENT FIRST NAME]'s/hers/his
/yours) (and your husband/wife/partner)_s, or is that someone else?
..................................................................................
65 1. CHILD/CHILD-IN-LAW/GRANDCHILD
14 2. OTHER RELATIVE
10 3. SOMEONE ELSE
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1412 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
N212_HelpPayHCCost = YES; N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD; cnt
<= puN214MWhiChldPayHC.CARDINAL;
SN214M1 WHICH CHILD PAY HEALTH CARE COSTS -1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_HowPayMedBill.N214AWhiChldPayHC
(Which child is that?)
INTERVIEWER: CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE: Which child helps the most?
IF GRANDCHILD: (Which of (his/her) children is the parent of that grandchild?)
..................................................................................
59 041-990. Other Person Number
1 992. DECEASED CHILD
5 993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1436 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
N212_HelpPayHCCost = YES; N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD; cnt
<= puN214MWhiChldPayHC.CARDINAL;
SN214M2 WHICH CHILD PAY HEALTH CARE COSTS -2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_HowPayMedBill.N214AWhiChldPayHC
(Which child is that?)
INTERVIEWER: CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE: Which child helps the most?
IF GRANDCHILD: (Which of (his/her) children is the parent of that grandchild?)
..................................................................................
6 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1495 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
N212_HelpPayHCCost = YES; N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD; cnt
<= puN214MWhiChldPayHC.CARDINAL;
SN214M3 WHICH CHILD PAY HEALTH CARE COSTS -3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_HowPayMedBill.N214AWhiChldPayHC
(Which child is that?)
INTERVIEWER: CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE: Which child helps the most?
IF GRANDCHILD: (Which of (his/her) children is the parent of that grandchild?)
..................................................................................
3 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1498 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
N212_HelpPayHCCost = YES; N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD; cnt
<= puN214MWhiChldPayHC.CARDINAL;
SN214M4 WHICH CHILD PAY HEALTH CARE COSTS -4
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_HowPayMedBill.N214AWhiChldPayHC
(Which child is that?)
INTERVIEWER: CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE: Which child helps the most?
IF GRANDCHILD: (Which of (his/her) children is the parent of that grandchild?)
..................................................................................
3 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1498 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
N212_HelpPayHCCost = YES; N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD; cnt
<= puN214MWhiChldPayHC.CARDINAL;
SN214M5 WHICH CHILD PAY HEALTH CARE COSTS -5
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_HowPayMedBill.N214AWhiChldPayHC
(Which child is that?)
INTERVIEWER: CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE: Which child helps the most?
IF GRANDCHILD: (Which of (his/her) children is the parent of that grandchild?)
..................................................................................
2 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1499 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
N212_HelpPayHCCost = YES; N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD; cnt
<= puN214MWhiChldPayHC.CARDINAL;
SN214M6 WHICH CHILD PAY HEALTH CARE COSTS -6
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_HowPayMedBill.N214AWhiChldPayHC
(Which child is that?)
INTERVIEWER: CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE: Which child helps the most?
IF GRANDCHILD: (Which of (his/her) 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); NA (Not Ascertained)
999. RF (Refused)
1500 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
N212_HelpPayHCCost = YES; N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD; cnt
<= puN214MWhiChldPayHC.CARDINAL;
SN214M7 WHICH CHILD PAY HEALTH CARE COSTS -7
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_HowPayMedBill.N214AWhiChldPayHC
(Which child is that?)
INTERVIEWER: CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE: Which child helps the most?
IF GRANDCHILD: (Which of (his/her) 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); NA (Not Ascertained)
999. RF (Refused)
1500 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
N212_HelpPayHCCost = YES; N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD; cnt
<= puN214MWhiChldPayHC.CARDINAL;
SN214M8 WHICH CHILD PAY HEALTH CARE COSTS -8
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_HowPayMedBill.N214AWhiChldPayHC
(Which child is that?)
INTERVIEWER: CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE: Which child helps the most?
IF GRANDCHILD: (Which of (his/her) 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); NA (Not Ascertained)
999. RF (Refused)
1500 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
N212_HelpPayHCCost = YES; N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD; cnt
<= puN214MWhiChldPayHC.CARDINAL;
SN214M9 WHICH CHILD PAY HEALTH CARE COSTS -9
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_HowPayMedBill.N214AWhiChldPayHC
(Which child is that?)
INTERVIEWER: CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE: Which child helps the most?
IF GRANDCHILD: (Which of (his/her) 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); NA (Not Ascertained)
999. RF (Refused)
1500 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
N212_HelpPayHCCost = YES; N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD; cnt
<= puN214MWhiChldPayHC.CARDINAL;
SN214M10 WHICH CHILD PAY HEALTH CARE COSTS -10
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: BN_HowPayMedBill.N214AWhiChldPayHC
(Which child is that?)
INTERVIEWER: CHOOSE ALL THAT APPLY
ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE: Which child helps the most?
IF GRANDCHILD: (Which of (his/her) children is the parent of that grandchild?)
..................................................................................
041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1501 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
N212_HelpPayHCCost = YES;
SN215 AMT OF OTHER HELP
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_HowPayMedBill.N215_AmtOthHelp
Altogether, about how much money did that help amount to?
INTERVIEWER: DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
44 20 100000 4409.50 15035.28 1412
-----------------------------------------------------------------
44 999998. DK (Don't Know); NA (Not Ascertained)
1 999999. RF (Refused)
SN216 AMT OF OTHER HELP - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN_HowPayMedBill.N216_
N216_ - N218_ Unfolding Sequence
Did it amount to less than $____ , more than $____ , or what?
BREAKPOINTS: 500, 1000, 3000, 10000
PROCEDURE(S): UNFM_2up1down
ENTRY POINT(S): 1000
..................................................................................
14 0. Value of Breakpoint
3 501. Value of Breakpoint
4 1000. Value of Breakpoint
9 1001. Value of Breakpoint
2 3000. Value of Breakpoint
6 3001. Value of Breakpoint
3 10000. Value of Breakpoint
3 10001. Value of Breakpoint
1457 Blank. INAP (Inapplicable)
SN217 AMT OF OTHER HELP - MAX
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN_HowPayMedBill.N217_
..................................................................................
3 499. Value of Breakpoint
5 999. Value of Breakpoint
4 1000. Value of Breakpoint
9 2999. Value of Breakpoint
2 3000. Value of Breakpoint
6 9999. Value of Breakpoint
3 10000. Value of Breakpoint
12 100000. Value of Breakpoint
1457 Blank. INAP (Inapplicable)
SN218 AMT OF OTHER HELP - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN_HowPayMedBill.N218_
..................................................................................
1 97. Data Not Available
9 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
1489 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(N211_TotMajMedExp > 10000) OR (N217_ > 10000);
SN219M1 HOW FINANCE LARGE MEDICAL EXPENSES - 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HowPayMedBill.N219_HowFinLgMedExp
You have just told me that [he/she] has had some rather large out-of-pocket
medical expenditures.
(Apart from what [he/she] received from others,) How did [he/she] finance
these -- did [he/she] pay directly from [his/her] savings or earnings, did
[he/she] take out a loan, has [he/she] not yet paid these bills, or what?
INTERVIEWER: CHOOSE ALL THAT APPLY
IF PAYMENTS ARE STILL BEING MADE, ENTER BOTH CODE 3 AND CODE 4
..................................................................................
132 1. PAID USING SAVINGS/EARNINGS
2 2. TOOK OUT A LOAN
11 3. HAVE NOT YET PAID
6 4. MADE OR MAKING PAYMENTS
8 5. Not paid by R (filed for bankruptcy, someone else [like a
relative] paid, doctor let the bills drop, etc)
11 7. OTHER (SPECIFY)
11 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1319 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(N211_TotMajMedExp > 10000) OR (N217_ > 10000);
SN219M2 HOW FINANCE LARGE MEDICAL EXPENSES - 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HowPayMedBill.N219_HowFinLgMedExp
You have just told me that [he/she] has had some rather large out-of-pocket
medical expenditures.
(Apart from what [he/she] received from others,) How did [he/she] finance
these -- did [he/she] pay directly from [his/her] savings or earnings, did
[he/she] take out a loan, has [he/she] not yet paid these bills, or what?
INTERVIEWER: CHOOSE ALL THAT APPLY
IF PAYMENTS ARE STILL BEING MADE, ENTER BOTH CODE 3 AND CODE 4
..................................................................................
1 1. PAID USING SAVINGS/EARNINGS
1 2. TOOK OUT A LOAN
1 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)
5 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1490 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(N211_TotMajMedExp > 10000) OR (N217_ > 10000);
SN219M3 HOW FINANCE LARGE MEDICAL EXPENSES - 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HowPayMedBill.N219_HowFinLgMedExp
You have just told me that [he/she] has had some rather large out-of-pocket
medical expenditures.
(Apart from what [he/she] received from others,) How did [he/she] finance
these -- did [he/she] pay directly from [his/her] savings or earnings, did
[he/she] take out a loan, has [he/she] not yet paid these bills, or what?
INTERVIEWER: 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)
1 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1500 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(N211_TotMajMedExp > 10000) OR (N217_ > 10000);
SN219M4 HOW FINANCE LARGE MEDICAL EXPENSES - 4
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_HowPayMedBill.N219_HowFinLgMedExp
You have just told me that [he/she] has had some rather large out-of-pocket
medical expenditures.
(Apart from what [he/she] received from others,) How did [he/she] finance
these -- did [he/she] pay directly from [his/her] savings or earnings, did
[he/she] take out a loan, has [he/she] not yet paid these bills, or what?
INTERVIEWER: 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); NA (Not Ascertained)
9. RF (Refused)
1501 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
(((((((((((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);
SN221 TOTAL MEDICAL COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN.N221_TotMedCost
We would like to get a very rough idea of the total cost of (her/his)
(hospital stays,) (nursing home stays,)(hospice stay,) (doctor and clinic
visits,) (outpatient surgery,) (dental visits,) (prescriptions,) (in-home-
medical care,) (and) all other medical costs for (her/him) (since [PREV WAVE
IW MONTH], [PREV WAVE IW YEAR]/since [PREV WAVE IW YEAR]/in the last two years
before (her/his) death), including costs covered by health insurance.
..................................................................................
1457 1. CONTINUE
28 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
15 Blank. INAP (Inapplicable)
SN222 TOTAL MEDICAL COSTS - MIN
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN.N222_
N222_ - N224_ Unfolding Sequence
Did it amount to less than $____ , more than $____ , or what?
BREAKPOINTS: 1000 5000 25000 100000 500000
PROCEDURE(S): ENTRY POINT(S):
UNFM_1up3down 100000
UNFM_2up2down 25000
UNFM_3Up1down 5000
User Note: The entry point for the SN222 - SN224 unfolding sequence is
determined by the random assignment variable SZ083.
..................................................................................
190 0. Value of Breakpoint
7 1000. Value of Breakpoint
51 1001. Value of Breakpoint
45 5000. Value of Breakpoint
209 5001. Value of Breakpoint
74 25000. Value of Breakpoint
513 25001. Value of Breakpoint
95 100000. Value of Breakpoint
236 100001. Value of Breakpoint
27 500000. Value of Breakpoint
39 500001. Value of Breakpoint
15 Blank. INAP (Inapplicable)
SN223 TOTAL MEDICAL COSTS - MAX
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
CAI Reference: BN.N223_
..................................................................................
36 999. Value of Breakpoint
7 1000. Value of Breakpoint
55 4999. Value of Breakpoint
45 5000. Value of Breakpoint
206 24999. Value of Breakpoint
74 25000. Value of Breakpoint
404 99999. Value of Breakpoint
95 100000. Value of Breakpoint
221 499999. Value of Breakpoint
27 500000. Value of Breakpoint
316 5000000. Value of Breakpoint
15 Blank. INAP (Inapplicable)
SN224 TOTAL MEDICAL COSTS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN.N224_
..................................................................................
97. Data Not Available
306 98. DK (Don't Know); NA (Not Ascertained)
5 99. RF (Refused)
1190 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((SecA.StartInterview.A009_SelfPrxy = SLF) OR (ACTIVELANGUAGE = EXTENG)) OR
(ACTIVELANGUAGE = EXTSPN); (piZ113_GaveMedcareNo_V <> YES) AND (piGovCoverN001_
= YES);
SN226 MEDICARE NUMBER RECORDED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCareCaidNumber.N226_MedicareNumRec
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 (her/his) Medicare number for this purpose? (Under the
Privacy Act of 1974, providing (her/his) number is a voluntary decision. The
benefits (she/he) may be receiving under this program will not be affected in
any way by your decision.)
..................................................................................
58 1. NUMBER RECORDED
56 4. R REFUSED NUMBER
101 5. NUMBER NOT RECORDED (NOT REFUSED)
28 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
1256 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST);
((SecA.StartInterview.A009_SelfPrxy = SLF) OR (ACTIVELANGUAGE = EXTENG)) OR
(ACTIVELANGUAGE = EXTSPN); (piGovCoverN006_ = YES) AND (piGovCoverN001_ <>
YES);
SN231 MEDICAID NUMBER RECORDED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN_MediCareCaidNumber.N231_MedicaidNumRec
(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 files.)
Could you give me (her/his) Medicaid number for this purpose?
(Under the Privacy Act of 1974, providing (her/his) number is a voluntary
decision. The benefits (she/he) may be receiving under this program will not
be affected in any way by your decision.)
..................................................................................
10 1. NUMBER RECORDED
9 4. R REFUSED NUMBER
21 5. NUMBER NOT RECORDED (NOT REFUSED)
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1457 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); NOT
((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN));
SN337 OOP NON-MEDICAL EXPENSES
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: BN.N337_
In addition to medical expenses, persons (may have other health-related/with
serious illnesses often have) non-medical expenses. (Since [PREV WAVE IW
MONTH], [PREV WAVE IW YEAR]/Since [PREV WAVE IW YEAR]/In the last two years
before (her/his) death), did [RESPONDENT FIRST NAME] have any out-of-pocket
non-medical expenses such as modifying the house with ramps or lifts, hiring
help for housekeeping or other household chores or for assisting with personal
needs?
..................................................................................
164 1. YES
1317 5. NO
16 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
3 Blank. INAP (Inapplicable)
((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST); NOT
((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)); N337_ = YES;
SN338 OOP NON-MEDICAL COSTS- AMT
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: BN.N338_
About how much did (she/he) (or your husband/wife/partner) pay out-of-pocket
for non-medical expenses (Since [PREV WAVE IW MONTH], [PREV WAVE IW
YEAR]/Since [PREV WAVE IW YEAR]/In the last two years before (her/his) death)?
INTERVIEWER DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
107 0 50000 4929.11 9798.43 1337
-----------------------------------------------------------------
56 99998. DK (Don't Know); NA (Not Ascertained)
1 99999. RF (Refused)
SN339 OOP NON-MEDICAL COSTS- MIN
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: BN.N339_
N339-N341 Unfolding Sequence
Question text: Did it amount to less than $____ , more than $____ , or what?
PROCEDURE: 2Up2Down
BREAKPOINTS: $1,000, $5,000, $25,000, $100,000, $500,000
ENTRY POINT: $25,000
..................................................................................
23 0. Value of Breakpoint
2 1000. Value of Breakpoint
12 1001. Value of Breakpoint
4 5000. Value of Breakpoint
12 5001. Value of Breakpoint
1 25001. Value of Breakpoint
3 100001. Value of Breakpoint
1444 Blank. INAP (Inapplicable)
SN340 OOP NON-MEDICAL COSTS- MAX
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
CAI Reference: BN.N340_
..................................................................................
12 999. Value of Breakpoint
2 1000. Value of Breakpoint
12 4999. Value of Breakpoint
4 5000. Value of Breakpoint
12 24999. Value of Breakpoint
1 99999. Value of Breakpoint
3 499999. Value of Breakpoint
11 5000000. Value of Breakpoint
1444 Blank. INAP (Inapplicable)
SN341 OOP NON-MEDICAL COSTS- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: BN.N341_
..................................................................................
97. Data Not Available
10 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1490 Blank. INAP (Inapplicable)
SVDATE 2002 DATA MODEL VERSION
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
User Note: This variable identifies which data model was used to interview
the proxy respondent. Please reference the data description for a summary of
changes in each data model.
..................................................................................
608 1. Version 1
337 2. Version 2
449 3. Version 3
107 4. Version 4
SVERSION 2002 EXIT FINAL RELEASE VERSION NUMBER
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
..................................................................................
1501 1. HRS 2002 Exit Final Release #1
SQNR BLAISE IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 11 Decimals: 0
..................................................................................
1501 00000200010-21339900010. Blaise Identifier
Top of Page