HHID HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 6 Decimals: 0
..................................................................................
1227 010240-213434. Household Identifier
PN RESPONDENT PERSON IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
..................................................................................
861 010. Person Identifier
19 011. Person Identifier
274 020. Person Identifier
39 030. Person Identifier
1 031. Person Identifier
33 040. Person Identifier
TSUBHH 2004 SUB-HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
..................................................................................
1176 3. 1st deceased respondent from a household
51 4. 2nd deceased respondent from a household
HSUBHH 2002 SUB-HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
..................................................................................
1180 0. Original sample household - no split from divorce or separation
of spouses or partners
21 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
21 2. Split household - other half of couple from SUBHH 0 and new
spouse or partner, if any
4 3. 1st deceased respondent from a household
5. Split household - one half of couple from SUBHH 1 or 2
6. Split household - one half of couple from SUBHH 1 or 2
1 7. Reunited household - respondents from split household reunite
TPN_SP 2004 SPOUSE PERSON IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
..................................................................................
184 010. Person Identifier
16 011. Person Identifier
233 020. Person Identifier
5 021. Person Identifier
21 030. Person Identifier
2 031. Person Identifier
22 040. Person Identifier
3 041. Person Identifier
1 811. New Spouse of Non-Original Respondent
740 Blank. R not coupled
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
TN001 MEDICARE COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.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 [FIRST NAME OF INDIVIDUAL] covered by Medicare health insurance at the
time of [her/his] death?
..................................................................................
1123 1. YES
83 5. NO
21 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N001_ = YES) AND (piSecAContinuInterviewA019_RAge < 65)) OR ((N001_ <>
YES) AND ((piSecAContinuInterviewA019_RAge > 65) OR
(piSecAContinuInterviewA019_RAge = 65))))
TN002M1 WHY NOT MEDICARE COVERED-1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: SecN.GovCover.N002_
..................................................................................
17 1. R is disabled; R is on disability; Spouse on disability; R is
on Social Security disability or SSI
5 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
1 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)
1 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
55. Medicare charges too much; Medicare too expensive for what you
receive
13 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
1 70. R has other medical insurance/coverage-NFS
2 71. R has veteran's coverage or insurance; 'I'm covered by the VA'
2 72. R has federal employee/Postal Service insurance
2 73. R has private insurance; e.g. Cigna, Kaiser, Blue Cross/Blue
Shield
7 74. R is covered by Medicaid
75. R's spouse's medical insurance covers R
1 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
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)
4 92. R is not a U.S. citizen; R is an illegal alien; R lives
1 94. R 'used it up'
1 97. Other
14 98. DK (Don’t Know); NA (Not Ascertained)
99. RF (Refused)
1151 Blank. INAP (Inapplicable)
TN002M2 WHY NOT MEDICARE COVERED-2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
..................................................................................
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
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
1 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
2 76. R covered under company health plan or health insurance; R
covered under former employer's health plan or health insurance
1 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
1 94. R 'used it up'
97. Other
98. DK (Don’t Know); NA (Not Ascertained)
99. RF (Refused)
1220 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N001_ = YES)
TN004 MEDICARE PART B COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.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 [FIRST NAME OF INDIVIDUAL]'s death, was [she/he] covered by
Medicare Part B?
..................................................................................
978 1. YES
58 5. NO
87 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
104 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
TN005 MEDICAID COVERAGE SINCE PREV WAVE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.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 IW Month],
[PREV WAVE FIRST R IW YEAR] and when[she/he] died/between [PREV WAVE FIRST R
IW YEAR]/ and when[she/he] died/in the two years before[her/his] death] ?
..................................................................................
299 1. YES
877 5. NO
51 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N005_ = YES)
TN006 CURRENTLY COVERED BY MEDICAID
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.GovCover.N006_
Was [she/he] covered by (Medicaid/STATE NAME FOR MEDICAID) at the time
[she/he] died?
..................................................................................
287 1. YES
8 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
928 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
TN007 CHAMPUS/CHAMPVA COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.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?
DEF: (TRI-CARE is the new name for the military's health insurance programs.
It includes what used to be known as CHAMPUS and CHAMP-VA. CHAMPUS was a
health care program for active or retired military personnel and their
dependents or survivors. CHAMP-VA provided medical care for veterans and their
dependents or survivors of veterans who had a service-connected disability. VA
is not a health insurance program.)
..................................................................................
77 1. YES
1134 5. NO
16 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
TN009 MEDICARE/MEDICAID HMO
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.MediCaidCarePlan.N009_
We are interested in how [her/his] (Medicare/Medicare or (Medicaid/STATE NAME
FOR MEDICAID)) health insurance worked for routine care.
Did [FIRST NAME OF INDIVIDUAL] receive [her/his] [Medicare /(Medicaid/STATE
NAME FOR MEDICAID)] benefits through an HMO, that is a Health Maintenance
Organization?
DEF: (With an HMO, the cost of the physician visit is typically covered in
full or you pay only a small amount. All of your routine care must be provided
by an HMO physician.)
..................................................................................
153 1. YES
889 5. NO
111 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
74 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND ((piGovCoverN001_ = YES) AND (N009_ = YES))
TN243 HMO NEEDED FOR OTHER BENS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.MediCaidCarePlan.N243_
Did [she/he] have to join this HMO in order to receive supplemental benefits
from another plan?
..................................................................................
36 1. YES
94 5. NO
22 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1075 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
TN010 MEDICARE/MEDICAID HMO- HOW LONG - YRS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.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:
OR
MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
110 1 25 9.88 7.20 1079
-----------------------------------------------------------------
38 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
AND ((N010_ = 0) OR N010_ = EMPTY)
TN011 MEDICARE/MEDICAID HMO- HOW LONG - MOS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.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?
YEARS: [MEDICARE/MEDICAID HMO- HOW LONG - YRS]
OR
MONTHS:
..................................................................................
6 1-6. Actual Value
37 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1184 Blank. INAP (Innapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
TN351 HMO PAY FOR REGULAR PRESCRIPTION DRUGS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.MediCaidCarePlan.N351_
Did this HMO cover or provide help with paying for regular prescription drugs?
..................................................................................
124 1. YES
24 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1074 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
TN014 MEDICARE/MEDICAID HMO-AMT PAY
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: SecN.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:
PER:
..................................................................................
106 0-700. Actual Value
47 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1074 Blank. INAP (Innapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (N009_ = YES)
AND (NOT (((N014_ = DONTKNOW) OR (N014_ = REFUSAL)) AND N015_ = EMPTY))
AND (((N014_ > 0) AND (N014_ <> REFUSAL)) AND (N014_ <> DONTKNOW))
TN018 MEDICARE/MEDICAID HMO-AMT PAY - PER
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.MediCaidCarePlan.N018_
Not including co-pays or deductions from [her/his] Social Security, how much
did [she/he], [herself/himself], pay for this plan?
AMOUNT: [MEDICARE/MEDICAID HMO-AMT PAY]
PER:
..................................................................................
47 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)
1175 Blank. INAP (Inapplicable)
TN015 MEDICARE/MEDICAID HMO-AMT PAY - MIN
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: SecN.MediCaidCarePlan.N015_
N015_-N017_ Unfolding Sequence
Question text: Did it amount to less than $______per month, more than
$______per month, or what?
PROCEDURE: UNFM_2Up1Down
BREAKPOINTS: 15, 30, 60, 120
ENTRY POINT: 30
..................................................................................
30 0. Value of Breakpoint
1 16. Value of Breakpoint
1 30. Value of Breakpoint
5 31. Value of Breakpoint
2 60. Value of Breakpoint
6 61. Value of Breakpoint
1 120. Value of Breakpoint
1 121. Value of Breakpoint
1180 Blank. INAP (Inapplicable)
TN016 MEDICARE/MEDICAID HMO-AMT PAY - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
CAI Reference: SecN.MediCaidCarePlan.N016_
..................................................................................
1 14. Value of Breakpoint
3 29. Value of Breakpoint
1 30. Value of Breakpoint
3 59. Value of Breakpoint
2 60. Value of Breakpoint
6 119. Value of Breakpoint
1 120. Value of Breakpoint
30 99999996. Greater than Maximum Breakpoint
1180 Blank. INAP (Inapplicable)
TN017 MEDICARE/MEDICAID HMO-AMT PAY - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.MediCaidCarePlan.N017_
..................................................................................
97. Data Not Available
30 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1196 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (piGovCoverN001_ = YES)
TN020 LEFT MEDICARE HMO LAST TWO YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.MediCaidCarePlan.N020_
At any time [since R's LAST IW MONTH, YEAR/in the last two years before
[his/her] death], did [he/she] leave an HMO that delivered Medicare services?
..................................................................................
13 1. YES
1034 5. NO
76 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
104 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (piGovCoverN001_ = YES)
AND (N020_ = YES)
TN021M1 WHY LEAVE MEDICARE HMO-1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.MediCaidCarePlan.N021M[1]
Why did [he/she] leave that HMO?
[IWER: CHOOSE ALL THAT APPLY]
..................................................................................
2 1. OWN PHYSICIAN LEFT PLAN
5 2. HMO DIDN'T PROVIDE NEEDED SERVICES
2 3. HMO COSTS INCREASED
4. HMO ENCOURAGED ME TO LEAVE
1 5. PLAN NO LONGER AVAILABLE
7. OTHER (SPECIFY)
2 10. Switched to Medicare or Medicaid
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1214 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES))
AND (piGovCoverN001_ = YES)
AND (N020_ = YES)
TN021M2 WHY LEAVE MEDICARE HMO-2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.MediCaidCarePlan.N021M[2]
Why did [he/she] leave that HMO?
[IWER: CHOOSE ALL THAT APPLY]
..................................................................................
1. OWN PHYSICIAN LEFT PLAN
2. HMO DIDN'T PROVIDE NEEDED SERVICES
3. HMO COSTS INCREASED
4. HMO ENCOURAGED ME TO LEAVE
1 5. PLAN NO LONGER AVAILABLE
7. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1226 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
TN023 NUM PRIVATE HEALTH INS PLANS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.N023_
Now, we`d like to ask about the other types of health insurance plans [she/he]
might have had, such as insurance through an employer or a business, coverage
for retirees, or health insurance [she/he] might have bought for
[herself/himself], 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
1180 0 2 0.57 0.55 0
-----------------------------------------------------------------
47 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (piGovCoverN001_ = YES)
AND (Counter = 1)
TN025_1 WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N025_
Which was[her/his] primary plan, Medicare or [NAME PRIVATE HEALTH INSURANCE
PLAN] ?
..................................................................................
529 1. MEDICARE
48 2. NAME OF PLAN (W22_1/N024_1)
9 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
641 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (piGovCoverN001_ = YES)
AND (N025_ = MEDICARE)
AND (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (piGovCoverN001_ = YES)
AND (N025_ = MEDICARE)
AND (N026_ <> NONRESPONSE)
TN026_1 MEDIGAP PLAN LETTER- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N026_
[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):
..................................................................................
39 1. A
4 2. B
5 3. C
8 4. D
1 5. E
11 6. F
1 7. G
8. H
2 9. I
2 10. J
123 95. Z
331 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
698 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
TN032_1 PRIVATE PLAN 1-3 HELP PAY REGULAR RX- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N032_
Did this plan provide help with paying for regular prescription drugs?
INTERVIEWER: THE FOLLOW-UP QUESTIONS REFER TO THE PRIVATE PLAN, NOT TO
MEDICARE.
..................................................................................
373 1. YES
244 5. NO
23 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
587 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (((piSecJWORKSTATUSJ020_WorkforPay = YES) AND ((ACTIVELANGUAGE <> EXTENG)
AND (ACTIVELANGUAGE <> EXTSPN))) OR ((RVARS.Z123_CurWorkng_V = YES) AND
((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN))))
TN033_1 OBTAIN HI THRU CURRNT EMP/OWN BUSINESS-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N033_HowObtIns
Did [she/he] obtain this health insurance through [her/his] own business or an
employer?
ASK `WHOSE EMPLOYER?` IF NOT CLEAR
..................................................................................
24 1. YES
31 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1172 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (N033_HowObtIns <> YES)
TN034_1 OBTAIN INS THRU FORMER EMPLOYER -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N034_
Did [she/he] obtain this health insurance through a former employer of
[hers/his]?
..................................................................................
203 1. YES
400 5. NO
13 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
611 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL))
TN035_1 OBTAIN INS THRU HWP CURRENT EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N035_
Did [she/he] obtain this health insurance through [ your/[her/his] [
you/husband/wife/partner]`s] current employer?
..................................................................................
29 1. YES
141 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1055 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL))
AND (N035_ <> YES)
TN036_1 OBTAIN INS THRU HWP FORMER EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N036_
Did [she/he] obtain this health insurance through [ your/[her/his] [
you/husband/wife/partner]`s] former employer?
..................................................................................
34 1. YES
107 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1084 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((N035_ <> YES) AND (N036_ <> YES))
TN037_1 WHERE PURCHASE PRIVATE PLAN INSURANCE- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N037_
Did [she/he] purchase this plan directly from an insurance company, through
[her/his] [ or / or her/his you/husband/wife/partner`s/ / or your] union,
through a group such as AARP, a church, or other organization, or what?
..................................................................................
194 1. INSURANCE COMPANY
2 2. R`S UNION
1 3. SPOUSE`S UNION
52 4. GROUP
53 5. Former or deceased spouse's employer/union
15 6. Includes federal, state or military programs
11 7. OTHER (SPECIFY)
22 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
877 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
TN039_1 PAY ALL/SOME/NONE PRIV PLAN HI COSTS-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N039_PayHlthInsCost
Including any help from [her/his] family, did [she/he] [ or / or her/his] [
you/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?
..................................................................................
398 1. ALL
80 2. SOME
135 3. NONE
27 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
587 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
TN040_1 PRIV PLAN HI PAY PER/MONTH- AMT- 1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N040_
How much did[she/he][or/her/his][ you/husband/wife/partner] pay per month in
premiums for this plan?
[/
INTERVIEWER: PROBE IF NECESSARY. 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
286 0 1881 183.10 177.58 722
-----------------------------------------------------------------
217 9998. DK (Don't Know); NA (Not Ascertained)
2 9999. RF (Refused)
TN041_1 PRIV PLAN HI PAY PER/MONTH- MIN- 1
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N041_
N041_-N043_Unfolding Sequence
Question text: Did it amount to less than $____ per month, more than $____ per
month, or what?
PROCEDURE: UNFM_2up1down
BREAKPOINTS: 25, 50, 100, 150
ENTRY POINT: 50
..................................................................................
115 0. Value of Breakpoint
3 25. Value of Breakpoint
8 26. Value of Breakpoint
5 50. Value of Breakpoint
27 51. Value of Breakpoint
9 100. Value of Breakpoint
20 101. Value of Breakpoint
5 150. Value of Breakpoint
27 151. Value of Breakpoint
1008 Blank. INAP (Inapplicable)
TN042_1 PRIV PLAN HI PAY PER/MONTH- MAX- 1
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N042_
..................................................................................
1 24. Value of Breakpoint
3 25. Value of Breakpoint
11 49. Value of Breakpoint
5 50. Value of Breakpoint
18 99. Value of Breakpoint
9 100. Value of Breakpoint
13 149. Value of Breakpoint
5 150. Value of Breakpoint
154 99999996. Greater than Maximum Breakpoint
1008 Blank. INAP (Inapplicable)
TN043_1 PRIV PLAN HI PAY PER/MONTH- RESULT- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N043_
..................................................................................
97. Data Not Available
130 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1096 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE
OR (N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_
OR CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE
OR N039_PayHlthInsCost <> NONE)
AND (NOT (piSecJWORKSTATUSJ021_EmpSelfOth = SLFEMPD)
OR piSecJWORKSTATUSJ021_EmpSelfOth = SLFEMPD)
TN044_1 BRANCHPNT-SELF EMPLOYED/ALL OTH-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N044_
..................................................................................
1. R IS CURRENTLY SELF-EMPLOYED
505 2. ALL OTHERS
722 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE
OR (N023_ <> 0) AND N023_ <> NONRESPONSE
OR (N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_
OR CNT <= N023_
OR CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE
OR N039_PayHlthInsCost <> NONE
OR N039_PayHlthInsCost <> NONE)
AND (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))
OR NOT (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES)))
OR NOT (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))))
AND (N037_ = OTH_SPECIFY
OR NOT (N037_ = OTH_SPECIFY))
TN046_1 BRANCHPNT-SOURCE OF HEALTH INSURANCE- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N046_
..................................................................................
45 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
60 2. INS THRU SOMEPLACE ELSE AT R15
400 3. INS THRU CURRENT/FORMER EMPLOYER OR UNION
722 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE
OR (N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_
OR CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE
OR N039_PayHlthInsCost <> NONE)
AND (NOT (piGovCoverN001_ = YES)
OR piGovCoverN001_ = YES)
TN047_1 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N047_
..................................................................................
461 1. R IS COVERED BY MEDICARE
44 2. ALL OTHERS
722 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
TN052_1 PRIVATE PLAN INSURANCE AN HMO- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N052_Plan1HMO
Was this plan an HMO, that is, a Health Maintenance Organization?
DEF: (With an HMO, the cost of the physician visit is typically covered in
full or you pay only a small amount. All of your routine care must be provided
by an HMO physician.)
..................................................................................
45 1. YES
544 5. NO
51 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
587 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
TN053_1 NUMBER YEARS IN PLAN- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N053_NumYrPlan
How long had [she/he] been with this plan?
YEARS:
OR
MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
520 1 50 20.65 13.95 597
-----------------------------------------------------------------
110 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND ((N053_NumYrPlan = 0) OR N053_NumYrPlan = EMPTY)
TN054_1 NUMBER MONTHS IN PLAN- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N054_NumMoPlan
How long has [she/he] been with this plan?
YEARS:
OR
MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
10 1 8 4.50 2.72 1107
-----------------------------------------------------------------
110 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (N052_Plan1HMO <> YES)
TN055_1 PRIV PLAN HI- HAS LIST OF DRS- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N055_ListDoctor
Did this health insurance plan have a list or book of doctors that[she/he] was
encouraged or required to use?
..................................................................................
76 1. YES
465 5. NO
54 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
632 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND ((N055_ListDoctor = YES) OR (N052_Plan1HMO = YES))
TN056_1 PLAN PAY FOR DOCTORS NOT ON LIST- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[1].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]?
..................................................................................
60 1. YES
20 2. YES, WITH A REFERRAL
23 5. NO
18 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1106 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE
OR (N023_ <> 0) AND N023_ <> NONRESPONSE
OR (N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_
OR CNT <= N023_
OR CNT <= N023_)
AND ((piSecAContinuInterviewA019_RAge < 65) AND (N033_HowObtIns = YES)
OR NOT ((piSecAContinuInterviewA019_RAge < 65) AND (N033_HowObtIns = YES))
OR NOT ((piSecAContinuInterviewA019_RAge < 65) AND (N033_HowObtIns = YES)))
AND ((piSecAContinuInterviewA019_RAge < 65) AND (N034_ = YES)
OR NOT ((piSecAContinuInterviewA019_RAge < 65) AND (N034_ = YES)))
TN058_1 PRIV HI FROM CUR/FOR EMP AND LESS 65-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N058_
..................................................................................
11 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
8 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
621 3. ALL OTHERS
587 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
TN066_1 LIMITS ON HI DUE TO PREEXISTING COND- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[1].N066_LimitHlthIns
Were there any limits or restrictions on this health insurance plan due to a
preexisting condition?
..................................................................................
13 1. YES
579 5. NO
48 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
587 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (piGovCoverN001_ = YES)
AND (Counter = 1)
TN025_2 WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N025_
Which was [her/his] primary plan, Medicare or [NAME PRIVATE HEALTH INSURANCE
PLAN] ?
..................................................................................
1. MEDICARE
2. NAME OF PLAN (W22_1/N024_1)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (piGovCoverN001_ = YES)
AND (N025_ = MEDICARE)
AND (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (piGovCoverN001_ = YES)
AND (N025_ = MEDICARE)
AND (N026_ <> NONRESPONSE)
TN026_2 MEDIGAP PLAN LETTER- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N026_
[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):
..................................................................................
1. A
2. B
3. C
4. D
5. E
6. F
7. G
8. H
9. I
10. J
95. Z
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
TN032_2 PRIVATE PLAN 1-3 HELP PAY REGULAR RX- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N032_
Did this plan provide help with paying for regular prescription drugs?
INTERVIEWER: THE FOLLOW-UP QUESTIONS REFER TO THE PRIVATE PLAN, NOT TO
MEDICARE.
..................................................................................
8 1. YES
23 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1192 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (((piSecJWORKSTATUSJ020_WorkforPay = YES) AND ((ACTIVELANGUAGE <> EXTENG)
AND (ACTIVELANGUAGE <> EXTSPN))) OR ((RVARS.Z123_CurWorkng_V = YES) AND
((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN))))
TN033_2 OBTAIN HI THRU CURRNT EMP/OWN BUSINESS-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N033_HowObtIns
Did [she/he] obtain this health insurance through [her/his] own business or an
employer?
ASK `WHOSE EMPLOYER?` IF NOT CLEAR
..................................................................................
1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1226 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (N033_HowObtIns <> YES)
TN034_2 OBTAIN INS THRU FORMER EMPLOYER -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N034_
Did [she/he] obtain this health insurance through a former employer of
[hers/his]?
..................................................................................
9 1. YES
26 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1192 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL))
TN035_2 OBTAIN INS THRU HWP CURRENT EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N035_
Did [she/he] obtain this health insurance through [ your/[her/his] [
you/husband/wife/partner]`s] current employer?
..................................................................................
1 1. YES
8 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1218 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL))
AND (N035_ <> YES)
TN036_2 OBTAIN INS THRU HWP FORMER EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N036_
Did [she/he] obtain this health insurance through [ your/[her/his] [
you/husband/wife/partner]`s] former employer?
..................................................................................
3 1. YES
5 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1219 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((N035_ <> YES) AND (N036_ <> YES))
TN037_2 WHERE PURCHASE PRIVATE PLAN INSURANCE- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N037_
Did[she/he] purchase this plan directly from an insurance company,
through[her/his][/ or / or /her/his / you/husband/wife/partner`s/ / or your]
union, through a group such as AARP, a church, or other organization, or what?
..................................................................................
15 1. INSURANCE COMPANY
2. R`S UNION
1 3. SPOUSE`S UNION
3 4. GROUP
1 5. Former or deceased spouse's employer/union
1 6. Includes federal, state or military programs
1 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1205 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
TN039_2 PAY ALL/SOME/NONE PRIV PLAN HI COSTS-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N039_PayHlthInsCost
Including any help from [her/his] family, did [she/he] [ or / or her/his] [
you/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?
..................................................................................
25 1. ALL
2 2. SOME
8 3. NONE
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1192 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
TN040_2 PRIV PLAN HI PAY PER/MONTH- AMT- 2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N040_
How much did [she/he] [ or / or her/his] [ you/husband/wife/partner] pay per
month in premiums for this plan?
[
INTERVIEWER: PROBE IF NECESSARY. 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
16 0 163 61.50 56.51 1200
-----------------------------------------------------------------
11 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
TN041_2 PRIV PLAN HI PAY PER/MONTH- MIN- 2
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N041_
N041_-N043_Unfolding Sequence
Question text: Did it amount to less than $____ per month, more than $____ per
month, or what?
PROCEDURE: UNFM_2up1down
BREAKPOINTS: 25, 50, 100, 150
ENTRY POINT: 50
..................................................................................
9 0. Value of Breakpoint
1 25. Value of Breakpoint
1 151. Value of Breakpoint
1216 Blank. INAP (Inapplicable)
TN042_2 PRIV PLAN HI PAY PER/MONTH- MAX- 2
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N042_
..................................................................................
1 25. Value of Breakpoint
1 49. Value of Breakpoint
9 99999996. Greater than Maximum Breakpoint
1216 Blank. INAP (Inapplicable)
TN043_2 PRIV PLAN HI PAY PER/MONTH- RESULT- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N043_
..................................................................................
97. Data Not Available
9 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1218 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE
OR (N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_
OR CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE
OR N039_PayHlthInsCost <> NONE)
AND (NOT (piSecJWORKSTATUSJ021_EmpSelfOth = SLFEMPD)
OR piSecJWORKSTATUSJ021_EmpSelfOth = SLFEMPD)
TN044_2 BRANCHPNT-SELF EMPLOYED/ALL OTH-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N044_
..................................................................................
1. R IS CURRENTLY SELF-EMPLOYED
27 2. ALL OTHERS
1200 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE
OR (N023_ <> 0) AND N023_ <> NONRESPONSE
OR (N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_
OR CNT <= N023_
OR CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE
OR N039_PayHlthInsCost <> NONE
OR N039_PayHlthInsCost <> NONE)
AND (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))
OR NOT (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES)))
OR NOT (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))))
AND (N037_ = OTH_SPECIFY
OR NOT (N037_ = OTH_SPECIFY))
TN046_2 BRANCHPNT-SOURCE OF HEALTH INSURANCE- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N046_
..................................................................................
2 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
3 2. INS THRU SOMEPLACE ELSE AT R15
22 3. INS THRU CURRENT/FORMER EMPLOYER OR UNION
1200 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE
OR (N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_
OR CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE
OR N039_PayHlthInsCost <> NONE)
AND (NOT (piGovCoverN001_ = YES)
OR piGovCoverN001_ = YES)
TN047_2 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N047_
..................................................................................
25 1. R IS COVERED BY MEDICARE
2 2. ALL OTHERS
1200 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
TN052_2 PRIVATE PLAN INSURANCE AN HMO- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N052_Plan1HMO
Was this plan an HMO, that is, a Health Maintenance Organization?
DEF: (With an HMO, the cost of the physician visit is typically covered in
full or you pay only a small amount. All of your routine care must be provided
by an HMO physician.)
..................................................................................
1 1. YES
29 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1192 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
TN053_2 NUMBER YEARS IN PLAN- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N053_NumYrPlan
How long had [she/he] been with this plan?
YEARS:
OR
MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
24 1 50 19.67 14.51 1193
-----------------------------------------------------------------
10 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND ((N053_NumYrPlan = 0) OR N053_NumYrPlan = EMPTY)
TN054_2 NUMBER MONTHS IN PLAN- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N054_NumMoPlan
How long has [she/he] been with this plan?
YEARS:
OR
MONTHS:
..................................................................................
1 1. Actual Value
10 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1216 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (N052_Plan1HMO <> YES)
TN055_2 PRIV PLAN HI- HAS LIST OF DRS- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N055_ListDoctor
Did this health insurance plan have a list or book of doctors that [she/he]
was encouraged or required to use?
..................................................................................
1 1. YES
27 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1193 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND ((N055_ListDoctor = YES) OR (N052_Plan1HMO = YES))
TN056_2 PLAN PAY FOR DOCTORS NOT ON LIST- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[2].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 1. YES
2. YES, WITH A REFERRAL
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1225 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE
OR (N023_ <> 0) AND N023_ <> NONRESPONSE
OR (N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_
OR CNT <= N023_
OR CNT <= N023_)
AND ((piSecAContinuInterviewA019_RAge < 65) AND (N033_HowObtIns = YES)
OR NOT ((piSecAContinuInterviewA019_RAge < 65) AND (N033_HowObtIns = YES))
OR NOT ((piSecAContinuInterviewA019_RAge < 65) AND (N033_HowObtIns = YES)))
AND ((piSecAContinuInterviewA019_RAge < 65) AND (N034_ = YES)
OR NOT ((piSecAContinuInterviewA019_RAge < 65) AND (N034_ = YES)))
TN058_2 PRIV HI FROM CUR/FOR EMP AND LESS 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N058_
..................................................................................
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
35 3. ALL OTHERS
1192 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
TN066_2 LIMITS ON HI DUE TO PREEXISTING COND- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[2].N066_LimitHlthIns
Were there any limits or restrictions on this health insurance plan due to a
preexisting condition?
..................................................................................
1. YES
27 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1192 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (piGovCoverN001_ = YES)
AND (Counter = 1)
TN025_3 WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N025_
Which was [her/his] primary plan, Medicare or [NAME PRIVATE HEALTH INSURANCE
PLAN] ?
..................................................................................
1. MEDICARE
2. NAME OF PLAN (W22_1/N024_1)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (piGovCoverN001_ = YES)
AND (N025_ = MEDICARE)
AND (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (piGovCoverN001_ = YES)
AND (N025_ = MEDICARE)
AND (N026_ <> NONRESPONSE)
TN026_3 MEDIGAP PLAN LETTER- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N026_
[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):
..................................................................................
1. A
2. B
3. C
4. D
5. E
6. F
7. G
8. H
9. I
10. J
95. Z
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
TN032_3 PRIVATE PLAN 1-3 HELP PAY REGULAR RX- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N032_
Did this plan provide help with paying for regular prescription drugs?
INTERVIEWER: THE FOLLOW-UP QUESTIONS REFER TO THE PRIVATE PLAN, NOT TO
MEDICARE.
..................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (((piSecJWORKSTATUSJ020_WorkforPay = YES) AND ((ACTIVELANGUAGE <> EXTENG)
AND (ACTIVELANGUAGE <> EXTSPN))) OR ((RVARS.Z123_CurWorkng_V = YES) AND
((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN))))
TN033_3 OBTAIN HI THRU CURRNT EMP/OWN BUSINESS-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N033_HowObtIns
Did[she/he] obtain this health insurance through[her/his] own business or an
employer?
ASK `WHOSE EMPLOYER?` IF NOT CLEAR
..................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (N033_HowObtIns <> YES)
TN034_3 OBTAIN INS THRU FORMER EMPLOYER -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N034_
Did [she/he] obtain this health insurance through a former employer of
[hers/his]?
..................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL))
TN035_3 OBTAIN INS THRU HWP CURRENT EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N035_
Did [she/he] obtain this health insurance through [ your/[her/his] [
you/husband/wife/partner]`s] current employer?
..................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL))
AND (N035_ <> YES)
TN036_3 OBTAIN INS THRU HWP FORMER EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N036_
Did [she/he] obtain this health insurance through [ your/[her/his] [
you/husband/wife/partner]`s] former employer?
..................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (N033_HowObtIns <> YES)
AND (N034_ <> YES)
AND ((N035_ <> YES) AND (N036_ <> YES))
TN037_3 WHERE PURCHASE PRIVATE PLAN INSURANCE- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N037_
Did[she/he] purchase this plan directly from an insurance company,
through[her/his][/ or / or /her/his / you/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
4. GROUP
5. Former or deceased spouse's employer/union
6. Includes federal, state or military programs
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
TN039_3 PAY ALL/SOME/NONE PRIV PLAN HI COSTS-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N039_PayHlthInsCost
Including any help from [her/his] family, did [she/he] [ or / or her/his] [
you/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. ALL
2. SOME
3. NONE
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE)
TN040_3 PRIV PLAN HI PAY PER/MONTH- AMT- 3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N040_
How much did[she/he][or/her/his][ you/husband/wife/partner] pay per month in
premiums for this plan?
[/
INTERVIEWER: PROBE IF NECESSARY. COUNT ANY PAYROLL DEDUCTIONS, BUT DO NOT
INCLUDE ANY AMOUNT PAID BY THE EMPLOYER]
DO NOT PROBE DK/RF
AMOUNT PER MONTH:
..................................................................................
9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1227 Blank. INAP (Inapplicable)
TN041_3 PRIV PLAN HI PAY PER/MONTH- MIN- 3
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N041_
N041_-N043_Unfolding Sequence
Question text: Did it amount to less than $____ per month, more than $____ per
month, or what?
PROCEDURE: UNFM_2up1down
BREAKPOINTS: 25, 50, 100, 150
ENTRY POINT: 50
..................................................................................
1227 Blank. INAP (Inapplicable)
TN042_3 PRIV PLAN HI PAY PER/MONTH- MAX- 3
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N042_
..................................................................................
1227 Blank. INAP (Inapplicable)
TN043_3 PRIV PLAN HI PAY PER/MONTH- RESULT- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N043_
..................................................................................
97. Data Not Available
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1227 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE
OR (N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_
OR CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE
OR N039_PayHlthInsCost <> NONE)
AND (NOT (piSecJWORKSTATUSJ021_EmpSelfOth = SLFEMPD)
OR piSecJWORKSTATUSJ021_EmpSelfOth = SLFEMPD)
TN044_3 BRANCHPNT-SELF EMPLOYED/ALL OTH- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N044_
..................................................................................
1. R IS CURRENTLY SELF-EMPLOYED
2. ALL OTHERS
1227 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE
OR (N023_ <> 0) AND N023_ <> NONRESPONSE
OR (N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_
OR CNT <= N023_
OR CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE
OR N039_PayHlthInsCost <> NONE
OR N039_PayHlthInsCost <> NONE)
AND (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))
OR NOT (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES)))
OR NOT (((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES))))
AND (N037_ = OTH_SPECIFY
OR NOT (N037_ = OTH_SPECIFY))
TN046_3 BRANCHPNT-SOURCE OF HEALTH INSURANCE- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N046_
..................................................................................
1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
2. INS THRU SOMEPLACE ELSE AT R15
3. INS THRU CURRENT/FORMER EMPLOYER OR UNION
1227 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE
OR (N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_
OR CNT <= N023_)
AND (N039_PayHlthInsCost <> NONE
OR N039_PayHlthInsCost <> NONE)
AND (NOT (piGovCoverN001_ = YES)
OR piGovCoverN001_ = YES)
TN047_3 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N047_
..................................................................................
1. R IS COVERED BY MEDICARE
2. ALL OTHERS
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
TN052_3 PRIVATE PLAN INSURANCE AN HMO- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N052_Plan1HMO
Was this plan an HMO, that is, a Health Maintenance Organization?
DEF: (With an HMO, the cost of the physician visit is typically covered in
full or you pay only a small amount. All of your routine care must be provided
by an HMO physician.)
..................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
TN053_3 NUMBER YEARS IN PLAN- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N053_NumYrPlan
How long had [she/he] been with this plan?
YEARS:
OR
MONTHS:
..................................................................................
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND ((N053_NumYrPlan = 0) OR N053_NumYrPlan = EMPTY)
TN054_3 NUMBER MONTHS IN PLAN- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N054_NumMoPlan
How long has [she/he] been with this plan?
YEARS:
OR
MONTHS:
..................................................................................
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND (N052_Plan1HMO <> YES)
TN055_3 PRIV PLAN HI- HAS LIST OF DRS- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[3].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
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
AND ((N055_ListDoctor = YES) OR (N052_Plan1HMO = YES))
TN056_3 PLAN PAY FOR DOCTORS NOT ON LIST- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[3].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)
1227 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE
OR (N023_ <> 0) AND N023_ <> NONRESPONSE
OR (N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_
OR CNT <= N023_
OR CNT <= N023_)
AND ((piSecAContinuInterviewA019_RAge < 65) AND (N033_HowObtIns = YES)
OR NOT ((piSecAContinuInterviewA019_RAge < 65) AND (N033_HowObtIns = YES))
OR NOT ((piSecAContinuInterviewA019_RAge < 65) AND (N033_HowObtIns = YES)))
AND ((piSecAContinuInterviewA019_RAge < 65) AND (N034_ = YES)
OR NOT ((piSecAContinuInterviewA019_RAge < 65) AND (N034_ = YES)))
TN058_3 PRIV HI FROM CUR/FOR EMP AND LESS 65- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N058_
..................................................................................
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. ALL OTHERS
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N023_ <> 0) AND N023_ <> NONRESPONSE)
AND (CNT <= N023_)
TN066_3 LIMITS ON HI DUE TO PREEXISTING COND- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PlanDetails[3].N066_LimitHlthIns
Were there any limits or restrictions on this health insurance plan due to a
preexisting condition?
..................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
TN071 LTC INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeINs.N071_LTCIns
[Not including government programs, did] [FIRST NAME OF INDIVIDUAL] have any
long-term care insurance which specifically covered nursing home care for a
year or more or any part of personal or medical care in [her/his] home?
..................................................................................
80 1. YES
1101 5. NO
46 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N071_LTCIns = YES)
AND (NOT (ptN090_NumOfPlans = 0))
TN072 LTC COV- NEW OR PRE MENTION PLAN
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeINs.N072_LTCCovNHNewPrev
Is that one of the plans you have already described, or a different plan?
..................................................................................
17 1. PREVIOUSLY DESCRIBED PLAN
62 2. DIFFERENT PLAN
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1147 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N071_LTCIns = YES)
AND (NOT (ptN090_NumOfPlans = 0))
AND (N072_LTCCovNHNewPrev = PREVDESCRPLAN)
AND (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N071_LTCIns = YES)
AND (NOT (ptN090_NumOfPlans = 0))
AND (NOT (N072_LTCCovNHNewPrev = PREVDESCRPLAN))
AND (N072_LTCCovNHNewPrev = DIFFERENTPLAN)
TN073 LTC COV- WHICH PREV MENTION PLAN
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.NHomeINs.N073_LTCCovNHWhi
Which plan is that?
..................................................................................
13 1. FIRST PLAN MENTIONED AT TN024
2. SECOND PLAN MENTIONED AT TN024
3. THIRD PLAN MENTIONED AT TN024
4. PLAN MENTIONED AT TN070
5. PLAN MENTIONED AT TN074
6. PLAN MENTIONED AT TN105
7. PLAN MENTIONED AT TN113
8. PLAN MENTIONED AT TN242
9. PLAN MENTIONED AT TN138
10. PLAN MENTIONED AT TN146
11. PLAN MENTIONED AT TN155
12. PLAN MENTIONED AT TN163
13. PLAN MENTIONED AT TN167
14. PLAN MENTIONED AT TN174
15. PLAN MENTIONED AT TN179
16. PLAN MENTIONED AT TN187
19. Medicare HMO
2 20. MEDICARE
21. MEDICAID
22. CHAMPUS
59 27. NOT ON LIST
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1153 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N071_LTCIns = YES)
TN075 COVER NURSING HOME/IN-HOME CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeINs.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?
..................................................................................
22 1. NURSING HOME CARE ONLY
4 2. IN-HOME CARE ONLY
49 3. BOTH
7. OTHER (SPECIFY)
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1147 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N071_LTCIns = YES)
TN077 RECD BENEFITS UNDER LTC
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeINs.N077_RcvBenefLTC
Did [FIRST NAME OF INDIVIDUAL] ever receive benefits under [her/his] long-term
care policy?
..................................................................................
33 1. YES
45 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1147 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N071_LTCIns = YES)
AND ((N072_LTCCovNHNewPrev <> PREVDESCRPLAN) OR (N073_LTCCovNHWhi = Plan27))
TN079 AMT PAY FOR LTC
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: SecN.NHomeINs.N079_AmtPayLTC
How much did [he/she] (or [you/[his/her] [husband/wife/partner]]) pay for this
[plan/long-term care coverage]?
INTERVIEWER: ENTER 0 IF NO PAYMENTS ARE MADE
INTERVIEWER: DO NOT PROBE DK/RF
AMOUNT:
PER:
..................................................................................
43 0-90000. Actual Value
22 99998. DK (Don't Know); NA (Not Ascertained)
99999. RF (Refused)
1162 Blank. INAP (Innapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N071_LTCIns = YES)
AND ((N072_LTCCovNHNewPrev <> PREVDESCRPLAN) OR (N073_LTCCovNHWhi = Plan27))
AND (N079_AmtPayLTC > 0)
TN083 AMT PAY FOR LTC PER
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeINs.N083_AmtPayLTCPer
How much did[she/he] pay per month for this plan?
INTERVIEWER: ENTER 0 IF NO PAYMENTS ARE MADE
INTERVIEWER: DO NOT PROBE DK/RF
AMOUNT: [AMT PAY FOR LTC]
PER:
..................................................................................
25 1. YEAR
1 2. QUARTER (EVERY 3 MONTHS)
13 4. MONTH
1 6. Lump sum payment
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1187 Blank. INAP (Inapplicable)
TN080 AMT PAY FOR LTC - MIN
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: SecN.NHomeINs.N080_
N080_-N082_ Unfolding Sequence
Question text: Did it amount to less than $______per month, more than
$______per month, or what?
PROCEDURE: UNFM_2up1down
BREAKPOINTS: 25, 100, 200, 400
ENTRY POINT: 100
..................................................................................
13 0. Value of Breakpoint
2 26. Value of Breakpoint
3 101. Value of Breakpoint
2 200. Value of Breakpoint
1 201. Value of Breakpoint
1 401. Value of Breakpoint
1205 Blank. INAP (Inapplicable)
TN081 AMT PAY FOR LTC - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
CAI Reference: SecN.NHomeINs.N081_
..................................................................................
1 24. Value of Breakpoint
2 99. Value of Breakpoint
2 199. Value of Breakpoint
2 200. Value of Breakpoint
15 99999996. Greater than Maximum Breakpoint
1205 Blank. INAP (Inapplicable)
TN082 AMT PAY FOR LTC- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.NHomeINs.N082_
..................................................................................
97. Data Not Available
14 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1213 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (GovCover.N001_ = YES
OR GovCover.N006_ = YES
OR GovCover.N007_ = YES)
TN090 NUMBER OF PUBLIC/PRIVATE HI PLANS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.N090_NumOfPlans
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1225 0 4 1.82 0.68 2
-----------------------------------------------------------------
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
TN256 R AGE PREV INTERVIEW
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: SecN.N256_RAgePREVIW
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1227 39 110 79.36 10.14 0
-----------------------------------------------------------------
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N090_NumOfPlans > 0) AND (piRvarsZ201_PWMedicareCovered <> YES)) OR
(N256_RAgePREVIW < 65))
TN091 EVER WITHOUT HI AMONG CURRENTLY INSURED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.N091_NoInsurance
Was [FIRST NAME OF INDIVIDUAL] ever without health insurance coverage at any
time [[since strZ092, [PREV WAVE FIRST R IW YEAR]/since [PREV WAVE FIRST R IW
YEAR]/in the last two years before her/his death]]?
..................................................................................
15 1. YES
135 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1069 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(SecA.ContinuInterview.A124_PlaceDied = INHOSPITAL))
TN301 TIME IN HOSPITAL BEFORE DEATH
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: SecN.N301_
The next questions are about health care [she/he] had received. Earlier you
told me that [FIRST NAME OF INDIVIDUAL] died while in a hospital. How long had
[she/he] been a patient in that hospital before [her/his] death?
IWER ENTER `1 HOUR` IF LESS THAN ONE HOUR
NUMBER:
..................................................................................
466 1-120. Actual Value
6 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
755 Blank. INAP (Innapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(SecA.ContinuInterview.A124_PlaceDied = INHOSPITAL))
AND (N301_ <> NONRESPONSE)
TN302 TIME IN HOSPITAL BEFORE DEATH- UNIT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.N302_
The next questions are about health care [she/he] had received. Earlier you
told me that [FIRST NAME OF INDIVIDUAL] died while in a hospital. How long had
[she/he] been a patient in that hospital before [her/his] death?
IWER ENTER `1 HOUR` IF LESS THAN ONE HOUR
UNIT:
..................................................................................
59 1. HOURS
267 2. DAYS
97 3. WEEKS
39 4. MONTHS
4 5. YEARS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
761 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(SecA.ContinuInterview.A124_PlaceDied = INHOSPITAL))
TN303 REASON IN HOSPITAL
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.N303_
Why had [she/he] been admitted to the hospital? Was it to have surgery,
receive other treatments, relieve [her/his] symptoms, or what?
..................................................................................
36 1. SURGERY
185 2. OTHER TREATMENTS
240 3. RELIEVE SYMPTOMS
6 7. OTHER (SPECIFY)
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
755 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
TN099 OVERNIGHT STAY IN HOSP-SINCE PREV IW/2YR
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.HospitalStay.N099_OverniteHosp
[/In addition to that hospital stay,[since[Prev IW Month], [PREV WAVE FIRST R
IW YEAR]/since [PREV WAVE FIRST R IW YEAR]/in the two years before[her/his]
death]/The next questions are about health care[she/he] had
received.[Since[Prev IW Month], [PREV WAVE FIRST R IW YEAR]/Since [PREV WAVE
FIRST R IW YEAR]/In the two years before[her/his] death]] had[she/he] been a
patient in a hospital overnight?
..................................................................................
793 1. YES
424 5. NO
10 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N099_OverniteHosp = YES)
AND (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(PISecAContinuInterviewA124_PlaceDied = INHOSPITAL)) AND (N099_OverniteHosp <>
YES))
TN100 NUM TIMES R STAYED OVERNIGHT IN HOSP
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.HospitalStay.N100_TimeOverHosp
[/Including[her/his] final hospitalization,] How many different times
was[she/he] a patient in a hospital overnight ([[/since strZ092, [PREV WAVE
FIRST R IW YEAR]/since [PREV WAVE FIRST R IW YEAR]/in the last two years
before /her/his death]])?
INTERVIEWER: IF PROXY ASKS, INCLUDE MENTAL HOSPITALS AND SANITARIUMS
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
973 1 25 2.55 2.52 222
-----------------------------------------------------------------
32 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N099_OverniteHosp = YES)
TN101 NUM NIGHTS R SPENT OVERNIGHT IN HOSPITAL
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: SecN.HospitalStay.N101_NiteOverHosp
[Altogether how/How] many nights was [she/he] a patient in a hospital ([[since
strZ092, [PREV WAVE FIRST R IW YEAR]/since [PREV WAVE FIRST R IW YEAR]/in the
last two years before her/his death]])?
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
709 0 400 20.64 30.92 434
-----------------------------------------------------------------
84 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((N100_TimeOverHosp <> 0) AND N100_TimeOverHosp <> EMPTY))
TN305 SPEND TIME IN ICU
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.HospitalStay.N305_
[During any of those hospital stays /During [her/his] hospital stay ] did
[FIRST NAME OF INDIVIDUAL] spend any time in an intensive care unit?
..................................................................................
437 1. YES
519 5. NO
16 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
255 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((N100_TimeOverHosp <> 0) AND N100_TimeOverHosp <> EMPTY))
TN306 USED LIFE SUPPORT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.HospitalStay.N306_
([During any of those hospital stays /During [her/his] hospital stay ]) did
[she/he] use life support equipment, such as a respirator?
..................................................................................
263 1. YES
692 5. NO
17 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
255 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((N100_TimeOverHosp <> 0) AND N100_TimeOverHosp <> EMPTY))
TN307 USED KIDNEY DIALYSIS SERVICES
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.HospitalStay.N307_
([During any of those hospital stays /During [her/his] hospital stay ]) did
[she/he] use kidney dialysis services?
..................................................................................
66 1. YES
896 5. NO
10 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
255 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((N100_TimeOverHosp <> 0) AND N100_TimeOverHosp <> EMPTY))
TN308 RECEIVE ANTIBIOTICS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.HospitalStay.N308_
([During any of those hospital stays /During [her/his] hospital stay ]) did
[she/he] receive antibiotics to treat pneumonia or other infection?
..................................................................................
588 1. YES
321 5. NO
63 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
255 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N099_OverniteHosp = YES) OR (PISecAContinuInterviewA124_PlaceDied =
INHOSPITAL))
TN102 HOSPITAL STAYS COVERED BY INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.HospitalStay.N102_HospCovIns
Were the costs for[her/his] hospital stay(s) completely covered by health
insurance,mostly covered, only partially covered, or not covered at all by
insurance?
..................................................................................
635 1. COMPLETELY COVERED
247 2. MOSTLY COVERED
51 3. PARTIALLY COVERED
12 5. NOT COVERED AT ALL
13 7. COSTS NOT SETTLED YET
47 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
222 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N099_OverniteHosp = YES) OR (PISecAContinuInterviewA124_PlaceDied =
INHOSPITAL))
AND (N102_HospCovIns <> COMPLETELYCOVRD)
TN106 AMT PAID O-O-P HOSPITAL COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: SecN.HospitalStay.N106_AmtOOPHospCost
About how much did[she/he] pay out-of-pocket for hospital bills[since[Prev IW
Month], [PREV WAVE FIRST R IW YEAR]/since [PREV WAVE FIRST R IW YEAR]/in the
two years before[her/his] death]?
INTERVIEWER: DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
155 0 75000 2782.56 8962.34 857
-----------------------------------------------------------------
213 99998. DK (Don't Know); NA (Not Ascertained)
2 99999. RF (Refused)
TN107 AMT PAID O-O-P HOSPITAL COSTS - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: SecN.HospitalStay.N107_
N107_-N109_ 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 EMPTY AT Q125/Z084
..................................................................................
95 0. Value of Breakpoint
11 500. Value of Breakpoint
44 501. Value of Breakpoint
10 5000. Value of Breakpoint
14 5001. Value of Breakpoint
3 10000. Value of Breakpoint
31 10001. Value of Breakpoint
2 20000. Value of Breakpoint
2 20001. Value of Breakpoint
3 50001. Value of Breakpoint
1012 Blank. INAP (Inapplicable)
TN108 AMT PAID O-O-P HOSPITAL COSTS - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
CAI Reference: SecN.HospitalStay.N108_
..................................................................................
16 499. Value of Breakpoint
11 500. Value of Breakpoint
60 4999. Value of Breakpoint
10 5000. Value of Breakpoint
19 9999. Value of Breakpoint
3 10000. Value of Breakpoint
9 19999. Value of Breakpoint
2 20000. Value of Breakpoint
1 49999. Value of Breakpoint
84 99999996. Greater than Maximum Breakpoint
1012 Blank. INAP (Inapplicable)
TN109 AMT PAID O-O-P HOSPITAL COSTS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.HospitalStay.N109_
..................................................................................
97. Data Not Available
106 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
1119 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)))
TN309 NURSING HOME B/F DEATH- DAYS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: SecN.NHomeStay.N309_
Earlier you told me that [FIRST NAME OF INDIVIDUAL] [ 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:
OR
# MONTHS:
OR
# YEARS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
140 1 365 18.51 37.41 1073
-----------------------------------------------------------------
12 998. DK (Don't Know); NA (Not Ascertained)
2 999. RF (Refused)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)))
AND ((N309_ = DONTKNOW) OR N309_ = EMPTY)
TN310 NURSING HOME B/F DEATH- MONTHS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.NHomeStay.N310_
Earlier you told me that [FIRST NAME OF INDIVIDUAL] [ 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:
OR
# MONTHS:
OR
# YEARS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
143 1 24 8.04 6.33 1075
-----------------------------------------------------------------
9 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)))
AND ((N309_ = DONTKNOW) OR N309_ = EMPTY)
AND ((N310_ = DONTKNOW) OR N310_ = EMPTY)
TN257 NURSING HOME B/F DEATH- YEARS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.NHomeStay.N257_
Earlier you told me that [FIRST NAME OF INDIVIDUAL] [ 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:
OR
# MONTHS:
OR
# YEARS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
132 1 13 3.55 2.23 1086
-----------------------------------------------------------------
9 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)))
AND ((N309_ = DONTKNOW) OR N309_ = EMPTY)
AND ((N310_ = DONTKNOW) OR N310_ = EMPTY)
AND (N257_ <> REFUSAL)
TN258 YEAR ENTERED NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: SecN.NHomeStay.N258_
In what year did [she/he] go into the nursing home or health care facility?
YEAR:
..................................................................................
130 1993-2004. Actual Value
7 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1090 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)))
AND ((N309_ = DONTKNOW) OR N309_ = EMPTY)
AND ((N310_ = DONTKNOW) OR N310_ = EMPTY)
AND (N257_ <> REFUSAL)
AND (N258_ >= Init.A062T2YrsAgo_A)
TN259 MONTH ENTERED NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.NHomeStay.N259_
What month was that?
MONTH:
..................................................................................
3 1. JAN
6 2. FEB
1 3. MAR
1 4. APR
2 5. MAY
2 6. JUN
7. JUL
1 8. AUG
1 9. SEP
2 10. OCT
2 11. NOV
1 12. DEC
6 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1199 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)))
TN314M1M WHY ADMITTED - FINAL- 1- MASKED
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: SecN.NHomeStay.N314_
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.
..................................................................................
7 101-103. Cancers and tumors; skin conditions
3 111-119. Musculoskeletal system and connective tissue
42 121-129. Heart, circulatory and blood conditions
3 131-139. Allergies; hayfever; sinusitis; tonsillitis
6 141-149. Endocrine, metabolic and nutritional conditions
4 151-159. Digestive system (stomach, liver, gallbladder,
kidney, bladder)
15 161-169. Neurological and sensory conditions
171-179. Digestive system (stomach, liver, gallbladder,
kidney, bladder)
2 181-189. Neurological and sensory conditions
61 191-196. Miscellaneous
2 595-597. Other symptoms
65 701. No other care arrangements available
172 702. Deteriorating health; health condition not
specified
31 703. To recover/rehab for injury/surgery
990. No text displayed
996. None
997. Other health condition
16 998. DK (Don’t Know); NA (Not Ascertained)
999. RF (Refused)
798 Blank. INAP (Inapplicable)
TN314M2M WHY ADMITTED - FINAL- 2- MASKED
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
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.
..................................................................................
5 101-103. Cancers and tumors; skin conditions
7 111-119. Musculoskeletal system and connective tissue
7 121-129. Heart, circulatory and blood conditions
1 131-139. Allergies; hayfever; sinusitis; tonsillitis
2 141-149. Endocrine, metabolic and nutritional conditions
2 151-159. Digestive system (stomach, liver, gallbladder,
kidney, bladder)
7 161-169. Neurological and sensory conditions
171-179. Digestive system (stomach, liver, gallbladder,
kidney, bladder)
181-189. Neurological and sensory conditions
20 191-196. Miscellaneous
2 595-597. Other symptoms
53 701. No other care arrangements available
34 702. Deteriorating health; health condition not
specified
14 703. To recover/rehab for injury/surgery
990. No text displayed
996. None
1 997. Other health condition
998. DK (Don’t Know); NA (Not Ascertained)
999. RF (Refused)
1072 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (NOT (((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) AND
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)))
AND (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) AND
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
TN114 EVER PATIENT OVERNIGHT IN NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeStay.N114_OverniteNH
[Other than this nursing home stay and excluding / Excluding ] any hospice
stays, ([[since strZ092, [PREV WAVE FIRST R IW YEAR]/since [PREV WAVE FIRST R
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?
..................................................................................
216 1. YES
1009 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (NOT ((((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((PISecAContinuInterviewA124_PlaceDied = INNURSINGHOME) OR
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))) AND (N114_OverniteNH <>
YES)))
AND (N114_OverniteNH = YES)
AND (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((PISecAContinuInterviewA124_PlaceDied = INNURSINGHOME) OR
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))) AND (N114_OverniteNH <>
YES))
TN115 # TIMES SPENT OVERNIGHT IN NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.NHomeStay.N115_TimeOverNH
^FLN115_ex many different times was [she/he] a patient in a nursing home or
other long-term care facility [[since strZ092, [PREV WAVE FIRST R IW
YEAR]/since [PREV WAVE FIRST R IW YEAR]/in the last two years before her/his
death]]?
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
561 1 25 1.25 1.25 664
-----------------------------------------------------------------
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N114_OverniteNH = YES)
TN116 NUM NIGHTS R SPENT OVERNIGHT IN NH
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: SecN.NHomeStay.N116_NiteOverNH
[Altogether, how/How] many nights or months has [she/he] been a patient in a
nursing home [[since strZ092, [PREV WAVE FIRST R IW YEAR]/since [PREV WAVE
FIRST R IW YEAR]/in the last two years before her/his death]]?
INTERVIEWER: ENTER 996 FOR CONTINUOUS SINCE ENTERED OR [[since strZ092, [PREV
WAVE FIRST R IW YEAR]/since [PREV WAVE FIRST R IW YEAR]/in the last two years
before her/his death]]
IF R ANSWERS IN MONTHS RATHER THAN NIGHTS, PRESS ENTER AND ANSWER IN MONTH
FIELD
NIGHTS:
OR
MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
119 0 995 30.41 92.29 1062
-----------------------------------------------------------------
34 996. CONTINUOUS SINCE ENTERED
12 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N114_OverniteNH = YES)
AND (N116_NiteOverNH = EMPTY)
TN117 NUM MOS R SPENT OVERNIGHT IN NH
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.NHomeStay.N117_MoOverNH
[Altogether, how/How] many nights or months was [she/he] a patient in a
nursing home [[since strZ092, [PREV WAVE FIRST R IW YEAR]/since [PREV WAVE
FIRST R IW YEAR]/in the last two years before her/his death]]?
NIGHTS:
OR
MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
51 1 48 7.63 9.95 1176
-----------------------------------------------------------------
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
TN118 NH COSTS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeStay.N118_InsCovCost
[/Were the costs for[her/his] nursing home stay(s) completely covered by]
insurance, mostly covered, only partially covered, or not covered at all by
insurance?
..................................................................................
273 1. COMPLETELY COVERED
71 2. MOSTLY COVERED
62 3. PARTIALLY COVERED
121 5. NOT COVERED AT ALL
4 7. COSTS NOT SETTLED YET
29 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
666 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (N118_InsCovCost <> COMPLETELYCOVRD)
TN119 AMT PAID O-O-P NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: SecN.NHomeStay.N119_AmtPayNHHosp
About how much did [she/he] pay out-of-pocket for nursing home bills [[since
strZ092, [PREV WAVE FIRST R IW YEAR]/since [PREV WAVE FIRST R 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
172 0 960000 32062.98 84699.66 939
-----------------------------------------------------------------
114 999998. DK (Don't Know); NA (Not Ascertained)
2 999999. RF (Refused)
TN120 AMT PAID O-O-P NURSING HOME- MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: SecN.NHomeStay.N120_
N120_- N122_Unfolding Sequence
Question text: Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: UNFM_3up1down, UNFM_2up2down, UNFM_1up3down
BREAKPOINTS: 500, 5000, 10000, 20000, 50000
RANDOM ENTRY POINTS: 5,000, 10,000, 20,000
ENTRY POINT ASSIGNMENT 1, 2 OR EMPTY AT Q125/Z084
..................................................................................
44 0. Value of Breakpoint
3 500. Value of Breakpoint
24 501. Value of Breakpoint
2 5000. Value of Breakpoint
5 5001. Value of Breakpoint
2 10000. Value of Breakpoint
19 10001. Value of Breakpoint
9 20001. Value of Breakpoint
2 50000. Value of Breakpoint
5 50001. Value of Breakpoint
1112 Blank. INAP (Inapplicable)
TN121 AMT PAID O-O-P NURSING HOME- MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
CAI Reference: SecN.NHomeStay.N121_
..................................................................................
11 499. Value of Breakpoint
3 500. Value of Breakpoint
26 4999. Value of Breakpoint
2 5000. Value of Breakpoint
7 9999. Value of Breakpoint
2 10000. Value of Breakpoint
7 19999. Value of Breakpoint
8 49999. Value of Breakpoint
2 50000. Value of Breakpoint
47 99999996. Greater than Maximum Breakpoint
1112 Blank. INAP (Inapplicable)
TN122 AMT PAID O-O-P NURSING HOME- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.NHomeStay.N122_
..................................................................................
1 97. Data Not Available
47 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
1177 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR ((piN115_TimeOverNH
> 1) AND piN115_TimeOverNH <> NONRESPONSE)) AND ((piX008AInNHome_V <>
INNURSINGHOME) OR (piN116_NiteOverNH <> 996))) AND ((((piN115_TimeOverNH <= 3)
AND (piLPCNTR < piN115_TimeOverNH)) OR (((piN115_TimeOverNH > 3) AND
piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR < 3))) OR
((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))))
TN124_1 YEAR R MOVED TO NURSING HOME -1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[1].N124_YrMovInNH1
[/Think back to the /first/second/last time[in the last two years/since[Prev
IW Month], [PREV WAVE FIRST R IW YEAR]], that[she/he] was a patient in a
nursing home or other long-term care facility./Think back to the
/first/second/last/ time[in the last two years/since[Prev IW Month], [PREV
WAVE FIRST R IW YEAR]], 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.]
In what year did[she/he] go into the nursing home or health care facility?
YEAR:
..................................................................................
172 1994-2004. Actual Value
3 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1052 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR ((piN115_TimeOverNH
> 1) AND piN115_TimeOverNH <> NONRESPONSE)) AND ((piX008AInNHome_V <>
INNURSINGHOME) OR (piN116_NiteOverNH <> 996))) AND ((((piN115_TimeOverNH <= 3)
AND (piLPCNTR < piN115_TimeOverNH)) OR (((piN115_TimeOverNH > 3) AND
piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR < 3))) OR
((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))))
AND (N124_YrMovInNH1 >= Init.A062T2YrsAgo_A)
TN123_1 MONTH R MOVED TO NURSING HOME -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[1].N123_MoMovInNH1
(What month was that?)
MONTH:
..................................................................................
16 1. JAN
11 2. FEB
11 3. MAR
10 4. APR
13 5. MAY
7 6. JUN
10 7. JUL
12 8. AUG
11 9. SEP
13 10. OCT
10 11. NOV
15 12. DEC
1 13. WINTER
3 14. SPRING
1 15. SUMMER
2 16. FALL
9 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1072 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR ((piN115_TimeOverNH
> 1) AND piN115_TimeOverNH <> NONRESPONSE)) AND ((piX008AInNHome_V <>
INNURSINGHOME) OR (piN116_NiteOverNH <> 996))) AND ((((piN115_TimeOverNH <= 3)
AND (piLPCNTR < piN115_TimeOverNH)) OR (((piN115_TimeOverNH > 3) AND
piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR < 3))) OR
((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))))
AND ((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) OR
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) AND (piLPCNTR <
piN115_TimeOverNH)))
TN126_1 YEAR R MOVED OUT OF NURSING HOME -1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[1].N126_YrMovOutNH1
In what year did [she/he] move out of the nursing home or health care
facility?
YEAR:
..................................................................................
160 1994-2004. Actual Value
2 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1065 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR ((piN115_TimeOverNH
> 1) AND piN115_TimeOverNH <> NONRESPONSE)) AND ((piX008AInNHome_V <>
INNURSINGHOME) OR (piN116_NiteOverNH <> 996))) AND ((((piN115_TimeOverNH <= 3)
AND (piLPCNTR < piN115_TimeOverNH)) OR (((piN115_TimeOverNH > 3) AND
piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR < 3))) OR
((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))))
AND ((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) OR
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) AND (piLPCNTR <
piN115_TimeOverNH)))
AND (N126_YrMovOutNH1 >= Init.A062T2YrsAgo_A)
TN125_1 MONTH R MOVED OUT OF NURSING HOME -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[1].N125_MoMovOutNH1
(What month was that?)
MONTH:
..................................................................................
18 1. JAN
11 2. FEB
17 3. MAR
10 4. APR
9 5. MAY
9 6. JUN
9 7. JUL
9 8. AUG
8 9. SEP
8 10. OCT
10 11. NOV
19 12. DEC
1 13. WINTER
3 14. SPRING
1 15. SUMMER
2 16. FALL
13 95. Continuous since entered
7 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1063 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES)
TN127_1 ELIGIBLE FOR MEDICAID START NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[1].N127_
Think about [his/her] last stay at the nursing home or other long-term care
facility.
Was [he/she] eligible for (Medicaid/STATE NAME FOR MEDICAID) at the time
[his/her] [first/second/last/current] nursing home stay started?
..................................................................................
148 1. YES
37 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1036 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES)
AND (N127_ = NO)
TN128_1 ELIGIBLE FOR MEDICAID DURNG NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[1].N128_
Did [she/he] become eligible for (Medicaid/STATE NAME FOR MEDICAID) during
that nursing home stay?
..................................................................................
26 1. YES
8 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1189 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)
OR ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH
OR piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES
OR piGovCoverN005_ = YES)
AND (NOT (piN115_TimeOverNH > 1)
OR piN115_TimeOverNH > 1)
TN129_1 BRNCHPNT-MORE THAN 1 NH STAY/ALL OTH- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[1].N129_
..................................................................................
25 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE/IN TH
WAVE/IN TH
164 2. ALL OTHERS
1038 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES)
AND ((((N127_ = YES) OR (N128_ = YES)) AND (((piN115_TimeOverNH <= 3) AND
(piLPCNTR = piN115_TimeOverNH)) OR (((piN115_TimeOverNH > 3) AND
piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR = 3)))) AND
((PISecARelationsA028_RInNHome = NO) AND (PISecAContinuInterviewA124_PlaceDied
<> INNURSINGHOME)))
TN130_1 LOSE ELIGIBILITY-LAST NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[1].N130_
Did[she/he] lose[her/his] eligibility for (Medicaid/STATE NAME FOR MEDICAID)
when[she/he] was discharged from[her/his] (last) nursing home stay?
..................................................................................
1 1. YES
16 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1210 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND
(piLPCNTR < 3)) OR ((piLPCNTR < piN115_TimeOverNH) AND (piLPCNTR <> 3))) OR
((((piLPCNTR = piN115_TimeOverNH) OR (piLPCNTR = 3)) AND
(SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME)) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)))
TN131_1 WHERE R LIVE AFTER NURSING HOME STAY -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[1].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?)
..................................................................................
26 1. R LIVED BY HIM/HER SELF, ALONE
38 2. R LIVED WITH SPOUSE/PARTNER ONLY
28 3. R LIVED WITH CHILD AND CHILD'S FAMILY
5 4. R LIVED WITH OTHER RELATIVE(S)
2 5. R LIVED IN RETIREMENT CENTER
53 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
16 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1059 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)
OR ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)
OR ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH
OR piLPCNTR <= piN115_TimeOverNH
OR piLPCNTR <= piN115_TimeOverNH)
AND (((((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND
(piLPCNTR < 3)) OR ((piLPCNTR < piN115_TimeOverNH) AND (piLPCNTR <> 3))) OR
((((piLPCNTR = piN115_TimeOverNH) OR (piLPCNTR = 3)) AND
(SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME)) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))
OR ((((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND
(piLPCNTR < 3)) OR ((piLPCNTR < piN115_TimeOverNH) AND (piLPCNTR <> 3))) OR
((((piLPCNTR = piN115_TimeOverNH) OR (piLPCNTR = 3)) AND
(SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME)) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))
OR ((((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND
(piLPCNTR < 3)) OR ((piLPCNTR < piN115_TimeOverNH) AND (piLPCNTR <> 3))) OR
((((piLPCNTR = piN115_TimeOverNH) OR (piLPCNTR = 3)) AND
(SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME)) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)))
AND (N131_LiveAftNH1 = RLIVEDWITHCHILDCHILDSFAM
OR N131_LiveAftNH1 = RLIVEDWITHCHILDCHILDSFAM
OR N131_LiveAftNH1 = RLIVEDWITHCHILDCHILDSFAM)
AND (N255_N133_WhiChldNH1_A <> NONRESPONSE
OR NOT (N255_N133_WhiChldNH1_A <> NONRESPONSE)
OR NOT (N255_N133_WhiChldNH1_A <> NONRESPONSE))
AND (N255_N133_WhiChldNH1_A = DONTKNOW
OR NOT (N255_N133_WhiChldNH1_A = DONTKNOW))
AND (N255_N133_WhiChldNH1_A = REFUSAL)
TN133_1 LIVE WITH WHICH CHILD AFTER NH STAY -1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[1].N133_WhiChldNH1
(Which child was that?)
INTERVIEWER: IF GRANDCHILD: (Which of[her/his] children is the parent of that
grandchild?)
..................................................................................
28 041-990. Other Person Number
992. DECEASED CHILD
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1199 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR ((piN115_TimeOverNH
> 1) AND piN115_TimeOverNH <> NONRESPONSE)) AND ((piX008AInNHome_V <>
INNURSINGHOME) OR (piN116_NiteOverNH <> 996))) AND ((((piN115_TimeOverNH <= 3)
AND (piLPCNTR < piN115_TimeOverNH)) OR (((piN115_TimeOverNH > 3) AND
piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR < 3))) OR
((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))))
TN124_2 YEAR R MOVED TO NURSING HOME -2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[2].N124_YrMovInNH1
[/Think back to the /first/second/last time[in the last two years/since[Prev
IW Month], [PREV WAVE FIRST R IW YEAR]], that[she/he] was a patient in a
nursing home or other long-term care facility./Think back to the
/first/second/last/ time[in the last two years/since[Prev IW Month], [PREV
WAVE FIRST R IW YEAR]], 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.]
In what year did[she/he] go into the nursing home or health care facility?
YEAR:
..................................................................................
43 1994-2004. Actual Value
2 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1182 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR ((piN115_TimeOverNH
> 1) AND piN115_TimeOverNH <> NONRESPONSE)) AND ((piX008AInNHome_V <>
INNURSINGHOME) OR (piN116_NiteOverNH <> 996))) AND ((((piN115_TimeOverNH <= 3)
AND (piLPCNTR < piN115_TimeOverNH)) OR (((piN115_TimeOverNH > 3) AND
piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR < 3))) OR
((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))))
AND (N124_YrMovInNH1 >= Init.A062T2YrsAgo_A)
TN123_2 MONTH R MOVED TO NURSING HOME -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[2].N123_MoMovInNH1
(What month was that?)
MONTH:
..................................................................................
3 1. JAN
2 2. FEB
4 3. MAR
3 4. APR
2 5. MAY
3 6. JUN
1 7. JUL
6 8. AUG
2 9. SEP
1 10. OCT
5 11. NOV
4 12. DEC
13. WINTER
1 14. SPRING
15. SUMMER
16. FALL
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1188 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR ((piN115_TimeOverNH
> 1) AND piN115_TimeOverNH <> NONRESPONSE)) AND ((piX008AInNHome_V <>
INNURSINGHOME) OR (piN116_NiteOverNH <> 996))) AND ((((piN115_TimeOverNH <= 3)
AND (piLPCNTR < piN115_TimeOverNH)) OR (((piN115_TimeOverNH > 3) AND
piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR < 3))) OR
((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))))
AND ((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) OR
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) AND (piLPCNTR <
piN115_TimeOverNH)))
TN126_2 YEAR R MOVED OUT OF NURSING HOME -2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[2].N126_YrMovOutNH1
In what year did[she/he] move out of the nursing home or health care facility?
YEAR:
..................................................................................
41 1994-2004. Actual Value
2 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1184 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR ((piN115_TimeOverNH
> 1) AND piN115_TimeOverNH <> NONRESPONSE)) AND ((piX008AInNHome_V <>
INNURSINGHOME) OR (piN116_NiteOverNH <> 996))) AND ((((piN115_TimeOverNH <= 3)
AND (piLPCNTR < piN115_TimeOverNH)) OR (((piN115_TimeOverNH > 3) AND
piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR < 3))) OR
((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))))
AND ((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) OR
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) AND (piLPCNTR <
piN115_TimeOverNH)))
AND (N126_YrMovOutNH1 >= Init.A062T2YrsAgo_A)
TN125_2 MONTH R MOVED OUT OF NURSING HOME -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[2].N125_MoMovOutNH1
(What month was that?)
MONTH:
..................................................................................
4 1. JAN
1 2. FEB
2 3. MAR
4 4. APR
3 5. MAY
2 6. JUN
3 7. JUL
3 8. AUG
3 9. SEP
1 10. OCT
2 11. NOV
5 12. DEC
1 13. WINTER
2 14. SPRING
15. SUMMER
16. FALL
2 95. Continuous since entered
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1187 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES)
TN127_2 ELIGIBLE FOR MEDICAID START NH STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[2].N127_
Think about [his/her] last stay at the nursing home or other long-term care
facility.
Was [he/she] eligible for (Medicaid/STATE NAME FOR MEDICAID) at the time
[his/her] [first/second/last/current] nursing home stay started?
..................................................................................
19 1. YES
3 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1205 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES)
AND (N127_ = NO)
TN128_2 ELIGIBLE FOR MEDICAID DURNG NH STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[2].N128_
Did [she/he] become eligible for (Medicaid/STATE NAME FOR MEDICAID) during
that nursing home stay?
..................................................................................
1 1. YES
2 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1224 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)
OR ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH
OR piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES
OR piGovCoverN005_ = YES)
AND (NOT (piN115_TimeOverNH > 1)
OR piN115_TimeOverNH > 1)
TN129_2 BRNCHPNT-MORE THAN 1 NH STAY/ALL OTH-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[2].N129_
..................................................................................
23 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE/IN TH
WAVE/IN TH
2. ALL OTHERS
1204 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES)
AND ((((N127_ = YES) OR (N128_ = YES)) AND (((piN115_TimeOverNH <= 3) AND
(piLPCNTR = piN115_TimeOverNH)) OR (((piN115_TimeOverNH > 3) AND
piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR = 3)))) AND
((PISecARelationsA028_RInNHome = NO) AND (PISecAContinuInterviewA124_PlaceDied
<> INNURSINGHOME)))
TN130_2 LOSE ELIGIBILITY-LAST NH STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[2].N130_
Did [she/he] lose [her/his] eligibility for (Medicaid/STATE NAME FOR MEDICAID)
when [she/he] was discharged from [her/his] (last) nursing home stay?
..................................................................................
1 1. YES
3 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1223 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND
(piLPCNTR < 3)) OR ((piLPCNTR < piN115_TimeOverNH) AND (piLPCNTR <> 3))) OR
((((piLPCNTR = piN115_TimeOverNH) OR (piLPCNTR = 3)) AND
(SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME)) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)))
TN131_2 WHERE R LIVE AFTER NURSING HOME STAY -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[2].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?)
..................................................................................
8 1. R LIVED BY HIM/HER SELF, ALONE
10 2. R LIVED WITH SPOUSE/PARTNER ONLY
7 3. R LIVED WITH CHILD AND CHILD'S FAMILY
4. R LIVED WITH OTHER RELATIVE(S)
5. R LIVED IN RETIREMENT CENTER
15 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
4 7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1182 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)
OR ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)
OR ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH
OR piLPCNTR <= piN115_TimeOverNH
OR piLPCNTR <= piN115_TimeOverNH)
AND (((((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND
(piLPCNTR < 3)) OR ((piLPCNTR < piN115_TimeOverNH) AND (piLPCNTR <> 3))) OR
((((piLPCNTR = piN115_TimeOverNH) OR (piLPCNTR = 3)) AND
(SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME)) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))
OR ((((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND
(piLPCNTR < 3)) OR ((piLPCNTR < piN115_TimeOverNH) AND (piLPCNTR <> 3))) OR
((((piLPCNTR = piN115_TimeOverNH) OR (piLPCNTR = 3)) AND
(SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME)) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))
OR ((((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND
(piLPCNTR < 3)) OR ((piLPCNTR < piN115_TimeOverNH) AND (piLPCNTR <> 3))) OR
((((piLPCNTR = piN115_TimeOverNH) OR (piLPCNTR = 3)) AND
(SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME)) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)))
AND (N131_LiveAftNH1 = RLIVEDWITHCHILDCHILDSFAM
OR N131_LiveAftNH1 = RLIVEDWITHCHILDCHILDSFAM
OR N131_LiveAftNH1 = RLIVEDWITHCHILDCHILDSFAM)
AND (N255_N133_WhiChldNH1_A <> NONRESPONSE
OR NOT (N255_N133_WhiChldNH1_A <> NONRESPONSE)
OR NOT (N255_N133_WhiChldNH1_A <> NONRESPONSE))
AND (N255_N133_WhiChldNH1_A = DONTKNOW
OR NOT (N255_N133_WhiChldNH1_A = DONTKNOW))
AND (N255_N133_WhiChldNH1_A = REFUSAL)
TN133_2 LIVE WITH WHICH CHILD AFTER NH STAY -2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[2].N133_WhiChldNH1
(Which child was that?)
INTERVIEWER: IF GRANDCHILD: (Which of[her/his] children is the parent of that
grandchild?)
..................................................................................
7 041-990. Other Person Number
992. DECEASED CHILD
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1220 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR ((piN115_TimeOverNH
> 1) AND piN115_TimeOverNH <> NONRESPONSE)) AND ((piX008AInNHome_V <>
INNURSINGHOME) OR (piN116_NiteOverNH <> 996))) AND ((((piN115_TimeOverNH <= 3)
AND (piLPCNTR < piN115_TimeOverNH)) OR (((piN115_TimeOverNH > 3) AND
piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR < 3))) OR
((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))))
TN124_3 YEAR R MOVED TO NURSING HOME -3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[3].N124_YrMovInNH1
[/Think back to the /first/second/last time[in the last two years/since[Prev
IW Month], [PREV WAVE FIRST R IW YEAR]], that[she/he] was a patient in a
nursing home or other long-term care facility./Think back to the
/first/second/last/ time[in the last two years/since[Prev IW Month], [PREV
WAVE FIRST R IW YEAR]], 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.]
In what year did[she/he] go into the nursing home or health care facility?
YEAR:
..................................................................................
10 2000-2004. Actual Value
2 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1215 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR ((piN115_TimeOverNH
> 1) AND piN115_TimeOverNH <> NONRESPONSE)) AND ((piX008AInNHome_V <>
INNURSINGHOME) OR (piN116_NiteOverNH <> 996))) AND ((((piN115_TimeOverNH <= 3)
AND (piLPCNTR < piN115_TimeOverNH)) OR (((piN115_TimeOverNH > 3) AND
piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR < 3))) OR
((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))))
AND (N124_YrMovInNH1 >= Init.A062T2YrsAgo_A)
TN123_3 MONTH R MOVED TO NURSING HOME -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[3].N123_MoMovInNH1
(What month was that?)
MONTH:
..................................................................................
1. JAN
1 2. FEB
1 3. MAR
4. APR
1 5. MAY
6. JUN
7. JUL
1 8. AUG
9. SEP
10. OCT
11. NOV
12. DEC
13. WINTER
14. SPRING
15. SUMMER
16. FALL
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1221 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR ((piN115_TimeOverNH
> 1) AND piN115_TimeOverNH <> NONRESPONSE)) AND ((piX008AInNHome_V <>
INNURSINGHOME) OR (piN116_NiteOverNH <> 996))) AND ((((piN115_TimeOverNH <= 3)
AND (piLPCNTR < piN115_TimeOverNH)) OR (((piN115_TimeOverNH > 3) AND
piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR < 3))) OR
((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))))
AND ((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) OR
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) AND (piLPCNTR <
piN115_TimeOverNH)))
TN126_3 YEAR R MOVED OUT OF NURSING HOME -3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[3].N126_YrMovOutNH1
In what year did [she/he] move out of the nursing home or health care
facility?
YEAR:
..................................................................................
11 2000-2004. Actual Value
1 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1215 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR ((piN115_TimeOverNH
> 1) AND piN115_TimeOverNH <> NONRESPONSE)) AND ((piX008AInNHome_V <>
INNURSINGHOME) OR (piN116_NiteOverNH <> 996))) AND ((((piN115_TimeOverNH <= 3)
AND (piLPCNTR < piN115_TimeOverNH)) OR (((piN115_TimeOverNH > 3) AND
piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR < 3))) OR
((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))))
AND ((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) OR
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) AND (piLPCNTR <
piN115_TimeOverNH)))
AND (N126_YrMovOutNH1 >= Init.A062T2YrsAgo_A)
TN125_3 MONTH R MOVED OUT OF NURSING HOME -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[3].N125_MoMovOutNH1
(What month was that?)
MONTH:
..................................................................................
1 1. JAN
2. FEB
1 3. MAR
1 4. APR
5. MAY
1 6. JUN
7. JUL
1 8. AUG
9. SEP
10. OCT
11. NOV
1 12. DEC
2 13. WINTER
14. SPRING
15. SUMMER
16. FALL
95. Continuous since entered
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1218 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES)
TN127_3 ELIGIBLE FOR MEDICAID START NH STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[3].N127_
Think about [his/her] last stay at the nursing home or other long-term care
facility.
Was [he/she] eligible for (Medicaid/STATE NAME FOR MEDICAID) at the time
[his/her] [first/second/last/current] nursing home stay started?
..................................................................................
5 1. YES
2 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1220 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES)
AND (N127_ = NO)
TN128_3 ELIGIBLE FOR MEDICAID DURNG NH STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[3].N128_
Did [she/he] become eligible for (Medicaid/STATE NAME FOR MEDICAID) during
that nursing home stay?
..................................................................................
1 1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1225 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)
OR ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH
OR piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES
OR piGovCoverN005_ = YES)
AND (NOT (piN115_TimeOverNH > 1)
OR piN115_TimeOverNH > 1)
TN129_3 BRNCHPNT-MORE THAN 1 NH STAY/ALL OTH-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[3].N129_
..................................................................................
7 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE/IN TH
WAVE/IN TH
2. ALL OTHERS
1220 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (piGovCoverN005_ = YES)
AND ((((N127_ = YES) OR (N128_ = YES)) AND (((piN115_TimeOverNH <= 3) AND
(piLPCNTR = piN115_TimeOverNH)) OR (((piN115_TimeOverNH > 3) AND
piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR = 3)))) AND
((PISecARelationsA028_RInNHome = NO) AND (PISecAContinuInterviewA124_PlaceDied
<> INNURSINGHOME)))
TN130_3 LOSE ELIGIBILITY-LAST NH STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[3].N130_
Did [she/he] lose [her/his] eligibility for (Medicaid/STATE NAME FOR MEDICAID)
when [she/he] was discharged from [her/his] (last) nursing home stay?
..................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH)
AND (((((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND
(piLPCNTR < 3)) OR ((piLPCNTR < piN115_TimeOverNH) AND (piLPCNTR <> 3))) OR
((((piLPCNTR = piN115_TimeOverNH) OR (piLPCNTR = 3)) AND
(SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME)) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)))
TN131_3 WHERE R LIVE AFTER NURSING HOME STAY -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[3].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?)
..................................................................................
2 1. R LIVED BY HIM/HER SELF, ALONE
5 2. R LIVED WITH SPOUSE/PARTNER ONLY
1 3. R LIVED WITH CHILD AND CHILD'S FAMILY
4. R LIVED WITH OTHER RELATIVE(S)
1 5. R LIVED IN RETIREMENT CENTER
2 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
1 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1215 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)
OR ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)
OR ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))
AND (piLPCNTR <= piN115_TimeOverNH
OR piLPCNTR <= piN115_TimeOverNH
OR piLPCNTR <= piN115_TimeOverNH)
AND (((((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND
(piLPCNTR < 3)) OR ((piLPCNTR < piN115_TimeOverNH) AND (piLPCNTR <> 3))) OR
((((piLPCNTR = piN115_TimeOverNH) OR (piLPCNTR = 3)) AND
(SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME)) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))
OR ((((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND
(piLPCNTR < 3)) OR ((piLPCNTR < piN115_TimeOverNH) AND (piLPCNTR <> 3))) OR
((((piLPCNTR = piN115_TimeOverNH) OR (piLPCNTR = 3)) AND
(SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME)) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))
OR ((((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND
(piLPCNTR < 3)) OR ((piLPCNTR < piN115_TimeOverNH) AND (piLPCNTR <> 3))) OR
((((piLPCNTR = piN115_TimeOverNH) OR (piLPCNTR = 3)) AND
(SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME)) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)))
AND (N131_LiveAftNH1 = RLIVEDWITHCHILDCHILDSFAM
OR N131_LiveAftNH1 = RLIVEDWITHCHILDCHILDSFAM
OR N131_LiveAftNH1 = RLIVEDWITHCHILDCHILDSFAM)
AND (N255_N133_WhiChldNH1_A <> NONRESPONSE
OR NOT (N255_N133_WhiChldNH1_A <> NONRESPONSE)
OR NOT (N255_N133_WhiChldNH1_A <> NONRESPONSE))
AND (N255_N133_WhiChldNH1_A = DONTKNOW
OR NOT (N255_N133_WhiChldNH1_A = DONTKNOW))
AND (N255_N133_WhiChldNH1_A = REFUSAL)
TN133_3 LIVE WITH WHICH CHILD AFTER NH STAY -3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: SecN.NHomeStay.MedicaidNHomeStay[3].N133_WhiChldNH1
(Which child was that?)
INTERVIEWER: IF GRANDCHILD: (Which of[her/his] children is the parent of that
grandchild?)
..................................................................................
1 041-990. Other Person Number
992. DECEASED CHILD
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1226 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN))
AND (PISecAContinuInterviewA124_PlaceDied = INHOSPICE)
TN315 HOSPICE- DAYS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.Hospice.N315_
[Earlier you told me that [FIRST NAME OF INDIVIDUAL] died while in a hospice.]
How long had[she/he] been a patient in that hospice before[her/his] death?
# DAYS:
OR
# MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
58 1 42 7.91 8.54 1166
-----------------------------------------------------------------
3 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN))
AND (PISecAContinuInterviewA124_PlaceDied = INHOSPICE)
AND (N315_ = EMPTY OR (N315_ = DONTKNOW))
TN316 HOSPICE- NUMBER MONTHS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.Hospice.N316_
[Earlier you told me that [FIRST NAME OF INDIVIDUAL] died while in a hospice.]
How long had[she/he] been a patient in that hospice before[her/his] death?
# DAYS:
OR
#MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
10 1 24 5.40 6.69 1214
-----------------------------------------------------------------
3 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN))
TN320 SINCE LAST IW- HOSPICE PATIENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.Hospice.N320_
[In addition to that hospice stay,[in the last two years/since[Prev IW Month],
[PREV WAVE FIRST R IW YEAR]]/[/In the last two years/Since[Prev IW Month],
[PREV WAVE FIRST R IW YEAR]]] , had[she/he] been a patient overnight in a
hospice?
..................................................................................
43 1. YES
1181 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN))
AND ((PISecAContinuInterviewA124_PlaceDied = INHOSPICE) OR (N320_ = YES))
AND (N320_ = YES)
TN321 HOSPICE PATIENT # TIMES
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.Hospice.N321_
[Including [her/his] final stay, how/How] many different times was [she/he] a
patient in a hospice [[since strZ092, [PREV WAVE FIRST R IW YEAR]/since [PREV
WAVE FIRST R IW YEAR]/in the last two years before her/his death]]?
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
44 1 3 1.18 0.50 1182
-----------------------------------------------------------------
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN))
AND ((PISecAContinuInterviewA124_PlaceDied = INHOSPICE) OR (N320_ = YES))
AND (N320_ = YES)
TN322 SINCE LAST IW- HOSPICE # NIGHTS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: SecN.Hospice.N322_
[Altogether, how/How] many nights was [she/he] a patient in a hospice [[since
strZ092, [PREV WAVE FIRST R IW YEAR]/since [PREV WAVE FIRST R IW YEAR]/in the
last two years before her/his death]]?
USE 996 FOR CONTINUOUS SINCE ENTERED OR [[since strZ092, [PREV WAVE FIRST R IW
YEAR]/since [PREV WAVE FIRST R IW YEAR]/in the last two years before her/his
death]]
NIGHTS:
OR
MONTHS:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
38 1 120 23.08 31.86 1185
-----------------------------------------------------------------
3 996. CONTINUOUS SINCE ENTERED
1 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN))
AND ((PISecAContinuInterviewA124_PlaceDied = INHOSPICE) OR (N320_ = YES))
AND (N320_ = YES)
AND (N322_ = EMPTY)
TN323 SINCE LAST IW- HOSPICE # MONTHS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.Hospice.N323_
[Altogether, how/How] How many nights was [she/he] a patient in a hospice
[[since strZ092, [PREV WAVE FIRST R IW YEAR]/since [PREV WAVE FIRST R IW
YEAR]/in the last two years before her/his death]]?
USE 996 FOR CONTINUOUS SINCE ENTERED OR [[since strZ092, [PREV WAVE FIRST R IW
YEAR]/since [PREV WAVE FIRST R IW YEAR]/in the last two years before her/his
death]]
NIGHTS:
OR
MONTHS:
..................................................................................
3 2-6. Actual Value
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1224 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN))
AND ((PISecAContinuInterviewA124_PlaceDied = INHOSPICE) OR (N320_ = YES))
TN324 HOSPICE STAY COV BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.Hospice.N324_
Were the costs for[her/his] hospice stay(s) completely covered by health
insurance, mostly covered, only partially covered, or not covered at all by
insurance?
..................................................................................
84 1. COMPLETELY COVERED
7 2. MOSTLY COVERED
4 3. PARTIALLY COVERED
6 5. NOT COVERED AT ALL
4 6. No charge (professional courtesy, friend or relative provided
services; part of a study, free clinic, pro bono)
1 7. COSTS NOT SETTLED YET
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1117 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN))
AND ((PISecAContinuInterviewA124_PlaceDied = INHOSPICE) OR (N320_ = YES))
AND (N324_ <> COMPLETELYCOVRD)
TN328 OOP COSTS- HOSPICE- AMT
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: SecN.Hospice.N328_
About how much did [she/he] pay out-of-pocket for hospice bills [[since
strZ092, [PREV WAVE FIRST R IW YEAR]/since [PREV WAVE FIRST R IW YEAR]/in the
last two years before her/his death]]?
IWER DO NOT PROBE DK/RF
INTERVIEWER: INCLUDE ANY AMOUNTS PAID BY OTHERS
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
13 0 78000 7451.00 21315.36 1205
-----------------------------------------------------------------
9 99998. DK (Don't Know); NA (Not Ascertained)
99999. RF (Refused)
TN329 OOP COSTS- HOSPICE- MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: SecN.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, 5000, 10000, 20000, 50000
RANDOM ENTRY POINTS: 5,000, 10,000, 20,000
ENTRY POINT ASSIGNMENT 1, 2 OR EMPTY AT Q125/Z084
..................................................................................
6 0. Value of Breakpoint
1 500. Value of Breakpoint
1 501. Value of Breakpoint
1 10001. Value of Breakpoint
1218 Blank. INAP (Inapplicable)
TN330 OOP COSTS- HOSPICE- MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
CAI Reference: SecN.Hospice.N330_
..................................................................................
1 499. Value of Breakpoint
1 500. Value of Breakpoint
1 4999. Value of Breakpoint
6 99999996. Greater than Maximum Breakpoint
1218 Blank. INAP (Inapplicable)
TN331 OOP COSTS- HOSPICE- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.Hospice.N331_
..................................................................................
97. Data Not Available
6 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1221 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
TN147 # TIMES SEEN DR- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: SecN.DocVisit.N147_TimeSeeDoc
(Aside from any [hospital stays,/hospital stays and outpatient surgery,])
[how/How] many times did [he/she] see or talk to a medical doctor about
[his/her] health, including emergency room or clinic visits [since R’s LAST
IW MONTH, YEAR/in the last two years before [his/her] death]?
[IWER: USE ZERO FOR NONE]
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
931 0 900 20.58 47.15 1
-----------------------------------------------------------------
294 998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N147_TimeSeeDoc = NONRESPONSE)
TN148 NUMBER TIMES SEEN DOCTOR 20X
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.DocVisit.N148_TimeSeeDoc20
Did it amount to less than 20 times, more than 20 times, or what?
..................................................................................
75 1. LESS THAN 20 TIMES
24 3. ABOUT 20 TIMES
144 5. MORE THAN 20 TIMES
52 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
932 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N147_TimeSeeDoc = NONRESPONSE)
AND (N148_TimeSeeDoc20 <> ABT20TIMES)
AND (N148_TimeSeeDoc20 <> MORETHAN20TIMES)
AND (N148_TimeSeeDoc20 <> NONRESPONSE)
TN149 NUMBER TIMES SEEN DOCTOR 5X
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.DocVisit.N149_TimeSeeDoc5
Did it amount to less than 5 times, more than 5 times, or what?
..................................................................................
13 1. LESS THAN 5 TIMES
10 3. ABOUT 5 TIMES
49 5. MORE THAN 5 TIMES
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1152 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N147_TimeSeeDoc = NONRESPONSE)
AND (N148_TimeSeeDoc20 <> ABT20TIMES)
AND (N148_TimeSeeDoc20 <> MORETHAN20TIMES)
AND ((N149_TimeSeeDoc5 <> ABT5TIMES) AND (N149_TimeSeeDoc5 <> MORETHAN5TIMES))
TN150 HAS R SOUGHT DOC ADVICE IN PAST 2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.DocVisit.N150_DocAdvPast2Yrs
Do you think [she/he] saw a medical doctor about [her/his] health at least
once [[since strZ092, [PREV WAVE FIRST R IW YEAR]/since [PREV WAVE FIRST R IW
YEAR]/in the last two years before her/his death]]?
..................................................................................
57 1. YES
6 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1159 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N147_TimeSeeDoc = NONRESPONSE)
AND (N148_TimeSeeDoc20 <> ABT20TIMES)
AND (N148_TimeSeeDoc20 = MORETHAN20TIMES)
TN151 R SEEK DOC ADVICE 50X
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.DocVisit.N151_SkDocAdv50
Did it amount to less than 50 times, more than 50 times, or what?
..................................................................................
54 1. LESS THAN 50 TIMES
14 3. ABOUT 50 TIMES
61 5. MORE THAN 50 TIMES
15 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1083 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N150_DocAdvPast2Yrs = YES) OR (((((N147_TimeSeeDoc <> 0) AND
(N147_TimeSeeDoc = RESPONSE)) OR (N148_TimeSeeDoc20 = ABT20TIMES)) OR
(N149_TimeSeeDoc5 = ABT5TIMES)) OR (N149_TimeSeeDoc5 = MORETHAN5TIMES))) OR
N151_SkDocAdv50 <> EMPTY)
TN152 DOCTOR VISITS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.DocVisit.N152_VisitCovIns
Were the costs for [her/his] doctor or clinic visit(s) completely covered by
health insurance, mostly covered, only partially covered, or not covered at
all by insurance?
..................................................................................
651 1. COMPLETELY COVERED
350 2. MOSTLY COVERED
79 3. PARTIALLY COVERED
19 5. NOT COVERED AT ALL
2 7. COSTS NOT SETTLED YET
51 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
75 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((N150_DocAdvPast2Yrs = YES) OR (((((N147_TimeSeeDoc <> 0) AND
(N147_TimeSeeDoc = RESPONSE)) OR (N148_TimeSeeDoc20 = ABT20TIMES)) OR
(N149_TimeSeeDoc5 = ABT5TIMES)) OR (N149_TimeSeeDoc5 = MORETHAN5TIMES))) OR
N151_SkDocAdv50 <> EMPTY)
AND (N152_VisitCovIns <> COMPLETELYCOVRD)
TN156 AMT PAY O-O-P FOR DOC VISITS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: SecN.DocVisit.N156_AmtOOPVisit
About how much did [she/he] pay out-of-pocket for doctor or clinic visits
[[since strZ092, [PREV WAVE FIRST R IW YEAR]/since [PREV WAVE FIRST R IW
YEAR]/in the last two years before her/his death]]?
INTERVIEWER: DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
215 0 30000 865.00 2717.22 726
-----------------------------------------------------------------
284 99998. DK (Don't Know); NA (Not Ascertained)
2 99999. RF (Refused)
TN157 AMT PAY O-O-P FOR DOC VISITS - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: SecN.DocVisit.N157_
N157_-N159_ Unfolding Sequence
Question text: Did it amount to less than $______, more than $______, or what?
PROCEDURES: UNFM_3Up1Down, UNFM_2Up2Down, UNFM_1Up3Down
BREAKPOINTS: 500, 2,000, 5,000, 10,000, 20,000
RANDOM ENTRY POINTS: 2,000, 5,000, 10,000
ENTRY POINT ASSIGNMENT 1, 2 OR EMPTY AT Q125/Z084
..................................................................................
148 0. Value of Breakpoint
13 500. Value of Breakpoint
35 501. Value of Breakpoint
12 2000. Value of Breakpoint
22 2001. Value of Breakpoint
6 5000. Value of Breakpoint
46 5001. Value of Breakpoint
2 10000. Value of Breakpoint
1 10001. Value of Breakpoint
1 20000. Value of Breakpoint
941 Blank. INAP (Inapplicable)
TN158 AMT PAY O-O-P FOR DOC VISITS - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
CAI Reference: SecN.DocVisit.N158_
..................................................................................
54 499. Value of Breakpoint
13 500. Value of Breakpoint
46 1999. Value of Breakpoint
12 2000. Value of Breakpoint
25 4999. Value of Breakpoint
6 5000. Value of Breakpoint
16 9999. Value of Breakpoint
2 10000. Value of Breakpoint
1 19999. Value of Breakpoint
1 20000. Value of Breakpoint
110 99999996. Greater than Maximum Breakpoint
941 Blank. INAP (Inapplicable)
TN159 AMT PAY O-O-P FOR DOC VISITS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.DocVisit.N159_
..................................................................................
97. Data Not Available
130 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
1095 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (NOT (((((((piSecCBloodpressureC006_HBPMeds = YES) OR
(piSecCDiabetesC011_DiabetesMeds = YES)) OR (piSecCDiabetesC012_DiabetesInsulin
= YES)) OR (piSecCHeartAttackC046_AnginaMeds = YES)) OR
(piSecCHeartAttackC050_HeartFailMeds = YES)) OR (piSecCStrokeC060_StrokeMeds =
YES)) OR (piSecCPsychiatricC068_PsychMeds = YES)))
AND (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((((((piSecCBloodpressureC006_HBPMeds = YES) OR
(piSecCDiabetesC011_DiabetesMeds = YES)) OR (piSecCDiabetesC012_DiabetesInsulin
= YES)) OR (piSecCHeartAttackC046_AnginaMeds = YES)) OR
(piSecCHeartAttackC050_HeartFailMeds = YES)) OR (piSecCStrokeC060_StrokeMeds =
YES)) OR (piSecCPsychiatricC068_PsychMeds = YES))
TN175 TAKE PRESCRIPTION DRUGS REGULARLY
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.PrescpDrug.N175_TkMedsReg
Was [she/he] regularly taking any prescription medications before [her/his]
death?
..................................................................................
1135 1. YES
83 5. NO
7. MEDICATIONS KNOWN
8 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N175_TkMedsReg = YES) OR (N175_TkMedsReg = MEDICATIONSKNOWN))
TN176 DRUG COSTS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.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, mostly covered, only partially covered, or not covered at
all by insurance?
..................................................................................
327 1. COMPLETELY COVERED
357 2. MOSTLY COVERED
193 3. PARTIALLY COVERED
210 5. NOT COVERED AT ALL
1 6. No charge (professional courtesy, friend or relative provided
services; part of a study, free clinic, pro bono)
1 7. COSTS NOT SETTLED YET
46 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
92 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((N175_TkMedsReg = YES) OR (N175_TkMedsReg = MEDICATIONSKNOWN))
AND (N176_MedsCovIns <> COMPLETELYCOVRD)
TN180 AMT PAY O-O-P RX DRUGS PER MONTH
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: SecN.PrescpDrug.N180_AmtOOPMeds
On average, about how much did [she/he] pay out-of-pocket per month for these
prescriptions [[since strZ092, [PREV WAVE FIRST R IW YEAR]/since [PREV WAVE
FIRST R 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
483 0 7000 227.92 500.02 420
-----------------------------------------------------------------
320 9998. DK (Don't Know); NA (Not Ascertained)
4 9999. RF (Refused)
TN181 AMT PAY O-O-P RX DRUGS PER MONTH- MIN
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
CAI Reference: SecN.PrescpDrug.N181_
N181_- N183_ Unfolding Sequence
Question text: Did it amount to less than $____ per month, more than $____ per
month, or what?
PROCEDURES: UNFM_3Up1Down, UNFM_2Up2Down, UNFM_1Up3Down
BREAKPOINTS: 5, 10, 20, 100, 500
RANDOM ENTRY POINTS: 10, 20, 100
ENTRY POINT ASSIGNMENT 1, 2 OR EMPTY AT Q127/Z086
..................................................................................
84 0. Value of Breakpoint
84 0. Value of Breakpoint
1 5. Value of Breakpoint
1 5. Value of Breakpoint
2 6. Value of Breakpoint
2 6. Value of Breakpoint
8 10. Value of Breakpoint
8 10. Value of Breakpoint
12 11. Value of Breakpoint
12 11. Value of Breakpoint
10 20. Value of Breakpoint
10 20. Value of Breakpoint
113 21. Value of Breakpoint
113 21. Value of Breakpoint
19 100. Value of Breakpoint
19 100. Value of Breakpoint
52 101. Value of Breakpoint
52 101. Value of Breakpoint
8 500. Value of Breakpoint
8 500. Value of Breakpoint
12 501. Value of Breakpoint
12 501. Value of Breakpoint
906 Blank. INAP (Inapplicable)
TN182 AMT PAY O-O-P RX DRUGS PER MONTH- MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
CAI Reference: SecN.PrescpDrug.N182_
..................................................................................
1 5. Value of Breakpoint
3 9. Value of Breakpoint
8 10. Value of Breakpoint
8 19. Value of Breakpoint
10 20. Value of Breakpoint
67 99. Value of Breakpoint
19 100. Value of Breakpoint
46 499. Value of Breakpoint
8 500. Value of Breakpoint
151 99999996. Greater than Maximum Breakpoint
906 Blank. INAP (Inapplicable)
TN183 AMT PAY O-O-P RX DRUGS PER MONTH- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.PrescpDrug.N183_
..................................................................................
3 97. Data Not Available
142 98. DK (Don't Know); NA (Not Ascertained)
4 99. RF (Refused)
1078 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((piN116_NiteOverNH <> 996) OR ((piX008AInNHome_V <> INNURSINGHOME) AND
(piN116_NiteOverNH = 996)))
TN189 USED HOME HEALTH SVC- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.InHomeCare.N189_HomeHlthSvc
[/In the last two years/Since[Prev IW Month], [PREV WAVE FIRST R IW YEAR]] ,
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
DEF: (Medically-trained persons include professional nurses,visiting nurse's
aides, physical or occupational therapists, chemotherapists, and respiratory
oxygen therapists.)
..................................................................................
503 1. YES
698 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
16 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((piN116_NiteOverNH <> 996) OR ((piX008AInNHome_V <> INNURSINGHOME) AND
(piN116_NiteOverNH = 996)))
AND (N189_HomeHlthSvc = YES)
TN190 HOME HEALTH SERVICE COST COVERED BY INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.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?
..................................................................................
392 1. COMPLETELY COVERED
37 2. MOSTLY COVERED
17 3. PARTIALLY COVERED
26 5. NOT COVERED AT ALL
5 6. No charge (professional courtesy, friend or relative provided
services; part of a study, free clinic, pro bono)
7. COSTS NOT SETTLED YET
25 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
725 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((piN116_NiteOverNH <> 996) OR ((piX008AInNHome_V <> INNURSINGHOME) AND
(piN116_NiteOverNH = 996)))
AND (N189_HomeHlthSvc = YES)
AND (N190_HHSvcCovIns <> COMPLETELYCOVRD)
TN194 AMT PAY O-O-P HOME HEALTH SVC
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: SecN.InHomeCare.N194_AmtPayOOPHHS
About how much did [she/he] pay out-of-pocket for in-home medical care [[since
strZ092, [PREV WAVE FIRST R IW YEAR]/since [PREV WAVE FIRST R IW YEAR]/in the
last two years before her/his death]]?
INTERVIEWER: DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
45 0 60000 3311.13 9545.60 1122
-----------------------------------------------------------------
58 99998. DK (Don't Know); NA (Not Ascertained)
2 99999. RF (Refused)
TN195 AMT PAY O-O-P HOME HEALTH SVC - MIN
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: SecN.InHomeCare.N195_
N195_-N197_ Unfolding Sequence
Question text: Did it amount to less than $______, more than $______, or what?
PROCEDURES: UNFM_3Up1Down, UNFM_2Up2Down, UNFM_1Up3Down
BREAKPOINTS: 500, 2,000, 5,000, 10,000, 20,000
RANDOM ENTRY POINTS: 2,000, 5,000, 10,000
ENTRY POINT ASSIGNMENT 1, 2 OR EMPTY AT Q125/Z084
..................................................................................
36 0. Value of Breakpoint
1 500. Value of Breakpoint
2 501. Value of Breakpoint
1 2000. Value of Breakpoint
6 2001. Value of Breakpoint
1 5000. Value of Breakpoint
11 5001. Value of Breakpoint
1169 Blank. INAP (Inapplicable)
TN196 AMT PAY O-O-P HOME HEALTH SVC - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
CAI Reference: SecN.InHomeCare.N196_
..................................................................................
6 499. Value of Breakpoint
1 500. Value of Breakpoint
2 1999. Value of Breakpoint
1 2000. Value of Breakpoint
6 4999. Value of Breakpoint
1 5000. Value of Breakpoint
1 9999. Value of Breakpoint
40 99999996. Greater than Maximum Breakpoint
1169 Blank. INAP (Inapplicable)
TN197 AMT PAY O-O-P HOME HEALTH SVC - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.InHomeCare.N197_
..................................................................................
2 97. Data Not Available
39 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
1184 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
TN202 USED OTHER HEALTH SVC- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.OthHealthCare.N202_UseOthSvc
INTERVIEWER: READ SLOWLY
[In the last two years/Since [Prev IW Month], [PREV WAVE FIRST R IW YEAR]],
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?
..................................................................................
243 1. YES
975 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N202_UseOthSvc = YES)
TN203 OTHER HEALTH SVC PAID BY R/SP/P
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.OthHealthCare.N203_OthSvcCovIns
Did[she/he][or/her/his][ you/husband/wife/partner] have to pay for any of
these services?
..................................................................................
71 1. YES
164 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
984 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N202_UseOthSvc = YES)
AND (N203_OthSvcCovIns = YES)
TN239 AMT PAY O-O-P OTHER HEALTH SERVICE
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: SecN.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
37 0 10400 933.94 2075.57 1156
-----------------------------------------------------------------
34 99998. DK (Don't Know); NA (Not Ascertained)
99999. RF (Refused)
TN246 AMT PAY O-O-P OTHER HEALTH SERVICE- MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: SecN.OthHealthCare.N246_
N246_ - N248_ Unfolding Sequence
Question text: Did it amount to less than $____ , more than $____ , or what?
PROCEDURE: 2Up2Down
BREAKPOINTS: 500, 1000, 5000, 10000, 20000
ENTRY POINT: 5,000
..................................................................................
15 0. Value of Breakpoint
1 500. Value of Breakpoint
2 501. Value of Breakpoint
2 1000. Value of Breakpoint
3 1001. Value of Breakpoint
1 5000. Value of Breakpoint
1 5001. Value of Breakpoint
1 10001. Value of Breakpoint
1201 Blank. INAP (Inapplicable)
TN247 AMT PAY O-O-P OTHER HEALTH SERVICE- MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
CAI Reference: SecN.OthHealthCare.N247_
..................................................................................
8 499. Value of Breakpoint
1 500. Value of Breakpoint
2 999. Value of Breakpoint
2 1000. Value of Breakpoint
4 4999. Value of Breakpoint
1 5000. Value of Breakpoint
1 9999. Value of Breakpoint
1 19999. Value of Breakpoint
6 99999996. Greater than Maximum Breakpoint
1201 Blank. INAP (Inapplicable)
TN248 AMT PAY O-O-P OTHER HEALTH SVC- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.OthHealthCare.N248_
..................................................................................
97. Data Not Available
9 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1218 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN))
TN332 OTHER OOP MEDICAL EXPENSES
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.OthHealthCare.N332_
Aside from the medical expenses we already mentioned, did [FIRST NAME OF
INDIVIDUAL] 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?
..................................................................................
277 1. YES
915 5. NO
33 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN))
AND (N332_ = YES)
TN333 OTHER OOP COSTS- AMT
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: SecN.OthHealthCare.N333_
About how much did [she/he] pay out-of-pocket for these expenses [[since
strZ092, [PREV WAVE FIRST R IW YEAR]/since [PREV WAVE FIRST R IW YEAR]/in the
last two years before her/his death]]?
IWER DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
181 0 30000 1608.60 3557.00 951
-----------------------------------------------------------------
93 99998. DK (Don't Know); NA (Not Ascertained)
2 99999. RF (Refused)
TN334 OTHER OOP COSTS- MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: SecN.OthHealthCare.N334_
N334_-N336_ Unfolding Sequence
Question text: Did it amount to less than $____ , more than $____ , or what?
PROCEDURE: 2Up2Down
BREAKPOINTS: 500, 1000, 5000, 10000, 20000
ENTRY POINT: 5,000
..................................................................................
50 0. Value of Breakpoint
4 500. Value of Breakpoint
9 501. Value of Breakpoint
11 1000. Value of Breakpoint
13 1001. Value of Breakpoint
1 5000. Value of Breakpoint
5 5001. Value of Breakpoint
1 10001. Value of Breakpoint
1 20001. Value of Breakpoint
1132 Blank. INAP (Inapplicable)
TN335 OTHER OOP COSTS- MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
CAI Reference: SecN.OthHealthCare.N335_
..................................................................................
16 499. Value of Breakpoint
4 500. Value of Breakpoint
10 999. Value of Breakpoint
11 1000. Value of Breakpoint
15 4999. Value of Breakpoint
1 5000. Value of Breakpoint
5 9999. Value of Breakpoint
1 19999. Value of Breakpoint
32 99999996. Greater than Maximum Breakpoint
1132 Blank. INAP (Inapplicable)
TN336 OTHER OOP COSTS- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.OthHealthCare.N336_
..................................................................................
97. Data Not Available
31 98. DK (Don't Know); NA (Not Ascertained)
3 99. RF (Refused)
1193 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (HospitalStay.N106_AmtOOPHospCost = RESPONSE
OR NOT (HospitalStay.N106_AmtOOPHospCost = RESPONSE)
OR NOT (HospitalStay.N106_AmtOOPHospCost = RESPONSE))
AND (((HospitalStay.N106_AmtOOPHospCost = DONTKNOW) OR
(HospitalStay.N106_AmtOOPHospCost = REFUSAL)) AND (HospitalStay.N107_ =
RESPONSE)
OR NOT (((HospitalStay.N106_AmtOOPHospCost = DONTKNOW) OR
(HospitalStay.N106_AmtOOPHospCost = REFUSAL)) AND (HospitalStay.N107_ =
RESPONSE)))
TN204 ASSIGN HOSPITAL COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: SecN.N204_AssgnHospCost
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1227 0 75000 936.26 4570.39 0
-----------------------------------------------------------------
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (NHomeStay.N119_AmtPayNHHosp = RESPONSE
OR NOT (NHomeStay.N119_AmtPayNHHosp = RESPONSE)
OR NOT (NHomeStay.N119_AmtPayNHHosp = RESPONSE))
AND (((NHomeStay.N119_AmtPayNHHosp = DONTKNOW) OR (NHomeStay.N119_AmtPayNHHosp
= REFUSAL)) AND (NHomeStay.N120_ = RESPONSE)
OR NOT (((NHomeStay.N119_AmtPayNHHosp = DONTKNOW) OR
(NHomeStay.N119_AmtPayNHHosp = REFUSAL)) AND (NHomeStay.N120_ = RESPONSE)))
TN205 ASSIGN NURSING HOME COSTS
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: SecN.N205_AssgnNHCost
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1227 0 960000 4708.01 33133.34 0
-----------------------------------------------------------------
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (DocVisit.N156_AmtOOPVisit = RESPONSE
OR NOT (DocVisit.N156_AmtOOPVisit = RESPONSE)
OR NOT (DocVisit.N156_AmtOOPVisit = RESPONSE))
AND (((DocVisit.N156_AmtOOPVisit = DONTKNOW) OR (DocVisit.N156_AmtOOPVisit =
REFUSAL)) AND (DocVisit.N157_ = RESPONSE)
OR NOT (((DocVisit.N156_AmtOOPVisit = DONTKNOW) OR (DocVisit.N156_AmtOOPVisit
= REFUSAL)) AND (DocVisit.N157_ = RESPONSE)))
TN207 ASSIGN DOCTOR VISIT COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: SecN.N207_AssgnDocVstCost
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1227 0 30000 478.41 1714.46 0
-----------------------------------------------------------------
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (NOT (PrescpDrug.N180_AmtOOPMeds = RESPONSE)
OR NOT (PrescpDrug.N180_AmtOOPMeds = RESPONSE)
OR PrescpDrug.N180_AmtOOPMeds = RESPONSE)
AND (((PrescpDrug.N180_AmtOOPMeds = DONTKNOW) OR (PrescpDrug.N180_AmtOOPMeds =
REFUSAL)) AND (PrescpDrug.N181_ = RESPONSE)
OR NOT (((PrescpDrug.N180_AmtOOPMeds = DONTKNOW) OR
(PrescpDrug.N180_AmtOOPMeds = REFUSAL)) AND (PrescpDrug.N181_ = RESPONSE)))
TN209 ASSIGN PRESCRIPTION COSTS
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
CAI Reference: SecN.N209_AssgnPresCost
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1227 0 7000 111.33 375.03 0
-----------------------------------------------------------------
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (InHomeCare.N194_AmtPayOOPHHS = RESPONSE
OR NOT (InHomeCare.N194_AmtPayOOPHHS = RESPONSE)
OR NOT (InHomeCare.N194_AmtPayOOPHHS = RESPONSE))
AND (((InHomeCare.N194_AmtPayOOPHHS = DONTKNOW) OR
(InHomeCare.N194_AmtPayOOPHHS = REFUSAL)) AND (InHomeCare.N195_ = RESPONSE)
OR NOT (((InHomeCare.N194_AmtPayOOPHHS = DONTKNOW) OR
(InHomeCare.N194_AmtPayOOPHHS = REFUSAL)) AND (InHomeCare.N195_ = RESPONSE)))
TN210 ASSIGN IN-HOME HEALTH CARE COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: SecN.N210_AssgnHomeHCCost
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1227 0 60000 183.11 1976.69 0
-----------------------------------------------------------------
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
TN211 TOTAL O-O-P FOR MAJOR MEDICAL COSTS
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: SecN.N211_TotMajMedExp
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1227 0 961000 6509.18 34032.68 0
-----------------------------------------------------------------
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
TN212 HELP PAY HEALTH CARE COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.HowPayMedBill.N212_HelpPayHCCost
Besides any costs covered by insurance, did anyone help[her/him][ and / and
/her/his][ you/husband/wife/partner] pay for[her/his] health care costs
[[/since strZ092, [PREV WAVE FIRST R IW YEAR]/since [PREV WAVE FIRST R IW
YEAR]/in the last two years before /her/his death]], or help[her/him] pay the
cost of health insurance or for long-term care insurance?
..................................................................................
81 1. YES
1124 5. NO
20 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N212_HelpPayHCCost = YES)
TN213 WHO HELP PAY HEALTH CARE COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.HowPayMedBill.N213_WhoHelpPayHCCost
Was that a [child or other] relative of [[[FIRST NAME OF INDIVIDUAL]`s
/hers/his ]] [ and / and her/his you/husband/wife/partner`s/ / and yours],
or was that someone else?
..................................................................................
62 1. CHILD/CHILD-IN-LAW/GRANDCHILD
13 2. OTHER RELATIVE
7 3. SOMEONE ELSE
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1145 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N212_HelpPayHCCost = YES
OR N212_HelpPayHCCost = YES
OR N212_HelpPayHCCost = YES)
AND (N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD
OR N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD
OR N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD)
AND (cnt <= N254_N214MWhiChldPayHC.CARDINAL
OR cnt <= N254_N214MWhiChldPayHC.CARDINAL
OR cnt <= N254_N214MWhiChldPayHC.CARDINAL)
AND (N254_N214MWhiChldPayHC <> NONRESPONSE
OR NOT (N254_N214MWhiChldPayHC <> NONRESPONSE)
OR NOT (N254_N214MWhiChldPayHC <> NONRESPONSE))
AND (N254_N214MWhiChldPayHC = DONTKNOW
OR NOT (N254_N214MWhiChldPayHC = DONTKNOW))
AND (N254_N214MWhiChldPayHC = REFUSAL)
TN214M1 WHICH CHILD PAY HEALTH CARE COSTS-1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: SecN.HowPayMedBill.N214AWhiChldPayHC[1]
(Which child was that?)
[IWER: CHOOSE ALL THAT APPLY]
IWER: ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE:
Which child helped the most?
IF GRANDCHILD:
(Which of [his/her] children is the parent of that grandchild?)
..................................................................................
56 041-990. Other Person Number
1 992. DECEASED CHILD
4 993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1166 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N212_HelpPayHCCost = YES
OR N212_HelpPayHCCost = YES
OR N212_HelpPayHCCost = YES)
AND (N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD
OR N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD
OR N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD)
AND (cnt <= N254_N214MWhiChldPayHC.CARDINAL
OR cnt <= N254_N214MWhiChldPayHC.CARDINAL
OR cnt <= N254_N214MWhiChldPayHC.CARDINAL)
AND (N254_N214MWhiChldPayHC <> NONRESPONSE
OR NOT (N254_N214MWhiChldPayHC <> NONRESPONSE)
OR NOT (N254_N214MWhiChldPayHC <> NONRESPONSE))
AND (N254_N214MWhiChldPayHC = DONTKNOW
OR NOT (N254_N214MWhiChldPayHC = DONTKNOW))
AND (N254_N214MWhiChldPayHC = REFUSAL)
TN214M2 WHICH CHILD PAY HEALTH CARE COSTS-2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: SecN.HowPayMedBill.N214AWhiChldPayHC[2]
(Which child was that?)
[IWER: CHOOSE ALL THAT APPLY]
IWER: ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE:
Which child helped the most?
IF GRANDCHILD:
(Which of [his/her] children is the parent of that grandchild?)
..................................................................................
5 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1222 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N212_HelpPayHCCost = YES
OR N212_HelpPayHCCost = YES
OR N212_HelpPayHCCost = YES)
AND (N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD
OR N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD
OR N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD)
AND (cnt <= N254_N214MWhiChldPayHC.CARDINAL
OR cnt <= N254_N214MWhiChldPayHC.CARDINAL
OR cnt <= N254_N214MWhiChldPayHC.CARDINAL)
AND (N254_N214MWhiChldPayHC <> NONRESPONSE
OR NOT (N254_N214MWhiChldPayHC <> NONRESPONSE)
OR NOT (N254_N214MWhiChldPayHC <> NONRESPONSE))
AND (N254_N214MWhiChldPayHC = DONTKNOW
OR NOT (N254_N214MWhiChldPayHC = DONTKNOW))
AND (N254_N214MWhiChldPayHC = REFUSAL)
TN214M3 WHICH CHILD PAY HEALTH CARE COSTS-3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: SecN.HowPayMedBill.N214AWhiChldPayHC[3]
(Which child was that?)
[IWER: CHOOSE ALL THAT APPLY]
IWER: ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE:
Which child helped 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)
1224 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N212_HelpPayHCCost = YES
OR N212_HelpPayHCCost = YES
OR N212_HelpPayHCCost = YES)
AND (N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD
OR N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD
OR N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD)
AND (cnt <= N254_N214MWhiChldPayHC.CARDINAL
OR cnt <= N254_N214MWhiChldPayHC.CARDINAL
OR cnt <= N254_N214MWhiChldPayHC.CARDINAL)
AND (N254_N214MWhiChldPayHC <> NONRESPONSE
OR NOT (N254_N214MWhiChldPayHC <> NONRESPONSE)
OR NOT (N254_N214MWhiChldPayHC <> NONRESPONSE))
AND (N254_N214MWhiChldPayHC = DONTKNOW
OR NOT (N254_N214MWhiChldPayHC = DONTKNOW))
AND (N254_N214MWhiChldPayHC = REFUSAL)
TN214M4 WHICH CHILD PAY HEALTH CARE COSTS-4
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: SecN.HowPayMedBill.N214AWhiChldPayHC[4]
(Which child was that?)
[IWER: CHOOSE ALL THAT APPLY]
IWER: ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE:
Which child helped 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)
1225 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N212_HelpPayHCCost = YES
OR N212_HelpPayHCCost = YES
OR N212_HelpPayHCCost = YES)
AND (N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD
OR N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD
OR N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD)
AND (cnt <= N254_N214MWhiChldPayHC.CARDINAL
OR cnt <= N254_N214MWhiChldPayHC.CARDINAL
OR cnt <= N254_N214MWhiChldPayHC.CARDINAL)
AND (N254_N214MWhiChldPayHC <> NONRESPONSE
OR NOT (N254_N214MWhiChldPayHC <> NONRESPONSE)
OR NOT (N254_N214MWhiChldPayHC <> NONRESPONSE))
AND (N254_N214MWhiChldPayHC = DONTKNOW
OR NOT (N254_N214MWhiChldPayHC = DONTKNOW))
AND (N254_N214MWhiChldPayHC = REFUSAL)
TN214M5 WHICH CHILD PAY HEALTH CARE COSTS-5
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: SecN.HowPayMedBill.N214AWhiChldPayHC[5]
(Which child was that?)
[IWER: CHOOSE ALL THAT APPLY]
IWER: ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE:
Which child helped 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)
1226 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N212_HelpPayHCCost = YES
OR N212_HelpPayHCCost = YES
OR N212_HelpPayHCCost = YES)
AND (N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD
OR N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD
OR N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD)
AND (cnt <= N254_N214MWhiChldPayHC.CARDINAL
OR cnt <= N254_N214MWhiChldPayHC.CARDINAL
OR cnt <= N254_N214MWhiChldPayHC.CARDINAL)
AND (N254_N214MWhiChldPayHC <> NONRESPONSE
OR NOT (N254_N214MWhiChldPayHC <> NONRESPONSE)
OR NOT (N254_N214MWhiChldPayHC <> NONRESPONSE))
AND (N254_N214MWhiChldPayHC = DONTKNOW
OR NOT (N254_N214MWhiChldPayHC = DONTKNOW))
AND (N254_N214MWhiChldPayHC = REFUSAL)
TN214M6 WHICH CHILD PAY HEALTH CARE COSTS-6
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: SecN.HowPayMedBill.N214AWhiChldPayHC[6]
(Which child was that?)
[IWER: CHOOSE ALL THAT APPLY]
IWER: ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE:
Which child helped 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)
1226 Blank. INAP (Inapplicable)
Assign:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST)
OR ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N212_HelpPayHCCost = YES
OR N212_HelpPayHCCost = YES
OR N212_HelpPayHCCost = YES)
AND (N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD
OR N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD
OR N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD)
AND (cnt <= N254_N214MWhiChldPayHC.CARDINAL
OR cnt <= N254_N214MWhiChldPayHC.CARDINAL
OR cnt <= N254_N214MWhiChldPayHC.CARDINAL)
AND (N254_N214MWhiChldPayHC <> NONRESPONSE
OR NOT (N254_N214MWhiChldPayHC <> NONRESPONSE)
OR NOT (N254_N214MWhiChldPayHC <> NONRESPONSE))
AND (N254_N214MWhiChldPayHC = DONTKNOW
OR NOT (N254_N214MWhiChldPayHC = DONTKNOW))
AND (N254_N214MWhiChldPayHC = REFUSAL)
TN214M7 WHICH CHILD PAY HEALTH CARE COSTS-7
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
CAI Reference: SecN.HowPayMedBill.N214AWhiChldPayHC[7]
(Which child was that?)
[IWER: CHOOSE ALL THAT APPLY]
IWER: ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE:
Which child helped 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)
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (N212_HelpPayHCCost = YES)
TN215 AMT OF OTHER HELP
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: SecN.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
48 0 75000 6368.13 14425.36 1145
-----------------------------------------------------------------
34 99998. DK (Don't Know); NA (Not Ascertained)
99999. RF (Refused)
TN216 AMT OF OTHER HELP - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: SecN.HowPayMedBill.N216_
N216_-N218_ Unfolding Sequence
Question text: Did it amount to less than $______, more than $______, or what?
PROCEDURE: UNFM_2up1down
BREAKPOINTS: 500, 1000, 3000, 10000
ENTRY POINT: 1000
..................................................................................
12 0. Value of Breakpoint
3 501. Value of Breakpoint
1 1000. Value of Breakpoint
4 1001. Value of Breakpoint
2 3000. Value of Breakpoint
7 3001. Value of Breakpoint
1 10000. Value of Breakpoint
4 10001. Value of Breakpoint
1193 Blank. INAP (Inapplicable)
TN217 AMT OF OTHER HELP - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
CAI Reference: SecN.HowPayMedBill.N217_
..................................................................................
3 499. Value of Breakpoint
4 999. Value of Breakpoint
1 1000. Value of Breakpoint
4 2999. Value of Breakpoint
2 3000. Value of Breakpoint
7 9999. Value of Breakpoint
1 10000. Value of Breakpoint
12 99999996. Greater than Maximum Breakpoint
1193 Blank. INAP (Inapplicable)
TN218 AMT OF OTHER HELP - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.HowPayMedBill.N218_
..................................................................................
97. Data Not Available
9 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1218 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (piN211_TotMajMedExp >= 10000)
TN219M1 HOW FINANCE LARGE MEDICAL EXPENSES - 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.HowPayMedBill.N219_HowFinLgMedExp[1]
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/How] did [he/she]
finance these -- did [he/she] pay directly from [his/her] savings or earnings,
did [he/she] take out a loan, have these bills not yet been paid, or what?
[IWER: CHOOSE ALL THAT APPLY]
[IWER: IF PAYMENTS ARE STILL BEING MADE, ENTER BOTH CODE 3 AND CODE 4]
..................................................................................
124 1. PAID USING SAVINGS/EARNINGS
2 2. TOOK OUT A LOAN
8 3. HAVE NOT YET PAID
4 4. MAKING PAYMENTS
8 5. Not paid by R (filed for bankruptcy, someone else [like a
relative] paid, doctor let the bills drop, etc)
2 6. Records inaccurate, R did not have large out of pocket expenses
7. OTHER (SPECIFY)
18 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1061 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (piN211_TotMajMedExp >= 10000)
TN219M2 HOW FINANCE LARGE MEDICAL EXPENSES - 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.HowPayMedBill.N219_HowFinLgMedExp[2]
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/How] did [he/she]
finance these -- did [he/she] pay directly from [his/her] savings or earnings,
did [he/she] take out a loan, have these bills not yet been paid, or what?
[IWER: CHOOSE ALL THAT APPLY]
[IWER: IF PAYMENTS ARE STILL BEING MADE, ENTER BOTH CODE 3 AND CODE 4]
..................................................................................
1 1. PAID USING SAVINGS/EARNINGS
2. TOOK OUT A LOAN
1 3. HAVE NOT YET PAID
3 4. MAKING PAYMENTS
5. Not paid by R (filed for bankruptcy, someone else [like a
relative] paid, doctor let the bills drop, etc)
6. Records inaccurate, R did not have large out of pocket expenses
2 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1220 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (piN211_TotMajMedExp >= 10000)
TN219M3 HOW FINANCE LARGE MEDICAL EXPENSES - 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.HowPayMedBill.N219_HowFinLgMedExp[3]
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/How] did [he/she]
finance these -- did [he/she] pay directly from [his/her] savings or earnings,
did [he/she] take out a loan, have these bills not yet been paid, or what?
[IWER: CHOOSE ALL THAT APPLY]
[IWER: 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. MAKING PAYMENTS
5. Not paid by R (filed for bankruptcy, someone else [like a
relative] paid, doctor let the bills drop, etc)
6. Records inaccurate, R did not have large out of pocket expenses
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1227 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((SecA.StartInterview.A009_SelfPrxy = SLF) OR (ACTIVELANGUAGE = EXTENG))
OR (ACTIVELANGUAGE = EXTSPN))
AND ((piRvarsZ113_GaveMedcareNo_V <> YES) AND (piGovCoverN001_ = YES))
TN226 MEDICARE NUMBER RECORDED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.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. Any
remaining benefits under this program will not be affected in any way by your
decision.)
..................................................................................
54 1. NUMBER RECORDED
27 4. R REFUSED NUMBER
73 5. NUMBER NOT RECORDED (NOT REFUSED)
8 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
1063 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (((SecA.StartInterview.A009_SelfPrxy = SLF) OR (ACTIVELANGUAGE = EXTENG))
OR (ACTIVELANGUAGE = EXTSPN))
AND ((piGovCoverN006_ = YES) AND (N226_MedicareNumRec <> RREFUSEDNUMBER))
TN231 MEDICAID NUMBER RECORDED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.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/STATE NAME FOR MEDICAID) files.)
Could you give me [her/his] Medicaid number for this purpose?
(Under the Privacy Act of 1974, providing [her/his] number is (also) a
voluntary decision. Any remaining benefits under this program will not be
affected in any way by your decision)
..................................................................................
72 1. NUMBER RECORDED
19 4. R REFUSED NUMBER
178 5. NUMBER NOT RECORDED (NOT REFUSED)
13 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
943 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (NOT ((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)))
TN337 OOP NON-MEDICAL EXPENSES
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
CAI Reference: SecN.N337_
In addition to medical expenses, persons [may have other health-related/with
serious illnesses often have] non-medical expenses.[In the last two
years/Since[Prev IW Month], [PREV WAVE FIRST R IW YEAR]], did [FIRST NAME OF
INDIVIDUAL] 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?
..................................................................................
174 1. YES
1046 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable)
Ask:
IF (((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST))
AND (NOT ((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)))
AND (N337_ = YES)
TN338 OOP NON-MEDICAL COSTS- AMT
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
CAI Reference: SecN.N338_
About how much did [he/she] (or [you/[his/her] [husband/wife/partner]]) pay
out-of-pocket for non-medical expenses [since R's LAST IW MONTH, YEAR/in the
last two years before [his/her] death]?
IWER DO NOT PROBE DK/RF
AMOUNT:
..................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
121 0 120000 5297.85 16177.95 1053
-----------------------------------------------------------------
52 999998. DK (Don't Know); NA (Not Ascertained)
1 999999. RF (Refused)
TN339 OOP NON-MEDICAL COSTS- MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
CAI Reference: SecN.N339_
N339_-N341_ Unfolding Sequence
Question text: Did it amount to less than $____ , more than $____ , or what?
PROCEDURE: 2Up2Down
BREAKPOINTS: 1000, 5000, 25000, 100000, 500000
ENTRY POINT: 25,000
..................................................................................
26 0. Value of Breakpoint
4 1000. Value of Breakpoint
6 1001. Value of Breakpoint
6 5000. Value of Breakpoint
4 5001. Value of Breakpoint
5 25001. Value of Breakpoint
1176 Blank. INAP (Inapplicable)
TN340 OOP NON-MEDICAL COSTS- MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
CAI Reference: SecN.N340_
..................................................................................
10 999. Value of Breakpoint
4 1000. Value of Breakpoint
8 4999. Value of Breakpoint
6 5000. Value of Breakpoint
7 24999. Value of Breakpoint
5 99999. Value of Breakpoint
11 99999996. Greater than Maximum Breakpoint
1176 Blank. INAP (Inapplicable)
TN341 OOP NON-MEDICAL COSTS- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
CAI Reference: SecN.N341_
..................................................................................
2 97. Data Not Available
15 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1209 Blank. INAP (Inapplicable)
TVDATE 2004 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 household. Please reference the data description for a summary of changes
in each data model.
..................................................................................
14 1. Version 1
79 2. Version 2
153 3. Version 3
150 4. Version 4
92 5. Version 5
200 6. Version 6
515 7. Version 7
24 8. Version 8
TVERSION 2004 EXIT FINAL RELEASE VERSION NUMBER
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
..................................................................................
1227 1. HRS 2004 Exit Final Release #1
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