==========================================================================================
Section N: HEALTH SERVICES AND INSURANCE (Respondent)
==========================================================================================
HHID HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 6 Decimals: 0
.................................................................................
17217 000003-502761. Household Identification Number
==========================================================================================
PN RESPONDENT PERSON IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
.................................................................................
9139 010. Person Identifier
585 011. Person Identifier
27 012. Person Identifier
1 013. Person Identifier
5474 020. Person Identifier
157 021. Person Identifier
10 022. Person Identifier
691 030. Person Identifier
42 031. Person Identifier
3 032. Person Identifier
1027 040. Person Identifier
58 041. Person Identifier
3 042. Person Identifier
==========================================================================================
LSUBHH 2008 SUB HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
.................................................................................
15991 0. Original sample household - no split from divorce or
separation of spouses or partners
634 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
469 2. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
47 5. Split household - one half of couple from SUBHH 1 or 2
7 6. Split household - one half of couple from SUBHH 1 or 2
68 7. Reunited household - respondents from split household
reunite
1 8. Split household - one half of couple from SUBHH 1 or 2
==========================================================================================
KSUBHH 2006 SUB HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
.................................................................................
16153 0. Original sample household - no split from divorce or
separation of spouses or partners
545 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
413 2. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
36 5. Split household - one half of couple from SUBHH 1 or 2
5 6. Split household - one half of couple from SUBHH 1 or 2
64 7. Reunited household - respondents from split household
reunite
1 8. Split household - one half of couple from SUBHH 1 or 2
==========================================================================================
LPN_SP 2008 SPOUSE/PARTNER PERSON NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
.................................................................................
4711 010. Person Identifier
468 011. Person Identifier
22 012. Person Identifier
1 013. Person Identifier
4199 020. Person Identifier
132 021. Person Identifier
7 022. Person Identifier
524 030. Person Identifier
35 031. Person Identifier
4 032. Person Identifier
808 040. Person Identifier
47 041. Person Identifier
4 042. Person Identifier
22 811. Spouse of Non-Original Respondent
3 812. Spouse of Non-Original Respondent
5 821. Spouse of Non-Original Respondent
1 822. Spouse of Non-Original Respondent
4 831. Spouse of Non-Original Respondent
4 841. Spouse of Non-Original Respondent
6216 Blank. INAP (Inapplicable); Partial Interview; Single R Household
==========================================================================================
LCSR 2008 WHETHER COVERSHEET RESPONDENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
.................................................................................
11898 1. Yes
18 3. 2nd Coverscreen R, answers not retained
5301 5. No
==========================================================================================
LFAMR 2008 WHETHER FAMILY RESPONDENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
.................................................................................
11814 1. Family R
4 3. 2nd Family R, answers not retained
5399 5. Non-Family R
==========================================================================================
LFINR 2008 WHETHER FINANCIAL RESPONDENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
.................................................................................
11843 1. Financial R
5 3. 2nd Financial R, answers not retained
5369 5. Non-Financial R
==========================================================================================
LN001 MEDICARE COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: 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.
Are you currently covered by Medicare health insurance?
.................................................................................
11470 1. YES
5686 5. NO
38 8. DK (Don't Know); NA (Not Ascertained)
7 9. RF (Refused)
16 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN002M1 WHY NOT MEDICARE COVERED-1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N002_
Why is that?
INTERVIEWER: R IS AGE ([See Blaise Specifications for
piSecAContinuInterviewA019_RAge assignment]), SO PROBE WHY R IS (NOT) COVERED
BY MEDICARE
.................................................................................
417 1. R is disabled; R is on disability; Spouse on disability; R
is on Social Security disability or SSI
66 2. R has a specific medical problem. (E.g. If R says; 'Disabled
due to medical condition,' code it as 02, not 01)
8 3. R has Medicare-NFS
1 4. R mentions has Part A and Part B of Medicare
5. R mentions has Part A of Medicare; the first half of
Medicare
1 6. R mentions has Part B of Medicare; the second half of
Medicare
1 7. R mentions a Medicare card or the mechanics of using it
3 8. R receives Medicare through a deceased spouse
16 9. R mentions his/her age in conjunction with having Medicare;
R has had Medicare since a certain age; R got Medicare
'early'
10. R pays into Medicare, but doesn't use it; R has Medicare,
but chooses not to use it
3 50. R never applied for Medicare or invested in it-NFS
4 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
5 52. R is still working (If R mentions other insurance coverage
through his/her employment, code the appropriate insurance
code only)
9 53. R never qualified for Medicare in his/her employment; R was
in the military/a federal employee/a postal worker etc.; R
doesn't get Social Security or Medicaid
3 54. R used to have Medicare-NFS; R had Medicare, but not now; R
dropped it
2 55. Medicare charges too much; Medicare too expensive for what
you receive
4 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
3 59. R is not familiar with Medicare; confusion about eligibility
6 70. R has other medical insurance/coverage-NFS
10 71. R has veteran's coverage or insurance; 'I'm covered by the
VA'; covered under TriCare or Champus
9 72. R has federal employee/Postal Service insurance
18 73. R has private insurance; e.g. Cigna, Kaiser, Blue Cross/Blue
Shield
13 74. R is covered by Medicaid
18 75. R's spouse's medical insurance covers R
21 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
11 91. R mentions Social Security; e.g. 'I have Social Security,'
(Note that all mentions of SSI or disability go under codes
01 or 02)
20 92. R is not a U.S. citizen; R is an illegal alien; R lives
outside the USA
93. R does not need it - NFS
94. R "used it up"
15 95. R disputes age calculation
11 97. Other
41 98. DK (Don't Know); NA (Not Ascertained)
5 99. RF (refused)
16473 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN002M2 WHY NOT MEDICARE COVERED-2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Why is that?
INTERVIEWER: R IS AGE ([See Blaise Specifications for
piSecAContinuInterviewA019_RAge assignment]), SO PROBE WHY R IS (NOT) COVERED
BY MEDICARE
.................................................................................
1 1. R is disabled; R is on disability; Spouse on disability; R
is on Social Security disability or SSI
1 2. R has a specific medical problem. (E.g. If R says; 'Disabled
due to medical condition,' code it as 02, not 01)
1 3. R has Medicare-NFS
1 4. R mentions has Part A and Part B of Medicare
3 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)
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
1 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
2 56. R will be on Medicare in the future; R not old enough to
qualify at present; R in the process of getting Medicare
57. R had Medicare through a deceased spouse and R no longer
receives it
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
1 71. R has veteran's coverage or insurance; 'I'm covered by the
VA'; covered under TriCare or Champus
72. R has federal employee/Postal Service insurance
4 73. R has private insurance; e.g. Cigna, Kaiser, Blue Cross/Blue
Shield
4 74. R is covered by Medicaid
1 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
2 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
outside the USA
93. R does not need it - NFS
94. R "used it up"
2 95. R disputes age calculation
3 97. Other
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (refused)
17185 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N001_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN004 MEDICARE PART B COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: 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 your Social Security.
Are you covered under Part B of Medicare?
.................................................................................
10691 1. YES
555 5. NO
222 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
5747 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN005 MEDICAID COVERAGE SINCE PREV WAVE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N005_
Have you been covered by health insurance through (Medicaid/State name for
Medicaid or any other Medicaid program) at any time [in the last two years/since
[PREV WAVE FIRST R IW MO], [PREV WAVE FIRST R IW YEAR]]?
.................................................................................
1652 1. YES
15419 5. NO
124 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
16 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N005_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN006 CURRENTLY COVERED BY MEDICAID
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N006_
Are you currently covered by (Medicaid/State name for Medicaid)?
.................................................................................
1523 1. YES
119 5. NO
10 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
15565 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN007 CHAMPUS/CHAMPVA COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N007_
Are you currently covered by TRI-CARE, CHAMPUS, CHAMP-VA, or any other military
health care plan?
Def: TRI-CARE is the new name for the military's health insurance programs. It
includes what used to be known as CHAMPUS and CHAMP-VA. CHAMPUS was a health
care program for active or retired military personnel and their dependents or
survivors. CHAMP-VA provided medical care for veterans and their dependents or
survivors of veterans who had a service-connected disability. VA is not a health
insurance program.
.................................................................................
944 1. YES
16220 5. NO
32 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
16 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N007_ = YES) OR (piRvarsZ240_PW_MilitaryService =
YESActiveService)) AND ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = PRXENG))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN430 CURRENTLY COVERED BY MEDICAID
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N430_
Have you obtained prescription drugs from a veteran's administration facility
[in the last two years/since [PREV WAVE FIRST R IW MO], [PREV WAVE FIRST R IW
YEAR]]?
.................................................................................
1006 1. YES
3029 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
13176 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN009 MEDICARE/MEDICAID HMO
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N009_
We are interested in how your [Medicare /(Medicaid/State name for MEDICAID)]
health insurance works for routine care.
Do you receive your [Medicare /(Medicaid/State name for MEDICAID)] benefits
through an HMO, that is a Health Maintenance Organization?
Def: (With an HMO, the cost of the physician visit is typically covered in full
or you pay only a small amount. All of your routine care must be provided by an
HMO physician.)
.................................................................................
2653 1. YES
8304 5. NO
772 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
5482 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES)
IF N009_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN010 MEDICARE/MEDICAID HMO- HOW LONG - YRS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N010_
About how long have you been receiving your [Medicare /(Medicaid/State name for
MEDICAID)] benefits through this HMO?
Years:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
2204 0 25 8.11 6.89 14876
-----------------------------------------------------------------
137 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES)
IF N009_ = YES
IF (N010_ = 0) OR N010_ = EMPTY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN011 MEDICARE/MEDICAID HMO- HOW LONG - MOS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N011_
(About how long have you been receiving your [Medicare /(Medicaid/State name for
MEDICAID)] benefits through this HMO?)
Years: [MEDICARE/MEDICAID HMO- HOW LONG - YRS]
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
319 0 34 5.88 5.51 16764
-----------------------------------------------------------------
134 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES)
IF N009_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN351 HMO PAY FOR REGULAR RX DRUGS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N351_
Does this HMO cover or provide help with paying for regular prescription drugs?
.................................................................................
2323 1. YES
304 5. NO
25 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
14564 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES)
IF N009_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN014 MEDICARE/MEDICAID HMO-AMT PAY
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.MediCaidCarePlan.N014_
Not including co-pays or deductions from your Social Security, how much do you,
yourself, pay in premiums for this plan?
Do not probe DK/RF
Amount:
Per:
.................................................................................
2332 0-4600. Actual Value
315 9998. DK (Don't Know); NA (Not Ascertained)
6 9999. RF (Refused)
14564 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N015_ := EMPTY:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ =
YES)
IF N009_ = YES
IF N014_ <> EMPTY AND N014_ <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN015 MEDICARE/MEDICAID HMO-AMT PAY - MIN
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.MediCaidCarePlan.N015_
N015-N017 Unfolding Sequence
Question text: Does it amount to less than $____ per month, more than $____ per
month, or what?
PROCEDURES: 2Up1Down, 1Up2Down
BREAKPOINTS: $30, $60, $100, $200
RANDOM ENTRY POINTS: $60, $100
ENTRY POINT ASSIGNMENT: 1 or {NOT 1} AT X501
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
166 0. Value of Breakpoint
13 30. Value of Breakpoint
24 31. Value of Breakpoint
21 60. Value of Breakpoint
32 61. Value of Breakpoint
17 100. Value of Breakpoint
27 101. Value of Breakpoint
4 200. Value of Breakpoint
14 201. Value of Breakpoint
16899 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N016_ := EMPTY:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ =
YES)
IF N009_ = YES
IF N014_ <> EMPTY AND N014_ <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN016 MEDICARE/MEDICAID HMO-AMT PAY - MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.MediCaidCarePlan.N016_
.................................................................................
14 29. Value of Breakpoint
13 30. Value of Breakpoint
34 59. Value of Breakpoint
21 60. Value of Breakpoint
43 99. Value of Breakpoint
17 100. Value of Breakpoint
24 199. Value of Breakpoint
4 200. Value of Breakpoint
149 9996. Greater than Maximum Breakpoint
16898 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N017_ := EMPTY:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ =
YES)
IF N009_ = YES
IF N014_ <> EMPTY AND N014_ <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN017 MEDICARE/MEDICAID HMO-AMT PAY - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N017_
.................................................................................
2 97. Data not available
155 98. DK (Don't Know); NA (Not Ascertained)
6 99. RF (Refused)
17054 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES)
IF N009_ = YES
IF ((N014_ > 0) AND (N014_ <> REFUSAL)) AND (N014_ <> DONTKNOW)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN018 MEDICARE/MEDICAID HMO-AMT PAY - PER
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N018_
(Not including co-pays or deductions from your Social Security, how much do you,
yourself, pay for this plan?)
Amount: [MEDICARE/MEDICAID HMO-AMT PAY]
Per:
.................................................................................
1062 1. MONTH
35 2. QUARTER (EVERY 3 MONTHS)
1 3. SEMI-ANNUALLY (EVERY 6 MONTHS/TWICE A YEAR)
30 4. YEAR
1 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16088 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES)
IF piGovCoverN001_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN020 LEFT MEDICARE HMO LAST TWO YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N020_
At any time [in the last two years/since [PREV WAVE FIRST R IW MO], [PREV WAVE
FIRST R IW YEAR]], have you left an HMO that delivered Medicare services?
.................................................................................
325 1. YES
10900 5. NO
241 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
5748 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES)
IF piGovCoverN001_ = YES
IF N020_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN021M1 WHY LEAVE MEDICARE HMO- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N021M[1]
Why did you leave that HMO?
CHOOSE all that apply
.................................................................................
20 1. OWN PHYSICIAN LEFT PLAN
87 2. HMO DIDN'T PROVIDE NEEDED SERVICES
81 3. HMO COSTS INCREASED; found cheaper plan
4 4. HMO ENCOURAGED ME TO LEAVE
53 5. PLAN NO LONGER AVAILABLE
16 6. Too far away from HMO; R moved; HMO not in region
10 7. OTHER (SPECIFY)
8 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
7 10. Switched to Medicare or Medicaid
4 11. R retired, left, or changed jobs
1 12. Less convenient
9 13. Lost coverage; NFS
25 14. Better coverage with new plan
16892 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES)
IF piGovCoverN001_ = YES
IF N020_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN021M2 WHY LEAVE MEDICARE HMO- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N021M[2]
Why did you leave that HMO?
CHOOSE all that apply
.................................................................................
1. OWN PHYSICIAN LEFT PLAN
3 2. HMO DIDN'T PROVIDE NEEDED SERVICES
5 3. HMO COSTS INCREASED; found cheaper plan
4. HMO ENCOURAGED ME TO LEAVE
1 5. PLAN NO LONGER AVAILABLE
1 6. Too far away from HMO; R moved; HMO not in region
1 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
3 14. Better coverage with new plan
1 97. OTHER (SPECIFY)
17202 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES)
IF piGovCoverN001_ = YES
IF N020_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN021M3 WHY LEAVE MEDICARE HMO- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N021M[3]
Why did you leave that HMO?
CHOOSE all that apply
.................................................................................
1. OWN PHYSICIAN LEFT PLAN
2. HMO DIDN'T PROVIDE NEEDED SERVICES
3. HMO COSTS INCREASED; found cheaper plan
4. HMO ENCOURAGED ME TO LEAVE
5. PLAN NO LONGER AVAILABLE
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17217 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN352 SIGNED UP MEDICARE PRESCRIPTION COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N352_
Part D of Medicare provides coverage for prescription drugs, usually through a
private insurance provider.
Are you enrolled in Medicare Part D, also known as the Medicare Prescription
Drug Plan?
.................................................................................
3866 1. YES
99 3. [VOL] ENROLLED IN IT AUTOMATICALLY
4837 5. NO
391 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
8022 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N394_ChooseEnrolled := EnrolledAutomatic:
IF
(MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <> NONRESPONSE
IF N352_ = EnrolledAutomatic
ASK:
IF (MediCaidCarePlan.N351_ <> YES)
AND MediCaidCarePlan.N351_ <> NONRESPONSE
IF N352_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN394 CHOSE OWN PLAN?
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N394_ChooseEnrolled
Did you choose your own plan, did someone you know choose for you, or were you
enrolled in it automatically?
.................................................................................
2361 1. CHOSE PLAN
608 2. SOMEONE ELSE CHOSE
933 3. [VOL] ENROLLED IN IT AUTOMATICALLY
63 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
13252 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = YES
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)
IF N394_ChooseEnrolled = Choseplan
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN410 HELP WITH DECISION ABOUT WHICH PLAN
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N410_
Did someone help you make the decision about which plan to choose?
.................................................................................
896 1. YES
1349 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
14964 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = YES
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)
IF (N410_ = YES) OR (N394_ChooseEnrolled = SomeoneElseChose)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN411M1 WHO HELPED DECIDE WHICH PLAN -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MedD.N411_[1]
Who was it?
Choose all that apply
.................................................................................
119 1. MEDICARE'S 800 NUMBER/MEDICARE REPRESENTATIVE
212 2. A PART D PLAN REPRESENTATIVE
139 3. PHARMACIST
234 4. SPOUSE
193 5. CHILD/CHILD-IN-LAW
66 6. OTHER FAMILY MEMBER (SIBLING, GRANDCHILD, ETC.)
92 7. FRIEND
120 8. Insurance agent, insurance company representative, NFS
35 9. Employer; former employer; union
57 10. Health care provider
111 97. OTHER (SPECIFY)
15 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
15824 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = YES
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)
IF (N410_ = YES) OR (N394_ChooseEnrolled = SomeoneElseChose)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN411M2 WHO HELPED DECIDE WHICH PLAN -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MedD.N411_[2]
Who was it?
Choose all that apply
.................................................................................
1 1. MEDICARE'S 800 NUMBER/MEDICARE REPRESENTATIVE
6 2. A PART D PLAN REPRESENTATIVE
8 3. PHARMACIST
7 4. SPOUSE
10 5. CHILD/CHILD-IN-LAW
7 6. OTHER FAMILY MEMBER (SIBLING, GRANDCHILD, ETC.)
7 7. FRIEND
2 8. Insurance agent, insurance company representative, NFS
8 97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17161 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = YES
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)
IF (N410_ = YES) OR (N394_ChooseEnrolled = SomeoneElseChose)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN411M3 WHO HELPED DECIDE WHICH PLAN -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MedD.N411_[3]
Who was it?
Choose all that apply
.................................................................................
1. MEDICARE'S 800 NUMBER/MEDICARE REPRESENTATIVE
2. A PART D PLAN REPRESENTATIVE
1 3. PHARMACIST
4. SPOUSE
5. CHILD/CHILD-IN-LAW
6. OTHER FAMILY MEMBER (SIBLING, GRANDCHILD, ETC.)
1 7. FRIEND
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17215 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = YES
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)
IF (N410_ = YES) OR (N394_ChooseEnrolled = SomeoneElseChose)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN411M4 WHO HELPED DECIDE WHICH PLAN -4
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MedD.N411_[4]
Who was it?
Choose all that apply
.................................................................................
1. MEDICARE'S 800 NUMBER/MEDICARE REPRESENTATIVE
2. A PART D PLAN REPRESENTATIVE
3. PHARMACIST
4. SPOUSE
5. CHILD/CHILD-IN-LAW
6. OTHER FAMILY MEMBER (SIBLING, GRANDCHILD, ETC.)
7. FRIEND
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17217 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = YES
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)
IF (N410_ = YES) OR (N394_ChooseEnrolled = SomeoneElseChose)
NOT(IF Other IN N411_)
IF ChildOrInLaw IN N411_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN413M1 WHICH ONE -1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.MedD.N413_Whichchild[1]
Which child(ren)?
Choose all that apply
.................................................................................
193 041-990. Other Person Number
992. DECEASED CHILD
3 993. ALL CHILDREN
1 997. OTHER - SPECIFY
3 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17017 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = YES
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)
IF (N410_ = YES) OR (N394_ChooseEnrolled = SomeoneElseChose)
NOT(IF Other IN N411_)
IF ChildOrInLaw IN N411_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN413M2 WHICH ONE -2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.MedD.N413_Whichchild[2]
Which child(ren)?
Choose all that apply
.................................................................................
7 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN
997. OTHER - SPECIFY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17210 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = YES
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)
IF (N410_ = YES) OR (N394_ChooseEnrolled = SomeoneElseChose)
NOT(IF Other IN N411_)
IF ChildOrInLaw IN N411_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN413M3 WHICH ONE -3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.MedD.N413_Whichchild[3]
Which child(ren)?
Choose all that apply
.................................................................................
041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN
997. OTHER - SPECIFY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17217 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF (N352_ <> NO) AND N352_ <> NONRESPONSE
IF piRvarsZ245_PWPlanName <> EMPTY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN414 GET MEDICARE DRUG COVERAGE THROUGH SAME PLAN
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N414_
The last time we talked with you about Part D, you told us that [PW Med PLAN
NAME ] provided your Medicare drug coverage. Do you still get your Medicare drug
coverage through this plan?
.................................................................................
1749 1. YES
27 3. YES, SAME COMPANY, DIFFERENT PLAN
428 5. NO
14 6. Records inaccurate
25 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
14974 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF (N352_ <> NO) AND N352_ <> NONRESPONSE
IF ((((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR
(ACTIVELANGUAGE = PRXENG)) OR (ACTIVELANGUAGE = PRXSPN)) AND ((N414_ = EMPTY OR
(N414_ = SomeCODiffplan)) OR (N414_ = NO))
IF (N414_ = SomeCODiffplan) OR (N414_ = NO)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN415M1 WHY CHANGE PART D -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N415_[1]
Why did you change to your new Part D plan?
Choose all that apply
.................................................................................
119 1. OLD ONE CLOSED provider/company/medicare changed the plan;
same company different plan; moved; had to change plans
140 2. LOWER PREMIUMS
17 3. LOWER DEDUCTIBLES
55 4. THE DRUGS I NEED WERE CHEAPER
15 5. NO GAP IN COVERAGE
36 6. Lower costs, NFS
62 7. OTHER (SPECIFIY); dissatisfied with old plan; new plan
better, NFS; new plan recommended to R
24 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
16748 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF (N352_ <> NO) AND N352_ <> NONRESPONSE
IF ((((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR
(ACTIVELANGUAGE = PRXENG)) OR (ACTIVELANGUAGE = PRXSPN)) AND ((N414_ = EMPTY OR
(N414_ = SomeCODiffplan)) OR (N414_ = NO))
IF (N414_ = SomeCODiffplan) OR (N414_ = NO)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN415M2 WHY CHANGE PART D -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N415_[2]
Why did you change to your new Part D plan?
Choose all that apply
.................................................................................
1 1. OLD ONE CLOSED provider/company/medicare changed the plan;
same company different plan; moved; had to change plans
2 2. LOWER PREMIUMS
14 3. LOWER DEDUCTIBLES
19 4. THE DRUGS I NEED WERE CHEAPER
1 5. NO GAP IN COVERAGE
3 6. Lower costs, NFS
5 7. OTHER (SPECIFIY); dissatisfied with old plan; new plan
better, NFS; new plan recommended to R
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17172 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF (N352_ <> NO) AND N352_ <> NONRESPONSE
IF ((((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR
(ACTIVELANGUAGE = PRXENG)) OR (ACTIVELANGUAGE = PRXSPN)) AND ((N414_ = EMPTY OR
(N414_ = SomeCODiffplan)) OR (N414_ = NO))
IF (N414_ = SomeCODiffplan) OR (N414_ = NO)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN415M3 WHY CHANGE PART D -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N415_[3]
Why did you change to your new Part D plan?
Choose all that apply
.................................................................................
1. OLD ONE CLOSED provider/company/medicare changed the plan;
same company different plan; moved; had to change plans
1 2. LOWER PREMIUMS
3. LOWER DEDUCTIBLES
4 4. THE DRUGS I NEED WERE CHEAPER
1 5. NO GAP IN COVERAGE
7. OTHER (SPECIFIY); dissatisfied with old plan; new plan
better, NFS; new plan recommended to R
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17211 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF (N352_ <> NO) AND N352_ <> NONRESPONSE
IF ((((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR
(ACTIVELANGUAGE = PRXENG)) OR (ACTIVELANGUAGE = PRXSPN)) AND ((N414_ = EMPTY OR
(N414_ = SomeCODiffplan)) OR (N414_ = NO))
IF (N414_ = SomeCODiffplan) OR (N414_ = NO)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN415M4 WHY CHANGE PART D -4
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N415_[4]
Why did you change to your new Part D plan?
Choose all that apply
.................................................................................
1. OLD ONE CLOSED provider/company/medicare changed the plan;
same company different plan; moved; had to change plans
2. LOWER PREMIUMS
3. LOWER DEDUCTIBLES
4. THE DRUGS I NEED WERE CHEAPER
5. NO GAP IN COVERAGE
7. OTHER (SPECIFIY); dissatisfied with old plan; new plan
better, NFS; new plan recommended to R
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17217 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF (N352_ <> NO) AND N352_ <> NONRESPONSE
IF ((((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR
(ACTIVELANGUAGE = PRXENG)) OR (ACTIVELANGUAGE = PRXSPN)) AND ((N414_ = EMPTY OR
(N414_ = SomeCODiffplan)) OR (N414_ = NO))
IF (N414_ = SomeCODiffplan) OR (N414_ = NO)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN415M5 WHY CHANGE PART D -5
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N415_[5]
Why did you change to your new Part D plan?
Choose all that apply
.................................................................................
1. OLD ONE CLOSED provider/company/medicare changed the plan;
same company different plan; moved; had to change plans
2. LOWER PREMIUMS
3. LOWER DEDUCTIBLES
4. THE DRUGS I NEED WERE CHEAPER
5. NO GAP IN COVERAGE
7. OTHER (SPECIFIY); dissatisfied with old plan; new plan
better, NFS; new plan recommended to R
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17217 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = NO
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN417 PRESCRIPTION DRUG COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N417_
Do you have prescription drug coverage from some other source?
.................................................................................
3966 1. YES
848 5. NO
21 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
12380 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = NO
IF N417_ <> YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN356M1 REASON NOT SIGN UP -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MedD.N356M[1]
What is the reason that you did not sign up for Part D coverage?
Choose all that apply
Probe responses of "I don't need it"
.................................................................................
80 1. ALREADY HAVE GOOD PRESCRIPTION DRUG COVERAGE
90 2. DIDN'T KNOW IT WAS AVAILABLE
7 3. Heard about it too late
53 4. Medicare plan too expensive
5 5. Medicare plan too restrictive
14 7. [Vol] haven't made a decision about whether to enroll
82 10. GET PRESCRIPTION DRUGS FROM THE VA
323 11. DON'T USE ENOUGH PRESCRIPTION DRUGS TO MAKE IT WORTHWHILE
47 12. R is confused about program
34 13. Don't need it; NFS
4 14. Didn't want to; NFS
3 15. R is on Medicaid (Vol)
64 97. OTHER (SPECIFY)
64 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
16346 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = NO
IF N417_ <> YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN356M2 REASON NOT SIGN UP -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MedD.N356M[2]
What is the reason that you did not sign up for Part D coverage?
Choose all that apply
Probe responses of "I don't need it"
.................................................................................
5 1. ALREADY HAVE GOOD PRESCRIPTION DRUG COVERAGE
2. DIDN'T KNOW IT WAS AVAILABLE
16 4. Medicare plan too expensive
1 5. Medicare plan too restrictive
10. GET PRESCRIPTION DRUGS FROM THE VA
8 11. DON'T USE ENOUGH PRESCRIPTION DRUGS TO MAKE IT WORTHWHILE
2 12. R is confused about program
1 13. Don't need it; NFS
1 15. R is on Medicaid (Vol)
1 97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17182 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = NO
IF N417_ <> YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN356M3 REASON NOT SIGN UP -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MedD.N356M[3]
What is the reason that you did not sign up for Part D coverage?
Choose all that apply
Probe responses of "I don't need it"
.................................................................................
1. ALREADY HAVE GOOD PRESCRIPTION DRUG COVERAGE
2. DIDN'T KNOW IT WAS AVAILABLE
10. GET PRESCRIPTION DRUGS FROM THE VA
11. DON'T USE ENOUGH PRESCRIPTION DRUGS TO MAKE IT WORTHWHILE
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17217 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = NO
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN418 HELP WITH DECISION NOT TO ENROLL
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N418_
Did someone help you make the decision not to enroll in a Part D plan?
.................................................................................
724 1. YES
3752 5. NO
46 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
12694 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = NO
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)
IF N418_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN419M1 WHO HELPED DECIDE NOT TO ENROLL -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MedD.N419_[1]
Who was it?
Choose all that apply
.................................................................................
29 1. MEDICARE'S 800 NUMBER/MEDICARE REPRESENTATIVE
18 2. A PART D PLAN REPRESENTATIVE
32 3. PHARMACIST
144 4. SPOUSE
79 5. CHILD/CHILD-IN-LAW
20 6. OTHER FAMILY MEMBER (SIBLING, GRANDCHILD, ETC.)
23 7. FRIEND
159 8. Insurance agent, insurance company representative, NFS
149 9. Employer; former employer; union
13 10. Health care provider
53 97. OTHER (SPECIFY)
5 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
16493 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = NO
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)
IF N418_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN419M2 WHO HELPED DECIDE NOT TO ENROLL -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MedD.N419_[2]
Who was it?
Choose all that apply
.................................................................................
1 1. MEDICARE'S 800 NUMBER/MEDICARE REPRESENTATIVE
2. A PART D PLAN REPRESENTATIVE
3 3. PHARMACIST
1 4. SPOUSE
3 5. CHILD/CHILD-IN-LAW
1 6. OTHER FAMILY MEMBER (SIBLING, GRANDCHILD, ETC.)
7. FRIEND
2 8. Insurance agent, insurance company representative, NFS
1 9. Employer; former employer; union
4 97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17201 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = NO
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)
IF N418_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN419M3 WHO HELPED DECIDE NOT TO ENROLL -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MedD.N419_[3]
Who was it?
Choose all that apply
.................................................................................
1. MEDICARE'S 800 NUMBER/MEDICARE REPRESENTATIVE
2. A PART D PLAN REPRESENTATIVE
3. PHARMACIST
4. SPOUSE
5. CHILD/CHILD-IN-LAW
6. OTHER FAMILY MEMBER (SIBLING, GRANDCHILD, ETC.)
1 7. FRIEND
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17216 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = NO
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)
IF N418_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN419M4 WHO HELPED DECIDE NOT TO ENROLL -4
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MedD.N419_[4]
Who was it?
Choose all that apply
.................................................................................
1. MEDICARE'S 800 NUMBER/MEDICARE REPRESENTATIVE
2. A PART D PLAN REPRESENTATIVE
3. PHARMACIST
4. SPOUSE
5. CHILD/CHILD-IN-LAW
6. OTHER FAMILY MEMBER (SIBLING, GRANDCHILD, ETC.)
7. FRIEND
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17217 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = NO
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)
IF N418_ = YES
NOT(IF Other IN N419_)
IF ChildOrInLaw IN N419_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN421M1 WHO HELP MAKE DECISION - CHILD -1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.MedD.N421_Whichchild[1]
Which child(ren)?
Choose all that apply
.................................................................................
77 041-990. Other Person Number
992. DECEASED CHILD
4 993. ALL CHILDREN
997. OTHER - SPECIFY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17136 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = NO
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)
IF N418_ = YES
NOT(IF Other IN N419_)
IF ChildOrInLaw IN N419_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN421M2 WHO HELP MAKE DECISION - CHILD -2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.MedD.N421_Whichchild[2]
Which child(ren)?
Choose all that apply
.................................................................................
5 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN
997. OTHER - SPECIFY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17212 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <>
NONRESPONSE
IF N352_ = NO
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)
IF N418_ = YES
NOT(IF Other IN N419_)
IF ChildOrInLaw IN N419_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN421M3 WHO HELP MAKE DECISION - CHILD -3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.MedD.N421_Whichchild[3]
Which child(ren)?
Choose all that apply
.................................................................................
041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN
997. OTHER - SPECIFY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17217 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (((N352_ = YES) OR (N352_ = EnrolledAutomatic)) OR
(MediCaidCarePlan.N351_ = YES)) OR ((N417_ <> YES) AND N417_ <> EMPTY)
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN422 TIME SPENT LOOKING
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N422_
IF R IS ENROLLED IN MEDICARE PART D (N352={1 or 3}:
How much time would you say you have spent looking at other Part D plans?
IF HMO COVERS PRESCRIPTION DRUGS (N351=1):
How much time would you say you have spent looking at other Medicare HMO plans?
IF R {DOES NOT HAVE PRESCRIPTION COVERAGE FROM ANOTHER SOURCE or DID NOT SAY}
(N417= {5 or DK or RF}):
How much time would you say you have spent looking at Part D plans?
.................................................................................
500 1. A LOT
989 2. SOME
1314 3. A LITTLE
3685 4. NONE AT ALL
43 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
10686 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (((N352_ = YES) OR (N352_ = EnrolledAutomatic)) OR
(MediCaidCarePlan.N351_ = YES)) OR ((N417_ <> YES) AND N417_ <> EMPTY)
IF (N352_ = YES) OR (N352_ = EnrolledAutomatic)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN423 HOW PAY MEDICARE PREMIUMS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N423_
Many Medicare beneficiaries pay the premium for their Medicare drug coverage
through their Social Security checks. Some pay directly to the provider. How do
you pay for yours?
.................................................................................
1940 1. DEDUCTED FROM SOCIAL SECURITY
1205 2. PAY DIRECTLY
30 3. BOTH
585 4. (VOL) I DON'T PAY ANYTHING
203 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
13252 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (((N352_ = YES) OR (N352_ = EnrolledAutomatic)) OR
(MediCaidCarePlan.N351_ = YES)) OR ((N417_ <> YES) AND N417_ <> EMPTY)
IF (N352_ = YES) OR (N352_ = EnrolledAutomatic)
IF N423_ = Deducted
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN424 SS DEDUCTION MONTHLY PREMIUMS
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.MedD.N424_
How much is your Social Security deduction per month for your Part D plan?
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1103 0 9650 92.90 470.16 15277
-----------------------------------------------------------------
7 9996. Not Ascertained; Amount included in N014 or N040
817 9998. DK (Don't Know); NA (Not Ascertained)
13 9999. RF (Refused)
==========================================================================================
ASK:
IF (((N352_ = YES) OR (N352_ = EnrolledAutomatic)) OR
(MediCaidCarePlan.N351_ = YES)) OR ((N417_ <> YES) AND N417_ <> EMPTY)
IF (N352_ = YES) OR (N352_ = EnrolledAutomatic)
NOT(IF N423_ = Deducted)
IF (N423_ = PayDirect) OR (N423_ = Both)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN404 MONTHLY PREMIUMS
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.MedD.N404_Monthlypremiums
How much do you, yourself, pay per month in premiums for this plan?
Do not probe DK/RF
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
975 0 9350 111.06 459.53 15979
-----------------------------------------------------------------
30 9996. Not Ascertained; Amount included in N014 or N040
227 9998. DK (Don't Know); NA (Not Ascertained)
6 9999. RF (Refused)
==========================================================================================
ASSIGN:
N405_ := EMPTY:
IF (((N352_ = YES) OR (N352_ =
EnrolledAutomatic)) OR (MediCaidCarePlan.N351_ = YES)) OR ((N417_ <> YES) AND
N417_ <> EMPTY)
IF (N352_ = YES) OR (N352_ = EnrolledAutomatic)
IF N404_Monthlypremiums = NONRESPONSE OR N424_ = NONRESPONSE
IF (N404_Monthlypremiums <> EMPTY AND N404_Monthlypremiums <> NONRESPONSE) OR
(N424_ <> EMPTY AND N424_ <> NONRESPONSE)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN405 MONTHLY PREMIUMS - MIN
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.MedD.N405_
Question text: Does it amount to less than $____ per month, more than $____ per
month, or what?
PROCEDURES: 2Up1Down, 1Up2Down
BREAKPOINTS: $20, $30, $45, $60
RANDOM ENTRY POINTS: $30, $45
ENTRY POINT ASSIGNMENT: 1 OR {NOT 1} AT X503
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
534 0. Value of Breakpoint
34 20. Value of Breakpoint
57 21. Value of Breakpoint
82 30. Value of Breakpoint
111 31. Value of Breakpoint
69 45. Value of Breakpoint
71 46. Value of Breakpoint
18 60. Value of Breakpoint
90 61. Value of Breakpoint
16151 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N406_ := EMPTY:
IF (((N352_ = YES) OR (N352_ =
EnrolledAutomatic)) OR (MediCaidCarePlan.N351_ = YES)) OR ((N417_ <> YES) AND
N417_ <> EMPTY)
IF (N352_ = YES) OR (N352_ = EnrolledAutomatic)
IF N404_Monthlypremiums = NONRESPONSE OR N424_ = NONRESPONSE
IF (N404_Monthlypremiums <> EMPTY AND N404_Monthlypremiums <> NONRESPONSE) OR
(N424_ <> EMPTY AND N424_ <> NONRESPONSE)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN406 MONTHLY PREMIUMS - MAX
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.MedD.N406_
.................................................................................
35 19. Value of Breakpoint
34 20. Value of Breakpoint
82 29. Value of Breakpoint
82 30. Value of Breakpoint
94 44. Value of Breakpoint
69 45. Value of Breakpoint
41 59. Value of Breakpoint
18 60. Value of Breakpoint
611 996. Greater than Maximum Breakpoint
16151 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N407_ := EMPTY:
IF (((N352_ = YES) OR (N352_ =
EnrolledAutomatic)) OR (MediCaidCarePlan.N351_ = YES)) OR ((N417_ <> YES) AND
N417_ <> EMPTY)
IF (N352_ = YES) OR (N352_ = EnrolledAutomatic)
IF N404_Monthlypremiums = NONRESPONSE OR N424_ = NONRESPONSE
IF (N404_Monthlypremiums <> EMPTY AND N404_Monthlypremiums <> NONRESPONSE) OR
(N424_ <> EMPTY AND N424_ <> NONRESPONSE)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN407 MONTHLY PREMIUMS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MedD.N407_
.................................................................................
2 97. Data not available
550 98. DK (Don't Know); NA (Not Ascertained)
15 99. RF (Refused)
16650 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (((N352_ <> YES) AND (N352_ <> EnrolledAutomatic)) AND
(MediCaidCarePlan.N351_ <> YES)) AND MediCaidCarePlan.N351_ <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN358 LIKLEY SIGN UP NEXT YEAR
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N358_
How likely is it that you will sign up for Medicare prescription drug coverage
next year?
Would you say very likely, somewhat likely, not too likely, or not at all
likely?
.................................................................................
300 1. VERY LIKELY
348 2. SOMEWHAT LIKELY
722 3. NOT TOO LIKELY
3488 4. NOT AT ALL LIKELY
13 6. [VOL] ALREADY SIGNED UP FOR NEXT YEAR
357 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
11987 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((((N352_ = YES) OR (N352_ = EnrolledAutomatic)) OR
(MediCaidCarePlan.N351_ = YES)) OR ((N417_ <> YES) AND N417_ <> EMPTY)) AND
(piGovCoverN005_ <> YES)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN425 KNOW ABOUT PROGRAM
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N425_knowabtprogram
Medicare beneficiaries with limited income and resources may qualify to get
extra help paying for their prescription drug coverage. Did you know about this
program?
.................................................................................
3364 1. YES
2568 5. NO
78 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
11207 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((((N352_ = YES) OR (N352_ = EnrolledAutomatic)) OR
(MediCaidCarePlan.N351_ = YES)) OR ((N417_ <> YES) AND N417_ <> EMPTY)) AND
(piGovCoverN005_ <> YES)
IF N425_knowabtprogram = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN426 DID YOU APPLY FOR EXTRA HELP
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N426_
Did you apply for extra help?
.................................................................................
457 1. YES
2890 5. NO
17 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
13853 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((((N352_ = YES) OR (N352_ = EnrolledAutomatic)) OR
(MediCaidCarePlan.N351_ = YES)) OR ((N417_ <> YES) AND N417_ <> EMPTY)) AND
(piGovCoverN005_ <> YES)
IF N425_knowabtprogram = YES
IF N426_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN427 APPLICATION EXTRA HELP ACCEPTED/DENIED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N427_AppAccepted
Was your application for extra help accepted or denied?
.................................................................................
237 1. ACCEPTED
191 2. DENIED
26 3. STILL WAITING TO HEAR
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16760 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (((N352_ = YES) OR (N352_ = EnrolledAutomatic)) OR
(MediCaidCarePlan.N351_ = YES)) AND ((ACTIVELANGUAGE = CORENG) OR
(ACTIVELANGUAGE = CORSPN))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN428 HOW SATISFIED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N428_Satisfied
IF R IS ENROLLED IN MEDICARE PART D (N352={1 or 3}:
How satisfied are you with drug coverage in your current Part D plan?
IF HMO COVERS PRESCRIPTION DRUGS (N351=1):
How satisfied are you with drug coverage in your current Medicare HMO plan?
ASK ALL Rs:
Would you say you are very satisfied, somewhat satisfied, not very satisfied, or
not at all satisfied?
.................................................................................
2960 1. VERY SATISFIED
2069 2. SOMEWHAT SATISFIED
367 3. NOT VERY SATISFIED
207 4. NOT AT ALL SATISFIED
116 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
11493 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (((N352_ = YES) OR (N352_ = EnrolledAutomatic)) OR
(MediCaidCarePlan.N351_ = YES)) AND ((ACTIVELANGUAGE = CORENG) OR
(ACTIVELANGUAGE = CORSPN))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN429 LIKELY TO SWITCH
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N429_LikeSwitch
IF R IS ENROLLED IN MEDICARE PART D (N352={1 or 3}):
How likely is it that you will switch to a new Part D plan for prescription
drugs next year?
IF HMO COVERS PRESCRIPTION DRUGS (N351=1):
How likely is it that you will switch to a new Medicare HMO plan for
prescription drugs next year?
ASK ALL Rs:
Would you say very likely, somewhat likely, not too likely, or not at all
likely?
[IWER: IF R HAS ALREADY SIGNED UP FOR NEXT YEAR, PROBE AS NEEDED TO DETERMINE IF
R STAYED WITH SAME PLAN OR SWITCHED PLANS.]
.................................................................................
349 1. VERY LIKELY
639 2. SOMEWHAT LIKELY
1290 3. NOT TOO LIKELY
3253 4. NOT AT ALL LIKELY
24 6. [VOL] ALREADY SIGNED UP FOR NEXT YEAR, STAYED WITH SAME PLAN
13 7. [VOL] ALREADY SIGNED UP FOR NEXT YEAR, SWITCHED PLANS
156 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
11493 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN023 NUM PRIVATE HEALTH INS PLANS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.N023_
Now, we'd like to ask about all the other types of health insurance plans you
might have, such as insurance through an employer or a business, coverage for
retirees, or health insurance you buy for yourself, including any (Medigap or)
other supplemental coverage.
IF R HAS MEDICARE COVERAGE (N001=1) and R RECEIVES MEDICARE/MEDICAID THROUGH AN
HMO (N009=1):
Do NOT include long-term care insurance. Other than your Medicare HMO you've
just told me about, how many other such plans do you have?
OTHERWISE:
Do NOT include long-term care insurance, or anything that you have just told me
about. How many other such plans do you have?
[IWER: ENTER ZERO FOR NONE]
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
17099 0 13 0.62 0.61 17
-----------------------------------------------------------------
85 98. DK (Don't Know); NA (Not Ascertained)
16 99. RF (Refused)
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF piGovCoverN001_ = YES
IF Counter = 1
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN025_1 WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N025_
Which is your primary plan, Medicare or [NAME PRIVATE HEALTH INSURANCE PLAN] ?
.................................................................................
4797 1. MEDICARE
730 2. NAME OF PLAN (W22_1/N024_1)
65 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
11624 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN032_1 PRIVATE PLAN 1-3 HELP PAY REGULAR RX- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N032_
Does [NAME PRIVATE HEALTH INSURANCE PLAN] provide help with paying for regular
prescription drugs?
The follow-up questions refer to the private plan, not to Medicare.
.................................................................................
7338 1. YES
2498 5. NO
140 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
7241 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF J020=1
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN033_1 OBTAIN HI THRU CURRNT EMP/OWN BUSINESS-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N033_HowObtIns
Do you obtain this health insurance through [your own business or professional
organization?/your current employer?]
.................................................................................
2507 1. YES
1891 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
12817 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF N033_HowObtIns <> YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN034_1 OBTAIN INS THRU FORMER EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N034_
Do you obtain this health insurance through a former employer of yours?
.................................................................................
2337 1. YES
5125 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
9745 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF N033_HowObtIns <> YES
IF N034_ <> YES
IF ((((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) OR (SecB.B063_MarStatAssign =
ANULLED)) OR (SecB.B063_MarStatAssign = SEPARATED)) OR (SecB.B063_MarStatAssign
= DIVORCED)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN035_1 OBTAIN INS THRU HWP CURRENT EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N035_
Do you obtain this health insurance through your [former] (spouse`s/partner`s)
current employer?
.................................................................................
1257 1. YES
2673 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
13283 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF N033_HowObtIns <> YES
IF N034_ <> YES
IF ((N035_ <> YES) AND N035_ <> EMPTY) OR (SecB.B063_MarStatAssign = WIDOWED)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN036_1 OBTAIN INS THRU HWP FORMER EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N036_
Do you obtain this health insurance through your [former] (spouse`s/partner`s)
former employer?
.................................................................................
1135 1. YES
2664 5. NO
11 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
13405 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF N033_HowObtIns <> YES
IF N034_ <> YES
IF (N035_ <> YES) AND (N036_ <> YES)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN037_1 WHERE PURCHASE PRIVATE PLAN INSURANCE- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N037_
Did you purchase this plan directly from an insurance company, through your [or
your] [husband/wife/partner's/ ] union, through a group such as AARP, a church,
or other organization, or what?
.................................................................................
1977 1. INSURANCE COMPANY
51 2. R'S UNION
6 3. SPOUSE'S UNION
482 4. GROUP
78 6. Includes federal, state or military programs
105 7. OTHER (SPECIFY)
40 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
14476 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN039_1 PAY ALL/SOME/NONE PRIV PLAN HI COSTS- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N039_PayHlthInsCost
Including any help from your family, do you [or your husband/wife/partner/ ]
pay all of the costs, some of the costs, or none of the costs of the premium for
this health insurance coverage?
.................................................................................
4915 1. ALL
3194 2. SOME
1743 3. NONE
119 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
7241 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF N039_PayHlthInsCost <> NONE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN040_1 PRIV PLAN HI PAY PER/MONTH- AMT- 1
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.PlanDetails[1].N040_
How much do you [or your] [husband/wife/partner] pay per month in premiums for
this plan?
[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
6598 0 6307 229.19 263.84 8984
-----------------------------------------------------------------
1564 99998. DK (Don't Know); NA (Not Ascertained)
71 99999. RF (Refused)
==========================================================================================
LN041_1 PRIV PLAN HI PAY PER/MONTH- MIN- 1
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.PlanDetails[1].N041_
Unfolding Procedure: UNFM_1UP3DOWN (Min)
Does it amount to ... per month
Breakpoints: 50/100/150/300/500
.................................................................................
608 0. Value of Breakpoint
38 50. Value of Breakpoint
106 51. Value of Breakpoint
60 100. Value of Breakpoint
135 101. Value of Breakpoint
96 150. Value of Breakpoint
465 151. Value of Breakpoint
50 300. Value of Breakpoint
88 301. Value of Breakpoint
4 500. Value of Breakpoint
30 501. Value of Breakpoint
15537 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN042_1 PRIV PLAN HI PAY PER/MONTH- MAX- 1
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.PlanDetails[1].N042_
.................................................................................
64 49. Value of Breakpoint
38 50. Value of Breakpoint
136 99. Value of Breakpoint
60 100. Value of Breakpoint
136 149. Value of Breakpoint
96 150. Value of Breakpoint
249 299. Value of Breakpoint
50 300. Value of Breakpoint
81 499. Value of Breakpoint
4 500. Value of Breakpoint
766 9996. Greater than Maximum Breakpoint
15537 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN043_1 PRIV PLAN HI PAY PER/MONTH- RESULT- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[1].N043_
.................................................................................
2 97. Data not available
766 98. DK (Don't Know); NA (Not Ascertained)
64 99. RF (Refused)
16385 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN044_1 BRANCHPNT-SELF EMPLOYED/ALL OTH -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N044_
.................................................................................
755 1. R IS CURRENTLY SELF-EMPLOYED
7478 2. ALL OTHERS
8984 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN046_1 BRANCHPNT-SOURCE OF HEALTH INSURANCE -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N046_
.................................................................................
1664 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
196 2. INS THRU SOMEPLACE ELSE
6373 3. INS THRU CURRENT/FORMER EMPLOYER
8984 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN047_1 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N047_
.................................................................................
4625 1. R IS COVERED BY MEDICARE
3608 2. ALL OTHERS
8984 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN048_1 PRIV PLAN HI- ANYONE ELSE COVERED- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N048_AnyElseCov
Besides you, is anyone else covered on this health insurance?
.................................................................................
5084 1. YES
4886 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
7241 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN049_1A PRIV PLAN HI- WHO COVERED- 1- 1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[1].N049AWhoCov[1]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
499 041-990. Other Person Number
4537 991. R'S SPOUSE/PARTNER
23 993. ALL CHILDREN
13 994. ONE OR MORE GRANDCHILDREN
10 997. OTHER (SPECIFY); including ex-spouses; R's
employees
1 998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
12133 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN049_1B PRIV PLAN HI- WHO COVERED- 1- 2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[1].N049AWhoCov[2]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
338 041-990. Other Person Number
219 991. R'S SPOUSE/PARTNER
32 993. ALL CHILDREN
20 994. ONE OR MORE GRANDCHILDREN
6 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
16602 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN049_1C PRIV PLAN HI- WHO COVERED- 1- 3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[1].N049AWhoCov[3]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
101 041-990. Other Person Number
96 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
4 994. ONE OR MORE GRANDCHILDREN
5 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17011 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN049_1D PRIV PLAN HI- WHO COVERED- 1- 4
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[1].N049AWhoCov[4]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
25 041-990. Other Person Number
19 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
1 994. ONE OR MORE GRANDCHILDREN
1 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17171 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN049_1E PRIV PLAN HI- WHO COVERED- 1- 5
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[1].N049AWhoCov[5]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
8 041-990. Other Person Number
5 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17204 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN049_1F PRIV PLAN HI- WHO COVERED- 1- 6
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[1].N049AWhoCov[6]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
041-990. Other Person Number
991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17217 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF ((((piRespondents1X065ACouplenss = MARRIED) AND (N035_ <> YES)) AND (N036_
<> YES)) AND (N037_ <> SPOUSESUNION)) AND ((N048_AnyElseCov = NO) OR NOT (C91
IN N253_N049MWhoCov))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN051_1 PRIV HI- COULD SPOUSE BE COVERED- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N051_SPCoverage
Could you have obtained coverage for your spouse through this health insurance
plan?
.................................................................................
1021 1. YES
640 5. NO
85 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
15471 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN052_1 PRIVATE PLAN INSURANCE AN HMO- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N052_Plan1HMO
Is this plan an HMO, that is a Health Maintenance Organization?
Def: (With an HMO, the cost of the physician visit is typically covered in full
or you pay only a small amount. All of your routine care must be provided by an
HMO physician.)
.................................................................................
1983 1. YES
7547 5. NO
442 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
7241 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN053_1 NUMBER YEARS IN PLAN- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[1].N053_NumYrPlan
How long have you been with this plan?
Years:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
8856 0 50 14.06 12.93 7947
-----------------------------------------------------------------
408 98. DK (Don't Know); NA (Not Ascertained)
6 99. RF (Refused)
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF (N053_NumYrPlan = 0) OR N053_NumYrPlan = EMPTY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN054_1 NUMBER MONTHS IN PLAN- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[1].N054_NumMoPlan
(How long have you been with this plan?)
Years:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
709 1 12 4.76 2.74 16095
-----------------------------------------------------------------
407 98. DK (Don't Know); NA (Not Ascertained)
6 99. RF (Refused)
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF N052_Plan1HMO <> YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN055_1 PRIV PLAN HI- HAS LIST OF DRS- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N055_ListDoctor
Does this health insurance plan have a list or book of doctors that you are
encouraged or required to use?
.................................................................................
3043 1. YES
4799 5. NO
147 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
9224 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF (N055_ListDoctor = YES) OR (N052_Plan1HMO = YES)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN056_1 PLAN PAY FOR DOCTORS NOT ON LIST- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N056_DocNotList
Does [this health insurance plan/the HMO] pay any of the costs for routine care
if you see a doctor who is not [on this list/in the HMO]?
.................................................................................
2944 1. YES
475 2. YES, WITH A REFERRAL
1087 5. NO
519 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
12191 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN058_1 PRIV HI FROM CUR/FOR EMP AND LESS 65- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N058_
.................................................................................
2067 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
599 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
7310 3. ALL OTHERS
7241 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF piSecAContinuInterviewA019_RAge < 65
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN059_1 EMPLOYER RETIREE COVERAGE UP TO 65- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N059_CovTo65
[Can/If you left your current employer now, could] you continue this insurance
coverage for yourself up to the age of 65?
.................................................................................
1407 1. YES
953 5. NO
174 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
14683 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF piSecAContinuInterviewA019_RAge < 65
IF N059_CovTo65 = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN060_1 EMPLOYER RETIREE HI COVERAGE AFTER 65- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N060_EmpCovAft65
[Does your former /If you left your current employer now, does your ] employer
offer some type of health insurance coverage for you after the age of 65?
.................................................................................
661 1. YES
589 5. NO
157 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
15810 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF (((SecA.Relations.A044TSpAge_A < 65) AND (piRespondents1X065ACouplenss <>
OTHER)) AND (N059_CovTo65 <> NO)) AND (N051_SPCoverage = YES)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN062_1 EMP RETIREE HI COV FOR SP UP TO 65- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N062_CovSPTo65
[Could your spouse be covered by this plan/If you left your current employer now
could you continue your current health insurance coverage for your spouse] until
[he/she] is age 65?
.................................................................................
138 1. YES
68 5. NO
42 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16969 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF (((SecA.Relations.A044TSpAge_A < 65) AND (piRespondents1X065ACouplenss <>
OTHER)) AND (N059_CovTo65 <> NO)) AND (N051_SPCoverage = YES)
IF N062_CovSPTo65 = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN063_1 EMP RETIREE HI COV FOR SP AFTER 65- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N063_CovSPAft65
[Does your former /If you left your current employer now, does your ] employer
offer some type of health insurance coverage for your spouse after the age of
65?
.................................................................................
76 1. YES
49 5. NO
13 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17079 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN066_1 LIMITS ON HI DUE TO PREEXISTING COND- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N066_LimitHlthIns
Are there any limits or restrictions on this health insurance plan due to a
preexisting condition?
.................................................................................
569 1. YES
8726 5. NO
680 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
7241 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN032_2 PRIVATE PLAN 1-3 HELP PAY REGULAR RX- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N032_
Does [NAME PRIVATE HEALTH INSURANCE PLAN] provide help with paying for regular
prescription drugs?
The follow-up questions refer to the private plan, not to Medicare.
.................................................................................
280 1. YES
263 5. NO
14 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
16659 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF J020=1
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN033_2 OBTAIN HI THRU CURRNT EMP/OWN BUSINESS-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N033_HowObtIns
Do you obtain this health insurance through [your own business or professional
organization?/your current employer?]
.................................................................................
133 1. YES
148 5. NO
8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
16935 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF N033_HowObtIns <> YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN034_2 OBTAIN INS THRU FORMER EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N034_
Do you obtain this health insurance through a former employer of yours?
.................................................................................
105 1. YES
317 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
16792 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF N033_HowObtIns <> YES
IF N034_ <> YES
IF ((((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) OR (SecB.B063_MarStatAssign =
ANULLED)) OR (SecB.B063_MarStatAssign = SEPARATED)) OR (SecB.B063_MarStatAssign
= DIVORCED)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN035_2 OBTAIN INS THRU HWP CURRENT EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N035_
Do you obtain this health insurance through your [former] (spouse`s/partner`s)
current employer?
.................................................................................
72 1. YES
186 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
16956 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF N033_HowObtIns <> YES
IF N034_ <> YES
IF ((N035_ <> YES) AND N035_ <> EMPTY) OR (SecB.B063_MarStatAssign = WIDOWED)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN036_2 OBTAIN INS THRU HWP FORMER EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N036_
Do you obtain this health insurance through your [former] (spouse`s/partner`s)
former employer?
.................................................................................
62 1. YES
175 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
16976 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF N033_HowObtIns <> YES
IF N034_ <> YES
IF (N035_ <> YES) AND (N036_ <> YES)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN037_2 WHERE PURCHASE PRIVATE PLAN INSURANCE- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N037_
Did you purchase this plan directly from an insurance company, through your [or
your] [husband/wife/partner's/ ] union, through a group such as AARP, a church,
or other organization, or what?
.................................................................................
124 1. INSURANCE COMPANY
5 2. R'S UNION
3. SPOUSE'S UNION
36 4. GROUP
8 6. Includes federal, state or military programs
9 7. OTHER (SPECIFY)
3 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17031 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN039_2 PAY ALL/SOME/NONE PRIV PLAN HI COSTS- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N039_PayHlthInsCost
Including any help from your family, do you [or your husband/wife/partner/ ]
pay all of the costs, some of the costs, or none of the costs of the premium for
this health insurance coverage?
.................................................................................
283 1. ALL
135 2. SOME
124 3. NONE
14 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
16659 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF N039_PayHlthInsCost <> NONE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN040_2 PRIV PLAN HI PAY PER/MONTH- AMT- 2
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.PlanDetails[2].N040_
How much do you [or your] [husband/wife/partner] pay per month in premiums for
this plan?
[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
352 0 3762 103.06 272.98 16782
-----------------------------------------------------------------
79 99998. DK (Don't Know); NA (Not Ascertained)
4 99999. RF (Refused)
==========================================================================================
LN041_2 PRIV PLAN HI PAY PER/MONTH- MIN- 2
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.PlanDetails[2].N041_
Unfolding Procedure: UNFM_1UP3DOWN (Min)
Does it amount to ... per month
Breakpoints: 50/100/150/300/500
.................................................................................
40 0. Value of Breakpoint
3 50. Value of Breakpoint
10 51. Value of Breakpoint
2 100. Value of Breakpoint
1 101. Value of Breakpoint
3 150. Value of Breakpoint
24 151. Value of Breakpoint
1 500. Value of Breakpoint
501. Value of Breakpoint
17133 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN042_2 PRIV PLAN HI PAY PER/MONTH- MAX- 2
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.PlanDetails[2].N042_
.................................................................................
10 49. Value of Breakpoint
3 50. Value of Breakpoint
13 99. Value of Breakpoint
2 100. Value of Breakpoint
4 149. Value of Breakpoint
3 150. Value of Breakpoint
7 299. Value of Breakpoint
1 500. Value of Breakpoint
41 9996. Greater than Maximum Breakpoint
17133 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN043_2 PRIV PLAN HI PAY PER/MONTH- RESULT- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[2].N043_
.................................................................................
46 98. DK (Don't Know); NA (Not Ascertained)
3 99. RF (Refused)
17168 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN044_2 BRANCHPNT-SELF EMPLOYED/ALL OTH -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N044_
.................................................................................
31 1. R IS CURRENTLY SELF-EMPLOYED
404 2. ALL OTHERS
16782 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN046_2 BRANCHPNT-SOURCE OF HEALTH INSURANCE -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N046_
.................................................................................
81 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
19 2. INS THRU SOMEPLACE ELSE
335 3. INS THRU CURRENT/FORMER EMPLOYER
16782 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN047_2 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N047_
.................................................................................
213 1. R IS COVERED BY MEDICARE
222 2. ALL OTHERS
16782 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN048_2 PRIV PLAN HI- ANYONE ELSE COVERED- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N048_AnyElseCov
Besides you, is anyone else covered on this health insurance?
.................................................................................
308 1. YES
248 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
16659 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN049_2A PRIV PLAN HI- WHO COVERED- 2- 1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[2].N049AWhoCov[1]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
38 041-990. Other Person Number
263 991. R'S SPOUSE/PARTNER
3 993. ALL CHILDREN
1 994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
16912 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN049_2B PRIV PLAN HI- WHO COVERED- 2- 2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[2].N049AWhoCov[2]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
28 041-990. Other Person Number
17 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
1 994. ONE OR MORE GRANDCHILDREN
1 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17170 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN049_2C PRIV PLAN HI- WHO COVERED- 2- 3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[2].N049AWhoCov[3]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
4 041-990. Other Person Number
12 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17201 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN049_2D PRIV PLAN HI- WHO COVERED- 2- 4
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[2].N049AWhoCov[4]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
2 041-990. Other Person Number
1 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17214 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN049_2E PRIV PLAN HI- WHO COVERED -2- 5
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[2].N049AWhoCov[5]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
041-990. Other Person Number
991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17217 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN049_2F PRIV PLAN HI- WHO COVERED -2- 6
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[2].N049AWhoCov[6]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
041-990. Other Person Number
991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17217 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF ((((piRespondents1X065ACouplenss = MARRIED) AND (N035_ <> YES)) AND (N036_
<> YES)) AND (N037_ <> SPOUSESUNION)) AND ((N048_AnyElseCov = NO) OR NOT (C91
IN N253_N049MWhoCov))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN051_2 PRIV HI- COULD SPOUSE BE COVERED- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N051_SPCoverage
Could you have obtained coverage for your spouse through this health insurance
plan?
.................................................................................
65 1. YES
38 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17105 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN052_2 PRIVATE PLAN INSURANCE AN HMO- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N052_Plan1HMO
Is this plan an HMO, that is a Health Maintenance Organization?
Def: (With an HMO, the cost of the physician visit is typically covered in full
or you pay only a small amount. All of your routine care must be provided by an
HMO physician.)
.................................................................................
65 1. YES
461 5. NO
31 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
16659 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN053_2 NUMBER YEARS IN PLAN- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[2].N053_NumYrPlan
How long have you been with this plan?
Years:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
492 0 50 13.54 11.85 16702
-----------------------------------------------------------------
22 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF (N053_NumYrPlan = 0) OR N053_NumYrPlan = EMPTY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN054_2 NUMBER MONTHS IN PLAN- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[2].N054_NumMoPlan
(How long have you been with this plan?)
Years:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
44 1 10 4.91 2.88 17150
-----------------------------------------------------------------
22 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF N052_Plan1HMO <> YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN055_2 PRIV PLAN HI- HAS LIST OF DRS- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N055_ListDoctor
Does this health insurance plan have a list or book of doctors that you are
encouraged or required to use?
.................................................................................
109 1. YES
363 5. NO
20 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
16724 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF (N055_ListDoctor = YES) OR (N052_Plan1HMO = YES)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN056_2 PLAN PAY FOR DOCTORS NOT ON LIST- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N056_DocNotList
Does [this health insurance plan/the HMO] pay any of the costs for routine care
if you see a doctor who is not [on this list/in the HMO]?
.................................................................................
105 1. YES
6 2. YES, WITH A REFERRAL
52 5. NO
11 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17043 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN058_2 PRIV HI FROM CUR/FOR EMP AND LESS 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N058_
.................................................................................
111 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
21 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
426 3. ALL OTHERS
16659 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF piSecAContinuInterviewA019_RAge < 65
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN059_2 EMPLOYER RETIREE COVERAGE UP TO 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N059_CovTo65
[Can/If you left your current employer now, could] you continue this insurance
coverage for yourself up to the age of 65?
.................................................................................
58 1. YES
48 5. NO
16 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17095 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF piSecAContinuInterviewA019_RAge < 65
IF N059_CovTo65 = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN060_2 EMPLOYER RETIREE HI COVERAGE AFTER 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N060_EmpCovAft65
[Does your former /If you left your current employer now, does your ] employer
offer some type of health insurance coverage for you after the age of 65?
.................................................................................
27 1. YES
25 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17159 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF (((SecA.Relations.A044TSpAge_A < 65) AND (piRespondents1X065ACouplenss <>
OTHER)) AND (N059_CovTo65 <> NO)) AND (N051_SPCoverage = YES)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN062_2 EMP RETIREE HI COV FOR SP UP TO 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N062_CovSPTo65
[Could your spouse be covered by this plan/If you left your current employer now
could you continue your current health insurance coverage for your spouse] until
[he/she] is age 65?
.................................................................................
5 1. YES
4 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17204 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF (((SecA.Relations.A044TSpAge_A < 65) AND (piRespondents1X065ACouplenss <>
OTHER)) AND (N059_CovTo65 <> NO)) AND (N051_SPCoverage = YES)
IF N062_CovSPTo65 = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN063_2 EMP RETIREE HI COV FOR SP AFTER 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N063_CovSPAft65
[Does your former /If you left your current employer now, does your ] employer
offer some type of health insurance coverage for your spouse after the age of
65?
.................................................................................
2 1. YES
1 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17212 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN066_2 LIMITS ON HI DUE TO PREEXISTING COND- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N066_LimitHlthIns
Are there any limits or restrictions on this health insurance plan due to a
preexisting condition?
.................................................................................
43 1. YES
479 5. NO
35 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
16659 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN032_3 PRIVATE PLAN 1-3 HELP PAY REGULAR RX- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N032_
Does [NAME PRIVATE HEALTH INSURANCE PLAN] provide help with paying for regular
prescription drugs?
The follow-up questions refer to the private plan, not to Medicare.
.................................................................................
10 1. YES
48 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17153 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF J020=1
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN033_3 OBTAIN HI THRU CURRNT EMP/OWN BUSINESS-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N033_HowObtIns
Do you obtain this health insurance through [your own business or professional
organization?/your current employer?]
.................................................................................
27 1. YES
9 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17179 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF N033_HowObtIns <> YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN034_3 OBTAIN INS THRU FORMER EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N034_
Do you obtain this health insurance through a former employer of yours?
.................................................................................
12 1. YES
22 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17180 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF N033_HowObtIns <> YES
IF N034_ <> YES
IF ((((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) OR (SecB.B063_MarStatAssign =
ANULLED)) OR (SecB.B063_MarStatAssign = SEPARATED)) OR (SecB.B063_MarStatAssign
= DIVORCED)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN035_3 OBTAIN INS THRU HWP CURRENT EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N035_
Do you obtain this health insurance through your [former] (spouse`s/partner`s)
current employer?
.................................................................................
2 1. YES
13 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17200 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF N033_HowObtIns <> YES
IF N034_ <> YES
IF ((N035_ <> YES) AND N035_ <> EMPTY) OR (SecB.B063_MarStatAssign = WIDOWED)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN036_3 OBTAIN INS THRU HWP FORMER EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N036_
Do you obtain this health insurance through your [former] (spouse`s/partner`s)
former employer?
.................................................................................
2 1. YES
18 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17194 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF N033_HowObtIns <> YES
IF N034_ <> YES
IF (N035_ <> YES) AND (N036_ <> YES)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN037_3 WHERE PURCHASE PRIVATE PLAN INSURANCE- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N037_
Did you purchase this plan directly from an insurance company, through your [or
your] [husband/wife/partner's/ ] union, through a group such as AARP, a church,
or other organization, or what?
.................................................................................
11 1. INSURANCE COMPANY
2. R'S UNION
3. SPOUSE'S UNION
4 4. GROUP
1 7. OTHER (SPECIFY)
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17196 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN039_3 PAY ALL/SOME/NONE PRIV PLAN HI COSTS-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N039_PayHlthInsCost
Including any help from your family, do you [or your husband/wife/partner/ ]
pay all of the costs, some of the costs, or none of the costs of the premium for
this health insurance coverage?
.................................................................................
30 1. ALL
14 2. SOME
14 3. NONE
5 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17153 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF N039_PayHlthInsCost <> NONE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN040_3 PRIV PLAN HI PAY PER/MONTH- AMT- 3
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.PlanDetails[3].N040_
How much do you [or your] [husband/wife/partner] pay per month in premiums for
this plan?
[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
44 0 376 44.23 67.23 17167
-----------------------------------------------------------------
5 9998. DK (Don't Know); NA (Not Ascertained)
1 9999. RF (Refused)
==========================================================================================
LN041_3 PRIV PLAN HI PAY PER/MONTH- MIN- 3
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.PlanDetails[3].N041_
Unfolding Procedure: UNFM_1UP3DOWN (Min)
Does it amount to ... per month
Breakpoints: 50/100/150/300/500
.................................................................................
5 0. Value of Breakpoint
1 151. Value of Breakpoint
17211 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN042_3 PRIV PLAN HI PAY PER/MONTH- MAX- 3
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.PlanDetails[3].N042_
.................................................................................
1 49. Value of Breakpoint
5 996. Greater than Maximum Breakpoint
17211 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN043_3 PRIV PLAN HI PAY PER/MONTH- RESULT- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[3].N043_
.................................................................................
5 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17212 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN044_3 BRANCHPNT-SELF EMPLOYED/ALL OTH -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N044_
.................................................................................
3 1. R IS CURRENTLY SELF-EMPLOYED
47 2. ALL OTHERS
17167 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN046_3 BRANCHPNT-SOURCE OF HEALTH INSURANCE -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N046_
.................................................................................
1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
1 2. INS THRU SOMEPLACE ELSE
49 3. INS THRU CURRENT/FORMER EMPLOYER
17167 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN047_3 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N047_
.................................................................................
17 1. R IS COVERED BY MEDICARE
33 2. ALL OTHERS
17167 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN048_3 PRIV PLAN HI- ANYONE ELSE COVERED- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N048_AnyElseCov
Besides you, is anyone else covered on this health insurance?
.................................................................................
28 1. YES
33 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17153 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN049_3A PRIV PLAN HI- WHO COVERED- 3- 1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[3].N049AWhoCov[1]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
3 041-990. Other Person Number
25 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17189 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN049_3B PRIV PLAN HI- WHO COVERED- 3- 2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[3].N049AWhoCov[2]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
4 041-990. Other Person Number
1 991. R'S SPOUSE/PARTNER
1 993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17211 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN049_3C PRIV PLAN HI- WHO COVERED- 3- 3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[3].N049AWhoCov[3]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
1 041-990. Other Person Number
2 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17214 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN049_3D PRIV PLAN HI- WHO COVERED- 3- 4
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[3].N049AWhoCov[4]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
041-990. Other Person Number
991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17217 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF ((((piRespondents1X065ACouplenss = MARRIED) AND (N035_ <> YES)) AND (N036_
<> YES)) AND (N037_ <> SPOUSESUNION)) AND ((N048_AnyElseCov = NO) OR NOT (C91
IN N253_N049MWhoCov))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN051_3 PRIV HI- COULD SPOUSE BE COVERED- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N051_SPCoverage
Could you have obtained coverage for your spouse through this health insurance
plan?
.................................................................................
7 1. YES
7 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17201 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN052_3 PRIVATE PLAN INSURANCE AN HMO- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N052_Plan1HMO
Is this plan an HMO, that is a Health Maintenance Organization?
Def: (With an HMO, the cost of the physician visit is typically covered in full
or you pay only a small amount. All of your routine care must be provided by an
HMO physician.)
.................................................................................
10 1. YES
49 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17153 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN053_3 NUMBER YEARS IN PLAN- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[3].N053_NumYrPlan
How long have you been with this plan?
Years:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
50 0 50 11.12 12.15 17161
-----------------------------------------------------------------
5 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF (N053_NumYrPlan = 0) OR N053_NumYrPlan = EMPTY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN054_3 NUMBER MONTHS IN PLAN- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[3].N054_NumMoPlan
(How long have you been with this plan?)
Years:
Or
Months:
.................................................................................
8 1-10. Actual Value
6 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
17202 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF N052_Plan1HMO <> YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN055_3 PRIV PLAN HI- HAS LIST OF DRS- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N055_ListDoctor
Does this health insurance plan have a list or book of doctors that you are
encouraged or required to use?
.................................................................................
14 1. YES
36 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17163 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF (N055_ListDoctor = YES) OR (N052_Plan1HMO = YES)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN056_3 PLAN PAY FOR DOCTORS NOT ON LIST- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N056_DocNotList
Does [this health insurance plan/the HMO] pay any of the costs for routine care
if you see a doctor who is not [on this list/in the HMO]?
.................................................................................
11 1. YES
2. YES, WITH A REFERRAL
10 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17193 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN058_3 PRIV HI FROM CUR/FOR EMP AND LESS 65- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N058_
.................................................................................
26 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
1 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
37 3. ALL OTHERS
17153 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF piSecAContinuInterviewA019_RAge < 65
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN059_3 EMPLOYER RETIREE COVERAGE UP TO 65- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N059_CovTo65
[Can/If you left your current employer now, could] you continue this insurance
coverage for yourself up to the age of 65?
.................................................................................
10 1. YES
12 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17191 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF piSecAContinuInterviewA019_RAge < 65
IF N059_CovTo65 = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN060_3 EMPLOYER RETIREE HI COVERAGE AFTER 65- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N060_EmpCovAft65
[Does your former /If you left your current employer now, does your ] employer
offer some type of health insurance coverage for you after the age of 65?
.................................................................................
2 1. YES
7 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17207 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF (((SecA.Relations.A044TSpAge_A < 65) AND (piRespondents1X065ACouplenss <>
OTHER)) AND (N059_CovTo65 <> NO)) AND (N051_SPCoverage = YES)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN062_3 EMP RETIREE HI COV FOR SP UP TO 65- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N062_CovSPTo65
[Could your spouse be covered by this plan/If you left your current employer now
could you continue your current health insurance coverage for your spouse] until
[he/she] is age 65?
.................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17217 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
IF (((SecA.Relations.A044TSpAge_A < 65) AND (piRespondents1X065ACouplenss <>
OTHER)) AND (N059_CovTo65 <> NO)) AND (N051_SPCoverage = YES)
IF N062_CovSPTo65 = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN063_3 EMP RETIREE HI COV FOR SP AFTER 65- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N063_CovSPAft65
[Does your former /If you left your current employer now, does your ] employer
offer some type of health insurance coverage for your spouse after the age of
65?
.................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17217 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE
IF CNT <= N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN066_3 LIMITS ON HI DUE TO PREEXISTING COND- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N066_LimitHlthIns
Are there any limits or restrictions on this health insurance plan due to a
preexisting condition?
.................................................................................
6 1. YES
50 5. NO
7 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17153 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (((MedD.N417_ = YES) AND (PlanDetails[1].N032_ <> YES)) AND
(PlanDetails[2].N032_ <> YES)) AND (PlanDetails[3].N032_ <> YES)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN431 PRESCRIPTION DRUG COVERAGE, WHICH PLAN
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.N431_DrugPlan
Earlier you told us that you have prescription drug coverage. Which plan is
that?
.................................................................................
45 1. FIRST PLAN MENTIONED AT LN024
1 2. SECOND PLAN MENTIONED AT LN024
3. THIRD PLAN MENTIONED AT LN024
4. PLAN MENTIONED AT LN070
5. PLAN MENTIONED AT LN074
6. PLAN MENTIONED AT LN105
7. PLAN MENTIONED AT LN113
8. PLAN MENTIONED AT LN242
9. PLAN MENTIONED AT LN138
10. PLAN MENTIONED AT LN146
11. PLAN MENTIONED AT LN155
12. PLAN MENTIONED AT LN163
13. PLAN MENTIONED AT LN167
14. PLAN MENTIONED AT LN174
15. PLAN MENTIONED AT LN179
16. PLAN MENTIONED AT LN187
9 19. MEDICARE HMO
51 20. MEDICARE
86 21. MEDICAID
227 22. CHAMPUS
640 27. NOT ON LIST
315 97. GET MEDS THROUGH THE VA
21 98. DK (Don't LNow); NA (Not Ascertained)
99. RF (Refused)
15822 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N090_NumOfPlans := N090_NumOfPlans + 1:
IF GovCover.N001_ = YES
OR
IF GovCover.N006_ = YES
OR
IF GovCover.N007_ = YES
OR
IF (((MedD.N417_ = YES) AND (PlanDetails[1].N032_ <> YES)) AND
(PlanDetails[2].N032_ <> YES)) AND (PlanDetails[3].N032_ <> YES)
IF N431_DrugPlan = Plan27
IF N432_Drugplanname <> EMPTY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN090 NUMBER OF PUBLIC/PRIVATE HI PLANS
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.N090_NumOfPlans
User Note: The following variables are used to calculate LN090: LN001, LN006,
LN007, LN024, LN068, LN074, LN105, LN113, LN179, LN187, and LN373.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
17217 0 6 1.87 0.96 0
-----------------------------------------------------------------
==========================================================================================
LN071 LTC INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N071_LTCIns
[Not including government programs, do] you now have any long-term care
insurance which specifically covers nursing home care for a year or more or any
part of personal or medical care in your home?
.................................................................................
2078 1. YES
14839 5. NO
270 8. DK (Don't Know); NA (Not Ascertained)
13 9. RF (Refused)
17 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N072_LTCCovNHNewPrev := DIFFERENTPLAN:
IF N071_LTCIns = YES
IF ptN090_NumOfPlans = 0
ASK:
IF N071_LTCIns = YES
NOT(IF ptN090_NumOfPlans = 0)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN072 LTC COV- NEW OR PRE MENTION PLAN
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N072_LTCCovNHNewPrev
Is that one of the plans you have already described, or a different plan?
.................................................................................
393 1. PREVIOUSLY DESCRIBED PLAN
1675 2. DIFFERENT PLAN
10 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
15139 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N073_LTCCovNHWhi := Plan27:
IF N071_LTCIns = YES
IF ptN090_NumOfPlans = 0
OR
IF N071_LTCIns = YES
NOT(IF ptN090_NumOfPlans = 0)
NOT(IF N072_LTCCovNHNewPrev = PREVDESCRPLAN)
IF N072_LTCCovNHNewPrev = DIFFERENTPLAN
ASK:
IF N071_LTCIns = YES
NOT(IF ptN090_NumOfPlans = 0)
IF N072_LTCCovNHNewPrev = PREVDESCRPLAN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN073 LTC COV- WHICH PREV MENTION PLAN
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeINs.N073_LTCCovNHWhi
Which plan is that?
.................................................................................
287 1. FIRST PLAN MENTIONED AT LN024
7 2. SECOND PLAN MENTIONED AT LN024
3. THIRD PLAN MENTIONED AT LN024
4. PLAN MENTIONED AT LN070
5. PLAN MENTIONED AT LN074
6. PLAN MENTIONED AT LN105
7. PLAN MENTIONED AT LN113
6 8. PLAN MENTIONED AT LN242
9. PLAN MENTIONED AT LN138
10. PLAN MENTIONED AT LN146
11. PLAN MENTIONED AT LN155
12. PLAN MENTIONED AT LN163
13. PLAN MENTIONED AT LN167
14. PLAN MENTIONED AT LN174
15. PLAN MENTIONED AT LN179
16. PLAN MENTIONED AT LN187
13 18. MEDICARE PART D - NAME OF PART D PLAN
34 19. Medicare HMO
11 20. MEDICARE
7 21. MEDICAID
6 22. CHAMPUS
1694 27. NOT ON LIST
3 98. DK (Don't LNow); NA (Not Ascertained)
99. RF (Refused)
15149 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N071_LTCIns = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN075 COVER NURSING HOME/IN-HOME CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N075_CovNHInHome
Does this plan cover care in a nursing home facility only, personal or long-term
care at home, or both in-home and nursing home care?
.................................................................................
210 1. NURSING HOME CARE ONLY
84 2. IN-HOME CARE ONLY
1645 3. BOTH
8 7. OTHER (SPECIFY)
130 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
15139 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N071_LTCIns = YES
IF (piRespondents1X065ACouplenss <> OTHER and (N072_LTCCovNHNewPrev =
DIFFERENTPLAN or N073_LTCCovNHWhi = Plan27))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN238 SPOUSE COVER NURSING HOME/IN-HOME CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N238_SPCovNHInHome
Does this plan provide long-term care coverage for your [husband/wife/partner]
as well as for yourself?
.................................................................................
792 1. YES
424 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
15995 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N071_LTCIns = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN077 RECD BENEFITS UNDER LTC
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N077_RcvBenefLTC
Have you [[or your] [husband/wife/partner]] ever received benefits under your
long-term care policy?
.................................................................................
96 1. YES
1976 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
15139 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N071_LTCIns = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN078 PAYMENTS INCREASE W/ INFLATION
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N078_PlanPayIncInfl
Does this plan increase payments with inflation?
.................................................................................
938 1. YES
809 5. NO
329 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
15139 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N071_LTCIns = YES
IF (N072_LTCCovNHNewPrev <> PREVDESCRPLAN) OR (N073_LTCCovNHWhi = Plan27)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN079 AMT PAY FOR LTC
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.NHomeINs.N079_AmtPayLTC
[How much do you [or your] [husband/wife/partner] pay for this plan?/How much do
you [or your] [husband/wife/partner] pay for this long-term care coverage?]
ENTER 0 if no payments are made
Do not probe DK/RF
Amount:
Per:
.................................................................................
1467 0-100000. Actual Value
2 999995. Amount included with other insurance payments
219 999998. DK (Don't Know); NA (Not Ascertained)
16 999999. RF (Refused)
15513 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N080_ := EMPTY:
IF N071_LTCIns = YES
IF (N072_LTCCovNHNewPrev <> PREVDESCRPLAN) OR (N073_LTCCovNHWhi = Plan27)
IF N079_AmtPayLTC <> EMPTY AND N079_AmtPayLTC <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN080 AMT PAY FOR LTC - MIN
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.NHomeINs.N080_
Unfolding Procedure: UNFM_1UP2DOWN (Min)
Does it amount to ... per month
Breakpoints: 50/100/200/300
.................................................................................
127 0. Value of Breakpoint
3 50. Value of Breakpoint
16 51. Value of Breakpoint
8 100. Value of Breakpoint
39 101. Value of Breakpoint
4 200. Value of Breakpoint
21 201. Value of Breakpoint
6 300. Value of Breakpoint
11 301. Value of Breakpoint
16982 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N081_ := EMPTY:
IF N071_LTCIns = YES
IF (N072_LTCCovNHNewPrev <> PREVDESCRPLAN) OR (N073_LTCCovNHWhi = Plan27)
IF N079_AmtPayLTC <> EMPTY AND N079_AmtPayLTC <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN081 AMT PAY FOR LTC - MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.NHomeINs.N081_
.................................................................................
8 49. Value of Breakpoint
3 50. Value of Breakpoint
19 99. Value of Breakpoint
8 100. Value of Breakpoint
34 199. Value of Breakpoint
4 200. Value of Breakpoint
16 299. Value of Breakpoint
6 300. Value of Breakpoint
137 9996. Greater than Maximum Breakpoint
16982 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N082_ := EMPTY:
IF N071_LTCIns = YES
IF (N072_LTCCovNHNewPrev <> PREVDESCRPLAN) OR (N073_LTCCovNHWhi = Plan27)
IF N079_AmtPayLTC <> EMPTY AND N079_AmtPayLTC <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN082 AMT PAY FOR LTC- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeINs.N082_
.................................................................................
119 98. DK (Don't Know); NA (Not Ascertained)
14 99. RF (Refused)
17084 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N071_LTCIns = YES
IF (N072_LTCCovNHNewPrev <> PREVDESCRPLAN) OR (N073_LTCCovNHWhi = Plan27)
IF N079_AmtPayLTC > 0
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN083 AMT PAY FOR LTC PER
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N083_AmtPayLTCPer
[How much do you [or your] [husband/wife/partner] pay for this plan?/How much do
you [or your] [husband/wife/partner] pay for this long-term care coverage?]
ENTER 0 if no payments are made
Do not probe DK/RF
Amount: [AMT PAY FOR LTC]
Per:
.................................................................................
639 1. MONTH
83 2. QUARTER (EVERY 3 MONTHS)
4 3. Week
667 4. YEAR
6 6. Lump sum payment
7. OTHER (SPECIFY)
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
15813 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN256 R AGE PREV INTERVIEW
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.N256_RAgePREVIW
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
17217 23 106 67.61 10.77 0
-----------------------------------------------------------------
==========================================================================================
ASK:
IF ((N090_NumOfPlans > 0) AND (piRvarsZ201_PWMedicareCovered <> YES))
OR (N256_RAgePREVIW < 65)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN091 EVER WITHOUT HI AMONG CURRENTLY INSURED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N091_NoInsurance
Were you ever without health insurance coverage at any time [in the last two
years/since [PREV WAVE FIRST R IW MO], [PREV WAVE FIRST R IW YEAR]]?
.................................................................................
1083 1. YES
6240 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
9883 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N090_NumOfPlans = 0
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN342 CONFIRM NO MEDICAL INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N342_AnyInsurance
According to my information, you are not currently covered by any government or
private health insurance plans that provide medical care. Is that correct?
.................................................................................
840 1. YES
67 5. NO
13 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
16293 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N090_NumOfPlans = 0
IF N342_AnyInsurance = NO
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN343M1 WHICH PLAN- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N343_WhatInsurance[1]
Under which of the following plans are you covered?
READ list:
Medicare
Medicaid
Champus/ChampVA
A private plan from an employer
A private plan purchased directly
Some other type of plan
CHOOSE all that apply.
IF R reports State name for Medicaid, Code as 2. Medicaid.
.................................................................................
5 1. MEDICARE
3 2. MEDICAID
2 3. CHAMPUS/CHAMPVA
20 4. A PRIVATE PLAN FROM AN EMPLOYER
8 5. A PRIVATE PLAN PURCHASED DIRECTLY
26 6. OTHER PLAN
2 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17150 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N090_NumOfPlans = 0
IF N342_AnyInsurance = NO
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN343M2 WHICH PLAN- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N343_WhatInsurance[2]
Under which of the following plans are you covered?
READ list:
Medicare
Medicaid
Champus/ChampVA
A private plan from an employer
A private plan purchased directly
Some other type of plan
CHOOSE all that apply.
IF R reports State name for Medicaid, Code as 2. Medicaid.
.................................................................................
1. MEDICARE
2. MEDICAID
3. CHAMPUS/CHAMPVA
4. A PRIVATE PLAN FROM AN EMPLOYER
1 5. A PRIVATE PLAN PURCHASED DIRECTLY
6. OTHER PLAN
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17216 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N090_NumOfPlans = 0
IF N342_AnyInsurance = NO
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN343M3 WHICH PLAN- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N343_WhatInsurance[3]
Under which of the following plans are you covered?
READ list:
Medicare
Medicaid
Champus/ChampVA
A private plan from an employer
A private plan purchased directly
Some other type of plan
CHOOSE all that apply.
IF R reports State name for Medicaid, Code as 2. Medicaid.
.................................................................................
1. MEDICARE
2. MEDICAID
3. CHAMPUS/CHAMPVA
4. A PRIVATE PLAN FROM AN EMPLOYER
5. A PRIVATE PLAN PURCHASED DIRECTLY
6. OTHER PLAN
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17217 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (((piSecJWorkstatusJ021_EmpSelfOth = SOMEONEELSE) AND
(PlanDetails[1].N033_HowObtIns <> YES)) AND (PlanDetails[2].N033_HowObtIns <>
YES)) AND (PlanDetails[3].N033_HowObtIns <> YES)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN092 EMP/UNION OFFER HI - WRKG R W/O EMP INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.RNotCovEmp.N092_EmplHlthIns
Does your employer or union offer a health insurance plan to any of its
employees?
.................................................................................
1102 1. YES
926 5. NO
71 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
15114 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (((piSecJWorkstatusJ021_EmpSelfOth = SOMEONEELSE) AND
(PlanDetails[1].N033_HowObtIns <> YES)) AND (PlanDetails[2].N033_HowObtIns <>
YES)) AND (PlanDetails[3].N033_HowObtIns <> YES)
IF N092_EmplHlthIns = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN093 OFFERED HI THRU JOB- WRKNG R W/O EMP INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.RNotCovEmp.N093_JobHlthIns
Were you offered health insurance through your job?
.................................................................................
676 1. YES
422 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16115 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piSecJWorkstatusJ021_EmpSelfOth = SOMEONEELSE) AND
(((PlanDetails[1].N033_HowObtIns = YES) OR (PlanDetails[2].N033_HowObtIns =
YES)) OR (PlanDetails[3].N033_HowObtIns = YES))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN094 CHOICE IN PLANS- WRKNG R W/ EMP INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.RCovEmp.N094_ChoicePlan
In the last two years, has your employer offered a choice of different health
insurance plans that provided hospital and physician benefits or was only one
health insurance plan offered to you?
.................................................................................
1027 1. YES, MORE THAN ONE PLAN
1292 5. NO, ONLY ONE PLAN
20 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
14878 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piSecJWorkstatusJ021_EmpSelfOth = SOMEONEELSE) AND
(((PlanDetails[1].N033_HowObtIns = YES) OR (PlanDetails[2].N033_HowObtIns =
YES)) OR (PlanDetails[3].N033_HowObtIns = YES))
IF N094_ChoicePlan = YESMORETHANONEPLAN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN095 EMP OFFERED BETTER COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.RCovEmp.N095_BetterCov
Compared to your current coverage through your employer, did any of these other
plans... Provide better coverage?
.................................................................................
222 1. YES
753 5. NO
52 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16190 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piSecJWorkstatusJ021_EmpSelfOth = SOMEONEELSE) AND
(((PlanDetails[1].N033_HowObtIns = YES) OR (PlanDetails[2].N033_HowObtIns =
YES)) OR (PlanDetails[3].N033_HowObtIns = YES))
IF N094_ChoicePlan = YESMORETHANONEPLAN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN096 EMP OFFERED GREATER PHYSICIAN CHOICE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.RCovEmp.N096_MoreChoice
(Compared to your current coverage through your employer, did any of these other
plans...)
Provide greater choice of physicians?
.................................................................................
281 1. YES
671 5. NO
75 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16190 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piSecJWorkstatusJ021_EmpSelfOth = SOMEONEELSE) AND
(((PlanDetails[1].N033_HowObtIns = YES) OR (PlanDetails[2].N033_HowObtIns =
YES)) OR (PlanDetails[3].N033_HowObtIns = YES))
IF N094_ChoicePlan = YESMORETHANONEPLAN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN097 EMP OFFERED MORE COSTLY HI PLANS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.RCovEmp.N097_CostMore
(Compared to your current coverage through your employer, did any of these other
plans...)
Cost more than your plan?
.................................................................................
557 1. YES
406 5. NO
64 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16190 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
RCovEmp.N249_PlanCnt1 := N090_NumOfPlans:
IF
RCovEmp.N094_ChoicePlan <> EMPTY AND RCovEmp.N249_PlanCnt1 = EMPTY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN249 PLAN COUNT 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.RCovEmp.N249_PlanCnt1
User Note: This value is assigned from N090 where N094 is not empty.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
2339 1 5 1.34 0.60 14878
-----------------------------------------------------------------
==========================================================================================
ASSIGN:
N098_ := ALLOTHS:
NOT(IF (((PlanDetails[1].N032_ = YES) OR
(PlanDetails[2].N032_ = YES)) OR (PlanDetails[3].N032_ = YES)) OR
(((PrescpDrug.N176_MedsCovIns = COMPLETELYCOVRD) OR (PrescpDrug.N176_MedsCovIns
= MOSTLYCOVRD)) OR (PrescpDrug.N176_MedsCovIns = PARTIALLYCOVRD)))SSIGN:
N098_ := RSHEALTHINSPAYPARTSCRIPDENTAL:
IF (((PlanDetails[1].N032_ = YES)
OR (PlanDetails[2].N032_ = YES)) OR (PlanDetails[3].N032_ = YES)) OR
(((PrescpDrug.N176_MedsCovIns = COMPLETELYCOVRD) OR (PrescpDrug.N176_MedsCovIns
= MOSTLYCOVRD)) OR (PrescpDrug.N176_MedsCovIns = PARTIALLYCOVRD))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN098 BRANCHPNT-DENTAL/MEDS COVRGE/ALL OTH
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N098_
.................................................................................
7448 1. R`S HEALTH INSURANCE PAYS PART OF PRESCRIPTION AND/OR DENTAL
9769 2. ALL OTHERS
==========================================================================================
LN099 OVERNIGHT STAY IN HOSP-SINCE PREV IW/2YR
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N099_OverniteHosp
The next questions are about health care you have received. [In the last two
years/Since [PREV WAVE IW [MONTH, ]YEAR]] , have you been a patient in a
hospital overnight?
.................................................................................
4860 1. YES
12306 5. NO
29 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
17 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N099_OverniteHosp = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN100 NUM TIMES R STAYED OVERNIGHT IN HOSP
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.HospitalStay.N100_TimeOverHosp
How many different times were you a patient in a hospital overnight [in the last
two years/since [PREV WAVE IW [MONTH, ]YEAR]]?
If R asks, include mental hospitals and sanitariums
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
4821 1 50 1.80 1.77 12357
-----------------------------------------------------------------
38 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
==========================================================================================
ASK:
IF N099_OverniteHosp = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN101 NUM NIGHTS R SPENT OVERNIGHT IN HOSPITAL
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.HospitalStay.N101_NiteOverHosp
[Altogether how/How] many nights were you a patient in the hospital [in the last
two years/since [PREV WAVE IW [MONTH, ]YEAR]]?
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
4741 0 609 8.75 18.67 12357
-----------------------------------------------------------------
118 998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
==========================================================================================
ASK:
IF (N099_OverniteHosp = YES)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN102 HOSPITAL STAYS COVERED BY INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N102_HospCovIns
Were the costs for your hospital stay(s) completely covered by health insurance,
mostly covered, only partially covered, or not covered at all by insurance?
.................................................................................
2707 1. COMPLETELY COVERED
1509 2. MOSTLY COVERED
376 3. PARTIALLY COVERED
99 5. NOT COVERED AT ALL
110 7. [VOL] COSTS NOT SETTLED YET
53 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
12357 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N099_OverniteHosp = YES)
IF ((piGovCoverN001_ <> YES) OR ((((GovCover.N006_ = YES) OR (GovCover.N007_
= YES)) OR (N023_ <> 0)) AND (PlanDetails[1].N025_ <> MEDICARE))) AND
(((N102_HospCovIns = COMPLETELYCOVRD) OR (N102_HospCovIns = MOSTLYCOVRD)) OR
(N102_HospCovIns = PARTIALLYCOVRD))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN104 WHICH PLAN COV LGST SHARE HOSPITAL COST
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.HospitalStay.N104_WhiPlanCovHosp
What is the name of the health insurance plan that covered the largest share of
the costs?
.................................................................................
825 1. FIRST PLAN MENTIONED AT LN024
8 2. SECOND PLAN MENTIONED AT LN024
3. THIRD PLAN MENTIONED AT LN024
4. PLAN MENTIONED AT LN070
2 5. PLAN MENTIONED AT LN074
6. PLAN MENTIONED AT LN105
7. PLAN MENTIONED AT LN113
3 8. PLAN MENTIONED AT LN242
9. PLAN MENTIONED AT LN138
10. PLAN MENTIONED AT LN146
11. PLAN MENTIONED AT LN155
12. PLAN MENTIONED AT LN163
13. PLAN MENTIONED AT LN167
14. PLAN MENTIONED AT LN174
15. PLAN MENTIONED AT LN179
16. PLAN MENTIONED AT LN187
18 18. MEDICARE PART D - NAME OF PART D PLAN
98 19. MEDICARE HMO
367 20. MEDICARE
184 21. MEDICAID
67 22. CHAMPUS
177 27. NOT ON LIST
97 98. DK (Don't LNow); NA (Not Ascertained)
1 99. RF (Refused)
15370 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N099_OverniteHosp = YES)
IF ((piGovCoverN001_ <> YES) OR ((((GovCover.N006_ = YES) OR (GovCover.N007_
= YES)) OR (N023_ <> 0)) AND (PlanDetails[1].N025_ <> MEDICARE))) AND
(((N102_HospCovIns = COMPLETELYCOVRD) OR (N102_HospCovIns = MOSTLYCOVRD)) OR
(N102_HospCovIns = PARTIALLYCOVRD))
IF N104_WhiPlanCovHosp = Plan27
IF N105_NamePlanCovHosp <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN359 LGST SHARE HOSPITAL COST- STILL COVERED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N359_
Are you still covered under this plan?
.................................................................................
68 1. YES
101 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17047 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N099_OverniteHosp = YES)
IF N102_HospCovIns <> COMPLETELYCOVRD
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN106 AMT PAID O-O-P HOSPITAL COSTS
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.HospitalStay.N106_AmtOOPHospCost
About how much did you pay out-of-pocket for hospital bills [in the last two
years/since [PREV WAVE IW [MONTH, ]YEAR]]?
Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1553 0 250000 1529.03 7062.41 15064
-----------------------------------------------------------------
0. None; includes cost not settled yet
583 9999998. DK (Don't Know); NA (Not Ascertained)
17 9999999. RF (Refused)
==========================================================================================
ASSIGN:
N107_ := EMPTY:
IF (N099_OverniteHosp = YES)
IF N102_HospCovIns <> COMPLETELYCOVRD
IF N106_AmtOOPHospCost <> EMPTY AND N106_AmtOOPHospCost <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN107 AMT PAID O-O-P HOSPITAL COSTS - MIN
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.HospitalStay.N107_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $500, $5,000, $10,000, $20,000, $50,000
RANDOM ENTRY POINTS: $5,000, $10,000, $20,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X511
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
245 0. Value of Breakpoint
46 500. Value of Breakpoint
169 501. Value of Breakpoint
24 5000. Value of Breakpoint
28 5001. Value of Breakpoint
11 10000. Value of Breakpoint
64 10001. Value of Breakpoint
4 20000. Value of Breakpoint
6 20001. Value of Breakpoint
2 50001. Value of Breakpoint
16618 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N108_ := EMPTY:
IF (N099_OverniteHosp = YES) OR
(PISecAContinuInterviewA124_PlaceDied = INHOSPITAL)
IF N102_HospCovIns <> COMPLETELYCOVRD
IF N106_AmtOOPHospCost <> EMPTY AND N106_AmtOOPHospCost <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN108 AMT PAID O-O-P HOSPITAL COSTS - MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.HospitalStay.N108_
.................................................................................
115 499. Value of Breakpoint
46 500. Value of Breakpoint
193 4999. Value of Breakpoint
24 5000. Value of Breakpoint
39 9999. Value of Breakpoint
11 10000. Value of Breakpoint
17 19999. Value of Breakpoint
4 20000. Value of Breakpoint
5 49999. Value of Breakpoint
145 999996. Greater than Maximum Breakpoint
16618 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N109_ := EMPTY:
IF (N099_OverniteHosp = YES) OR
(PISecAContinuInterviewA124_PlaceDied = INHOSPITAL)
IF N102_HospCovIns <> COMPLETELYCOVRD
IF N106_AmtOOPHospCost <> EMPTY AND N106_AmtOOPHospCost <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN109 AMT PAID O-O-P HOSPITAL COSTS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.HospitalStay.N109_
.................................................................................
1 97. Data not available
171 98. DK (Don't Know); NA (Not Ascertained)
18 99. RF (Refused)
17027 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN110 EXPECT INS TO COVER HOSPITAL COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N110_ExpInsCovHosp
If you did need to stay in a hospital overnight, would you expect any of the
costs to be covered by insurance?
.................................................................................
3628 1. YES
735 5. NO
24 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
12827 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N110_ExpInsCovHosp = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN112 WHICH PLAN COVER LGST SHARE HOSP COST
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.HospitalStay.N112_ExpWhiPlanHosp
What is the name of the health insurance plan that would cover the largest share
of the costs?
.................................................................................
3401 1. FIRST PLAN MENTIONED AT LN024
19 2. SECOND PLAN MENTIONED AT LN024
1 3. THIRD PLAN MENTIONED AT LN024
4. PLAN MENTIONED AT LN070
2 5. PLAN MENTIONED AT LN074
6. PLAN MENTIONED AT LN105
7. PLAN MENTIONED AT LN113
8. PLAN MENTIONED AT LN242
9. PLAN MENTIONED AT LN138
10. PLAN MENTIONED AT LN146
11. PLAN MENTIONED AT LN155
12. PLAN MENTIONED AT LN163
13. PLAN MENTIONED AT LN167
14. PLAN MENTIONED AT LN174
15. PLAN MENTIONED AT LN179
16. PLAN MENTIONED AT LN187
19. MEDICARE HMO
20. MEDICARE
21. MEDICAID
22. CHAMPUS
175 27. NOT ON LIST
26 98. DK (Don't LNow); NA (Not Ascertained)
4 99. RF (Refused)
13589 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
HospitalStay.N250_PlanCnt2 := N090_NumOfPlans:
IF
(HospitalStay.N099_OverniteHosp <> EMPTY OR HospitalStay.N113_ExpNamePlanHosp
<> EMPTY) AND HospitalStay.N250_PlanCnt2 = EMPTYSSIGN:
N250_PlanCnt2 :=
ptN090_NumOfPlans:
IF N113_ExpNamePlanHosp <> EMPTY AND N250_PlanCnt2 =
EMPTY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN250 PLAN COUNT 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.HospitalStay.N250_PlanCnt2
User Note: This value is assigned from N090 where N099 or N113 is blank.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
17200 0 6 1.79 0.95 17
-----------------------------------------------------------------
==========================================================================================
LN114 EVER PATIENT OVERNIGHT IN NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.N114_OverniteNH
[In the last two years/Since [PREV WAVE FIRST R IW MO], [PREV WAVE FIRST R IW
YEAR]], have you been a patient overnight in a nursing home, convalescent home,
or other long-term health care facility?
.................................................................................
887 1. YES
16301 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
16 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N115_TimeOverNH := 1:
IF (((ACTIVELANGUAGE = EXTENG) OR
(ACTIVELANGUAGE = EXTSPN)) AND ((PISecAContinuInterviewA124_PlaceDied =
INNURSINGHOME) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))) AND
(N114_OverniteNH <> YES)
ASK:
NOT(IF (((ACTIVELANGUAGE = EXTENG) OR
(ACTIVELANGUAGE = EXTSPN)) AND ((PISecAContinuInterviewA124_PlaceDied =
INNURSINGHOME) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))) AND
(N114_OverniteNH <> YES))
IF N114_OverniteNH = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN115 # TIMES SPENT OVERNIGHT IN NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.N115_TimeOverNH
How many [times, including now, have you been a patient in a nursing home/times
were you a patient in a nursing home] or other long-term care facility [in the
last two years/since [PREV WAVE FIRST R IW MO], [PREV WAVE FIRST R IW YEAR]]?
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
862 1 95 1.45 3.88 16331
-----------------------------------------------------------------
22 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
==========================================================================================
ASK:
IF N114_OverniteNH = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN116 NUM NIGHTS R SPENT OVERNIGHT IN NH
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.NHomeStay.N116_NiteOverNH
[Altogether, how/How] many nights or months have you been a patient in a nursing
home [in the last two years/since [PREV WAVE FIRST R IW MO], [PREV WAVE FIRST R
IW YEAR]]?
ENTER 996 for continuous since entered or [in the last two years/since [PREV
WAVE FIRST R IW MO], [PREV WAVE FIRST R IW YEAR]]
If R answers in months rather than nights, press enter and answer in month
field
Nights:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
383 0 705 30.70 61.69 16580
-----------------------------------------------------------------
221 996. CONTINUOUS SINCE ENTERED
32 998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
==========================================================================================
ASK:
IF N114_OverniteNH = YES
IF N116_NiteOverNH = EMPTY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN117 NUM MOS R SPENT OVERNIGHT IN NH
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.N117_MoOverNH
[Altogether, how/How] many nights or months have you been a patient in a nursing
home [in the last two years/since [PREV WAVE FIRST R IW MO], [PREV WAVE FIRST R
IW YEAR]]?
Nights:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
247 1 51 10.26 9.50 16968
-----------------------------------------------------------------
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN118 NH COSTS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.N118_InsCovCost
[Have the costs for your nursing home stay(s) been completely covered be/Were
the costs for your nursing home stay(s) completely covered by] insurance, mostly
covered, only partially covered, or not covered at all by insurance?
.................................................................................
472 1. COMPLETELY COVERED
131 2. MOSTLY COVERED
92 3. PARTIALLY COVERED
139 5. NOT COVERED AT ALL
10 7. [VOL] COSTS NOT SETTLED YET
40 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
16331 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)
IF N118_InsCovCost <> COMPLETELYCOVRD
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN119 AMT PAID O-O-P NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.NHomeStay.N119_AmtPayNHHosp
About how much did you pay out-of-pocket for nursing home bills [in the last two
years/since [PREV WAVE FIRST R IW MO], [PREV WAVE FIRST R IW YEAR]]?
Do not probe DK/RF
Include any amount paid by others
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
263 0 464000 27423.48 51766.54 16803
-----------------------------------------------------------------
0. None; includes cost not settled yet
149 9999998. DK (Don't Know); NA (Not Ascertained)
2 9999999. RF (Refused)
==========================================================================================
ASSIGN:
N120_ := EMPTY:
IF ((N114_OverniteNH = YES) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)) OR
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)
IF N118_InsCovCost <> COMPLETELYCOVRD
IF N119_AmtPayNHHosp <> EMPTY AND N119_AmtPayNHHosp <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN120 AMT PAID O-O-P NURSING HOME- MIN
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.NHomeStay.N120_
Unfolding Procedure: UNFM_3UP1DOWN (Min)
Did it amount to ...
Breakpoints: 500/5000/10000/20000/50000
.................................................................................
58 0. Value of Breakpoint
4 500. Value of Breakpoint
21 501. Value of Breakpoint
3 5000. Value of Breakpoint
3 5001. Value of Breakpoint
1 10000. Value of Breakpoint
29 10001. Value of Breakpoint
5 20000. Value of Breakpoint
15 20001. Value of Breakpoint
1 50000. Value of Breakpoint
8 50001. Value of Breakpoint
17069 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N121_ := EMPTY:
IF ((N114_OverniteNH = YES) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)) OR
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)
IF N118_InsCovCost <> COMPLETELYCOVRD
IF N119_AmtPayNHHosp <> EMPTY AND N119_AmtPayNHHosp <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN121 AMT PAID O-O-P NURSING HOME- MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.NHomeStay.N121_
.................................................................................
7 499. Value of Breakpoint
4 500. Value of Breakpoint
29 4999. Value of Breakpoint
3 5000. Value of Breakpoint
5 9999. Value of Breakpoint
1 10000. Value of Breakpoint
7 19999. Value of Breakpoint
5 20000. Value of Breakpoint
13 49999. Value of Breakpoint
1 50000. Value of Breakpoint
73 999996. Greater than Maximum Breakpoint
17069 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N122_ := EMPTY:
IF ((N114_OverniteNH = YES) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)) OR
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)
IF N118_InsCovCost <> COMPLETELYCOVRD
IF N119_AmtPayNHHosp <> EMPTY AND N119_AmtPayNHHosp <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN122 AMT PAID O-O-P NURSING HOME- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.N122_
.................................................................................
3 97. Data not available
75 98. DK (Don't Know); NA (Not Ascertained)
3 99. RF (Refused)
17136 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF ((((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 <> 996.00000000000013))) 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)))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN124_1 YEAR R MOVED TO NURSING HOME- 1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N124_YrMovInNH1
IF THIS IS FIRST TIME THROUGH LOOP and R HAD MORE THAN ONE NURSING HOME STAY
(N115>1):
Think back to the first time [since R's LAST IW MONTH, YEAR/in the last two
years] that you were a patient in a nursing home or other long-term care
facility.
IF THIS IS SECOND TIME THROUGH LOOP and R HAD MORE THAN TWO NURSING HOME STAYS
(N115>2):
Think back to the second time ([since R's LAST IW MONTH, YEAR/in the last two
years]) that you were a patient in a nursing home or other long-term care
facility.
IF THIS IS THE LAST TIME THROUGH THE LOOP {(LOOP COUNTER {=3 or = NUMBER OF
NURSING HOME STAYS (per N115)} and R HAD MORE THAN ONE NURSING HOME STAY
(N115>1) and R {DOES NOT LIVE IN A NURSING HOME (A167_A028 NOT 1):
Think back to the last time [since R's LAST IW MONTH, YEAR/in the last two
years] that you were a patient in a nursing home or other long-term care
facility.
OTHERWISE:
Think back to the time [since R's LAST IW MONTH, YEAR/in the last two years]
that you were a patient in a nursing home or other long-term care facility.
ASK ALL Rs:
In what year did you go into the nursing home or health care facility?
.................................................................................
466 1992-2008. Actual Value
12 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
16739 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF ((((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 <> 996.00000000000013))) 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)))
IF N124_YrMovInNH1 >= Init.A062T2YrsAgo_A
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN123_1 MONTH R MOVED TO NURSING HOME -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N123_MoMovInNH1
(What month was that?)
Month:
.................................................................................
29 1. JAN
38 2. FEB
33 3. MAR
43 4. APR
26 5. MAY
33 6. JUN
30 7. JUL
32 8. AUG
30 9. SEP
28 10. OCT
33 11. NOV
38 12. DEC
10 13. WINTER
5 14. SPRING
15. SUMMER
10 16. FALL
23 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
16776 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF ((((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 <> 996.00000000000013))) 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)))
IF (SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) OR
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) AND (piLPCNTR <
piN115_TimeOverNH))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN126_1 YEAR R MOVED OUT OF NURSING HOME- 1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N126_YrMovOutNH1
In what year did you move out of the nursing home or health care facility?
Year:
.................................................................................
467 1996-2009. Actual Value
2 9995. Continuous since entered; R died in the nursing
home or R died while living in nursing home
10 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
16738 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF ((((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 <> 996.00000000000013))) 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)))
IF (SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) OR
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) AND (piLPCNTR <
piN115_TimeOverNH))
IF N126_YrMovOutNH1 >= Init.A062T2YrsAgo_A
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN125_1 MONTH R MOVED OUT OF NURSING HOME- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N125_MoMovOutNH1
(What month was that?)
Month:
.................................................................................
33 1. JAN
37 2. FEB
31 3. MAR
36 4. APR
35 5. MAY
33 6. JUN
32 7. JUL
32 8. AUG
32 9. SEP
24 10. OCT
29 11. NOV
48 12. DEC
10 13. WINTER
5 14. SPRING
15. SUMMER
13 16. FALL
24 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
16763 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF piGovCoverN005_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN127_1 ELIGIBLE FOR MEDICAID START NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N127_
IF THIS IS THE LAST TIME THROUGH THE LOOP {(LOOP COUNTER {= 3 or = NUMBER OF
NURSING HOME STAYS (per N115)} and R HAD MORE THAN ONE NURSING HOME STAY
(N115>1) and R {LIVES IN A NURSING HOME (A167_A028=1):
Think about your current stay at the nursing home or other long-term care
facility.
ASK ALL Rs:
Were you eligible for (Medicaid/STATE NAME FOR MEDICAID) at the time your
[first/second/last/current] nursing home stay started?
.................................................................................
206 1. YES
53 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16952 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF piGovCoverN005_ = YES
IF N127_ = NO
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN128_1 ELIGIBLE FOR MEDICAID DURNG NH STAY-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N128_
Did you become eligible for (Medicaid/State name for Medicaid) during that
nursing home stay?
.................................................................................
38 1. YES
14 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17164 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN129_1 BRNCHPNT-MORE THAN 1 NH STAY/ALL OTH- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N129_
.................................................................................
37 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE
228 2. ALL OTHERS
16952 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF piGovCoverN005_ = YES
IF (((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))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN130_1 LOSE ELIGIBILITY-LAST NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N130_
Did you lose your eligibility for (Medicaid/State name for Medicaid) when you
were discharged from your (last) nursing home stay?
.................................................................................
2 1. YES
58 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17154 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES)
IF piLPCNTR <= piN115_TimeOverNH
IF ((((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))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN131_1 WHERE R LIVE AFTER NURSING HOME STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N131_LiveAftNH1
Where did you live after leaving the nursing home or health care facility? (Did
you live alone, [with you only,/with [her /his /your ][husband/wife/partner]
only,] with one of your children and his or her own family, with other
relatives, in a retirement center, or what?)
.................................................................................
157 1. R LIVED BY HIM/HER SELF, ALONE
152 2. R LIVED WITH SPOUSE/PARTNER ONLY
91 3. R LIVED WITH CHILD AND CHILD'S FAMILY
20 4. R LIVED WITH OTHER RELATIVE(S)
6 5. R LIVED IN RETIREMENT CENTER
53 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
12 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
16725 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN133_1 LIVE WITH WHICH CHILD AFTER NH STAY- 1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N133_WhiChldNH1
(Which child is that?)
If grandchild: (which of your children is the parent of that grandchild?)
.................................................................................
92 041-990. Other Person Number
992. DECEASED CHILD
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17125 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF ((((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 <> 996.00000000000013))) 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)))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN124_2 YEAR R MOVED TO NURSING HOME- 2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N124_YrMovInNH1
IF THIS IS FIRST TIME THROUGH LOOP and R HAD MORE THAN ONE NURSING HOME STAY
(N115>1):
Think back to the first time [since R's LAST IW MONTH, YEAR/in the last two
years] that you were a patient in a nursing home or other long-term care
facility.
IF THIS IS SECOND TIME THROUGH LOOP and R HAD MORE THAN TWO NURSING HOME STAYS
(N115>2):
Think back to the second time ([since R's LAST IW MONTH, YEAR/in the last two
years]) that you were a patient in a nursing home or other long-term care
facility.
IF THIS IS THE LAST TIME THROUGH THE LOOP {(LOOP COUNTER {=3 or = NUMBER OF
NURSING HOME STAYS (per N115)} and R HAD MORE THAN ONE NURSING HOME STAY
(N115>1) and R {DOES NOT LIVE IN A NURSING HOME (A167_A028 NOT 1):
Think back to the last time [since R's LAST IW MONTH, YEAR/in the last two
years] that you were a patient in a nursing home or other long-term care
facility.
OTHERWISE:
Think back to the time [since R's LAST IW MONTH, YEAR/in the last two years]
that you were a patient in a nursing home or other long-term care facility.
ASK ALL Rs:
In what year did you go into the nursing home or health care facility?
.................................................................................
73 2004-2008. Actual Value
8 9998. DK (Don't Know); NA (Not Ascertained)
1 9999. RF (Refused)
17135 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF ((((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 <> 996.00000000000013))) 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)))
IF N124_YrMovInNH1 >= Init.A062T2YrsAgo_A
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN123_2 MONTH R MOVED TO NURSING HOME -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N123_MoMovInNH1
(What month was that?)
Month:
.................................................................................
6 1. JAN
2. FEB
6 3. MAR
6 4. APR
3 5. MAY
8 6. JUN
1 7. JUL
3 8. AUG
6 9. SEP
8 10. OCT
6 11. NOV
3 12. DEC
2 13. WINTER
14. SPRING
1 15. SUMMER
16. FALL
11 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17147 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF ((((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 <> 996.00000000000013))) 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)))
IF (SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) OR
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) AND (piLPCNTR <
piN115_TimeOverNH))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN126_2 YEAR R MOVED OUT OF NURSING HOME- 2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N126_YrMovOutNH1
In what year did you move out of the nursing home or health care facility?
Year:
.................................................................................
76 2002-2009. Actual Value
6 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
17135 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF ((((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 <> 996.00000000000013))) 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)))
IF (SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) OR
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) AND (piLPCNTR <
piN115_TimeOverNH))
IF N126_YrMovOutNH1 >= Init.A062T2YrsAgo_A
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN125_2 MONTH R MOVED OUT OF NURSING HOME- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N125_MoMovOutNH1
(What month was that?)
Month:
.................................................................................
7 1. JAN
1 2. FEB
6 3. MAR
7 4. APR
3 5. MAY
5 6. JUN
2 7. JUL
4 8. AUG
1 9. SEP
10 10. OCT
2 11. NOV
12 12. DEC
1 13. WINTER
14. SPRING
15. SUMMER
1 16. FALL
12 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17143 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF piGovCoverN005_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN127_2 ELIGIBLE FOR MEDICAID START NH STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N127_
IF THIS IS THE LAST TIME THROUGH THE LOOP {(LOOP COUNTER {= 3 or = NUMBER OF
NURSING HOME STAYS (per N115)} and R HAD MORE THAN ONE NURSING HOME STAY
(N115>1) and R {LIVES IN A NURSING HOME (A167_A028=1):
Think about your current stay at the nursing home or other long-term care
facility.
ASK ALL Rs:
Were you eligible for (Medicaid/STATE NAME FOR MEDICAID) at the time your
[first/second/last/current] nursing home stay started?
.................................................................................
28 1. YES
7 5. NO
8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17181 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF piGovCoverN005_ = YES
IF N127_ = NO
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN128_2 ELIGIBLE FOR MEDICAID DURNG NH STAY-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N128_
Did you become eligible for (Medicaid/State name for Medicaid) during that
nursing home stay?
.................................................................................
3 1. YES
4 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17210 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN129_2 BRNCHPNT-MORE THAN 1 NH STAY/ALL OTH- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N129_
.................................................................................
36 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE
2. ALL OTHERS
17181 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF piGovCoverN005_ = YES
IF (((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))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN130_2 LOSE ELIGIBILITY-LAST NH STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N130_
Did you lose your eligibility for (Medicaid/State name for Medicaid) when you
were discharged from your (last) nursing home stay?
.................................................................................
1 1. YES
4 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17212 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF ((((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))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN131_2 WHERE R LIVE AFTER NURSING HOME STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N131_LiveAftNH1
Where did you live after leaving the nursing home or health care facility? (Did
you live alone, [with you only,/with [her /his /your ][husband/wife/partner]
only,] with one of your children and his or her own family, with other
relatives, in a retirement center, or what?)
.................................................................................
21 1. R LIVED BY HIM/HER SELF, ALONE
26 2. R LIVED WITH SPOUSE/PARTNER ONLY
14 3. R LIVED WITH CHILD AND CHILD'S FAMILY
2 4. R LIVED WITH OTHER RELATIVE(S)
2 5. R LIVED IN RETIREMENT CENTER
14 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)
17133 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN133_2 LIVE WITH WHICH CHILD AFTER NH STAY- 2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N133_WhiChldNH1
(Which child is that?)
If grandchild: (which of your children is the parent of that grandchild?)
.................................................................................
14 041-990. Other Person Number
992. DECEASED CHILD
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17203 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF ((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) OR
((piN115_TimeOverNH > 1) AND piN115_TimeOverNH <> NONRESPONSE)) AND
((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <>
996.00000000000013))) 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)))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN124_3 YEAR R MOVED TO NURSING HOME- 3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N124_YrMovInNH1
IF THIS IS FIRST TIME THROUGH LOOP and R HAD MORE THAN ONE NURSING HOME STAY
(N115>1):
Think back to the first time [since R's LAST IW MONTH, YEAR/in the last two
years] that you were a patient in a nursing home or other long-term care
facility.
IF THIS IS SECOND TIME THROUGH LOOP and R HAD MORE THAN TWO NURSING HOME STAYS
(N115>2):
Think back to the second time ([since R's LAST IW MONTH, YEAR/in the last two
years]) that you were a patient in a nursing home or other long-term care
facility.
IF THIS IS THE LAST TIME THROUGH THE LOOP {(LOOP COUNTER {=3 or = NUMBER OF
NURSING HOME STAYS (per N115)} and R HAD MORE THAN ONE NURSING HOME STAY
(N115>1) and R {DOES NOT LIVE IN A NURSING HOME (A167_A028 NOT 1):
Think back to the last time [since R's LAST IW MONTH, YEAR/in the last two
years] that you were a patient in a nursing home or other long-term care
facility.
OTHERWISE:
Think back to the time [since R's LAST IW MONTH, YEAR/in the last two years]
that you were a patient in a nursing home or other long-term care facility.
ASK ALL Rs:
In what year did you go into the nursing home or health care facility?
.................................................................................
17 2007-2008. Actual Value
2 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
17198 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF ((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) OR
((piN115_TimeOverNH > 1) AND piN115_TimeOverNH <> NONRESPONSE)) AND
((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <>
996.00000000000013))) 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)))
IF N124_YrMovInNH1 >= Init.A062T2YrsAgo_A
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN123_3 MONTH R MOVED TO NURSING HOME -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N123_MoMovInNH1
(What month was that?)
Month:
.................................................................................
1 1. JAN
2 2. FEB
1 3. MAR
2 4. APR
1 5. MAY
1 6. JUN
1 7. JUL
2 8. AUG
3 9. SEP
1 10. OCT
1 11. NOV
12. DEC
13. WINTER
14. SPRING
1 15. SUMMER
16. FALL
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17200 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF ((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) OR
((piN115_TimeOverNH > 1) AND piN115_TimeOverNH <> NONRESPONSE)) AND
((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <>
996.00000000000013))) 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)))
IF (SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) OR
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) AND (piLPCNTR <
piN115_TimeOverNH))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN126_3 YEAR R MOVED OUT OF NURSING HOME- 3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N126_YrMovOutNH1
In what year did you move out of the nursing home or health care facility?
Year:
.................................................................................
17 2007-2008. Actual Value
2 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
17198 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF ((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) OR
((piN115_TimeOverNH > 1) AND piN115_TimeOverNH <> NONRESPONSE)) AND
((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <>
996.00000000000013))) 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)))
IF (SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) OR
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) AND (piLPCNTR <
piN115_TimeOverNH))
IF N126_YrMovOutNH1 >= Init.A062T2YrsAgo_A
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN125_3 MONTH R MOVED OUT OF NURSING HOME- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N125_MoMovOutNH1
(What month was that?)
Month:
.................................................................................
1. JAN
2. FEB
3. MAR
3 4. APR
3 5. MAY
6. JUN
1 7. JUL
8. AUG
2 9. SEP
3 10. OCT
2 11. NOV
1 12. DEC
13. WINTER
14. SPRING
1 15. SUMMER
16. FALL
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
17200 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF piGovCoverN005_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN127_3 ELIGIBLE FOR MEDICAID START NH STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N127_
IF THIS IS THE LAST TIME THROUGH THE LOOP {(LOOP COUNTER {= 3 or = NUMBER OF
NURSING HOME STAYS (per N115)} and R HAD MORE THAN ONE NURSING HOME STAY
(N115>1) and R {LIVES IN A NURSING HOME (A167_A028=1):
Think about your current stay at the nursing home or other long-term care
facility.
ASK ALL Rs:
Were you eligible for (Medicaid/STATE NAME FOR MEDICAID) at the time your
[first/second/last/current] nursing home stay started?
.................................................................................
9 1. YES
2 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17205 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF piGovCoverN005_ = YES
IF N127_ = NO
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN128_3 ELIGIBLE FOR MEDICAID DURNG NH STAY-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N128_
Did you become eligible for (Medicaid/State name for Medicaid) during that
nursing home stay?
.................................................................................
2 1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17215 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN129_3 BRNCHPNT-MORE THAN 1 NH STAY/ALL OTH- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N129_
.................................................................................
11 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE
2. ALL OTHERS
17206 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF piGovCoverN005_ = YES
IF (((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))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN130_3 LOSE ELIGIBILITY-LAST NH STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N130_
Did you lose your eligibility for (Medicaid/State name for Medicaid) when you
were discharged from your (last) nursing home stay?
.................................................................................
2 1. YES
2 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17212 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME)
IF piLPCNTR <= piN115_TimeOverNH
IF ((((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))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN131_3 WHERE R LIVE AFTER NURSING HOME STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N131_LiveAftNH1
Where did you live after leaving the nursing home or health care facility? (Did
you live alone, [with you only,/with [her /his /your ][husband/wife/partner]
only,] with one of your children and his or her own family, with other
relatives, in a retirement center, or what?)
.................................................................................
5 1. R LIVED BY HIM/HER SELF, ALONE
4 2. R LIVED WITH SPOUSE/PARTNER ONLY
6 3. R LIVED WITH CHILD AND CHILD'S FAMILY
1 4. R LIVED WITH OTHER RELATIVE(S)
1 5. R LIVED IN RETIREMENT CENTER
1 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17198 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN133_3 LIVE WITH WHICH CHILD AFTER NH STAY- 3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N133_WhiChldNH1
(Which child is that?)
If grandchild: (which of your children is the parent of that grandchild?)
.................................................................................
6 041-990. Other Person Number
992. DECEASED CHILD
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17211 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN134 OUTPATIENT SURGERY- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.OutPatSurgery.N134_OutSurgLst2Yrs
[Not counting overnight hospital stays, [in the last two years/since [PREV WAVE
FIRST R IW MO], [PREV WAVE FIRST R IW YEAR]], /[In the last two years/Since
[PREV WAVE FIRST R IW MO], [PREV WAVE FIRST R IW YEAR]], ] have you had
outpatient surgery?
.................................................................................
3569 1. YES
13586 5. NO
39 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
17 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N134_OutSurgLst2Yrs = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN135 OUTPATIENT SURG COSTS COVERED BY HI
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.OutPatSurgery.N135_SurgCov
Were the expenses for your outpatient surgery completely covered by health
insurance, mostly covered, only partially covered, or not covered at all by
insurance?
.................................................................................
1784 1. COMPLETELY COVERED
1304 2. MOSTLY COVERED
300 3. PARTIALLY COVERED
73 5. NOT COVERED AT ALL
86 7. [VOL] COSTS NOT SETTLED YET
22 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
13648 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N134_OutSurgLst2Yrs = YES
IF N135_SurgCov <> COMPLETELYCOVRD
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN139 AMT PAID O-O-P OUTPAT SURGERY
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.OutPatSurgery.N139_AmtOOPOutSurg
About how much did you pay out-of-pocket for outpatient surgery [in the last two
years/since [PREV WAVE FIRST R IW MO], [PREV WAVE FIRST R IW YEAR]]?
Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1371 0 47000 825.03 2478.03 15432
-----------------------------------------------------------------
0. None; includes cost not settled yet
406 9999998. DK (Don't Know); NA (Not Ascertained)
8 9999999. RF (Refused)
==========================================================================================
ASSIGN:
N140_ := EMPTY:
IF N134_OutSurgLst2Yrs = YES
IF N135_SurgCov <> COMPLETELYCOVRD
IF N139_AmtOOPOutSurg <> EMPTY AND N139_AmtOOPOutSurg <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN140 AMT PAID O-O-P OUTPAT SURGERY - MIN
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.OutPatSurgery.N140_
Question text: Did it amount to less than $____ per month, more than $____ per
month, or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $500, $2,000, $5,000, $10,000, $20,000
RANDOM ENTRY POINTS: $2,000, $5,000, $10,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X514
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
221 0. Value of Breakpoint
40 500. Value of Breakpoint
75 501. Value of Breakpoint
17 2000. Value of Breakpoint
27 2001. Value of Breakpoint
2 5000. Value of Breakpoint
31 5001. Value of Breakpoint
1 10001. Value of Breakpoint
16803 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N141_ := EMPTY:
IF N134_OutSurgLst2Yrs = YES
IF N135_SurgCov <> COMPLETELYCOVRD
IF N139_AmtOOPOutSurg <> EMPTY AND N139_AmtOOPOutSurg <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN141 AMT PAID O-O-P OUTPAT SURGERY - MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.OutPatSurgery.N141_
.................................................................................
130 499. Value of Breakpoint
40 500. Value of Breakpoint
95 1999. Value of Breakpoint
17 2000. Value of Breakpoint
37 4999. Value of Breakpoint
2 5000. Value of Breakpoint
8 9999. Value of Breakpoint
1 19999. Value of Breakpoint
84 99999996. Greater than Maximum Breakpoint
16803 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N142_ := EMPTY:
IF N134_OutSurgLst2Yrs = YES
IF N135_SurgCov <> COMPLETELYCOVRD
IF N139_AmtOOPOutSurg <> EMPTY AND N139_AmtOOPOutSurg <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN142 AMT PAID O-O-P OUTPAT SURGERY - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.OutPatSurgery.N142_
.................................................................................
112 98. DK (Don't Know); NA (Not Ascertained)
7 99. RF (Refused)
17098 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
NOT(IF N134_OutSurgLst2Yrs = YES)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN143 EXPECT INS TO COVER OUTPAT SURGERY COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.OutPatSurgery.N143_ExpInsCovOutSurg
If you did need to have outpatient surgery, would you expect any of the costs to
be covered by insurance?
.................................................................................
12298 1. YES
1130 5. NO
195 8. DK (Don't Know); NA (Not Ascertained)
8 9. RF (Refused)
3586 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN147 # TIMES SEEN DR- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.DocVisit.N147_TimeSeeDoc
[Aside from any hospital stays, how/Aside from any outpatient surgery, how/Aside
from any hospital stays and outpatient surgery, how/How] many times have you
seen or talked to a medical doctor about your health, including emergency room
or clinic visits [in the last two years/since [PREV WAVE FIRST R IW MO], [PREV
WAVE FIRST R IW YEAR]]?
USE zero for none
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
15914 0 525 10.36 17.77 18
-----------------------------------------------------------------
1274 998. DK (Don't Know); NA (Not Ascertained)
11 999. RF (Refused)
==========================================================================================
ASK:
IF N147_TimeSeeDoc = NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN148 NUMBER TIMES SEEN DOCTOR 20X
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DocVisit.N148_TimeSeeDoc20
Did it amount to less than 20 times, more than 20 times, or what?
.................................................................................
475 1. LESS THAN 20 TIMES
165 3. ABOUT 20 TIMES
575 5. MORE THAN 20 TIMES
61 8. DK (Don't Know); NA (Not Ascertained)
9 9. RF (Refused)
15932 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N147_TimeSeeDoc = NONRESPONSE
IF N148_TimeSeeDoc20 <> ABT20TIMES
IF N148_TimeSeeDoc20 <> MORETHAN20TIMES
IF N148_TimeSeeDoc20 <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN149 NUMBER TIMES SEEN DOCTOR 5X
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DocVisit.N149_TimeSeeDoc5
Did it amount to less than 5 times, more than 5 times, or what?
.................................................................................
44 1. LESS THAN 5 TIMES
41 3. ABOUT 5 TIMES
375 5. MORE THAN 5 TIMES
15 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16742 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N147_TimeSeeDoc = NONRESPONSE
IF N148_TimeSeeDoc20 <> ABT20TIMES
IF N148_TimeSeeDoc20 <> MORETHAN20TIMES
IF (N149_TimeSeeDoc5 <> ABT5TIMES) AND (N149_TimeSeeDoc5 <> MORETHAN5TIMES)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN150 HAS R SOUGHT DOC ADVICE IN PAST 2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DocVisit.N150_DocAdvPast2Yrs
Do you think you have seen a medical doctor about your health at least once [in
the last two years/since [PREV WAVE FIRST R IW MO], [PREV WAVE FIRST R IW
YEAR]]?
.................................................................................
115 1. YES
4 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
7 9. RF (Refused)
17088 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N147_TimeSeeDoc = NONRESPONSE
IF N148_TimeSeeDoc20 <> ABT20TIMES
IF N148_TimeSeeDoc20 = MORETHAN20TIMES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN151 R SEEK DOC ADVICE 50X
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DocVisit.N151_SkDocAdv50
Did it amount to less than 50 times, more than 50 times, or what?
.................................................................................
297 1. LESS THAN 50 TIMES
69 3. ABOUT 50 TIMES
170 5. MORE THAN 50 TIMES
39 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16642 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN152 DOCTOR VISITS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DocVisit.N152_VisitCovIns
Were the costs for your doctor or clinic visit(s) completely covered by health
insurance, mostly covered, only partially covered, or not covered at all by
insurance?
.................................................................................
6087 1. COMPLETELY COVERED
7352 2. MOSTLY COVERED
2046 3. PARTIALLY COVERED
664 5. NOT COVERED AT ALL
33 7. [VOL] COSTS NOT SETTLED YET
81 8. DK (Don't Know); NA (Not Ascertained)
8 9. RF (Refused)
946 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((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
IF N152_VisitCovIns <> COMPLETELYCOVRD
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN156 AMT PAY O-O-P FOR DOC VISITS
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.DocVisit.N156_AmtOOPVisit
About how much did you pay out-of-pocket for doctor or clinic visits [in the
last two years/since [PREV WAVE FIRST R IW MO], [PREV WAVE FIRST R IW YEAR]]?
Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
8043 0 40000 461.76 1212.39 7033
-----------------------------------------------------------------
0. None; includes cost not settled yet
2101 9999998. DK (Don't Know); NA (Not Ascertained)
40 9999999. RF (Refused)
==========================================================================================
ASSIGN:
N157_ := EMPTY:
IF ((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
IF N152_VisitCovIns <> COMPLETELYCOVRD
IF N156_AmtOOPVisit <> EMPTY AND N156_AmtOOPVisit <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN157 AMT PAY O-O-P FOR DOC VISITS - MIN
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.DocVisit.N157_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $500, $2,000, $5,000, $10,000, $20,000
RANDOM ENTRY POINTS: $2,000, $5,000, $10,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X515
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
1016 0. Value of Breakpoint
210 500. Value of Breakpoint
434 501. Value of Breakpoint
147 2000. Value of Breakpoint
169 2001. Value of Breakpoint
26 5000. Value of Breakpoint
117 5001. Value of Breakpoint
7 10000. Value of Breakpoint
9 10001. Value of Breakpoint
2 20000. Value of Breakpoint
1 20001. Value of Breakpoint
15079 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N158_ := EMPTY:
IF ((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
IF N152_VisitCovIns <> COMPLETELYCOVRD
IF N156_AmtOOPVisit <> EMPTY AND N156_AmtOOPVisit <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN158 AMT PAY O-O-P FOR DOC VISITS - MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.DocVisit.N158_
.................................................................................
644 499. Value of Breakpoint
210 500. Value of Breakpoint
517 1999. Value of Breakpoint
147 2000. Value of Breakpoint
207 4999. Value of Breakpoint
26 5000. Value of Breakpoint
54 9999. Value of Breakpoint
7 10000. Value of Breakpoint
7 19999. Value of Breakpoint
2 20000. Value of Breakpoint
317 999996. Greater than Maximum Breakpoint
15079 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N159_ := EMPTY:
IF ((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
IF N152_VisitCovIns <> COMPLETELYCOVRD
IF N156_AmtOOPVisit <> EMPTY AND N156_AmtOOPVisit <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN159 AMT PAY O-O-P FOR DOC VISITS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.DocVisit.N159_
.................................................................................
3 97. Data not available
423 98. DK (Don't Know); NA (Not Ascertained)
38 99. RF (Refused)
16753 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
NOT(IF ((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)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN160 EXPECT HI TO COVER DR VISIT COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DocVisit.N160_ExpDocCovIns
If you did need to see a medical doctor, would you expect any of the costs to be
covered by insurance?
.................................................................................
682 1. YES
223 5. NO
17 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
16290 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN164 SEEN DENTIST SINCE PREV IW/2YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DentalCare.N164_SeeDentPW
[In the last two years/Since [PREV WAVE FIRST R IW MO], [PREV WAVE FIRST R IW
YEAR]] have you seen a dentist for dental care, including dentures?
.................................................................................
10736 1. YES
6428 5. NO
28 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
19 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N164_SeeDentPW = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN165 DENTAL COSTS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DentalCare.N165_DentCovIns
Were your dental expenses completely covered by insurance, mostly covered, only
partially covered, or not covered at all by insurance?
.................................................................................
1242 1. COMPLETELY COVERED
2013 2. MOSTLY COVERED
2335 3. PARTIALLY COVERED
5096 5. NOT COVERED AT ALL
12 7. [VOL] COSTS NOT SETTLED YET
34 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
6481 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N164_SeeDentPW = YES
IF N165_DentCovIns <> COMPLETELYCOVRD
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN168 AMT PAY O-O-P DENTAL
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.DentalCare.N168_AmtPayOOPDental
About how much did you pay out-of-pocket for dental bills [in the last two
years/since [PREV WAVE FIRST R IW MO], [PREV WAVE FIRST R IW YEAR]]?
Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
8589 0 35000 1086.54 2144.50 7723
-----------------------------------------------------------------
880 9999998. DK (Don't Know); NA (Not Ascertained)
25 9999999. RF (Refused)
==========================================================================================
ASSIGN:
N169_ := EMPTY:
IF N164_SeeDentPW = YES
IF N165_DentCovIns <> COMPLETELYCOVRD
IF N168_AmtPayOOPDental <> EMPTY AND N168_AmtPayOOPDental <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN169 AMT PAY O-O-P DENTAL - MIN
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.DentalCare.N169_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $100, $200, $400, $1,000, $3,000
RANDOM ENTRY POINTS: $200, $400, $1,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X516
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
211 0. Value of Breakpoint
21 100. Value of Breakpoint
59 101. Value of Breakpoint
69 200. Value of Breakpoint
85 201. Value of Breakpoint
61 400. Value of Breakpoint
189 401. Value of Breakpoint
33 1000. Value of Breakpoint
121 1001. Value of Breakpoint
12 3000. Value of Breakpoint
43 3001. Value of Breakpoint
16313 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N170_ := EMPTY:
IF N164_SeeDentPW = YES
IF N165_DentCovIns <> COMPLETELYCOVRD
IF N168_AmtPayOOPDental <> EMPTY AND N168_AmtPayOOPDental <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN170 AMT PAY O-O-P DENTAL - MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.DentalCare.N170_
.................................................................................
50 99. Value of Breakpoint
21 100. Value of Breakpoint
67 199. Value of Breakpoint
69 200. Value of Breakpoint
90 399. Value of Breakpoint
61 400. Value of Breakpoint
145 999. Value of Breakpoint
33 1000. Value of Breakpoint
115 2999. Value of Breakpoint
12 3000. Value of Breakpoint
241 99996. Greater than Maximum Breakpoint
16313 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N171_ := EMPTY:
IF N164_SeeDentPW = YES
IF N165_DentCovIns <> COMPLETELYCOVRD
IF N168_AmtPayOOPDental <> EMPTY AND N168_AmtPayOOPDental <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN171 AMT PAY O-O-P DENTAL - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.DentalCare.N171_
.................................................................................
208 98. DK (Don't Know); NA (Not Ascertained)
26 99. RF (Refused)
16983 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
NOT(IF N164_SeeDentPW = YES)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN172 EXPECT HI TO COVER DENTAL COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DentalCare.N172_DentCovInsNeed
If you did need to see a dentist, would you expect any of the costs to be
covered by insurance?
.................................................................................
2138 1. YES
4028 5. NO
289 8. DK (Don't Know); NA (Not Ascertained)
7 9. RF (Refused)
10755 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN N251_PlanCnt3 := N090_NumOfPlans
IF DentalCare.N251_PlanCnt3 = EMPTY
AND (DentalCare.N164_SeeDentPW <> EMPTY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN251 PLAN COUNT 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.DentalCare.N251_PlanCnt3
User Note: This value is assigned from N164 where N094 is not empty.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
17198 0 6 1.81 0.94 19
-----------------------------------------------------------------
==========================================================================================
ASSIGN:
N175_TkMedsReg := MEDICATIONSKNOWN:
IF
((((((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)
ASK:
NOT(IF
((((((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))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN175 TAKE RX DRUGS REGULARLY
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N175_TkMedsReg
Do you regularly take prescription medications?
.................................................................................
3564 1. YES
2766 5. NO
10869 7. MEDICATIONS KNOWN (assigned)
4 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
8 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N175_TkMedsReg = YES) OR (N175_TkMedsReg = MEDICATIONSKNOWN)) OR
N175_TkMedsReg = EMPTY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN360 RX DRUGS REGULARLY CHOLESTEROL
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N360_
Do you regularly take prescription medications for any of the following common
health problems:
To help lower your cholesterol?
.................................................................................
7401 1. YES
6894 5. NO
122 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
2795 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N175_TkMedsReg = YES) OR (N175_TkMedsReg = MEDICATIONSKNOWN)) OR
N175_TkMedsReg = EMPTY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN361 RX DRUGS REGULARLY PAIN
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N361_
(Do you regularly take prescription medications for any of the following common
health problems:)
For pain in your joints or muscles?
.................................................................................
4204 1. YES
10164 5. NO
50 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
2795 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N175_TkMedsReg = YES) OR (N175_TkMedsReg = MEDICATIONSKNOWN)) OR
N175_TkMedsReg = EMPTY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN362 PRESC DRUGS REGULARLY BREATHING PROBLEMS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N362_
(Do you regularly take prescription medications for any of the following common
health problems:)
For asthma or allergies or other breathing problems?
.................................................................................
2628 1. YES
11760 5. NO
31 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
2795 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N175_TkMedsReg = YES) OR (N175_TkMedsReg = MEDICATIONSKNOWN)) OR
N175_TkMedsReg = EMPTY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN363 PRESC DRUGS REGULARLY STOMACH PROBLEMS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N363_
(Do you regularly take prescription medications for any of the following common
health problems:)
For stomach problems?
.................................................................................
2870 1. YES
11515 5. NO
34 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
2795 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N175_TkMedsReg = YES) OR (N175_TkMedsReg = MEDICATIONSKNOWN)) OR
N175_TkMedsReg = EMPTY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN364 PRESC DRUGS REGULARLY HELP SLEEP
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N364_
(Do you regularly take prescription medications for any of the following common
health problems:)
To help you sleep?
.................................................................................
2233 1. YES
12150 5. NO
35 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
2795 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((N175_TkMedsReg = YES) OR (N175_TkMedsReg = MEDICATIONSKNOWN)) OR
N175_TkMedsReg = EMPTY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN365 RX DRUGS REGULARLY-ANXIETY OR DEPRESSION
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N365_
(Do you regularly take prescription medications for any of the following common
health problems:)
To help relieve anxiety or depression?
.................................................................................
2889 1. YES
11488 5. NO
41 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
2795 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N175_TkMedsReg <> NO) AND N175_TkMedsReg <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN176 DRUG COSTS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N176_MedsCovIns
[Earlier you said you are taking prescription medications.]
Have the costs of your prescription medications been completely covered by
health insurance, mostly covered, only partially covered, or not covered at all
by insurance?
.................................................................................
1967 1. COMPLETELY COVERED
7375 2. MOSTLY COVERED
3976 3. PARTIALLY COVERED
1004 5. NOT COVERED AT ALL
5 7. [VOL] COSTS NOT SETTLED YET
87 8. DK (Don't Know); NA (Not Ascertained)
8 9. RF (Refused)
2795 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N175_TkMedsReg <> NO) AND N175_TkMedsReg <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN178 WHICH PLAN COVERED DRUG COSTS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PrescpDrug.N178_WhiPlanCovMeds
What is the name of the health insurance plan that covered the largest share of
the costs?
.................................................................................
5157 1. FIRST PLAN MENTIONED AT LN024
115 2. SECOND PLAN MENTIONED AT LN024
4 3. THIRD PLAN MENTIONED AT LN024
4. PLAN MENTIONED AT LN070
14 5. PLAN MENTIONED AT LN074
69 6. PLAN MENTIONED AT LN105
66 7. PLAN MENTIONED AT LN113
511 8. PLAN MENTIONED AT LN242
9. PLAN MENTIONED AT LN138
10. PLAN MENTIONED AT LN146
11. PLAN MENTIONED AT LN155
12. PLAN MENTIONED AT LN163
13. PLAN MENTIONED AT LN167
14. PLAN MENTIONED AT LN174
15. PLAN MENTIONED AT LN179
16. PLAN MENTIONED AT LN187
2958 18. MEDICARE PART D - NAME OF PART D PLAN
1815 19. MEDICARE HMO
487 20. MEDICARE
436 21. MEDICAID
394 22. CHAMPUS
1047 27. NOT ON LIST
239 98. DK (Don't LNow); NA (Not Ascertained)
6 99. RF (Refused)
3899 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N175_TkMedsReg <> NO) AND N175_TkMedsReg <> NONRESPONSE
IF N176_MedsCovIns <> COMPLETELYCOVRD
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN180 AMT PAY O-O-P RX DRUGS PER MONTH
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.PrescpDrug.N180_AmtOOPMeds
On average, about how much have you paid out-of-pocket per month for these
prescriptions [in the last two years/since [PREV WAVE FIRST R IW MO], [PREV WAVE
FIRST R IW YEAR]]?
Do not probe DK/RF
Amount per month:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
10824 0 6100 68.29 142.79 4762
-----------------------------------------------------------------
1595 99998. DK (Don't Know); NA (Not Ascertained)
36 99999. RF (Refused)
==========================================================================================
ASSIGN:
N181_ := EMPTY:
IF (N175_TkMedsReg <> NO) AND N175_TkMedsReg <>
NONRESPONSE
IF N176_MedsCovIns <> COMPLETELYCOVRD
IF N180_AmtOOPMeds <> EMPTY AND N180_AmtOOPMeds <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN181 AMT PAY O-O-P RX DRUGS PER MONTH- MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.PrescpDrug.N181_
Did it amount to less than $____ per month, more than $____ per month, or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $20, $40, $100, $200, $500
RANDOM ENTRY POINTS: $40, $100, $200
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X517
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
405 0. Value of Breakpoint
78 20. Value of Breakpoint
121 21. Value of Breakpoint
134 40. Value of Breakpoint
285 41. Value of Breakpoint
123 100. Value of Breakpoint
268 101. Value of Breakpoint
71 200. Value of Breakpoint
103 201. Value of Breakpoint
7 500. Value of Breakpoint
36 501. Value of Breakpoint
15586 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N182_ := EMPTY:
IF (N175_TkMedsReg <> NO) AND N175_TkMedsReg <>
NONRESPONSE
IF N176_MedsCovIns <> COMPLETELYCOVRD
IF N180_AmtOOPMeds <> EMPTY AND N180_AmtOOPMeds <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN182 AMT PAY O-O-P RX DRUGS PER MONTH- MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.PrescpDrug.N182_
.................................................................................
105 19. Value of Breakpoint
78 20. Value of Breakpoint
148 39. Value of Breakpoint
134 40. Value of Breakpoint
301 99. Value of Breakpoint
123 100. Value of Breakpoint
162 199. Value of Breakpoint
71 200. Value of Breakpoint
97 499. Value of Breakpoint
7 500. Value of Breakpoint
406 9996. Greater than Maximum Breakpoint
15585 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N183_ := EMPTY:
IF (N175_TkMedsReg <> NO) AND N175_TkMedsReg <>
NONRESPONSE
IF N176_MedsCovIns <> COMPLETELYCOVRD
IF N180_AmtOOPMeds <> EMPTY AND N180_AmtOOPMeds <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN183 AMT PAY O-O-P RX DRUGS PER MONTH- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PrescpDrug.N183_
.................................................................................
409 98. DK (Don't Know); NA (Not Ascertained)
37 99. RF (Refused)
16771 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N175_TkMedsReg <> NO) AND N175_TkMedsReg <> NONRESPONSE
IF ((N180_AmtOOPMeds <> EMPTY AND N180_AmtOOPMeds <> NONRESPONSE) AND N182_ =
EMPTY) OR ((N180_AmtOOPMeds = NONRESPONSE AND (N182_ <= 500)) AND N183_ <>
NONRESPONSE)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN368 OUT-OF-POCKET PAYMENTS WERE MUCH HIGHER
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N368_
You said your average payment for prescription drugs has been [$ AMOUNT (per
N180)
/about $ SINGLE BRACKETED AMOUNT WHERE MIN=MAX
/between $ MINIMUM BRACKETED AMOUNT (per N181)
and $ MAXIMUM BRACKETED AMOUNT (per N182)] per month over the last two years..
Have there been some months when your out-of-pocket payments were much higher
than this?
If R wishes to correct the report of monthly spending, or the bracket answer,
enter an F2 comment here
.................................................................................
3217 1. YES
8669 5. NO
74 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
5256 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N175_TkMedsReg <> NO) AND N175_TkMedsReg <> NONRESPONSE
IF ((N180_AmtOOPMeds <> EMPTY AND N180_AmtOOPMeds <> NONRESPONSE) AND N182_ =
EMPTY) OR ((N180_AmtOOPMeds = NONRESPONSE AND (N182_ <= 500)) AND N183_ <>
NONRESPONSE)
IF N368_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN369M1 CAUSED PAYMENTS TO BE HIGHER -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N369_[1]
What caused your payments to be higher in those months?
Choose all that apply.
.................................................................................
1913 1. HAD TO TAKE ADDITIONAL MEDICATIONS
518 2. INSURANCE RAN OUT/WOULDN'T COVER; changed insurance plan
301 3. HAD TO PAY DOWN DEDUCTIBLE
198 4. Cost of meds increased
69 5. Costs decreased
138 6. Cost naturally varies; bulk purchases; different meds each
month
30 7. OTHER (SPECIFY)
50 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
14000 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N175_TkMedsReg <> NO) AND N175_TkMedsReg <> NONRESPONSE
IF ((N180_AmtOOPMeds <> EMPTY AND N180_AmtOOPMeds <> NONRESPONSE) AND N182_ =
EMPTY) OR ((N180_AmtOOPMeds = NONRESPONSE AND (N182_ <= 500)) AND N183_ <>
NONRESPONSE)
IF N368_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN369M2 CAUSED PAYMENTS TO BE HIGHER -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N369_[2]
What caused your payments to be higher in those months?
Choose all that apply.
.................................................................................
23 1. HAD TO TAKE ADDITIONAL MEDICATIONS
60 2. INSURANCE RAN OUT/WOULDN'T COVER; changed insurance plan
28 3. HAD TO PAY DOWN DEDUCTIBLE
19 4. Cost of meds increased
12 5. Costs decreased
5 6. Cost naturally varies; bulk purchases; different meds each
month
6 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17064 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N175_TkMedsReg <> NO) AND N175_TkMedsReg <> NONRESPONSE
IF ((N180_AmtOOPMeds <> EMPTY AND N180_AmtOOPMeds <> NONRESPONSE) AND N182_ =
EMPTY) OR ((N180_AmtOOPMeds = NONRESPONSE AND (N182_ <= 500)) AND N183_ <>
NONRESPONSE)
IF N368_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN369M3 CAUSED PAYMENTS TO BE HIGHER -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N369_[3]
What caused your payments to be higher in those months?
Choose all that apply.
.................................................................................
1. HAD TO TAKE ADDITIONAL MEDICATIONS
1 2. INSURANCE RAN OUT/WOULDN'T COVER; changed insurance plan
5 3. HAD TO PAY DOWN DEDUCTIBLE
2 4. Cost of meds increased
1 6. Cost naturally varies; bulk purchases; different meds each
month
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17208 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N175_TkMedsReg <> NO) AND N175_TkMedsReg <> NONRESPONSE
IF ((N180_AmtOOPMeds <> EMPTY AND N180_AmtOOPMeds <> NONRESPONSE) AND N182_ =
EMPTY) OR ((N180_AmtOOPMeds = NONRESPONSE AND (N182_ <= 500)) AND N183_ <>
NONRESPONSE)
IF N368_ = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN369M4 CAUSED PAYMENTS TO BE HIGHER -4
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N369_[4]
What caused your payments to be higher in those months?
Choose all that apply.
.................................................................................
1. HAD TO TAKE ADDITIONAL MEDICATIONS
2. INSURANCE RAN OUT/WOULDN'T COVER; changed insurance plan
3. HAD TO PAY DOWN DEDUCTIBLE
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17217 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N184_MedsCovInsNeed := PrevReportedCoverage:
IF (N175_TkMedsReg <>
YES) AND (N175_TkMedsReg <> MEDICATIONSKNOWN)
IF (((((MediCaidCarePlan.N351_ = YES) OR ((MedD.N352_ = YES) OR (MedD.N352_ =
EnrolledAutomatic))) OR (PlanDetails[1].N032_ = YES)) OR (PlanDetails[2].N032_
= YES)) OR (PlanDetails[3].N032_ = YES)) OR (MedD.N417_ = YES)
ASK:
IF
(N175_TkMedsReg <> YES) AND (N175_TkMedsReg <> MEDICATIONSKNOWN)
NOT(IF (((((MediCaidCarePlan.N351_ = YES) OR ((MedD.N352_ = YES) OR
(MedD.N352_ = EnrolledAutomatic))) OR (PlanDetails[1].N032_ = YES)) OR
(PlanDetails[2].N032_ = YES)) OR (PlanDetails[3].N032_ = YES)) OR (MedD.N417_ =
YES))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN184 EXPECT INS TO COVER DRUG COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N184_MedsCovInsNeed
If your doctor did prescribe medication, would you expect any of the costs to be
covered by insurance?
.................................................................................
222 1. YES
1900 2. ASSIGN - PREVIOUSLY REPORTED DRUG COVERAGE
628 5. NO
23 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
14441 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (N175_TkMedsReg <> YES) AND (N175_TkMedsReg <> MEDICATIONSKNOWN)
NOT(IF (((((MediCaidCarePlan.N351_ = YES) OR ((MedD.N352_ = YES) OR
(MedD.N352_ = EnrolledAutomatic))) OR (PlanDetails[1].N032_ = YES)) OR
(PlanDetails[2].N032_ = YES)) OR (PlanDetails[3].N032_ = YES)) OR (MedD.N417_ =
YES))
IF N184_MedsCovInsNeed = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN186 WHICH PLAN WOULD COVER DRUG COSTS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PrescpDrug.N186_WhiPlanCovMedsNd
What is the name of the health insurance plan that would cover the largest share
of the costs?
.................................................................................
31 1. FIRST PLAN MENTIONED AT LN024
2. SECOND PLAN MENTIONED AT LN024
3. THIRD PLAN MENTIONED AT LN024
4. PLAN MENTIONED AT LN070
1 5. PLAN MENTIONED AT LN074
1 6. PLAN MENTIONED AT LN105
21 7. PLAN MENTIONED AT LN113
8. PLAN MENTIONED AT LN242
9. PLAN MENTIONED AT LN138
10. PLAN MENTIONED AT LN146
11. PLAN MENTIONED AT LN155
12. PLAN MENTIONED AT LN163
13. PLAN MENTIONED AT LN167
14. PLAN MENTIONED AT LN174
15. PLAN MENTIONED AT LN179
16. PLAN MENTIONED AT LN187
10 19. MEDICARE HMO
48 20. MEDICARE
26 21. MEDICAID
27 22. CHAMPUS
42 27. NOT ON LIST
14 98. DK (Don't LNow); NA (Not Ascertained)
1 99. RF (Refused)
16995 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN188 EVER TAKE LESS MEDS BECAUSE OF COST
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N188_TkLessMedsCost
Sometimes people delay taking medication or filling prescriptions because of the
cost. At any time [in the last two years/since [PREV WAVE FIRST R IW MO], [PREV
WAVE FIRST R IW YEAR]] have you ended up taking less medication than was
prescribed for you because of the cost?
.................................................................................
1445 1. YES
15733 5. NO
12 8. DK (Don't Know); NA (Not Ascertained)
8 9. RF (Refused)
19 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piN116_NiteOverNH <> 996.00000000000013) OR ((piX008AInNHome_V <>
INNURSINGHOME) AND (piN116_NiteOverNH = 996.00000000000013))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN189 USED HOME HEALTH SVC- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.InHomeCare.N189_HomeHlthSvc
[In the last two years/Since [PREV WAVE FIRST R IW MO], [PREV WAVE FIRST R IW
YEAR]], has any medically-trained person come to your home to help you,
yourself?
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.)
.................................................................................
1488 1. YES
15553 5. NO
10 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
161 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piN116_NiteOverNH <> 996.00000000000013) OR ((piX008AInNHome_V <>
INNURSINGHOME) AND (piN116_NiteOverNH = 996.00000000000013))
IF N189_HomeHlthSvc = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN190 HOME HEALTH SERVICE COST COVERED BY INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.InHomeCare.N190_HHSvcCovIns
Were the costs of your home medical care completely covered by health insurance,
mostly covered, only partially covered, or not covered at all by insurance?
.................................................................................
1165 1. COMPLETELY COVERED
145 2. MOSTLY COVERED
69 3. PARTIALLY COVERED
61 5. NOT COVERED AT ALL
17 7. [VOL] COSTS NOT SETTLED YET
31 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
15729 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piN116_NiteOverNH <> 996.00000000000013) OR ((piX008AInNHome_V <>
INNURSINGHOME) AND (piN116_NiteOverNH = 996.00000000000013))
IF N189_HomeHlthSvc = YES
IF N190_HHSvcCovIns <> COMPLETELYCOVRD
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN194 AMT PAY O-O-P HOME HEALTH SVC
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.InHomeCare.N194_AmtPayOOPHHS
About how much did you pay out-of-pocket for in-home medical care [in the last
two years/since [PREV WAVE FIRST R IW MONTH], [PREV WAVE FIRST R IW YEAR]]?
Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
209 0 102000 1612.79 8368.48 16894
-----------------------------------------------------------------
111 999998. DK (Don't Know); NA (Not Ascertained)
3 999999. RF (Refused)
==========================================================================================
ASSIGN:
N195_ := EMPTY:
IF (piN116_NiteOverNH <> 996.00000000000013) OR
((piX008AInNHome_V <> INNURSINGHOME) AND (piN116_NiteOverNH =
996.00000000000013))
IF N189_HomeHlthSvc = YES
IF N190_HHSvcCovIns <> COMPLETELYCOVRD
IF N194_AmtPayOOPHHS <> EMPTY AND N194_AmtPayOOPHHS <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN195 AMT PAY O-O-P HOME HEALTH SVC - MIN
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.InHomeCare.N195_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $500, $2,000, $5,000, $10,000, $20,000
RANDOM ENTRY POINTS: $2,000, $5,000, $10,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X518
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
60 0. Value of Breakpoint
10 500. Value of Breakpoint
10 501. Value of Breakpoint
6 2000. Value of Breakpoint
4 2001. Value of Breakpoint
1 5000. Value of Breakpoint
13 5001. Value of Breakpoint
2 10000. Value of Breakpoint
1 10001. Value of Breakpoint
6 20001. Value of Breakpoint
17104 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N196_ := EMPTY:
IF (piN116_NiteOverNH <> 996.00000000000013) OR
((piX008AInNHome_V <> INNURSINGHOME) AND (piN116_NiteOverNH =
996.00000000000013))
IF N189_HomeHlthSvc = YES
IF N190_HHSvcCovIns <> COMPLETELYCOVRD
IF N194_AmtPayOOPHHS <> EMPTY AND N194_AmtPayOOPHHS <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN196 AMT PAY O-O-P HOME HEALTH SVC - MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.InHomeCare.N196_
.................................................................................
21 499. Value of Breakpoint
10 500. Value of Breakpoint
15 1999. Value of Breakpoint
6 2000. Value of Breakpoint
4 4999. Value of Breakpoint
1 5000. Value of Breakpoint
3 9999. Value of Breakpoint
2 10000. Value of Breakpoint
19999. Value of Breakpoint
51 999996. Greater than Maximum Breakpoint
17104 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N197_ := EMPTY:
IF (piN116_NiteOverNH <> 996.00000000000013) OR
((piX008AInNHome_V <> INNURSINGHOME) AND (piN116_NiteOverNH =
996.00000000000013))
IF N189_HomeHlthSvc = YES
IF N190_HHSvcCovIns <> COMPLETELYCOVRD
IF N194_AmtPayOOPHHS <> EMPTY AND N194_AmtPayOOPHHS <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN197 AMT PAY O-O-P HOME HEALTH SVC - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.InHomeCare.N197_
.................................................................................
1 97. Data not available
49 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
17165 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF (piN116_NiteOverNH <> 996.00000000000013) OR ((piX008AInNHome_V <>
INNURSINGHOME) AND (piN116_NiteOverNH = 996.00000000000013))
NOT(IF N189_HomeHlthSvc = YES)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN198 EXPECT HI COVER HOME HEALTH SVC COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.InHomeCare.N198_HHSCovIns
If you were to need medical care in your home, would you expect any of the costs
to be covered by insurance?
.................................................................................
10008 1. YES
3917 5. NO
1633 8. DK (Don't Know); NA (Not Ascertained)
10 9. RF (Refused)
1649 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN202 USED OTHER HEALTH SVC- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.OthHealthCare.N202_UseOthSvc
READ slowly
[In the last two years/Since [PREV WAVE FIRST R IW MO], [PREV WAVE FIRST R IW
YEAR]], did you use any special facility or service which we haven't talked
about, such as: an adult care center, a social worker, an outpatient
rehabilitation program, or transportation or meals for the elderly or disabled?
.................................................................................
1623 1. YES
15546 5. NO
20 8. DK (Don't Know); NA (Not Ascertained)
9 9. RF (Refused)
19 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N202_UseOthSvc = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN203 OTHER HEALTH SVC PAID BY R/SP/P
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.OthHealthCare.N203_OthSvcCovIns
Did you [or your] [husband/wife/partner] have to pay for any of these services?
.................................................................................
560 1. YES
1047 5. NO
16 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
15594 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N202_UseOthSvc = YES
IF N203_OthSvcCovIns = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN239 AMT PAY O-O-P OTHER HEALTH SERVICE
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.OthHealthCare.N239_OthSvcCost
Altogether, about how much did you have to pay?
Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
443 0 24000 724.19 2007.79 16657
-----------------------------------------------------------------
115 9999998. DK (Don't Know); NA (Not Ascertained)
2 9999999. RF (Refused)
==========================================================================================
ASSIGN:
N246_ := EMPTY:
IF N202_UseOthSvc = YES
IF N203_OthSvcCovIns = YES
IF N239_OthSvcCost <> EMPTY AND N239_OthSvcCost <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN246 AMT PAY O-O-P OTHER HEALTH SERVICE- MIN
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.OthHealthCare.N246_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $500, $1,000, $5,000, $10,000, $20,000
RANDOM ENTRY POINTS: $1,000, $5,000, $10,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X519
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
65 0. Value of Breakpoint
8 500. Value of Breakpoint
13 501. Value of Breakpoint
6 1000. Value of Breakpoint
10 1001. Value of Breakpoint
5 5001. Value of Breakpoint
1 20000. Value of Breakpoint
17109 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N247_ := EMPTY:
IF N202_UseOthSvc = YES
IF N203_OthSvcCovIns = YES
IF N239_OthSvcCost <> EMPTY AND N239_OthSvcCost <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN247 AMT PAY O-O-P OTHER HEALTH SERVICE- MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.OthHealthCare.N247_
.................................................................................
43 499. Value of Breakpoint
8 500. Value of Breakpoint
19 999. Value of Breakpoint
6 1000. Value of Breakpoint
12 4999. Value of Breakpoint
3 9999. Value of Breakpoint
1 20000. Value of Breakpoint
16 999996. Greater than Maximum Breakpoint
17109 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N248_ := EMPTY:
IF N202_UseOthSvc = YES
IF N203_OthSvcCovIns = YES
IF N239_OthSvcCost <> EMPTY AND N239_OthSvcCost <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN248 AMT PAY O-O-P OTHER HEALTH SVC- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.OthHealthCare.N248_
.................................................................................
9 97. Data not available
22 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
17184 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N204_AssgnHospCost := 0:
NOT(IF HospitalStay.N106_AmtOOPHospCost =
RESPONSE)
NOT(IF ((HospitalStay.N106_AmtOOPHospCost = DONTKNOW) OR
(HospitalStay.N106_AmtOOPHospCost = REFUSAL)) AND (HospitalStay.N107_ =
RESPONSE))SSIGN:
N204_AssgnHospCost :=
HospitalStay.N106_AmtOOPHospCost:
IF HospitalStay.N106_AmtOOPHospCost =
RESPONSESSIGN:
N204_AssgnHospCost := HospitalStay.N107_:
NOT(IF
HospitalStay.N106_AmtOOPHospCost = RESPONSE)
IF ((HospitalStay.N106_AmtOOPHospCost = DONTKNOW) OR
(HospitalStay.N106_AmtOOPHospCost = REFUSAL)) AND (HospitalStay.N107_ =
RESPONSE)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN204 ASSIGN HOSPITAL COSTS
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.N204_AssgnHospCost
User Note: N106 and N107 are used to calculate LN204.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
17217 0 250000 232.82 2473.79 0
-----------------------------------------------------------------
==========================================================================================
ASSIGN:
N205_AssgnNHCost := 0:
NOT(IF NHomeStay.N119_AmtPayNHHosp =
RESPONSE)
NOT(IF ((NHomeStay.N119_AmtPayNHHosp = DONTKNOW) OR
(NHomeStay.N119_AmtPayNHHosp = REFUSAL)) AND (NHomeStay.N120_ =
RESPONSE))SSIGN:
N205_AssgnNHCost := NHomeStay.N119_AmtPayNHHosp:
IF
NHomeStay.N119_AmtPayNHHosp = RESPONSESSIGN:
N205_AssgnNHCost :=
NHomeStay.N120_:
NOT(IF NHomeStay.N119_AmtPayNHHosp = RESPONSE)
IF ((NHomeStay.N119_AmtPayNHHosp = DONTKNOW) OR (NHomeStay.N119_AmtPayNHHosp
= REFUSAL)) AND (NHomeStay.N120_ = RESPONSE)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN205 ASSIGN NURSING HOME COSTS
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.N205_AssgnNHCost
User Note: N119 and N120 are used to calculate LN205.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
17217 0 464000 445.14 6892.86 0
-----------------------------------------------------------------
==========================================================================================
ASSIGN:
N206_AssgnOutSurgCost := 0:
NOT(IF
OutPatSurgery.N139_AmtOOPOutSurg = RESPONSE)
NOT(IF ((OutPatSurgery.N139_AmtOOPOutSurg = DONTKNOW) OR
(OutPatSurgery.N139_AmtOOPOutSurg = REFUSAL)) AND (OutPatSurgery.N140_ =
RESPONSE))SSIGN:
N206_AssgnOutSurgCost :=
OutPatSurgery.N139_AmtOOPOutSurg:
IF OutPatSurgery.N139_AmtOOPOutSurg =
RESPONSESSIGN:
N206_AssgnOutSurgCost := OutPatSurgery.N140_:
NOT(IF
OutPatSurgery.N139_AmtOOPOutSurg = RESPONSE)
IF ((OutPatSurgery.N139_AmtOOPOutSurg = DONTKNOW) OR
(OutPatSurgery.N139_AmtOOPOutSurg = REFUSAL)) AND (OutPatSurgery.N140_ =
RESPONSE)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN206 ASSIGN OUTPATIENT SURGERY COSTS
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.N206_AssgnOutSurgCost
User Note: N139 and N140 are used to calculate LN206.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
17217 0 47000 85.40 778.87 0
-----------------------------------------------------------------
==========================================================================================
ASSIGN:
N207_AssgnDocVstCost := 0:
NOT(IF DocVisit.N156_AmtOOPVisit =
RESPONSE)
NOT(IF ((DocVisit.N156_AmtOOPVisit = DONTKNOW) OR (DocVisit.N156_AmtOOPVisit
= REFUSAL)) AND (DocVisit.N157_ = RESPONSE))SSIGN:
N207_AssgnDocVstCost :=
DocVisit.N156_AmtOOPVisit:
IF DocVisit.N156_AmtOOPVisit = RESPONSESSIGN:
N207_AssgnDocVstCost := DocVisit.N157_:
NOT(IF DocVisit.N156_AmtOOPVisit =
RESPONSE)
IF ((DocVisit.N156_AmtOOPVisit = DONTKNOW) OR (DocVisit.N156_AmtOOPVisit =
REFUSAL)) AND (DocVisit.N157_ = RESPONSE)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN207 ASSIGN DOCTOR VISIT COSTS
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.N207_AssgnDocVstCost
User Note: N156 and N157 are used to calculate LN207.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
17217 0 40000 327.69 1083.09 0
-----------------------------------------------------------------
==========================================================================================
ASSIGN:
N208_AssgnDentCost := 0:
NOT(IF DentalCare.N168_AmtPayOOPDental =
RESPONSE)
NOT(IF ((DentalCare.N168_AmtPayOOPDental = DONTKNOW) OR
(DentalCare.N168_AmtPayOOPDental = REFUSAL)) AND (DentalCare.N169_ =
RESPONSE))SSIGN:
N208_AssgnDentCost := DentalCare.N168_AmtPayOOPDental:
IF
DentalCare.N168_AmtPayOOPDental = RESPONSESSIGN:
N208_AssgnDentCost :=
DentalCare.N169_:
NOT(IF DentalCare.N168_AmtPayOOPDental = RESPONSE)
IF ((DentalCare.N168_AmtPayOOPDental = DONTKNOW) OR
(DentalCare.N168_AmtPayOOPDental = REFUSAL)) AND (DentalCare.N169_ = RESPONSE)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN208 ASSIGN DENTAL COSTS
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.N208_AssgnDentCost
User Note: N168 and N169 are used to calculate LN208.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
17217 0 35000 569.72 1615.05 0
-----------------------------------------------------------------
==========================================================================================
ASSIGN:
N209_AssgnPresCost := 0:
NOT(IF PrescpDrug.N180_AmtOOPMeds =
RESPONSE)
NOT(IF ((PrescpDrug.N180_AmtOOPMeds = DONTKNOW) OR
(PrescpDrug.N180_AmtOOPMeds = REFUSAL)) AND (PrescpDrug.N181_ =
RESPONSE))SSIGN:
N209_AssgnPresCost := PrescpDrug.N180_AmtOOPMeds:
IF
PrescpDrug.N180_AmtOOPMeds = RESPONSESSIGN:
N209_AssgnPresCost :=
PrescpDrug.N181_:
NOT(IF PrescpDrug.N180_AmtOOPMeds = RESPONSE)
IF ((PrescpDrug.N180_AmtOOPMeds = DONTKNOW) OR (PrescpDrug.N180_AmtOOPMeds =
REFUSAL)) AND (PrescpDrug.N181_ = RESPONSE)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN209 ASSIGN RX COSTS
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.N209_AssgnPresCost
User Note: N180 and N181 are used to calculate LN209.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
17217 0 24000 51.44 219.71 0
-----------------------------------------------------------------
==========================================================================================
ASSIGN:
N210_AssgnHomeHCCost := 0:
NOT(IF InHomeCare.N194_AmtPayOOPHHS =
RESPONSE)
NOT(IF ((InHomeCare.N194_AmtPayOOPHHS = DONTKNOW) OR
(InHomeCare.N194_AmtPayOOPHHS = REFUSAL)) AND (InHomeCare.N195_ =
RESPONSE))SSIGN:
N210_AssgnHomeHCCost := InHomeCare.N194_AmtPayOOPHHS:
IF
InHomeCare.N194_AmtPayOOPHHS = RESPONSESSIGN:
N210_AssgnHomeHCCost :=
InHomeCare.N195_:
NOT(IF InHomeCare.N194_AmtPayOOPHHS = RESPONSE)
IF ((InHomeCare.N194_AmtPayOOPHHS = DONTKNOW) OR
(InHomeCare.N194_AmtPayOOPHHS = REFUSAL)) AND (InHomeCare.N195_ = RESPONSE)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN210 ASSIGN IN-HOME HEALTH CARE COSTS
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.N210_AssgnHomeHCCost
User Note: N194 and N195 are used to calculate LN210.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
17217 0 102000 32.39 983.38 0
-----------------------------------------------------------------
==========================================================================================
LN211 ASSIGN TOTAL O-O-P FOR MAJOR MED COSTS
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.N211_TotMajMedExp
User Note: LN211 = N204 + N205 + N206 + N207 + N208 + N209 + N210 + N239 + N328.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
17217 0 470260 1761.49 7902.42 0
-----------------------------------------------------------------
==========================================================================================
LN212 HELP PAY HEALTH CARE COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HowPayMedBill.N212_HelpPayHCCost
Besides any costs covered by insurance, has anyone helped you [and your]
[husband/wife/partner] pay for your health care costs [in the last two
years/since [PREV WAVE FIRST R IW MO], [PREV WAVE FIRST R IW YEAR]], or helped
you pay the cost of health insurance or for long-term care insurance?
.................................................................................
320 1. YES
16844 5. NO
23 8. DK (Don't Know); NA (Not Ascertained)
11 9. RF (Refused)
19 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N212_HelpPayHCCost = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN213 WHO HELP PAY HEALTH CARE COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HowPayMedBill.N213_WhoHelpPayHCCost
Is that a [child or other] relative of yours [and your husband/wife/partner's/
], or is that someone else?
.................................................................................
174 1. CHILD/CHILD-IN-LAW/GRANDCHILD
58 2. OTHER RELATIVE
87 3. SOMEONE ELSE
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16897 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN214M1 WHICH CHILD PAY HEALTH CARE COSTS-1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.HowPayMedBill.N214AWhiChldPayHC[1]
(Which child is that?)
CHOOSE all that apply
ACCEPT more than 1 child only after probe: Which child helps the most?
If grandchild: (Which of your children is the parent of that grandchild?)
.................................................................................
150 041-990. Other Person Number
992. DECEASED CHILD
20 993. ALL CHILDREN EQUALLY
4 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17043 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN214M2 WHICH CHILD PAY HEALTH CARE COSTS-2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.HowPayMedBill.N214AWhiChldPayHC[2]
(Which child is that?)
CHOOSE all that apply
ACCEPT more than 1 child only after probe: Which child helps the most?
If grandchild: (Which of your children is the parent of that grandchild?)
.................................................................................
17 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17200 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN214M3 WHICH CHILD PAY HEALTH CARE COSTS-3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.HowPayMedBill.N214AWhiChldPayHC[3]
(Which child is that?)
CHOOSE all that apply
ACCEPT more than 1 child only after probe: Which child helps the most?
If grandchild: (Which of your children is the parent of that grandchild?)
.................................................................................
9 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17208 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN214M4 WHICH CHILD PAY HEALTH CARE COSTS-4
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.HowPayMedBill.N214AWhiChldPayHC[4]
(Which child is that?)
CHOOSE all that apply
ACCEPT more than 1 child only after probe: Which child helps the most?
If grandchild: (Which of your children is the parent of that grandchild?)
.................................................................................
041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
17217 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF N212_HelpPayHCCost = YES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN215 AMT OF OTHER HELP
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.HowPayMedBill.N215_AmtOthHelp
Altogether, about how much money did that help amount to?
Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
206 0 43000 3203.33 6032.67 16897
-----------------------------------------------------------------
112 999998. DK (Don't Know); NA (Not Ascertained)
2 999999. RF (Refused)
==========================================================================================
ASSIGN:
N216_ := EMPTY:
IF N212_HelpPayHCCost = YES
IF N215_AmtOthHelp <> EMPTY AND N215_AmtOthHelp <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN216 AMT OF OTHER HELP - MIN
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.HowPayMedBill.N216_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 2Up1Down, 1Up2Down
BREAKPOINTS: $500, $1,000, $3,000, $10,000
RANDOM ENTRY POINTS: $1,000, $3,000
ENTRY POINT ASSIGNMENT: 1 or {NOT 1} AT X503
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
65 0. Value of Breakpoint
3 500. Value of Breakpoint
4 501. Value of Breakpoint
6 1000. Value of Breakpoint
18 1001. Value of Breakpoint
4 3000. Value of Breakpoint
9 3001. Value of Breakpoint
4 10001. Value of Breakpoint
17104 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N217_ := EMPTY:
IF N212_HelpPayHCCost = YES
IF N215_AmtOthHelp <> EMPTY AND N215_AmtOthHelp <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN217 AMT OF OTHER HELP - MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.HowPayMedBill.N217_
.................................................................................
12 499. Value of Breakpoint
3 500. Value of Breakpoint
6 999. Value of Breakpoint
6 1000. Value of Breakpoint
17 2999. Value of Breakpoint
4 3000. Value of Breakpoint
9 9999. Value of Breakpoint
56 99996. Greater than Maximum Breakpoint
17104 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
N218_ := EMPTY:
IF N212_HelpPayHCCost = YES
IF N215_AmtOthHelp <> EMPTY AND N215_AmtOthHelp <> NONRESPONSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN218 AMT OF OTHER HELP - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.HowPayMedBill.N218_
.................................................................................
55 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
17160 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF piN211_TotMajMedExp >= 10000
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN219M1 HOW FINANCE LARGE MEDICAL EXPENSES-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HowPayMedBill.N219_HowFinLgMedExp[1]
[You have just told me that you have had some rather large out-of pocket medical
expenditures. Apart from what you received from others, how/You have just told
me that you have had some rather large out-of-pocket medical expenditures. How]
did you finance these -- did you pay directly from your savings or earnings, did
you take out a loan, have you not yet paid these bills, or what?
CHOOSE all that apply
If payments are still being made, enter both code 3 and code 4
.................................................................................
405 1. PAID USING SAVINGS/EARNINGS
11 2. TOOK OUT A LOAN
44 3. HAVE NOT YET PAID
37 4. MAKING PAYMENTS
10 5. Not paid by R (filed for bankruptcy, someone else [like a
relative] paid, doctor let the bills drop, etc)
16 6. Records inaccurate, R did not have large out of pocket
expenses
7. OTHER (SPECIFY)
15 8. DK (Don't Know); NA (Not Ascertained)
7 9. RF (Refused)
16672 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF piN211_TotMajMedExp >= 10000
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN219M2 HOW FINANCE LARGE MEDICAL EXPENSES-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HowPayMedBill.N219_HowFinLgMedExp[2]
[You have just told me that you have had some rather large out-of pocket medical
expenditures. Apart from what you received from others, how/You have just told
me that you have had some rather large out-of-pocket medical expenditures. How]
did you finance these -- did you pay directly from your savings or earnings, did
you take out a loan, have you not yet paid these bills, or what?
CHOOSE all that apply
If payments are still being made, enter both code 3 and code 4
.................................................................................
2 1. PAID USING SAVINGS/EARNINGS
9 2. TOOK OUT A LOAN
20 3. HAVE NOT YET PAID
14 4. MAKING PAYMENTS
2 5. Not paid by R (filed for bankruptcy, someone else [like a
relative] paid, doctor let the bills drop, etc)
2 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17168 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF piN211_TotMajMedExp >= 10000
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN219M3 HOW FINANCE LARGE MEDICAL EXPENSES-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HowPayMedBill.N219_HowFinLgMedExp[3]
[You have just told me that you have had some rather large out-of pocket medical
expenditures. Apart from what you received from others, how/You have just told
me that you have had some rather large out-of-pocket medical expenditures. How]
did you finance these -- did you pay directly from your savings or earnings, did
you take out a loan, have you not yet paid these bills, or what?
CHOOSE all that apply
If payments are still being made, enter both code 3 and code 4
.................................................................................
1 1. PAID USING SAVINGS/EARNINGS
2. TOOK OUT A LOAN
2 3. HAVE NOT YET PAID
6 4. MAKING PAYMENTS
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17208 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF piN211_TotMajMedExp >= 10000
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN219M4 HOW FINANCE LARGE MEDICAL EXPENSES-4
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HowPayMedBill.N219_HowFinLgMedExp[4]
[You have just told me that you have had some rather large out-of pocket medical
expenditures. Apart from what you received from others, how/You have just told
me that you have had some rather large out-of-pocket medical expenditures. How]
did you finance these -- did you pay directly from your savings or earnings, did
you take out a loan, have you not yet paid these bills, or what?
CHOOSE all that apply
If payments are still being made, enter both code 3 and code 4
.................................................................................
1. PAID USING SAVINGS/EARNINGS
2. TOOK OUT A LOAN
3. HAVE NOT YET PAID
2 4. MAKING PAYMENTS
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17215 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF piN211_TotMajMedExp >= 10000
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN219M5 HOW FINANCE LARGE MEDICAL EXPENSES-5
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HowPayMedBill.N219_HowFinLgMedExp[5]
[You have just told me that you have had some rather large out-of pocket medical
expenditures. Apart from what you received from others, how/You have just told
me that you have had some rather large out-of-pocket medical expenditures. How]
did you finance these -- did you pay directly from your savings or earnings, did
you take out a loan, have you not yet paid these bills, or what?
CHOOSE all that apply
If payments are still being made, enter both code 3 and code 4
.................................................................................
1. PAID USING SAVINGS/EARNINGS
2. TOOK OUT A LOAN
3. HAVE NOT YET PAID
4. MAKING PAYMENTS
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17217 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((SecA.StartInterview.A009_SelfPrxy = SLF) OR (ACTIVELANGUAGE =
EXTENG)) OR (ACTIVELANGUAGE = EXTSPN)
IF (piRvarsZ113_GaveMedcareNo_V <> YES) AND (piGovCoverN001_ = YES)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN226 MEDICARE NUMBER RECORDED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: 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 your Medicare number for this purpose? (Under the Privacy Act
of 1974, providing your number is a voluntary decision. The benefits you may be
receiving under this program will not be affected in any way by your decision.
Any remaining benefits under this program will not be affected in any way by
your decision)
.................................................................................
1082 1. NUMBER RECORDED
939 4. R REFUSED NUMBER
277 5. NUMBER NOT RECORDED (NOT REFUSED)
12 8. DK (Don't Know); NA (Not Ascertained)
20 9. RF (Refused)
14887 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASK:
IF ((SecA.StartInterview.A009_SelfPrxy = SLF) OR (ACTIVELANGUAGE =
EXTENG)) OR (ACTIVELANGUAGE = EXTSPN)
IF (piGovCoverN006_ = YES) AND (N226_MedicareNumRec <> RREFUSEDNUMBER)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN231 MEDICAID NUMBER RECORDED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: 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 your Medicaid number for this purpose?
(Under the Privacy Act of 1974, providing your number is (also) a voluntary
decision. The benefits you may be receiving under this program will not be
affected in any way by your decision.)
.................................................................................
784 1. NUMBER RECORDED
148 4. R REFUSED NUMBER
283 5. NUMBER NOT RECORDED (NOT REFUSED)
13 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
15984 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LN235 HOW SATISFIED W/ HEALTH CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N235_SatisfWHlthCare
Now, thinking about the quality, cost, and convenience of your health care,
altogether would you say that you are very satisfied, somewhat satisfied, or not
satisfied at all with your health care?
.................................................................................
9638 1. VERY SATISFIED
6565 3. SOMEWHAT SATISFIED
868 5. NOT SATISFIED AT ALL
110 8. DK (Don't Know); NA (Not Ascertained)
17 9. RF (Refused)
19 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN:
SecN.N236_AssistN := Hold_SecNN236_AssistN.ORD:
IF
Hold_SecNN236_AssistN <> EMPTYSSIGN:
SecN.N236_AssistN :=
Reset_SecNN236_AssistN.ORD:
IF Reset_SecNN236_AssistN <> EMPTY
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LN236 ASSIST SECTION N
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N236_AssistN
How often did R receive assistance with answers in Section N - Health services
and insurance?
.................................................................................
16233 1. NEVER
578 2. A FEW TIMES
315 3. MOST OR ALL OF THE TIME
72 4. THE SECTION WAS DONE BY A PROXY REPORTER
19 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
LVDATE 2008 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.
.................................................................................
2432 1. Version 1
3407 2. Version 2
3102 3. Version 3
8276 4. Version 4
==========================================================================================
LVERSION 2008 DATA RELEASE VERSION
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
.................................................................................
17217 2. HRS 2008 Final Release
|