==========================================================================================
Section N: HEALTH SERVICES AND INSURANCE (Respondent)
==========================================================================================
HHID HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 6 Decimals: 0
.................................................................................
1330 010075-502745. Household Identification Number
==========================================================================================
PN RESPONDENT PERSON IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
.................................................................................
850 010. Person Identifier
18 011. Person Identifier
1 012. Person Identifier
358 020. Person Identifier
7 021. Person Identifier
37 030. Person Identifier
2 031. Person Identifier
54 040. Person Identifier
3 041. Person Identifier
==========================================================================================
VSUBHH 2008 SUB HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
.................................................................................
1291 3. 1st deceased respondent from a household
39 4. 2nd deceased respondent from a household
==========================================================================================
KSUBHH 2006 SUB HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
.................................................................................
1272 0. Original sample household - no split from divorce or
separation of spouses or partners
25 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
29 2. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
1 3. 1st deceased respondent from a household
5. Split household - one half of couple from SUBHH 1 or 2
6. Split household - one half of couple from SUBHH 1 or 2
3 7. Reunited household - respondents from split household
reunite
==========================================================================================
VPN_SP 2008 SPOUSE/PARTNER PERSON NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
.................................................................................
196 010. Person Identifier
595 011. Person Identifier
8 012. Person Identifier
2 013. Person Identifier
231 020. Person Identifier
155 021. Person Identifier
30 030. Person Identifier
7 031. Person Identifier
1 032. Person Identifier
32 040. Person Identifier
15 041. Person Identifier
7 811. New Spouse of Non-Original Respondent
3 812. New Spouse of Non-Original Respondent
1 821. New Spouse of Non-Original Respondent
1 822. New Spouse of Non-Original Respondent
1 832. New Spouse of Non-Original Respondent
1 841. New Spouse of Non-Original Respondent
44 Blank. R not coupled
==========================================================================================
VN001 MEDICARE COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N001_
[F1]--help
The next questions are about health insurance, both public and private. Medicare
is a public health insurance program for people 65 or older and for disabled
persons. (Medicaid/State name for Medicaid) is a public health insurance program
for people with low incomes.
Was [R's FIRST NAME] covered by Medicare health insurance at the time of
[her/his] death?
.................................................................................
1182 1. YES
114 5. NO
33 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN002M1 WHY NOT MEDICARE COVERED-1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N002_
Why was that?
IF R WAS MORE THAN 65 WHEN S/HE DIED (A019 ge 65):
[IWER: R WAS AGE R’s AGE (per A019), SO PROBE WHY R WAS NOT COVERED BY
MEDICARE]
IF R WAS 65 OR LESS WHEN S/HE DIED (A019 < 65):
[IWER: R WAS AGE R’s AGE (per A019), SO PROBE WHY R WAS COVERED BY MEDICARE]
.................................................................................
25 1. R is disabled; R is on disability; Spouse on disability; R
is on Social Security disability or SSI
8 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
4. R mentions has Part A and Part B of Medicare
5. R mentions has Part A of Medicare; the first half of
Medicare
6. R mentions has Part B of Medicare; the second half of
Medicare
7. R mentions a Medicare card or the mechanics of using it
8. R receives Medicare through a deceased spouse
9. R mentions his/her age in conjunction with having Medicare;
R has had Medicare since a certain age; R got Medicare
'early'
10. R pays into Medicare, but doesn't use it; R has Medicare,
but chooses not to use it
50. R never applied for Medicare or invested in it-NFS
51. R didn't work long enough to qualify for Medicare; R didn't
work enough quarters; R's spouse didn't work enough quarters
to qualify
52. R is still working (If R mentions other insurance coverage
through his/her employment, code the appropriate insurance
code only)
53. R never qualified for Medicare in his/her employment; R was
in the military/a federal employee/a postal worker etc.; R
doesn't get Social Security or Medicaid
54. R used to have Medicare-NFS; R had Medicare, but not now; R
dropped it
55. Medicare charges too much; Medicare too expensive for what
you receive
56. R will be on Medicare in the future; R not old enough to
qualify at present; R in the process of getting Medicare
57. R had Medicare through a deceased spouse and R no longer
receives it
58. R's spouse only receives Medicare
59. R is not familiar with Medicare; confusion about eligibility
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
73. R has private insurance; e.g. Cigna, Kaiser, Blue Cross/Blue
Shield
74. R is covered by Medicaid
75. R's spouse's medical insurance covers R
76. R covered under company health plan or health insurance; R
covered under former employer's health plan or health
insurance
90. R mentions income level/group, home ownership, an economic
factor
91. R mentions Social Security; e.g. 'I have Social Security,'
(Note that all mentions of SSI or disability go under codes
01 or 02)
92. R is not a U.S. citizen; R is an illegal alien; R lives
outside the USA
93. R doesn't need it - NFS
94. R "used it up"
95. R disputes age calculation
1 97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
1294 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN002M2 WHY NOT MEDICARE COVERED-2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N002_
Why was that?
IF R WAS MORE THAN 65 WHEN S/HE DIED (A019 ge 65):
[IWER: R WAS AGE R’s AGE (per A019), SO PROBE WHY R WAS NOT COVERED BY
MEDICARE]
IF R WAS 65 OR LESS WHEN S/HE DIED (A019 < 65):
[IWER: R WAS AGE R’s AGE (per A019), SO PROBE WHY R WAS COVERED BY MEDICARE]
.................................................................................
1. R is disabled; R is on disability; Spouse on disability; R
is on Social Security disability or SSI
2. R has a specific medical problem. (E.g. If R says; 'Disabled
due to medical condition,' code it as 02, not 01)
3. R has Medicare-NFS
4. R mentions has Part A and Part B of Medicare
5. R mentions has Part A of Medicare; the first half of
Medicare
6. R mentions has Part B of Medicare; the second half of
Medicare
7. R mentions a Medicare card or the mechanics of using it
8. R receives Medicare through a deceased spouse
9. R mentions his/her age in conjunction with having Medicare;
R has had Medicare since a certain age; R got Medicare
'early'
10. R pays into Medicare, but doesn't use it; R has Medicare,
but chooses not to use it
50. R never applied for Medicare or invested in it-NFS
51. R didn't work long enough to qualify for Medicare; R didn't
work enough quarters; R's spouse didn't work enough quarters
to qualify
52. R is still working (If R mentions other insurance coverage
through his/her employment, code the appropriate insurance
code only)
53. R never qualified for Medicare in his/her employment; R was
in the military/a federal employee/a postal worker etc.; R
doesn't get Social Security or Medicaid
54. R used to have Medicare-NFS; R had Medicare, but not now; R
dropped it
55. Medicare charges too much; Medicare too expensive for what
you receive
56. R will be on Medicare in the future; R not old enough to
qualify at present; R in the process of getting Medicare
57. R had Medicare through a deceased spouse and R no longer
receives it
58. R's spouse only receives Medicare
59. R is not familiar with Medicare; confusion about eligibility
70. R has other medical insurance/coverage-NFS
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
73. R has private insurance; e.g. Cigna, Kaiser, Blue Cross/Blue
Shield
74. R is covered by Medicaid
75. R's spouse's medical insurance covers R
76. R covered under company health plan or health insurance; R
covered under former employer's health plan or health
insurance
90. R mentions income level/group, home ownership, an economic
factor
91. R mentions Social Security; e.g. 'I have Social Security,'
(Note that all mentions of SSI or disability go under codes
01 or 02)
92. R is not a U.S. citizen; R is an illegal alien; R lives
outside the USA
93. R doesn't need it - NFS
94. R "used it up"
95. R disputes age calculation
97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
1330 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF N001_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN004 MEDICARE PART B COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N004_
[F1]--Help
Part A of Medicare covers most hospital expenses.
Part B covers many doctors' expenses including doctor visits, and the premium is
usually deducted from [her/his] Social Security.
At the time of [R's FIRST NAME]'s death, was [he/she] covered by Medicare Part
B?
.................................................................................
1054 1. YES
37 5. NO
91 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
148 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (MediCaidCarePlan.N351_ <> YES) AND MediCaidCarePlan.N351_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN352 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. Had [R's FIRST NAME] enrolled in Medicare Part D,
also known as the Medicare Prescription Drug Plan?
.................................................................................
318 1. YES
14 3. [VOL] ENROLLED IN IT AUTOMATICALLY
313 5. NO
87 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
598 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN005 MEDICAID COVERAGE SINCE PREV WAVE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N005_
[F1]--help
Was [he/she] covered by health insurance through (Medicaid/State name for
Medicaid or any other Medicaid program) at any time [between [MONTH, ][PREV WAVE
IW YEAR] and when [she/he] died/in the two years before [her/his] death] ?
.................................................................................
369 1. YES
892 5. NO
68 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF N005_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN006 CURRENTLY COVERED BY MEDICAID
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N006_
Was [he/she] covered by (Medicaid/State name for Medicaid) at the time [he/she]
died?
.................................................................................
351 1. YES
15 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
961 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN007 CHAMPUS/CHAMPVA COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N007_
[F1]--Help
At the time of [her/his] death, was [he/she] 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.)
.................................................................................
79 1. YES
1224 5. NO
26 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN009 MEDICARE/MEDICAID HMO
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N009_
[F1]--Help
We are interested in how [her/his] (Medicare/Medicare or (Medicaid/State name
for Medicaid)) health insurance worked for routine care.
Did [R's FIRST NAME] receive [her/his] [Medicare /(Medicaid/State name for
MEDICAID)] benefits through an HMO, that is a Health Maintenance Organization?
Def: (With an HMO, the cost of the physician visit is typically covered in full
or you pay only a small amount. All of your routine care must be provided by an
HMO physician.)
.................................................................................
239 1. YES
798 5. NO
199 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
93 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF N009_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN010 MEDICARE/MEDICAID HMO- HOW LONG - YRS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N010_
At the time of [her/his] death, about how long had [he/she] been receiving
[her/his] [Medicare /(Medicaid/State name for MEDICAID)] benefits through this
HMO?
Years:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
163 1 25 10.31 8.02 1105
-----------------------------------------------------------------
62 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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN011 MEDICARE/MEDICAID HMO- HOW LONG - MOS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N011_
At the time of [her/his] death, about how long had [he/she] been receiving
[her/his] [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
14 0 23 7.57 6.66 1254
-----------------------------------------------------------------
62 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF N009_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN351 HMO PAY FOR REGULAR PRESCRIPTION DRUGS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N351_
Did this HMO cover or provide help with paying for regular prescription drugs?
.................................................................................
199 1. YES
31 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1091 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF N009_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN014 MEDICARE/MEDICAID HMO-AMT PAY
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.MediCaidCarePlan.N014_
Not including co-pays or deductions from [her/his] Social Security, how much did
[he/she], [herself/himself], pay in premiums for this plan?
Do not probe DK/RF
Amount:
Per:
.................................................................................
160 0-519. Actual Value
79 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1091 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF N009_ = YES;
IF ((N014_ > 0) AND (N014_ <> REFUSAL)) AND (N014_ <> DONTKNOW);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN018 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 [her/his] Social Security, how much did
[he/she], [herself/himself], pay for this plan?
Amount: [MEDICARE/MEDICAID HMO-AMT PAY]
Per:
.................................................................................
79 1. MONTH
4 2. QUARTER (EVERY 3 MONTHS)
3. SEMI-ANNUALLY (EVERY 6 MONTHS/TWICE A YEAR)
2 4. YEAR
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1245 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N015_ := EMPTY:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF N009_ = YES;
IF N014_ <> EMPTY AND N014_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN015 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
.................................................................................
51 0. Value of Breakpoint
3 30. Value of Breakpoint
4 31. Value of Breakpoint
5 60. Value of Breakpoint
5 61. Value of Breakpoint
3 100. Value of Breakpoint
7 101. Value of Breakpoint
1 201. Value of Breakpoint
1251 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N016_ := EMPTY:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF N009_ = YES;
IF N014_ <> EMPTY AND N014_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN016 MEDICARE/MEDICAID HMO-AMT PAY - MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.MediCaidCarePlan.N016_
*
.................................................................................
6 29. Value of Breakpoint
3 30. Value of Breakpoint
6 59. Value of Breakpoint
5 60. Value of Breakpoint
4 99. Value of Breakpoint
3 100. Value of Breakpoint
5 199. Value of Breakpoint
47 99999996. Greater than Maximum Breakpoint
1251 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N017_ := EMPTY:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF N009_ = YES;
IF N014_ <> EMPTY AND N014_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN017 MEDICARE/MEDICAID HMO-AMT PAY - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N017_
*
.................................................................................
50 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1280 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF piGovCoverN001_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN020 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 MONTH], [PREV
WAVE FIRST R IW YEAR], did [he/she] leave an HMO that delivered Medicare
services?
.................................................................................
15 1. YES
1050 5. NO
117 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
148 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF piGovCoverN001_ = YES;
IF N020_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN021M1 WHY LEAVE MEDICARE HMO-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N021M[1]
Why did [she/he] leave that HMO?
CHOOSE all that apply
.................................................................................
1. OWN PHYSICIAN LEFT PLAN
4 2. HMO DIDN'T PROVIDE NEEDED SERVICES
3. HMO COSTS INCREASED
1 4. HMO ENCOURAGED ME TO LEAVE
3 5. PLAN NO LONGER AVAILABLE
3 6. Too far away from HMO; R moved; HMO not in region
2 7. OTHER (SPECIFY)
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1315 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES);
IF piGovCoverN001_ = YES;
IF N020_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN021M2 WHY LEAVE MEDICARE HMO-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N021M[2]
Why did [she/he] leave that HMO?
CHOOSE all that apply
.................................................................................
1. OWN PHYSICIAN LEFT PLAN
2. HMO DIDN'T PROVIDE NEEDED SERVICES
3. HMO COSTS INCREASED
4. HMO ENCOURAGED ME TO LEAVE
5. PLAN NO LONGER AVAILABLE
6. Too far away from HMO; R moved; HMO not in region
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1330 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN023 NUM PRIVATE HEALTH INS PLANS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.N023_
[F1]--help
Now, we'd like to ask about all the other types of health insurance plans
[she/he] might have had, such as insurance through an employer or a business,
coverage for retirees, or health insurance [she/he] might have bought for
[herself/himself], including any [Medigap or] other supplemental coverage.
Do NOT include long-term care insurance[. Other than your Medicare HMO you`ve
just told me about, how/, or anything that you have just told me about. How]
many other such plans did [she/he] have at the time of [her/his] death?
ENTER zero for none
Number of plans:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1266 0 3 0.50 0.53 1
-----------------------------------------------------------------
60 98. DK (Don't Know); NA (Not Ascertained)
3 99. RF (Refused)
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF piGovCoverN001_ = YES;
IF Counter = 1;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN025_1 WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N025_
Which was [her /his ] primary plan, Medicare or [NAME PRIVATE HEALTH INSURANCE
PLAN] ?
.................................................................................
500 1. MEDICARE
52 2. [NAME PRIVATE HEALTH INSURANCE PLAN]
10 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
768 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN032_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_
[F1]--help
Did [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.
.................................................................................
387 1. YES
188 5. NO
38 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
717 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN033_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
Did [she/he] obtain this health insurance through [her /his] own business or an
employer?
ASK `Whose employer?` if not clear
.................................................................................
28 1. YES
37 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1263 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N033_HowObtIns <> YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN034_1 OBTAIN INS THRU FORMER EMPLOYER -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N034_
Did [he/she] obtain this health insurance through a former employer of
[his/hers]?
.................................................................................
179 1. YES
390 5. NO
16 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
745 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN035_1 OBTAIN INS THRU HWP CURRENT EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N035_
Did [she/he] obtain this health insurance through [her /his ] [former]
(spouse/partner's) current employer?
.................................................................................
33 1. YES
158 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1135 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN036_1 OBTAIN INS THRU HWP FORMER EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N036_
Did [she/he] obtain this health insurance through [her /his ] [former]
(spouse/partner's) former employer?
.................................................................................
92 1. YES
254 5. NO
12 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
972 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N033_HowObtIns <> YES;
IF N034_ <> YES;
IF (N035_ <> YES) AND (N036_ <> YES);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN037_1 WHERE PURCHASE PRIVATE PLAN INSURANCE- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N037_
Did [she/he] purchase this plan directly from an insurance company, through [her
/his ] [or your you/husband/wife/partner's/ ] union, through a group such as
AARP, a church, or other organization, or what?
.................................................................................
193 1. INSURANCE COMPANY
3 2. R`S UNION
2 3. SPOUSE`S UNION
40 4. GROUP
9 6. Includes federal, state or military programs
4 7. OTHER (SPECIFY)
30 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1049 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN039_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 [her/his] family, did [she/he] [or/ or her/his]
[you/husband/wife/partner] pay all of the costs, some of the costs, or none of
the costs of the premium for this health insurance coverage?
.................................................................................
391 1. ALL
99 2. SOME
108 3. NONE
14 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
717 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN040_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 did [she/he] [or/ or her/his] [you/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
317 0 3500 197.04 233.91 825
-----------------------------------------------------------------
186 99998. DK (Don't Know); NA (Not Ascertained)
2 99999. RF (Refused)
==========================================================================================
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
IF N040_ <> EMPTY AND N040_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN041_1 PRIV PLAN HI PAY PER/MONTH- MIN- 1
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.PlanDetails[1].N041_
Did it amount to less than $____ per month, more than $____ per month, or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $50, $100, $150, $300, $500
RANDOM ENTRY POINTS: $100, $150, $300
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X515
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
89 0. Value of Breakpoint
6 50. Value of Breakpoint
14 51. Value of Breakpoint
4 100. Value of Breakpoint
14 101. Value of Breakpoint
9 150. Value of Breakpoint
41 151. Value of Breakpoint
4 300. Value of Breakpoint
2 301. Value of Breakpoint
1 500. Value of Breakpoint
3 501. Value of Breakpoint
1143 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN042_1 PRIV PLAN HI PAY PER/MONTH- MAX- 1
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.PlanDetails[1].N042_
*
.................................................................................
2 49. Value of Breakpoint
6 50. Value of Breakpoint
16 99. Value of Breakpoint
4 100. Value of Breakpoint
19 149. Value of Breakpoint
9 150. Value of Breakpoint
30 299. Value of Breakpoint
4 300. Value of Breakpoint
2 499. Value of Breakpoint
1 500. Value of Breakpoint
94 99999996. Greater than Maximum Breakpoint
1143 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN043_1 PRIV PLAN HI PAY PER/MONTH- RESULT- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[1].N043_
*
.................................................................................
1 97. Data Not Available
108 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1220 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
*Assign N044_ := ALLOTHS:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
*NOT(ELSE)*(IF piSecJWorkstatusJ021_EmpSelfOth = SLFEMPD);
*Assign N044_ := RISCURRLYSLFEMPD:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
IF piSecJWorkstatusJ021_EmpSelfOth = SLFEMPD;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN044_1 BRANCHPNT-SELF EMPLOYED/ALL OTH-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N044_
*
.................................................................................
1. R IS CURRENTLY SELF-EMPLOYED
505 2. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
825 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
*Assign N046_ := INSTHRUCURFOREMPORUNION:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
*NOT(ELSE)*(IF ((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES)));
*NOT(ELSE)*(IF N037_ = OTH_SPECIFY);
*Assign N046_ := INSTHRUSOMEPLACEELSEATR15:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
*NOT(ELSE)*(IF ((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES)));
IF N037_ = OTH_SPECIFY;
*Assign N046_ := INSTHRUSPANDRISMDS:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
IF ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss =
PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ = YES));
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN046_1 BRANCHPNT-SOURCE OF HEALTH INSURANCE -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N046_
.................................................................................
48 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
17 2. INS THRU SOMEPLACE ELSE
440 3. INS THRU CURRENT/FORMER EMPLOYER
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
825 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
*Assign N047_ := ALLOTHS:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
*NOT(ELSE)*(IF piGovCoverN001_ = YES);
*Assign N047_ := RISCOVEREDBYMCARE:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
IF piGovCoverN001_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN047_1 BRANCHPNT-COVERD BY MEDICARE/ALL OTH -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N047_
.................................................................................
463 1. R IS COVERED BY MEDICARE
42 2. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
825 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN052_1 PRIVATE PLAN INSURANCE AN HMO- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N052_Plan1HMO
Was this plan an HMO, that is a Health Maintenance Organization?
Def: (With an HMO, the cost of the physician visit is typically covered in full
or you pay only a small amount. All of your routine care must be provided by an
HMO physician.)
.................................................................................
66 1. YES
483 5. NO
64 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
717 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN053_1 NUMBER YEARS IN PLAN- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[1].N053_NumYrPlan
How long had [she/he] been with this plan?
Years:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
478 0 50 19.87 13.68 726
-----------------------------------------------------------------
126 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF (N053_NumYrPlan = 0) OR N053_NumYrPlan = EMPTY;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN054_1 NUMBER MONTHS IN PLAN- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[1].N054_NumMoPlan
How long has [she/he] been with this plan?
Years:
Or
Months:
.................................................................................
9 1-10. Actual Value
126 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1195 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N052_Plan1HMO <> YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN055_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
Did this health insurance plan have a list or book of doctors that [she/he] was
encouraged or required to use?
.................................................................................
79 1. YES
401 5. NO
67 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
783 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF (N055_ListDoctor = YES) OR (N052_Plan1HMO = YES);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN056_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
Did this health insurance pay any of the costs for routine care if [he/she] saw
a doctor who was not [on this list/in the HMO]?
.................................................................................
75 1. YES
10 2. YES, WITH A REFERRAL
31 5. NO
29 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1185 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
*Assign N058_ := ALLOTHS:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
*NOT(ELSE)*(IF (piSecAContinuInterviewA019_RAge < 65) AND (N033_HowObtIns =
YES));
*NOT(ELSE)*(IF (piSecAContinuInterviewA019_RAge < 65) AND (N034_ = YES));
*Assign N058_ := HLTHINSFORMEREMPLESS65:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
*NOT(ELSE)*(IF (piSecAContinuInterviewA019_RAge < 65) AND (N033_HowObtIns =
YES));
IF (piSecAContinuInterviewA019_RAge < 65) AND (N034_ = YES);
*Assign N058_ := HLTHINSFROMCUREMPLESS65:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF (piSecAContinuInterviewA019_RAge < 65) AND (N033_HowObtIns = YES);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN058_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_
.................................................................................
14 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
3 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
596 3. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
717 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN066_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
Were there any limits or restrictions on this health insurance plan due to a
preexisting condition?
.................................................................................
15 1. YES
540 5. NO
58 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
717 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF piGovCoverN001_ = YES;
IF Counter = 1;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN025_2 WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N025_
Which was [her /his ] primary plan, Medicare or [NAME PRIVATE HEALTH INSURANCE
PLAN] ?
.................................................................................
1. MEDICARE
2. [NAME PRIVATE HEALTH INSURANCE PLAN]
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1330 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN032_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_
[F1]--help
Did [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.
.................................................................................
7 1. YES
11 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1311 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN033_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
Did [she/he] obtain this health insurance through [her /his] own business or an
employer?
ASK `Whose employer?` if not clear
.................................................................................
1 1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1329 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N033_HowObtIns <> YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN034_2 OBTAIN INS THRU FORMER EMPLOYER -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N034_
Did [he/she] obtain this health insurance through a former employer of
[his/hers]?
.................................................................................
3 1. YES
13 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1312 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN035_2 OBTAIN INS THRU HWP CURRENT EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N035_
Did [she/he] obtain this health insurance through [her /his ] [former]
(spouse/partner's) current employer?
.................................................................................
1 1. YES
7 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1321 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN036_2 OBTAIN INS THRU HWP FORMER EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N036_
Did [she/he] obtain this health insurance through [her /his ] [former]
(spouse/partner's) former employer?
.................................................................................
1 1. YES
11 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1316 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N033_HowObtIns <> YES;
IF N034_ <> YES;
IF (N035_ <> YES) AND (N036_ <> YES);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN037_2 WHERE PURCHASE PRIVATE PLAN INSURANCE- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N037_
Did [she/he] purchase this plan directly from an insurance company, through [her
/his ] [or your you/husband/wife/partner's/ ] union, through a group such as
AARP, a church, or other organization, or what?
.................................................................................
10 1. INSURANCE COMPANY
2. R`S UNION
3. SPOUSE`S UNION
2 4. GROUP
6. Includes federal, state or military programs
7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1317 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN039_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 [her/his] family, did [she/he] [or/ or her/his]
[you/husband/wife/partner] pay all of the costs, some of the costs, or none of
the costs of the premium for this health insurance coverage?
.................................................................................
14 1. ALL
2 2. SOME
2 3. NONE
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1311 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN040_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 did [she/he] [or/ or her/his] [you/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
11 15 200 83.09 69.44 1313
-----------------------------------------------------------------
6 99998. DK (Don't Know); NA (Not Ascertained)
99999. RF (Refused)
==========================================================================================
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
IF N040_ <> EMPTY AND N040_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN041_2 PRIV PLAN HI PAY PER/MONTH- MIN- 2
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.PlanDetails[2].N041_
Did it amount to less than $____ per month, more than $____ per month, or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $50, $100, $150, $300, $500
RANDOM ENTRY POINTS: $100, $150, $300
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X515
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
3 0. Value of Breakpoint
1 50. Value of Breakpoint
1 101. Value of Breakpoint
1 151. Value of Breakpoint
1324 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN042_2 PRIV PLAN HI PAY PER/MONTH- MAX- 2
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.PlanDetails[2].N042_
*
.................................................................................
1 49. Value of Breakpoint
1 50. Value of Breakpoint
1 149. Value of Breakpoint
3 99999996. Greater than Maximum Breakpoint
1324 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN043_2 PRIV PLAN HI PAY PER/MONTH- RESULT- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[2].N043_
*
.................................................................................
3 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1327 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
*Assign N044_ := ALLOTHS:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
*NOT(ELSE)*(IF piSecJWorkstatusJ021_EmpSelfOth = SLFEMPD);
*Assign N044_ := RISCURRLYSLFEMPD:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
IF piSecJWorkstatusJ021_EmpSelfOth = SLFEMPD;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN044_2 BRANCHPNT-SELF EMPLOYED/ALL OTH-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N044_
*
.................................................................................
1. R IS CURRENTLY SELF-EMPLOYED
17 2. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1313 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
*Assign N046_ := INSTHRUCURFOREMPORUNION:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
*NOT(ELSE)*(IF ((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES)));
*NOT(ELSE)*(IF N037_ = OTH_SPECIFY);
*Assign N046_ := INSTHRUSOMEPLACEELSEATR15:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
*NOT(ELSE)*(IF ((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES)));
IF N037_ = OTH_SPECIFY;
*Assign N046_ := INSTHRUSPANDRISMDS:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
IF ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss =
PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ = YES));
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN046_2 BRANCHPNT-SOURCE OF HEALTH INSURANCE -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N046_
.................................................................................
1 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
1 2. INS THRU SOMEPLACE ELSE
15 3. INS THRU CURRENT/FORMER EMPLOYER
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1316 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
*Assign N047_ := ALLOTHS:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
*NOT(ELSE)*(IF piGovCoverN001_ = YES);
*Assign N047_ := RISCOVEREDBYMCARE:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
IF piGovCoverN001_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN047_2 BRANCHPNT-COVERD BY MEDICARE/ALL OTH -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N047_
.................................................................................
17 1. R IS COVERED BY MEDICARE
2. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1316 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN052_2 PRIVATE PLAN INSURANCE AN HMO- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N052_Plan1HMO
Was this plan an HMO, that is a Health Maintenance Organization?
Def: (With an HMO, the cost of the physician visit is typically covered in full
or you pay only a small amount. All of your routine care must be provided by an
HMO physician.)
.................................................................................
1 1. YES
13 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1311 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN053_2 NUMBER YEARS IN PLAN- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[2].N053_NumYrPlan
How long had [she/he] been with this plan?
Years:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
13 1 40 13.46 12.82 1311
-----------------------------------------------------------------
6 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF (N053_NumYrPlan = 0) OR N053_NumYrPlan = EMPTY;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN054_2 NUMBER MONTHS IN PLAN- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[2].N054_NumMoPlan
How long has [she/he] been with this plan?
Years:
Or
Months:
.................................................................................
6 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1324 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N052_Plan1HMO <> YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN055_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
Did this health insurance plan have a list or book of doctors that [she/he] was
encouraged or required to use?
.................................................................................
3 1. YES
12 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1312 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF (N055_ListDoctor = YES) OR (N052_Plan1HMO = YES);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN056_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
Did this health insurance pay any of the costs for routine care if [he/she] saw
a doctor who was not [on this list/in the HMO]?
.................................................................................
4 1. YES
2. YES, WITH A REFERRAL
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1326 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
*Assign N058_ := ALLOTHS:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
*NOT(ELSE)*(IF (piSecAContinuInterviewA019_RAge < 65) AND (N033_HowObtIns =
YES));
*NOT(ELSE)*(IF (piSecAContinuInterviewA019_RAge < 65) AND (N034_ = YES));
*Assign N058_ := HLTHINSFORMEREMPLESS65:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
*NOT(ELSE)*(IF (piSecAContinuInterviewA019_RAge < 65) AND (N033_HowObtIns =
YES));
IF (piSecAContinuInterviewA019_RAge < 65) AND (N034_ = YES);
*Assign N058_ := HLTHINSFROMCUREMPLESS65:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF (piSecAContinuInterviewA019_RAge < 65) AND (N033_HowObtIns = YES);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN058_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_
.................................................................................
1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
19 3. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1314 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN066_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
Were there any limits or restrictions on this health insurance plan due to a
preexisting condition?
.................................................................................
1 1. YES
15 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1311 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF piGovCoverN001_ = YES;
IF Counter = 1;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN025_3 WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N025_
Which was [her /his ] primary plan, Medicare or [NAME PRIVATE HEALTH INSURANCE
PLAN] ?
.................................................................................
1. MEDICARE
2. [NAME PRIVATE HEALTH INSURANCE PLAN]
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1330 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN032_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_
[F1]--help
Did [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.
.................................................................................
1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1329 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN033_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
Did [she/he] obtain this health insurance through [her /his] own business or an
employer?
ASK `Whose employer?` if not clear
.................................................................................
1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1329 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N033_HowObtIns <> YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN034_3 OBTAIN INS THRU FORMER EMPLOYER -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N034_
Did [he/she] obtain this health insurance through a former employer of
[his/hers]?
.................................................................................
1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1329 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN035_3 OBTAIN INS THRU HWP CURRENT EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N035_
Did [she/he] obtain this health insurance through [her /his ] [former]
(spouse/partner's) current employer?
.................................................................................
1 1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1329 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN036_3 OBTAIN INS THRU HWP FORMER EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N036_
Did [she/he] obtain this health insurance through [her /his ] [former]
(spouse/partner's) former employer?
.................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1330 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N033_HowObtIns <> YES;
IF N034_ <> YES;
IF (N035_ <> YES) AND (N036_ <> YES);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN037_3 WHERE PURCHASE PRIVATE PLAN INSURANCE- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N037_
Did [she/he] purchase this plan directly from an insurance company, through [her
/his ] [or your you/husband/wife/partner's/ ] union, through a group such as
AARP, a church, or other organization, or what?
.................................................................................
1. INSURANCE COMPANY
2. R`S UNION
3. SPOUSE`S UNION
4. GROUP
6. Includes federal, state or military programs
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1330 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN039_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 [her/his] family, did [she/he] [or/ or her/his]
[you/husband/wife/partner] pay all of the costs, some of the costs, or none of
the costs of the premium for this health insurance coverage?
.................................................................................
1 1. ALL
2. SOME
3. NONE
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1329 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN040_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 did [she/he] [or/ or her/his] [you/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:
.................................................................................
1 34. Actual Value
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1329 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
IF N040_ <> EMPTY AND N040_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN041_3 PRIV PLAN HI PAY PER/MONTH- MIN- 3
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.PlanDetails[3].N041_
Did it amount to less than $____ per month, more than $____ per month, or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $50, $100, $150, $300, $500
RANDOM ENTRY POINTS: $100, $150, $300
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X515
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
1330 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN042_3 PRIV PLAN HI PAY PER/MONTH- MAX- 3
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.PlanDetails[3].N042_
*
.................................................................................
1330 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN043_3 PRIV PLAN HI PAY PER/MONTH- RESULT- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[3].N043_
*
.................................................................................
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1330 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
*Assign N044_ := ALLOTHS:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
*NOT(ELSE)*(IF piSecJWorkstatusJ021_EmpSelfOth = SLFEMPD);
*Assign N044_ := RISCURRLYSLFEMPD:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
IF piSecJWorkstatusJ021_EmpSelfOth = SLFEMPD;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN044_3 BRANCHPNT-SELF EMPLOYED/ALL OTH- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N044_
*
.................................................................................
1. R IS CURRENTLY SELF-EMPLOYED
1 2. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1329 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
*Assign N046_ := INSTHRUCURFOREMPORUNION:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
*NOT(ELSE)*(IF ((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES)));
*NOT(ELSE)*(IF N037_ = OTH_SPECIFY);
*Assign N046_ := INSTHRUSOMEPLACEELSEATR15:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
*NOT(ELSE)*(IF ((piRespondents1X065ACouplenss = MARRIED) OR
(piRespondents1X065ACouplenss = PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ =
YES)));
IF N037_ = OTH_SPECIFY;
*Assign N046_ := INSTHRUSPANDRISMDS:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
IF ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss =
PARTNERED_VOL)) AND ((N035_ = YES) OR (N036_ = YES));
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN046_3 BRANCHPNT-SOURCE OF HEALTH INSURANCE -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N046_
.................................................................................
1 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
2. INS THRU SOMEPLACE ELSE
3. INS THRU CURRENT/FORMER EMPLOYER
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1329 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
*Assign N047_ := ALLOTHS:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
*NOT(ELSE)*(IF piGovCoverN001_ = YES);
*Assign N047_ := RISCOVEREDBYMCARE:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N039_PayHlthInsCost <> NONE;
IF piGovCoverN001_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN047_3 BRANCHPNT-COVERD BY MEDICARE/ALL OTH -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N047_
.................................................................................
1 1. R IS COVERED BY MEDICARE
2. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1329 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN052_3 PRIVATE PLAN INSURANCE AN HMO- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N052_Plan1HMO
Was this plan an HMO, that is a Health Maintenance Organization?
Def: (With an HMO, the cost of the physician visit is typically covered in full
or you pay only a small amount. All of your routine care must be provided by an
HMO physician.)
.................................................................................
1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1329 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN053_3 NUMBER YEARS IN PLAN- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[3].N053_NumYrPlan
How long had [she/he] been with this plan?
Years:
Or
Months:
.................................................................................
1 8. Actual Value
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1329 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF (N053_NumYrPlan = 0) OR N053_NumYrPlan = EMPTY;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN054_3 NUMBER MONTHS IN PLAN- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[3].N054_NumMoPlan
How long has [she/he] been with this plan?
Years:
Or
Months:
.................................................................................
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1330 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF N052_Plan1HMO <> YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN055_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
Did this health insurance plan have a list or book of doctors that [she/he] was
encouraged or required to use?
.................................................................................
1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1329 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF (N055_ListDoctor = YES) OR (N052_Plan1HMO = YES);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN056_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
Did this health insurance pay any of the costs for routine care if [he/she] saw
a doctor who was not [on this list/in the HMO]?
.................................................................................
1. YES
2. YES, WITH A REFERRAL
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1330 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
*Assign N058_ := ALLOTHS:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
*NOT(ELSE)*(IF (piSecAContinuInterviewA019_RAge < 65) AND (N033_HowObtIns =
YES));
*NOT(ELSE)*(IF (piSecAContinuInterviewA019_RAge < 65) AND (N034_ = YES));
*Assign N058_ := HLTHINSFORMEREMPLESS65:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
*NOT(ELSE)*(IF (piSecAContinuInterviewA019_RAge < 65) AND (N033_HowObtIns =
YES));
IF (piSecAContinuInterviewA019_RAge < 65) AND (N034_ = YES);
*Assign N058_ := HLTHINSFROMCUREMPLESS65:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
IF (piSecAContinuInterviewA019_RAge < 65) AND (N033_HowObtIns = YES);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN058_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_
.................................................................................
1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
1 3. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1329 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N023_ <> 0) AND N023_ <> NONRESPONSE;
IF CNT <= N023_;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN066_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
Were there any limits or restrictions on this health insurance plan due to a
preexisting condition?
.................................................................................
1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1329 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN071 LTC INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N071_LTCIns
[F1]--Help
[Not including government programs, did] [R's FIRST NAME] have any long-term
care insurance which specifically covered nursing home care for a year or more
or any part of personal or medical care in [her/his] home?
.................................................................................
99 1. YES
1187 5. NO
43 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N072_LTCCovNHNewPrev := DIFFERENTPLAN:
IF N071_LTCIns = YES;
IF ptN090_NumOfPlans = 0SK:
IF N071_LTCIns = YES;
NOT(IF ptN090_NumOfPlans = 0);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN072 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?
.................................................................................
25 1. PREVIOUSLY DESCRIBED PLAN
73 2. DIFFERENT PLAN
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1231 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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 = DIFFERENTPLANSK:
IF N071_LTCIns = YES;
NOT(IF ptN090_NumOfPlans = 0);
IF N072_LTCCovNHNewPrev = PREVDESCRPLAN;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN073 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?
.................................................................................
17 1. FIRST PLAN MENTIONED AT VN024
2. SECOND PLAN MENTIONED AT VN024
3. THIRD PLAN MENTIONED AT VN024
4 19. Medicare HMO
20. MEDICARE
1 21. MEDICAID
22. CHAMPUS
75 27. NOT ON LIST
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1232 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF N071_LTCIns = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN075 COVER NURSING HOME/IN-HOME CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N075_CovNHInHome
[F1]--Help
Did this plan cover care in a nursing home facility only, personal or long-term
care at home, or both in-home and nursing home care?
.................................................................................
30 1. NURSING HOME CARE ONLY
8 2. IN-HOME CARE ONLY
54 3. BOTH
2 7. OTHER (SPECIFY)
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1231 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF N071_LTCIns = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN077 RECD BENEFITS UNDER LTC
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N077_RcvBenefLTC
Did [R's FIRST NAME] ever receive benefits under [her/his] long-term care
policy?
.................................................................................
44 1. YES
50 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1231 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF N071_LTCIns = YES;
IF (N072_LTCCovNHNewPrev <> PREVDESCRPLAN) OR (N073_LTCCovNHWhi = Plan27);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN079 AMT PAY FOR LTC
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.NHomeINs.N079_AmtPayLTC
How much did [he/she] (or [you/[his/her] [husband/wife/partner]]) pay for this
plan?
ENTER 0 if no payments are made
Do not probe DK/RF
Amount:
Per:
.................................................................................
40 0-5000. Actual Value
36 999998. DK (Don't Know); NA (Not Ascertained)
999999. RF (Refused)
1254 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
ASK:
IF N071_LTCIns = YES;
IF (N072_LTCCovNHNewPrev <> PREVDESCRPLAN) OR (N073_LTCCovNHWhi = Plan27);
IF N079_AmtPayLTC > 0;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN083 AMT PAY FOR LTC PER
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N083_AmtPayLTCPer
How much did [she/he] pay per month for this plan?
ENTER 0 if no payments are made
Do not probe DK/RF
Amount: [AMT PAY FOR LTC]
Per:
.................................................................................
12 1. MONTH
1 2. QUARTER (EVERY 3 MONTHS)
23 4. YEAR
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1294 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N080_ := EMPTY:
IF N071_LTCIns = YES;
IF (N072_LTCCovNHNewPrev <> PREVDESCRPLAN) OR (N073_LTCCovNHWhi = Plan27);
IF N079_AmtPayLTC <> EMPTY AND N079_AmtPayLTC <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN080 AMT PAY FOR LTC - MIN
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.NHomeINs.N080_
N080-N082 Unfolding Sequence
Did it amount to less than $____ per month, more than $____ per month, or what?
PROCEDURES: 2Up1Down, 1Up2Down
BREAKPOINTS: $50, $100, $200, $300
RANDOM ENTRY POINTS: $100, $200
ENTRY POINT ASSIGNMENT: 1 or {NOT 1} AT X502
.................................................................................
19 0. Value of Breakpoint
1 50. Value of Breakpoint
1 51. Value of Breakpoint
1 100. Value of Breakpoint
5 101. Value of Breakpoint
2 200. Value of Breakpoint
4 201. Value of Breakpoint
3 301. Value of Breakpoint
1294 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N081_ := EMPTY:
IF N071_LTCIns = YES;
IF (N072_LTCCovNHNewPrev <> PREVDESCRPLAN) OR (N073_LTCCovNHWhi = Plan27);
IF N079_AmtPayLTC <> EMPTY AND N079_AmtPayLTC <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN081 AMT PAY FOR LTC - MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.NHomeINs.N081_
*
.................................................................................
1 49. Value of Breakpoint
1 50. Value of Breakpoint
2 99. Value of Breakpoint
1 100. Value of Breakpoint
5 199. Value of Breakpoint
2 200. Value of Breakpoint
4 299. Value of Breakpoint
20 99999996. Greater than Maximum Breakpoint
1294 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N082_ := EMPTY:
IF N071_LTCIns = YES;
IF (N072_LTCCovNHNewPrev <> PREVDESCRPLAN) OR (N073_LTCCovNHWhi = Plan27);
IF N079_AmtPayLTC <> EMPTY AND N079_AmtPayLTC <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN082 AMT PAY FOR LTC- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeINs.N082_
*
.................................................................................
19 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1310 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN090 NUMBER OF PUBLIC/PRIVATE HI PLANS
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.N090_NumOfPlans
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1330 0 4 1.74 0.70 0
-----------------------------------------------------------------
==========================================================================================
VN256 R AGE PREV INTERVIEW
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.N256_RAgePREVIW
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1330 47 103 79.18 10.89 0
-----------------------------------------------------------------
==========================================================================================
ASK:
IF ((N090_NumOfPlans > 0) AND (piRvarsZ201_PWMedicareCovered <> YES)) OR
(N256_RAgePREVIW < 65);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN091 EVER WITHOUT HI AMONG CURRENTLY INSURED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N091_NoInsurance
Was [R's FIRST NAME] ever without health insurance coverage at any time [in the
last two years/since [PREV WAVE FIRST R IW MONTH], [PREV WAVE FIRST R IW YEAR]?
.................................................................................
16 1. YES
157 5. NO
7 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1150 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF N090_NumOfPlans = 0;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN342 CONFIRM NO MEDICAL INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N342_AnyInsurance
According to my information, [R's FIRST NAME] was not covered by any government
or private health insurance plans that provide medical care at the time of
[her/his] death.
Is that correct?
.................................................................................
15 1. YES
4 5. NO
12 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1299 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF N090_NumOfPlans = 0;
IF N342_AnyInsurance = NO;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN343M1 WHICH PLAN-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N343_WhatInsurance[1]
Under which of the following plans was [she/he] 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 reported State name for Medicaid, Code as 2. Medicaid.
.................................................................................
1. MEDICARE
2 2. MEDICAID
3. CHAMPUS/CHAMPVA
4. A PRIVATE PLAN FROM AN EMPLOYER
5. A PRIVATE PLAN PURCHASED DIRECTLY
1 6. OTHER PLAN
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1326 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF N090_NumOfPlans = 0;
IF N342_AnyInsurance = NO;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN343M2 WHICH PLAN-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N343_WhatInsurance[2]
Under which of the following plans was [she/he] 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 reported 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)
1330 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
(SecA.ContinuInterview.A124_PlaceDied = INHOSPITAL);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN301 TIME IN HOSPITAL BEFORE DEATH
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.N301_
The next questions are about health care [she/he] had received. Earlier you told
me that [R's FIRST NAME] died while in a hospital. How long had [she/he] been a
patient in that hospital before [her/his] death?
ENTER `1 hour` if less than one hour
Number:
.................................................................................
437 1-90. Actual Value
8 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
885 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
ASK:
(SecA.ContinuInterview.A124_PlaceDied = INHOSPITAL);
IF N301_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN302 TIME IN HOSPITAL BEFORE DEATH- UNIT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N302_
The next questions are about health care [she/he] had received. Earlier you told
me that [R's FIRST NAME] died while in a hospital. How long had [she/he] been a
patient in that hospital before [her/his] death?
ENTER `1 hour` if less than one hour
Unit:
.................................................................................
60 1. HOURS
261 2. DAYS
85 3. WEEKS
28 4. MONTHS
1 5. YEARS
1 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
893 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
(SecA.ContinuInterview.A124_PlaceDied = INHOSPITAL);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN303 REASON IN HOSPITAL
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N303_
Why had [she/he] been admitted to the hospital? Was it to have surgery, receive
other treatments, relieve [her/his] symptoms, or what?
.................................................................................
37 1. SURGERY
164 2. OTHER TREATMENTS
228 3. RELIEVE SYMPTOMS
4 7. OTHER (SPECIFY)
11 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
885 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN099 OVERNIGHT STAY IN HOSP-SINCE PREV IW/2YR
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N099_OverniteHosp
IF R DIED IN HOSPITAL (A124=1):
In addition to that hospital stay, [since [PREV WAVE FIRST R IW MONTH], [PREV
WAVE FIRST R IW YEAR]/[Prev Wave Iw Yr]/since [PREV WAVE FIRST R IW YEAR]/[Prev
Wave Iw Yr]/in the two years before [her/his] death]/ had [she/he] been a
patient in a hospital overnight?
OTHERWISE:
The next questions are about health care [she/he] had received. [Since [PREV
WAVE FIRST R IW MONTH], [PREV WAVE FIRST R IW YEAR]/[Prev Wave Iw Yr]/ Since
[PREV WAVE FIRST R IW YEAR]/[Prev Wave Iw Yr]/In the two years before [her/his]
death]] had [she/he] been a patient in a hospital overnight?
.................................................................................
891 1. YES
421 5. NO
16 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N100_TimeOverHosp := 1:
IF (((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(PISecAContinuInterviewA124_PlaceDied = INHOSPITAL)) AND (N099_OverniteHosp <>
YES)
ASK:
IF N099_OverniteHosp = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN100 NUM TIMES R STAYED OVERNIGHT IN HOSP
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.HospitalStay.N100_TimeOverHosp
[Including [her/his] final hospitalization,] How many different times was
[she/he] a patient in a hospital overnight ([in the last two years/since [PREV
WAVE IW [MONTH, ]YEAR]])?
If Proxy asks, include mental hospitals and sanitariums
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1032 1 95 2.97 4.26 253
-----------------------------------------------------------------
45 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
==========================================================================================
ASK:
IF N099_OverniteHosp = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN101 NUM NIGHTS R SPENT OVERNIGHT IN HOSPITAL
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.HospitalStay.N101_NiteOverHosp
[F1]--Help
[Altogether how/How] many nights was [she/he] a patient in a hospital ([in the
last two years/since [PREV WAVE IW [MONTH, ]YEAR]])?
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
790 1 240 20.30 28.12 439
-----------------------------------------------------------------
101 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
==========================================================================================
ASK:
((N100_TimeOverHosp <> 0) AND N100_TimeOverHosp <> EMPTY);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN305 SPEND TIME IN ICU
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N305_
[During any of those hospital stays /During [her/his] hospital stay ] did [R's
FIRST NAME] spend any time in an intensive care unit?
.................................................................................
461 1. YES
555 5. NO
15 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
298 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
((N100_TimeOverHosp <> 0) AND N100_TimeOverHosp <> EMPTY);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN306 USED LIFE SUPPORT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N306_
([During any of those hospital stays /During [her/his] hospital stay ]) did
[she/he] use life support equipment, such as a respirator?
.................................................................................
288 1. YES
720 5. NO
23 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
298 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
((N100_TimeOverHosp <> 0) AND N100_TimeOverHosp <> EMPTY);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN307 USED KIDNEY DIALYSIS SERVICES
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N307_
([During any of those hospital stays /During [her/his] hospital stay ]) did
[she/he] use kidney dialysis services?
.................................................................................
78 1. YES
942 5. NO
11 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
298 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
((N100_TimeOverHosp <> 0) AND N100_TimeOverHosp <> EMPTY);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN308 RECEIVE ANTIBIOTICS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N308_
([During any of those hospital stays /During [her/his] hospital stay ]) did
[she/he] receive antibiotics to treat pneumonia or other infection?
.................................................................................
640 1. YES
317 5. NO
74 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
298 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N099_OverniteHosp = YES) OR (PISecAContinuInterviewA124_PlaceDied =
INHOSPITAL);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN102 HOSPITAL STAYS COVERED BY INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N102_HospCovIns
[F1]--Help
Were the costs for [her/his] hospital stay(s) completely covered by health
insurance,mostly covered, only partially covered, or not covered at all by
insurance?
.................................................................................
672 1. COMPLETELY COVERED
272 2. MOSTLY COVERED
72 3. PARTIALLY COVERED
12 5. NOT COVERED AT ALL
11 7. [VOL] COSTS NOT SETTLED YET
36 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
253 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N099_OverniteHosp = YES) OR (PISecAContinuInterviewA124_PlaceDied =
INHOSPITAL);
IF N102_HospCovIns <> COMPLETELYCOVRD;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN106 AMT PAID O-O-P HOSPITAL COSTS
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.HospitalStay.N106_AmtOOPHospCost
[F1]--Help
About how much did [she/he] pay out-of-pocket for hospital bills [since [Month],
[PREV WAVE IW YEAR]/in the two years before [her/his] death]?
Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
208 1 90440 2991.81 8589.17 925
-----------------------------------------------------------------
0. None; includes cost not settled yet
194 9999998. DK (Don't Know); NA (Not Ascertained)
3 9999999. RF (Refused)
==========================================================================================
ASSIGN:
N107_ := EMPTY:
IF (N099_OverniteHosp = YES) OR (PISecAContinuInterviewA124_PlaceDied =
INHOSPITAL);
IF N102_HospCovIns <> COMPLETELYCOVRD;
IF N106_AmtOOPHospCost <> EMPTY AND N106_AmtOOPHospCost <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN107 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
.................................................................................
78 0. Value of Breakpoint
10 500. Value of Breakpoint
46 501. Value of Breakpoint
7 5000. Value of Breakpoint
14 5001. Value of Breakpoint
4 10000. Value of Breakpoint
28 10001. Value of Breakpoint
1 20000. Value of Breakpoint
1 20001. Value of Breakpoint
1 50000. Value of Breakpoint
7 50001. Value of Breakpoint
1133 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N108_ := EMPTY:
IF (N099_OverniteHosp = YES) OR (PISecAContinuInterviewA124_PlaceDied =
INHOSPITAL);
IF N102_HospCovIns <> COMPLETELYCOVRD;
IF N106_AmtOOPHospCost <> EMPTY AND N106_AmtOOPHospCost <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN108 AMT PAID O-O-P HOSPITAL COSTS - MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.HospitalStay.N108_
*
.................................................................................
17 499. Value of Breakpoint
10 500. Value of Breakpoint
52 4999. Value of Breakpoint
7 5000. Value of Breakpoint
24 9999. Value of Breakpoint
4 10000. Value of Breakpoint
10 19999. Value of Breakpoint
1 20000. Value of Breakpoint
1 49999. Value of Breakpoint
1 50000. Value of Breakpoint
70 99999996. Greater than Maximum Breakpoint
1133 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N109_ := EMPTY:
IF (N099_OverniteHosp = YES) OR (PISecAContinuInterviewA124_PlaceDied =
INHOSPITAL);
IF N102_HospCovIns <> COMPLETELYCOVRD;
IF N106_AmtOOPHospCost <> EMPTY AND N106_AmtOOPHospCost <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN109 AMT PAID O-O-P HOSPITAL COSTS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.HospitalStay.N109_
*
.................................................................................
80 98. DK (Don't Know); NA (Not Ascertained)
4 99. RF (Refused)
1246 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
HospitalStay.N250_PlanCnt2 := N090_NumOfPlans:
IF (HospitalStay.N099_OverniteHosp <> EMPTY OR HospitalStay.N113_ExpNamePlanHosp
<> EMPTY) AND HospitalStay.N250_PlanCnt2 = EMPTY;
ASSIGN:
N250_PlanCnt2 := ptN090_NumOfPlans:
IF N113_ExpNamePlanHosp <> EMPTY AND N250_PlanCnt2 = EMPTY;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN250 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
1329 0 4 1.75 0.70 1
-----------------------------------------------------------------
==========================================================================================
ASK:
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME));
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN309 NURSING HOME B/F DEATH- DAYS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.NHomeStay.N309_
Earlier you told me that [R's FIRST NAME] [died while/was living] in a nursing
home. How long had [she/he] been a patient in that nursing home before [her/his]
death?
# days:
Or
# Months:
Or
# Years:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
137 1 365 22.26 47.54 1186
-----------------------------------------------------------------
7 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
==========================================================================================
ASK:
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME));
IF (N309_ = DONTKNOW) OR N309_ = EMPTY;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN310 NURSING HOME B/F DEATH- MONTHS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.N310_
Earlier you told me that [R's FIRST NAME] [died while/was living] in a nursing
home. How long had [she/he] been a patient in that nursing home before [her/his]
death?
# Days:
Or
# Months:
Or
# Years:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
133 1 22 6.65 5.14 1191
-----------------------------------------------------------------
6 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
==========================================================================================
ASK:
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME));
IF (N309_ = DONTKNOW) OR N309_ = EMPTY;
IF (N310_ = DONTKNOW) OR N310_ = EMPTY;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN257 NURSING HOME B/F DEATH- YEARS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.N257_
Earlier you told me that [R's FIRST NAME] [died while/was living] in a nursing
home. How long had [she/he] been a patient in that nursing home before [her/his]
death?
# Days:
Or
# Months:
Or
# Years:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
171 1 20 3.94 2.99 1153
-----------------------------------------------------------------
6 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
==========================================================================================
ASK:
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME));
IF (N309_ = DONTKNOW) OR N309_ = EMPTY;
IF (N310_ = DONTKNOW) OR N310_ = EMPTY;
IF N257_ <> REFUSAL;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN258 YEAR ENTERED NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.NHomeStay.N258_
In what year did [she/he] go into the nursing home or health care facility?
Year:
.................................................................................
169 1994-2008. Actual Value
11 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1150 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
ASK:
((SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME));
IF (N309_ = DONTKNOW) OR N309_ = EMPTY;
IF (N310_ = DONTKNOW) OR N310_ = EMPTY;
IF N257_ <> REFUSAL;
IF N258_ >= Init.A062T2YrsAgo_A;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN259 MONTH ENTERED NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.N259_
What month was that?
Month:
.................................................................................
4 1. JAN
6 2. FEB
1 3. MAR
3 4. APR
2 5. MAY
5 6. JUN
4 7. JUL
2 8. AUG
5 9. SEP
2 10. OCT
2 11. NOV
1 12. DEC
5 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1288 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN314M1M WHY ADMITTED - FINAL- 1- MASKED
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.NHomeStay.N314_
Why had [he/she] been admitted to the nursing home?
User note: See Health Conditions Master Code for detailed codes. Some
categories have been collapsed to protect respondent confidentiality:
113-117=119, 181-183=189, 190-196=997.
.................................................................................
11 101-103. Cancers and tumors; skin conditions
30 111-119. Musculoskeletal system and connective tissue
27 121-129. Heart, circulatory and blood conditions
5 131-139. Allergies; hay fever; sinusitis; tonsillitis
4 141-149. Endocrine, metabolic and nutritional conditions
8 151-159. Digestive system (stomach, liver, gallbladder,
kidney, bladder)
7 161-169. Neurological and sensory conditions
171-179. Digestive system (stomach, liver, gallbladder,
kidney, bladder)
1 181-189. Neurological and sensory conditions
69 191-196. Miscellaneous
1 595-597. Other symptoms
188 701. No other care arrangements available
34 702. Deteriorating health; health condition not
specified
43 703. To recover/rehab for injury/surgery
990. No text displayed
4 996. None
7 997. Other health condition
9 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
882 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
VN314M2M WHY ADMITTED - FINAL- 2- MASKED
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.NHomeStay.N314_
Why had [he/she] been admitted to the nursing home?
User note: See Health Conditions Master Code for detailed codes. Some
categories have been collapsed to protect respondent confidentiality:
113-117=119, 181-183=189, 190-196=997.
.................................................................................
101-103. Cancers and tumors; skin conditions
16 111-119. Musculoskeletal system and connective tissue
18 121-129. Heart, circulatory and blood conditions
4 131-139. Allergies; hay fever; sinusitis; tonsillitis
8 141-149. Endocrine, metabolic and nutritional conditions
4 151-159. Digestive system (stomach, liver, gallbladder,
kidney, bladder)
4 161-169. Neurological and sensory conditions
171-179. Digestive system (stomach, liver, gallbladder,
kidney, bladder)
4 181-189. Neurological and sensory conditions
47 191-196. Miscellaneous
595-597. Other symptoms
23 701. No other care arrangements available
8 702. Deteriorating health; health condition not
specified
3 703. To recover/rehab for injury/surgery
990. No text displayed
996. None
1 997. Other health condition
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1190 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
VN114 EVER PATIENT OVERNIGHT IN NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.N114_OverniteNH
[Other than this nursing home stay and excluding / Excluding ] any hospice
stays, ([[since [PREV WAVE FIRST R IW Month], [PREV WAVE FIRST R IW YEAR]/[Prev
Wave Iw Yr]/since [PREV WAVE FIRST R IW YEAR]/[Prev Wave Iw Yr]/in the last two
years before her/his death]]), had [she/he] been a patient overnight in a
nursing home, convalescent home, or other long-term health care facility?
.................................................................................
248 1. YES
1075 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN115 # TIMES SPENT OVERNIGHT IN NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.N115_TimeOverNH
[Including [her/his] final stay, how/How] many different times was [she/he] a
patient in a nursing home or other long-term care facility [in the last two
years/since [PREV WAVE FIRST R IW MONTH], [PREV WAVE FIRST R IW YEAR]?
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
600 1 10 1.24 0.73 726
-----------------------------------------------------------------
3 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
==========================================================================================
ASK:
IF N114_OverniteNH = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN116 NUM NIGHTS R SPENT OVERNIGHT IN NH
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.NHomeStay.N116_NiteOverNH
[F1]--help
[Altogether, how/How] many nights or months has [she/he] been a patient in a
nursing home [[since [PREV WAVE FIRST R IW Month], [PREV WAVE FIRST R
IW YEAR]/[Prev Wave Iw Yr]/since [PREV WAVE FIRST R IW YEAR]/[Prev Wave Iw
Yr]/in the last two years before her/his death]]?
IWER: ENTER 996 FOR CONTINUOUS SINCE ENTERED OR [[SINCE [PREV WAVE
FIRST R IW MONTH], [PREV WAVE FIRST R IW YEAR]/[PREV WAVE IW YR]/SINCE [PREV
WAVE FIRST R IW YEAR]/[PREV WAVE IW YR]/IN THE LAST TWO YEARS BEFORE HER/HIS
DEATH]]
IWER: IF R ANSWERS IN MONTHS RATHER THAN NIGHTS, PRESS ENTER AND
ANSWER IN MONTH FIELD
Nights:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
128 1 400 29.62 43.51 1154
-----------------------------------------------------------------
35 996. CONTINUOUS SINCE ENTERED
12 998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
==========================================================================================
ASK:
IF N114_OverniteNH = YES;
IF N116_NiteOverNH = EMPTY;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN117 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 was [she/he] a patient in a
nursing home [[since [PREV WAVE FIRST R IW Month], [PREV WAVE FIRST R IW
YEAR]/[Prev Wave Iw Yr]/since [PREV WAVE FIRST R IW YEAR]/[Prev Wave Iw Yr]/in
the last two years before her/his death]]?
Nights:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
71 1 36 7.56 7.94 1258
-----------------------------------------------------------------
1 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);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN118 NH COSTS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.N118_InsCovCost
[F1]--Help
[Have the costs for your nursing home stay(s) been completely covered by/Were
the costs for your nursing home stay(s) completely covered by] insurance, mostly
covered, only partially covered, or not covered at all by insurance?
.................................................................................
305 1. COMPLETELY COVERED
77 2. MOSTLY COVERED
81 3. PARTIALLY COVERED
114 5. NOT COVERED AT ALL
6 7. [VOL] COSTS NOT SETTLED YET
20 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
727 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME);
IF N118_InsCovCost <> COMPLETELYCOVRD;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN119 AMT PAID O-O-P NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.NHomeStay.N119_AmtPayNHHosp
[F1]--Help
About how much did [he/she] pay out-of-pocket for nursing home bills [in the
last two years/since [PREV WAVE FIRST R IW MONTH], [PREV WAVE FIRST R IW
YEAR]]?
Do not probe DK/RF
INCLUDE any amount paid by others
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
214 1 200000 23131.29 39769.71 1032
-----------------------------------------------------------------
0. None; includes cost not settled yet
81 9999998. DK (Don't Know); NA (Not Ascertained)
3 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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN120 AMT PAID O-O-P NURSING HOME- MIN
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.NHomeStay.N120_
N120-N122 Unfolding Sequence
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 X512
.................................................................................
31 0. Value of Breakpoint
2 500. Value of Breakpoint
10 501. Value of Breakpoint
2 5000. Value of Breakpoint
2 5001. Value of Breakpoint
19 10001. Value of Breakpoint
7 20001. Value of Breakpoint
2 50000. Value of Breakpoint
9 50001. Value of Breakpoint
1246 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN121 AMT PAID O-O-P NURSING HOME- MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.NHomeStay.N121_
*
.................................................................................
2 499. Value of Breakpoint
2 500. Value of Breakpoint
11 4999. Value of Breakpoint
2 5000. Value of Breakpoint
4 9999. Value of Breakpoint
10 19999. Value of Breakpoint
7 49999. Value of Breakpoint
2 50000. Value of Breakpoint
44 99999996. Greater than Maximum Breakpoint
1246 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN122 AMT PAID O-O-P NURSING HOME- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.N122_
*
.................................................................................
38 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
1290 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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)));
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN124_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
Think back to the last time [since R's LAST IW MONTH, YEAR/in the last two
years] that [he/she] was a patient in a nursing home or other long-term care
facility.
In what year did [she/he] go into the nursing home or health care facility?
Year:
.................................................................................
182 1998-2008. Actual Value
6 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1142 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN123_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:
.................................................................................
14 1. JAN
16 2. FEB
9 3. MAR
13 4. APR
11 5. MAY
14 6. JUN
17 7. JUL
14 8. AUG
10 9. SEP
11 10. OCT
14 11. NOV
7 12. DEC
1 13. WINTER
2 14. SPRING
3 15. SUMMER
2 16. FALL
8 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1164 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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));
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN126_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 [she/he] move out of the nursing home or health care facility?
Year:
.................................................................................
175 1998-2008. Actual Value
7 9995. Continuous since entered; R still in nursing
home
6 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1142 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN125_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:
.................................................................................
18 1. JAN
12 2. FEB
11 3. MAR
12 4. APR
13 5. MAY
8 6. JUN
18 7. JUL
12 8. AUG
12 9. SEP
10 10. OCT
11 11. NOV
9 12. DEC
1 13. WINTER
1 14. SPRING
3 15. SUMMER
3 16. FALL
8 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1168 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN127_1 ELIGIBLE FOR MEDICAID START NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N127_
Think about [his/her] last stay at the nursing home or other long-term care
facility.
Was [FIRST NAME] eligible for (Medicaid/State name for Medicaid) at the time
[her/his] [first/second/last] nursing home stay started?
.................................................................................
187 1. YES
41 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1098 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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;
IF N127_ = NO;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN128_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 [she/he] become eligible for (Medicaid/State name for Medicaid) during that
nursing home stay?
.................................................................................
31 1. YES
9 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1289 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
*Assign N129_ := ALLOTHS:
IF ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME);
IF piLPCNTR <= piN115_TimeOverNH;
IF piGovCoverN005_ = YES;
*NOT(ELSE)*(IF piN115_TimeOverNH > 1);
*Assign N129_ := RHADMORETHAN1STAYINNHOMESINCELA:
IF ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME);
IF piLPCNTR <= piN115_TimeOverNH;
IF piGovCoverN005_ = YES;
IF piN115_TimeOverNH > 1;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN129_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_
.................................................................................
31 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE
201 2. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1098 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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;
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));
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN130_1 LOSE ELIGIBILITY-LAST NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N130_
Did [she/he] lose [her /his ] eligibility for (Medicaid/State name for
Medicaid) when [she/he] was discharged from [her /his ] (last) nursing home
stay?
.................................................................................
1 1. YES
13 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1315 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) 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));
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN131_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 [she/he] live after leaving the nursing home or health care facility?
(Did [she/he] live alone, [with you only,/with [her /his ][
you/husband/wife/partner] only,] with one of [her /his ] children and his or
her own family, with other relatives, in a retirement center, or what?)
.................................................................................
32 1. R LIVED BY HIM/HER SELF, ALONE
35 2. R LIVED WITH SPOUSE/PARTNER ONLY
41 3. R LIVED WITH CHILD AND CHILD'S FAMILY
9 4. R LIVED WITH OTHER RELATIVE(S)
3 5. R LIVED IN RETIREMENT CENTER
68 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
8 7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1133 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN133_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 [her /his ] children is the parent of that
grandchild?)
.................................................................................
40 041-990. Other Person Number
992. DECEASED CHILD
1 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1289 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
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)));
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN124_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
Think back to the last time [since R's LAST IW MONTH, YEAR/in the last two
years] that [he/she] was a patient in a nursing home or other long-term care
facility.
In what year did [she/he] go into the nursing home or health care facility?
Year:
.................................................................................
48 2000-2008. Actual Value
3 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1279 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN123_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:
.................................................................................
5 1. JAN
3 2. FEB
3 3. MAR
2 4. APR
3 5. MAY
6. JUN
3 7. JUL
6 8. AUG
3 9. SEP
3 10. OCT
5 11. NOV
2 12. DEC
13. WINTER
14. SPRING
1 15. SUMMER
1 16. FALL
6 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1284 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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));
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN126_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 [she/he] move out of the nursing home or health care facility?
Year:
.................................................................................
44 2000-2008. Actual Value
4 9995. Continuous since entered; R still in nursing
home
3 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1279 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN125_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:
.................................................................................
4 1. JAN
3 2. FEB
1 3. MAR
3 4. APR
2 5. MAY
1 6. JUN
2 7. JUL
4 8. AUG
2 9. SEP
5 10. OCT
4 11. NOV
3 12. DEC
13. WINTER
14. SPRING
1 15. SUMMER
1 16. FALL
6 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1288 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN127_2 ELIGIBLE FOR MEDICAID START NH STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N127_
Think about [his/her] last stay at the nursing home or other long-term care
facility.
Was [FIRST NAME] eligible for (Medicaid/State name for Medicaid) at the time
[her/his] [first/second/last] nursing home stay started?
.................................................................................
29 1. YES
2 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1299 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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;
IF N127_ = NO;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN128_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 [she/he] become eligible for (Medicaid/State name for Medicaid) during that
nursing home stay?
.................................................................................
1 1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1328 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
*Assign N129_ := ALLOTHS:
IF ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME);
IF piLPCNTR <= piN115_TimeOverNH;
IF piGovCoverN005_ = YES;
*NOT(ELSE)*(IF piN115_TimeOverNH > 1);
*Assign N129_ := RHADMORETHAN1STAYINNHOMESINCELA:
IF ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME);
IF piLPCNTR <= piN115_TimeOverNH;
IF piGovCoverN005_ = YES;
IF piN115_TimeOverNH > 1;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN129_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_
.................................................................................
31 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE
2. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1299 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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;
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));
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN130_2 LOSE ELIGIBILITY-LAST NH STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N130_
Did [she/he] lose [her /his ] eligibility for (Medicaid/State name for
Medicaid) when [she/he] was discharged from [her /his ] (last) nursing home
stay?
.................................................................................
1. YES
7 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1323 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) 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));
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN131_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 [she/he] live after leaving the nursing home or health care facility?
(Did [she/he] live alone, [with you only,/with [her /his ][
you/husband/wife/partner] only,] with one of [her /his ] children and his or
her own family, with other relatives, in a retirement center, or what?)
.................................................................................
6 1. R LIVED BY HIM/HER SELF, ALONE
12 2. R LIVED WITH SPOUSE/PARTNER ONLY
9 3. R LIVED WITH CHILD AND CHILD'S FAMILY
3 4. R LIVED WITH OTHER RELATIVE(S)
5. R LIVED IN RETIREMENT CENTER
18 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
1 7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1280 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN133_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 [her /his ] children is the parent of that
grandchild?)
.................................................................................
9 041-990. Other Person Number
992. DECEASED CHILD
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1321 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
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)));
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN124_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
Think back to the last time [since R's LAST IW MONTH, YEAR/in the last two
years] that [he/she] was a patient in a nursing home or other long-term care
facility.
In what year did [she/he] go into the nursing home or health care facility?
Year:
.................................................................................
12 2006-2008. Actual Value
1 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1317 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN123_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:
.................................................................................
2 1. JAN
2. FEB
3. MAR
1 4. APR
5. MAY
1 6. JUN
1 7. JUL
2 8. AUG
1 9. SEP
1 10. OCT
11. NOV
1 12. DEC
13. WINTER
14. SPRING
15. SUMMER
1 16. FALL
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1318 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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));
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN126_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 [she/he] move out of the nursing home or health care facility?
Year:
.................................................................................
12 2006-2008. Actual Value
9995. Continuous since entered; R still in nursing
home
1 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1317 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN125_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
1 2. FEB
1 3. MAR
4. APR
1 5. MAY
1 6. JUN
1 7. JUL
8. AUG
3 9. SEP
10. OCT
1 11. NOV
12. DEC
13. WINTER
14. SPRING
15. SUMMER
1 16. FALL
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1318 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN127_3 ELIGIBLE FOR MEDICAID START NH STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N127_
Think about [his/her] last stay at the nursing home or other long-term care
facility.
Was [FIRST NAME] eligible for (Medicaid/State name for Medicaid) at the time
[her/his] [first/second/last] nursing home stay started?
.................................................................................
10 1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1320 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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;
IF N127_ = NO;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN128_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 [she/he] become eligible for (Medicaid/State name for Medicaid) during that
nursing home stay?
.................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1330 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
*Assign N129_ := ALLOTHS:
IF ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME);
IF piLPCNTR <= piN115_TimeOverNH;
IF piGovCoverN005_ = YES;
*NOT(ELSE)*(IF piN115_TimeOverNH > 1);
*Assign N129_ := RHADMORETHAN1STAYINNHOMESINCELA:
IF ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) OR (SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME);
IF piLPCNTR <= piN115_TimeOverNH;
IF piGovCoverN005_ = YES;
IF piN115_TimeOverNH > 1;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN129_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_
.................................................................................
10 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE
2. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1320 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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;
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));
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN130_3 LOSE ELIGIBILITY-LAST NH STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N130_
Did [she/he] lose [her /his ] eligibility for (Medicaid/State name for
Medicaid) when [she/he] was discharged from [her /his ] (last) nursing home
stay?
.................................................................................
1 1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1328 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF ((N114_OverniteNH = YES) OR (SecA.ContinuInterview.A124_PlaceDied =
INNURSINGHOME)) 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));
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN131_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 [she/he] live after leaving the nursing home or health care facility?
(Did [she/he] live alone, [with you only,/with [her /his ][
you/husband/wife/partner] only,] with one of [her /his ] children and his or
her own family, with other relatives, in a retirement center, or what?)
.................................................................................
1 1. R LIVED BY HIM/HER SELF, ALONE
5 2. R LIVED WITH SPOUSE/PARTNER ONLY
1 3. R LIVED WITH CHILD AND CHILD'S FAMILY
4. R LIVED WITH OTHER RELATIVE(S)
5. R LIVED IN RETIREMENT CENTER
6 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1316 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN133_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 [her /his ] children is the parent of that
grandchild?)
.................................................................................
1 041-990. Other Person Number
992. DECEASED CHILD
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1329 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
ASK:
IF PISecAContinuInterviewA124_PlaceDied = INHOSPICE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN315 HOSPICE- DAYS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.Hospice.N315_
[Earlier you told me that [Rs First Name] died while in a hospice.]
How long had [she/he] been a patient in that hospice before [her/his] death?
# Days:
Or
# Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
119 1 75 8.76 11.17 1208
-----------------------------------------------------------------
3 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
==========================================================================================
ASK:
IF PISecAContinuInterviewA124_PlaceDied = INHOSPICE;
IF N315_ = EMPTY OR (N315_ = DONTKNOW);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN316 HOSPICE- NUMBER MONTHS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.Hospice.N316_
[Earlier you told me that [R's FIRST NAME] died while in a hospice.] How long
had [she/he] been a patient in that hospice before [her/his] death?
# Days:
Or
#Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
18 1 9 3.56 2.50 1310
-----------------------------------------------------------------
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
==========================================================================================
VN320 SINCE LAST IW- HOSPICE PATIENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.Hospice.N320_
[In addition to that hospice stay, [in the last two years/since [Month], [PREV
WAVE IW YEAR]]/[In the last two years/Since [Month], [PREV WAVE IW YEAR]]] , had
[she/he] been a patient overnight in a hospice?
.................................................................................
64 1. YES
1254 5. NO
11 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (PISecAContinuInterviewA124_PlaceDied = INHOSPICE) OR (N320_ = YES);
IF N320_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN321 HOSPICE PATIENT # TIMES
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.Hospice.N321_
[Including [her/his] final stay, how/How] many different times was [she/he] a
patient in a hospice [in the last two years/since [PREV WAVE IW [MONTH, ]YEAR]?
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
63 1 10 1.30 1.20 1266
-----------------------------------------------------------------
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
==========================================================================================
ASK:
IF (PISecAContinuInterviewA124_PlaceDied = INHOSPICE) OR (N320_ = YES);
IF N320_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN322 SINCE LAST IW- HOSPICE # NIGHTS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.Hospice.N322_
[Altogether, how/How] many nights was [she/he] a patient in a hospice [in the
last two years/since [PREV WAVE IW [MONTH, ]YEAR]?
USE 996 for continuous since entered or [in the last two years/since [PREV WAVE
IW [MONTH, ]YEAR]
Nights:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
57 1 100 11.14 18.21 1269
-----------------------------------------------------------------
1 996. CONTINUOUS SINCE ENTERED
3 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
==========================================================================================
ASK:
IF (PISecAContinuInterviewA124_PlaceDied = INHOSPICE) OR (N320_ = YES);
IF N320_ = YES;
IF N322_ = EMPTY;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN323 SINCE LAST IW- HOSPICE # MONTHS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.Hospice.N323_
[Altogether, how/How] How many nights was [she/he] a patient in a hospice [in
the last two years/since [PREV WAVE IW [MONTH, ]YEAR]?
USE 996 for continuous since entered or [in the last two years/since [PREV WAVE
IW [MONTH, ]YEAR]
Nights:
Or
Months:
.................................................................................
3 1-3. Actual Value
996. CONTINUOUS SINCE ENTERED
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1327 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
ASK:
IF (PISecAContinuInterviewA124_PlaceDied = INHOSPICE) OR (N320_ = YES);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN324 HOSPICE STAY COV BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.Hospice.N324_
Were the costs for [her/his] hospice stay(s) completely covered by health
insurance, mostly covered, only partially covered, or not covered at all by
insurance?
.................................................................................
156 1. COMPLETELY COVERED
14 2. MOSTLY COVERED
5 3. PARTIALLY COVERED
10 5. NOT COVERED AT ALL
1 7. [VOL] COSTS NOT SETTLED YET
7 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1137 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (PISecAContinuInterviewA124_PlaceDied = INHOSPICE) OR (N320_ = YES);
IF N324_ <> COMPLETELYCOVRD;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN328 OOP COSTS- HOSPICE- AMT
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.Hospice.N328_
About how much did [she/he] pay out-of-pocket for hospice bills [in the last two
years/since [PREV WAVE IW [MONTH, ]YEAR]?
DO NOT PROBE DK/RF
Include any amounts paid by others
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
18 0 25000 2494.44 6100.48 1293
-----------------------------------------------------------------
19 9999998. DK (Don't Know); NA (Not Ascertained)
9999999. RF (Refused)
==========================================================================================
ASSIGN:
N329_ := EMPTY:
IF (PISecAContinuInterviewA124_PlaceDied = INHOSPICE) OR (N320_ = YES);
IF N324_ <> COMPLETELYCOVRD;
IF N328_ <> EMPTY AND N328_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN329 OOP COSTS- HOSPICE- MIN
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.Hospice.N329_
N329 - N331 Unfolding Sequence
Question text: 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
.................................................................................
10 0. Value of Breakpoint
1 500. Value of Breakpoint
2 501. Value of Breakpoint
2 5001. Value of Breakpoint
4 10001. Value of Breakpoint
1311 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N330_ := EMPTY:
IF (PISecAContinuInterviewA124_PlaceDied = INHOSPICE) OR (N320_ = YES);
IF N324_ <> COMPLETELYCOVRD;
IF N328_ <> EMPTY AND N328_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN330 OOP COSTS- HOSPICE- MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.Hospice.N330_
*
.................................................................................
4 499. Value of Breakpoint
1 500. Value of Breakpoint
4 4999. Value of Breakpoint
3 9999. Value of Breakpoint
1 19999. Value of Breakpoint
6 99999996. Greater than Maximum Breakpoint
1311 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N331_ := EMPTY:
IF (PISecAContinuInterviewA124_PlaceDied = INHOSPICE) OR (N320_ = YES);
IF N324_ <> COMPLETELYCOVRD;
IF N328_ <> EMPTY AND N328_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN331 OOP COSTS- HOSPICE- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.Hospice.N331_
*
.................................................................................
9 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1321 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN147 # TIMES SEEN DR- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.DocVisit.N147_TimeSeeDoc
[F1]--help
[Aside from any hospital stays, how/Aside from any outpatient surgery, how/Aside
from any hospital stays and outpatient surgery, how/How] many times did [he/she]
see or talk to a medical doctor about [his/her] health, including emergency room
or clinic visits [in the last two years/since [PREV WAVE FIRST R IW MONTH],
[PREV WAVE FIRST R IW YEAR]?
USE zero for none
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
934 0 900 20.76 43.56 2
-----------------------------------------------------------------
393 998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
==========================================================================================
ASK:
IF N147_TimeSeeDoc = NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN148 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?
.................................................................................
107 1. LESS THAN 20 TIMES
35 3. ABOUT 20 TIMES
190 5. MORE THAN 20 TIMES
62 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
936 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF N147_TimeSeeDoc = NONRESPONSE;
IF N148_TimeSeeDoc20 <> ABT20TIMES;
IF N148_TimeSeeDoc20 <> MORETHAN20TIMES;
IF N148_TimeSeeDoc20 <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN149 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?
.................................................................................
16 1. LESS THAN 5 TIMES
10 3. ABOUT 5 TIMES
71 5. MORE THAN 5 TIMES
10 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1223 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF N147_TimeSeeDoc = NONRESPONSE;
IF N148_TimeSeeDoc20 <> ABT20TIMES;
IF N148_TimeSeeDoc20 <> MORETHAN20TIMES;
IF (N149_TimeSeeDoc5 <> ABT5TIMES) AND (N149_TimeSeeDoc5 <> MORETHAN5TIMES);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN150 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 [she/he] saw a medical doctor about [her/his] health at least once
[[since [PREV WAVE FIRST R IW Month], [PREV WAVE FIRST R IW YEAR]/[Prev Wave Iw
Yr]/since [PREV WAVE FIRST R IW YEAR]/[Prev Wave Iw Yr]?
.................................................................................
78 1. YES
1 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1242 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF N147_TimeSeeDoc = NONRESPONSE;
IF N148_TimeSeeDoc20 <> ABT20TIMES;
IF N148_TimeSeeDoc20 = MORETHAN20TIMES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN151 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?
.................................................................................
78 1. LESS THAN 50 TIMES
26 3. ABOUT 50 TIMES
73 5. MORE THAN 50 TIMES
13 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1140 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN152 DOCTOR VISITS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DocVisit.N152_VisitCovIns
[F1]--Help
Were the costs for [his/her] doctor or clinic visit(s) completely covered by
health insurance, mostly covered, only partially covered, or not covered at all
by insurance?
.................................................................................
735 1. COMPLETELY COVERED
365 2. MOSTLY COVERED
80 3. PARTIALLY COVERED
23 5. NOT COVERED AT ALL
3 7. [VOL] COSTS NOT SETTLED YET
41 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
83 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN156 AMT PAY O-O-P FOR DOC VISITS
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.DocVisit.N156_AmtOOPVisit
[F1]--Help
About how much did [he/she] pay out-of-pocket for doctor or clinic visits [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
275 0 15000 758.23 1552.69 818
-----------------------------------------------------------------
236 9999998. DK (Don't Know); NA (Not Ascertained)
1 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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN157 AMT PAY O-O-P FOR DOC VISITS - MIN
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.DocVisit.N157_
N157-N159 Unfolding Sequence
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
.................................................................................
112 0. Value of Breakpoint
17 500. Value of Breakpoint
29 501. Value of Breakpoint
13 2000. Value of Breakpoint
27 2001. Value of Breakpoint
4 5000. Value of Breakpoint
30 5001. Value of Breakpoint
1 10000. Value of Breakpoint
1 10001. Value of Breakpoint
2 20000. Value of Breakpoint
1 20001. Value of Breakpoint
1093 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN158 AMT PAY O-O-P FOR DOC VISITS - MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.DocVisit.N158_
*
.................................................................................
42 499. Value of Breakpoint
17 500. Value of Breakpoint
35 1999. Value of Breakpoint
13 2000. Value of Breakpoint
31 4999. Value of Breakpoint
4 5000. Value of Breakpoint
10 9999. Value of Breakpoint
1 10000. Value of Breakpoint
1 19999. Value of Breakpoint
2 20000. Value of Breakpoint
81 99999996. Greater than Maximum Breakpoint
1093 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN159 AMT PAY O-O-P FOR DOC VISITS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.DocVisit.N159_
*
.................................................................................
98 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1231 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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));
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN175 TAKE PRESCRIPTION DRUGS REGULARLY
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N175_TkMedsReg
[F1]--help
Was [he/she] regularly taking any prescription medications before [her/his]
death?
.................................................................................
1238 1. YES
78 5. NO
7. MEDICATIONS KNOWN
12 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N175_TkMedsReg <> NO) AND N175_TkMedsReg <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN176 DRUG COSTS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N176_MedsCovIns
[F1]--Help
[Earlier you said you are taking prescription medications.]
Were the costs of [her/his] prescription medications completely covered by
health insurance, mostly covered, only partially covered, or not covered at all
by insurance?
.................................................................................
413 1. COMPLETELY COVERED
479 2. MOSTLY COVERED
233 3. PARTIALLY COVERED
70 5. NOT COVERED AT ALL
1 7. [VOL] COSTS NOT SETTLED YET
42 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
92 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (N175_TkMedsReg <> NO) AND N175_TkMedsReg <> NONRESPONSE;
IF N176_MedsCovIns <> COMPLETELYCOVRD;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN180 AMT PAY O-O-P RX DRUGS PER MONTH
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.PrescpDrug.N180_AmtOOPMeds
[F1]--help
On average, about how much did [she/he] pay out-of-pocket per month for these
prescriptions [in the last two years/since [PREV WAVE FIRST R IW MONTH], [PREV
WAVE FIRST R IW YEAR]]?
Do not probe DK/RF
Amount per month:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
565 0 5000 160.48 343.84 505
-----------------------------------------------------------------
259 99998. DK (Don't Know); NA (Not Ascertained)
1 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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN181 AMT PAY O-O-P RX DRUGS PER MONTH- MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.PrescpDrug.N181_
N181-N183 Unfolding Sequence
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
.................................................................................
82 0. Value of Breakpoint
2 20. Value of Breakpoint
10 21. Value of Breakpoint
9 40. Value of Breakpoint
38 41. Value of Breakpoint
22 100. Value of Breakpoint
56 101. Value of Breakpoint
13 200. Value of Breakpoint
17 201. Value of Breakpoint
6 500. Value of Breakpoint
5 501. Value of Breakpoint
1070 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N182_ := EMPTY:
IF (N175_TkMedsReg <> NO) AND N175_TkMedsReg <> NONRESPONSE;
IF N176_MedsCovIns <> COMPLETELYCOVRD;
IF N180_AmtOOPMeds <> EMPTY AND N180_AmtOOPMeds <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN182 AMT PAY O-O-P RX DRUGS PER MONTH- MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.PrescpDrug.N182_
*
.................................................................................
4 19. Value of Breakpoint
2 20. Value of Breakpoint
12 39. Value of Breakpoint
9 40. Value of Breakpoint
38 99. Value of Breakpoint
22 100. Value of Breakpoint
34 199. Value of Breakpoint
13 200. Value of Breakpoint
16 499. Value of Breakpoint
6 500. Value of Breakpoint
104 99999996. Greater than Maximum Breakpoint
1070 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N183_ := EMPTY:
IF (N175_TkMedsReg <> NO) AND N175_TkMedsReg <> NONRESPONSE;
IF N176_MedsCovIns <> COMPLETELYCOVRD;
IF N180_AmtOOPMeds <> EMPTY AND N180_AmtOOPMeds <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN183 AMT PAY O-O-P RX DRUGS PER MONTH- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PrescpDrug.N183_
*
.................................................................................
111 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1218 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (piN116_NiteOverNH <> 996.00000000000013) OR ((piX008AInNHome_V <>
INNURSINGHOME) AND (piN116_NiteOverNH = 996.00000000000013));
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN189 USED HOME HEALTH SVC- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.InHomeCare.N189_HomeHlthSvc
[F1]--help
[In the last two years/Since [PREV WAVE FIRST R IW MONTH], [PREV WAVE FIRST R
IW YEAR]] , did any medically-trained person come to [her/his] home to help
[her/him]?
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.)
.................................................................................
560 1. YES
725 5. NO
14 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
30 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (piN116_NiteOverNH <> 996.00000000000013) OR ((piX008AInNHome_V <>
INNURSINGHOME) AND (piN116_NiteOverNH = 996.00000000000013));
IF N189_HomeHlthSvc = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN190 HOME HEALTH SERVICE COST COVERED BY INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.InHomeCare.N190_HHSvcCovIns
[F1]--Help
Were the costs of [her/his] home medical care completely covered by health
insurance, mostly covered, only partially covered, or not covered at all by
insurance?
.................................................................................
444 1. COMPLETELY COVERED
47 2. MOSTLY COVERED
23 3. PARTIALLY COVERED
31 5. NOT COVERED AT ALL
1 7. [VOL] COSTS NOT SETTLED YET
13 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
770 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF (piN116_NiteOverNH <> 996.00000000000013) OR ((piX008AInNHome_V <>
INNURSINGHOME) AND (piN116_NiteOverNH = 996.00000000000013));
IF N189_HomeHlthSvc = YES;
IF N190_HHSvcCovIns <> COMPLETELYCOVRD;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN194 AMT PAY O-O-P HOME HEALTH SVC
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.InHomeCare.N194_AmtPayOOPHHS
[F1]--help
About how much did [he/she] 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
68 0 300000 8291.15 37944.88 1214
-----------------------------------------------------------------
47 999998. DK (Don't Know); NA (Not Ascertained)
1 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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN195 AMT PAY O-O-P HOME HEALTH SVC - MIN
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.InHomeCare.N195_
N195-N197 Unfolding Sequence
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
.................................................................................
24 0. Value of Breakpoint
4 501. Value of Breakpoint
2 2000. Value of Breakpoint
3 2001. Value of Breakpoint
13 5001. Value of Breakpoint
1 10000. Value of Breakpoint
1 20001. Value of Breakpoint
1282 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN196 AMT PAY O-O-P HOME HEALTH SVC - MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.InHomeCare.N196_
*
.................................................................................
5 499. Value of Breakpoint
7 1999. Value of Breakpoint
2 2000. Value of Breakpoint
4 4999. Value of Breakpoint
3 9999. Value of Breakpoint
1 10000. Value of Breakpoint
26 99999996. Greater than Maximum Breakpoint
1282 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN197 AMT PAY O-O-P HOME HEALTH SVC - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.InHomeCare.N197_
*
.................................................................................
29 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1300 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN202 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 MONTH], [PREV WAVE FIRST R
IW YEAR]], did [he/she] 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?
.................................................................................
279 1. YES
1036 5. NO
13 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF N202_UseOthSvc = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN203 OTHER HEALTH SVC PAID BY R/SP/P
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.OthHealthCare.N203_OthSvcCovIns
Did [he/she] [or/ or her/his] [ you/husband/wife/partner] have to pay for any of
these services?
.................................................................................
69 1. YES
204 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1051 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF N202_UseOthSvc = YES;
IF N203_OthSvcCovIns = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN239 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 [he/she] have to pay?
Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
48 1 14400 1411.31 2677.53 1261
-----------------------------------------------------------------
21 9999998. DK (Don't Know); NA (Not Ascertained)
9999999. RF (Refused)
==========================================================================================
ASSIGN:
N246_ := EMPTY:
IF N202_UseOthSvc = YES;
IF N203_OthSvcCovIns = YES;
IF N239_OthSvcCost <> EMPTY AND N239_OthSvcCost <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN246 AMT PAY O-O-P OTHER HEALTH SERVICE- MIN
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.OthHealthCare.N246_
N246-N248 Unfolding Sequence
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
.................................................................................
14 0. Value of Breakpoint
1 501. Value of Breakpoint
3 1001. Value of Breakpoint
1 5000. Value of Breakpoint
1 5001. Value of Breakpoint
1310 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N247_ := EMPTY:
IF N202_UseOthSvc = YES;
IF N203_OthSvcCovIns = YES;
IF N239_OthSvcCost <> EMPTY AND N239_OthSvcCost <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN247 AMT PAY O-O-P OTHER HEALTH SERVICE- MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.OthHealthCare.N247_
*
.................................................................................
7 499. Value of Breakpoint
1 999. Value of Breakpoint
4 4999. Value of Breakpoint
1 5000. Value of Breakpoint
7 99999996. Greater than Maximum Breakpoint
1310 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N248_ := EMPTY:
IF N202_UseOthSvc = YES;
IF N203_OthSvcCovIns = YES;
IF N239_OthSvcCost <> EMPTY AND N239_OthSvcCost <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN248 AMT PAY O-O-P OTHER HEALTH SVC- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.OthHealthCare.N248_
*
.................................................................................
1 97. Data Not Available
8 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1321 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN332 OTHER OOP MEDICAL EXPENSES
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.OthHealthCare.N332_
Aside from the medical expenses we already mentioned, did [R's FIRST NAME] have
any other out-of-pocket medical expenses, that is, expenses not covered by
insurance, such as medications, special food, equipment such as a special bed or
chair, visits by doctors or other health professionals, or other costs?
.................................................................................
277 1. YES
1022 5. NO
29 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF N332_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN333 OTHER OOP COSTS- AMT
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.OthHealthCare.N333_
About how much did [she/he] pay out-of-pocket for these expenses [in the last
two years/since [PREV WAVE IW [MONTH, ]YEAR]?
Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
209 0 300000 2912.04 21770.98 1053
-----------------------------------------------------------------
67 999998. DK (Don't Know); NA (Not Ascertained)
1 999999. RF (Refused)
==========================================================================================
ASSIGN:
N334_ := EMPTY:
IF N332_ = YES;
IF N333_ <> EMPTY AND N333_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN334 OTHER OOP COSTS- MIN
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.OthHealthCare.N334_
N334-N336 Unfolding Sequence
Question text: 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 X520
.................................................................................
25 0. Value of Breakpoint
6 500. Value of Breakpoint
3 501. Value of Breakpoint
6 1000. Value of Breakpoint
15 1001. Value of Breakpoint
3 5000. Value of Breakpoint
4 5001. Value of Breakpoint
2 10001. Value of Breakpoint
3 20001. Value of Breakpoint
1263 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N335_ := EMPTY:
IF N332_ = YES;
IF N333_ <> EMPTY AND N333_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN335 OTHER OOP COSTS- MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.OthHealthCare.N335_
*
.................................................................................
9 499. Value of Breakpoint
6 500. Value of Breakpoint
5 999. Value of Breakpoint
6 1000. Value of Breakpoint
17 4999. Value of Breakpoint
3 5000. Value of Breakpoint
3 9999. Value of Breakpoint
1 19999. Value of Breakpoint
17 99999996. Greater than Maximum Breakpoint
1263 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N336_ := EMPTY:
IF N332_ = YES;
IF N333_ <> EMPTY AND N333_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN336 OTHER OOP COSTS- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.OthHealthCare.N336_
*
.................................................................................
1 97. Data Not Available
19 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1309 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
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));
ASSIGN:
N204_AssgnHospCost := HospitalStay.N106_AmtOOPHospCost:
IF HospitalStay.N106_AmtOOPHospCost = RESPONSE;
ASSIGN:
N204_AssgnHospCost := HospitalStay.N107_:
NOT(IF HospitalStay.N106_AmtOOPHospCost = RESPONSE);
IF ((HospitalStay.N106_AmtOOPHospCost = DONTKNOW) OR
(HospitalStay.N106_AmtOOPHospCost = REFUSAL)) AND (HospitalStay.N107_ =
RESPONSE);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN204 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 VN204.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1330 0 90440 1184.51 5648.84 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));
ASSIGN:
N205_AssgnNHCost := NHomeStay.N119_AmtPayNHHosp:
IF NHomeStay.N119_AmtPayNHHosp = RESPONSE;
ASSIGN:
N205_AssgnNHCost := NHomeStay.N120_:
NOT(IF NHomeStay.N119_AmtPayNHHosp = RESPONSE);
IF ((NHomeStay.N119_AmtPayNHHosp = DONTKNOW) OR (NHomeStay.N119_AmtPayNHHosp =
REFUSAL)) AND (NHomeStay.N120_ = RESPONSE);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN205 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 VN205.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1330 0 200000 4209.04 18234.86 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));
ASSIGN:
N207_AssgnDocVstCost := DocVisit.N156_AmtOOPVisit:
IF DocVisit.N156_AmtOOPVisit = RESPONSE;
ASSIGN:
N207_AssgnDocVstCost := DocVisit.N157_:
NOT(IF DocVisit.N156_AmtOOPVisit = RESPONSE);
IF ((DocVisit.N156_AmtOOPVisit = DONTKNOW) OR (DocVisit.N156_AmtOOPVisit =
REFUSAL)) AND (DocVisit.N157_ = RESPONSE);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN207 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 VN207.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1330 0 20001 421.29 1504.05 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));
ASSIGN:
N209_AssgnPresCost := PrescpDrug.N180_AmtOOPMeds:
IF PrescpDrug.N180_AmtOOPMeds = RESPONSE;
ASSIGN:
N209_AssgnPresCost := PrescpDrug.N181_:
NOT(IF PrescpDrug.N180_AmtOOPMeds = RESPONSE);
IF ((PrescpDrug.N180_AmtOOPMeds = DONTKNOW) OR (PrescpDrug.N180_AmtOOPMeds =
REFUSAL)) AND (PrescpDrug.N181_ = RESPONSE);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN209 ASSIGN PRESCRIPTION COSTS
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.N209_AssgnPresCost
User Note: N180 and N181 are used to calculate VN209.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1330 0 5000 84.26 240.02 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));
ASSIGN:
N210_AssgnHomeHCCost := InHomeCare.N194_AmtPayOOPHHS:
IF InHomeCare.N194_AmtPayOOPHHS = RESPONSE;
ASSIGN:
N210_AssgnHomeHCCost := InHomeCare.N195_:
NOT(IF InHomeCare.N194_AmtPayOOPHHS = RESPONSE);
IF ((InHomeCare.N194_AmtPayOOPHHS = DONTKNOW) OR (InHomeCare.N194_AmtPayOOPHHS =
REFUSAL)) AND (InHomeCare.N195_ = RESPONSE);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN210 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 VN210.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1330 0 300000 504.38 8745.63 0
-----------------------------------------------------------------
==========================================================================================
VN211 TOTAL O-O-P FOR MAJOR MEDICAL COSTS
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.N211_TotMajMedExp
User Note: VN211 = N204 + N205 + N207 + N209 + N210
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1330 0 365802 6475.76 22681.47 0
-----------------------------------------------------------------
==========================================================================================
VN212 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, did anyone help [her/him] [ and / and
her/his ] [ you/husband/wife/partner] pay for [her/his] health care costs [In
the last two years/Since [PREV WAVE FIRST R IW MONTH], [PREV WAVE FIRST R IW
YEAR]], or help [her/him] pay the cost of health insurance or for long-term care
insurance?
.................................................................................
113 1. YES
1205 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF N212_HelpPayHCCost = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN213 WHO HELP PAY HEALTH CARE COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HowPayMedBill.N213_WhoHelpPayHCCost
Was that a [child or other] relative of [[R's FIRST NAME]'s /hers/his ] [or
[you/[her/his] [husband/wife/partner]] ], or was that someone else?
.................................................................................
97 1. CHILD/CHILD-IN-LAW/GRANDCHILD
11 2. OTHER RELATIVE
5 3. SOMEONE ELSE
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1217 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN214M1 WHICH CHILD PAY HEALTH CARE COSTS-1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.HowPayMedBill.N214AWhiChldPayHC[1]
(Which child was that?)
CHOOSE all that apply
ACCEPT more than 1 child only after probe: Which child helped the most?
If grandchild: (Which of [her /his ] children is the parent of that
grandchild?)
.................................................................................
87 041-990. Other Person Number
992. DECEASED CHILD
9 993. ALL CHILDREN EQUALLY
1 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1233 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
VN214M2 WHICH CHILD PAY HEALTH CARE COSTS-2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.HowPayMedBill.N214AWhiChldPayHC[2]
(Which child was that?)
CHOOSE all that apply
ACCEPT more than 1 child only after probe: Which child helped the most?
If grandchild: (Which of [her /his ] children is the parent of that
grandchild?)
.................................................................................
10 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1320 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
VN214M3 WHICH CHILD PAY HEALTH CARE COSTS-3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.HowPayMedBill.N214AWhiChldPayHC[3]
(Which child was that?)
CHOOSE all that apply
ACCEPT more than 1 child only after probe: Which child helped the most?
If grandchild: (Which of [her /his ] children is the parent of that
grandchild?)
.................................................................................
1 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1329 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
VN214M4 WHICH CHILD PAY HEALTH CARE COSTS-4
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.HowPayMedBill.N214AWhiChldPayHC[4]
(Which child was that?)
CHOOSE all that apply
ACCEPT more than 1 child only after probe: Which child helped the most?
If grandchild: (Which of [her /his ] 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)
1330 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
ASK:
IF N212_HelpPayHCCost = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN215 AMT OF OTHER HELP
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.HowPayMedBill.N215_AmtOthHelp
[F1]--Help
Altogether, about how much money did that help amount to?
Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
75 30 80000 4061.36 10780.10 1217
-----------------------------------------------------------------
36 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;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN216 AMT OF OTHER HELP - MIN
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.HowPayMedBill.N216_
N216-N218 Unfolding Sequence
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
.................................................................................
11 0. Value of Breakpoint
1 501. Value of Breakpoint
3 1000. Value of Breakpoint
9 1001. Value of Breakpoint
3 3000. Value of Breakpoint
8 3001. Value of Breakpoint
3 10001. Value of Breakpoint
1292 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N217_ := EMPTY:
IF N212_HelpPayHCCost = YES;
IF N215_AmtOthHelp <> EMPTY AND N215_AmtOthHelp <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN217 AMT OF OTHER HELP - MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.HowPayMedBill.N217_
*
.................................................................................
2 499. Value of Breakpoint
1 999. Value of Breakpoint
3 1000. Value of Breakpoint
8 2999. Value of Breakpoint
3 3000. Value of Breakpoint
8 9999. Value of Breakpoint
13 99999996. Greater than Maximum Breakpoint
1292 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N218_ := EMPTY:
IF N212_HelpPayHCCost = YES;
IF N215_AmtOthHelp <> EMPTY AND N215_AmtOthHelp <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN218 AMT OF OTHER HELP - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.HowPayMedBill.N218_
*
.................................................................................
9 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
1319 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF piN211_TotMajMedExp >= 10000;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN219M1 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 [she/he] finance these -- did [she/he] pay directly from [her /his ]
savings or earnings, did [she/he] take out a loan, has [she/he] not yet paid
these bills, or what?
CHOOSE all that apply
If payments are still being made, enter both code 3 and code 4
.................................................................................
151 1. PAID USING SAVINGS/EARNINGS
2 2. TOOK OUT A LOAN
15 3. HAVE NOT YET PAID
4. MAKING PAYMENTS
9 5. Not paid by R (filed for bankruptcy, someone else (like a
relative) paid, doctor let the bills drop, etc.)
6 6. Records Inaccurate, R did not have large out of pocket
expenses
7. OTHER (SPECIFY)
9 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1138 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF piN211_TotMajMedExp >= 10000;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN219M2 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 [she/he] finance these -- did [she/he] pay directly from [her /his ]
savings or earnings, did [she/he] take out a loan, has [she/he] 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
1 2. TOOK OUT A LOAN
6 3. HAVE NOT YET PAID
3 4. MAKING PAYMENTS
5 5. Not paid by R (filed for bankruptcy, someone else (like a
relative) paid, doctor let the bills drop, etc.)
6. Records Inaccurate, R did not have large out of pocket
expenses
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1314 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF piN211_TotMajMedExp >= 10000;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN219M3 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 [she/he] finance these -- did [she/he] pay directly from [her /his ]
savings or earnings, did [she/he] take out a loan, has [she/he] 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
5. Not paid by R (filed for bankruptcy, someone else (like a
relative) paid, doctor let the bills drop, etc.)
6. Records Inaccurate, R did not have large out of pocket
expenses
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1328 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF piN211_TotMajMedExp >= 10000;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN219M4 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 [she/he] finance these -- did [she/he] pay directly from [her /his ]
savings or earnings, did [she/he] take out a loan, has [she/he] 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
5. Not paid by R (filed for bankruptcy, someone else (like a
relative) paid, doctor let the bills drop, etc.)
6. Records Inaccurate, R did not have large out of pocket
expenses
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1330 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF ((SecA.StartInterview.A009_SelfPrxy = SLF) OR (ACTIVELANGUAGE = EXTENG)) OR
(ACTIVELANGUAGE = EXTSPN);
IF (piRvarsZ113_GaveMedcareNo_V <> YES) AND (piGovCoverN001_ = YES);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN226 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 [her/his] Medicare number for this purpose?
(Under the Privacy Act of 1974, providing [her/his] number is a voluntary
decision. Any remaining benefits under this program will not be affected in any
way by your decision.)
.................................................................................
37 1. NUMBER RECORDED
31 4. R REFUSED NUMBER
70 5. NUMBER NOT RECORDED (NOT REFUSED)
6 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
1184 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF ((SecA.StartInterview.A009_SelfPrxy = SLF) OR (ACTIVELANGUAGE = EXTENG)) OR
(ACTIVELANGUAGE = EXTSPN);
IF (piGovCoverN006_ = YES) AND (N226_MedicareNumRec <> RREFUSEDNUMBER);
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN231 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 [her/his] Medicaid number for this purpose?
(Under the Privacy Act of 1974, providing [her/his] number is (also) a voluntary
decision. Any remaining benefits under this program will not be affected in any
way by your decision)
.................................................................................
57 1. NUMBER RECORDED
40 4. R REFUSED NUMBER
242 5. NUMBER NOT RECORDED (NOT REFUSED)
10 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
981 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VN337 OOP NON-MEDICAL EXPENSES
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N337_
In addition to medical expenses, persons [may have other health-related/with
serious illnesses often have] non-medical expenses. [In the last two years/Since
[PREV WAVE IW [MONTH, ]YEAR], did [R's FIRST NAME] have any out-of-pocket
non-medical expenses such as modifying the house with ramps or lifts, hiring
help for housekeeping or other household chores or for assisting with personal
needs?
.................................................................................
218 1. YES
1099 5. NO
10 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASK:
IF N337_ = YES;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN338 OOP NON-MEDICAL COSTS- AMT
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.N338_
About how much did [she/he] [or [you/[her/his] [husband/wife/partner]] ] pay
out-of-pocket for non-medical expenses [in the last two years/since [PREV WAVE
IW [MONTH, ]YEAR]?
Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
165 0 120000 5170.27 14457.60 1112
-----------------------------------------------------------------
53 999998. DK (Don't Know); NA (Not Ascertained)
999999. RF (Refused)
==========================================================================================
ASSIGN:
N339_ := EMPTY:
IF N337_ = YES;
IF N338_ <> EMPTY AND N338_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN339 OOP NON-MEDICAL COSTS- MIN
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.N339_
N339-N341 Unfolding Sequence
Question text: Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $1,000, $5,000, $25,000, $100,000, $500,000
RANDOM ENTRY POINTS: $5,000, $25,000, $100,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X513
.................................................................................
23 0. Value of Breakpoint
2 1000. Value of Breakpoint
6 1001. Value of Breakpoint
2 5000. Value of Breakpoint
8 5001. Value of Breakpoint
4 25000. Value of Breakpoint
8 25001. Value of Breakpoint
1277 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N340_ := EMPTY:
IF N337_ = YES;
IF N338_ <> EMPTY AND N338_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN340 OOP NON-MEDICAL COSTS- MAX
Section: N Level: Respondent Type: Numeric Width: 10 Decimals: 0
Ref: SecN.N340_
*
.................................................................................
13 999. Value of Breakpoint
2 1000. Value of Breakpoint
6 4999. Value of Breakpoint
2 5000. Value of Breakpoint
9 24999. Value of Breakpoint
4 25000. Value of Breakpoint
3 99999. Value of Breakpoint
14 99999996. Greater than Maximum Breakpoint
1277 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN:
N341_ := EMPTY:
IF N337_ = YES;
IF N338_ <> EMPTY AND N338_ <> NONRESPONSE;
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VN341 OOP NON-MEDICAL COSTS- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.N341_
*
.................................................................................
15 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1315 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
VVDATE 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.
.................................................................................
121 1. Version 1
216 2. Version 2
208 3. Version 3
785 4. Version 4
==========================================================================================
VVERSION 2008 DATA RELEASE VERSION
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
.................................................................................
1330 1. HRS 2008 Exit Final Release
|