==========================================================================================
Section N: HEALTH SERVICES AND INSURANCE (Respondent)
==========================================================================================
HHID HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 6 Decimals: 0
.................................................................................
22034 000003-959738. Household Identification Number
==========================================================================================
PN RESPONDENT PERSON IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
.................................................................................
12326 010. Person Identifier
625 011. Person Identifier
29 012. Person Identifier
1 013. Person Identifier
7141 020. Person Identifier
177 021. Person Identifier
9 022. Person Identifier
1 023. Person Identifier
633 030. Person Identifier
45 031. Person Identifier
7 032. Person Identifier
975 040. Person Identifier
58 041. Person Identifier
6 042. Person Identifier
1 043. Person Identifier
==========================================================================================
MSUBHH 2010 SUB HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
.................................................................................
20699 0. Original sample household - no split from divorce or
separation of spouses or partners
672 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
503 2. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
52 5. Split household - one half of couple from SUBHH 1 or 2
6 6. Split household - one half of couple from SUBHH 1 or 2
101 7. Reunited household - respondents from split household
reunite
1 8. Split household - one half of couple from SUBHH 1 or 2
==========================================================================================
LSUBHH 2008 SUB HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
.................................................................................
14544 0. Original sample household - no split from divorce or
separation of spouses or partners
610 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
471 2. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
39 5. Split household - one half of couple from SUBHH 1 or 2
6 6. Split household - one half of couple from SUBHH 1 or 2
69 7. Reunited household - respondents from split household
reunite
1 8. Split household - one half of couple from SUBHH 1 or 2
6294 Blank. NEW COHORT HH
==========================================================================================
MPN_SP 2010 SPOUSE/PARTNER PERSON NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
.................................................................................
6364 010. Person Identifier
598 011. Person Identifier
28 012. Person Identifier
6051 020. Person Identifier
155 021. Person Identifier
8 022. Person Identifier
1 023. Person Identifier
461 030. Person Identifier
41 031. Person Identifier
6 032. Person Identifier
733 040. Person Identifier
63 041. Person Identifier
6 042. Person Identifier
1 043. Person Identifier
37 811. Spouse of Non-Original Respondent
4 812. Spouse of Non-Original Respondent
8 821. Spouse of Non-Original Respondent
2 822. Spouse of Non-Original Respondent
4 831. Spouse of Non-Original Respondent
4 841. Spouse of Non-Original Respondent
1 842. Spouse of Non-Original Respondent
7458 Blank. Single Respondent Household
==========================================================================================
MCSR 2010 WHETHER COVERSHEET RESPONDENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
.................................................................................
15280 1. Yes
18 3. 2nd Coverscreen R, answers not retained
6736 5. No
==========================================================================================
MFAMR 2010 WHETHER FAMILY RESPONDENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
.................................................................................
14977 1. Family R
14 3. 2nd Family R, answers not retained
7043 5. Non-Family R
==========================================================================================
MFINR 2010 WHETHER FINANCIAL RESPONDENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
.................................................................................
15130 1. Financial R
14 3. 2nd Financial R, answers not retained
6890 5. Non-Financial R
==========================================================================================
IF ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN001 MEDICARE COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N001_
The next questions are about health insurance, both public and private. Medicare
is a public health insurance program for people 65 or older and for disabled
persons. (Medicaid/State name for Medicaid) is a public health insurance program
for people with low incomes.
Are you currently covered by Medicare health insurance?
.................................................................................
11540 1. YES
10141 5. NO
79 8. DK (Don't Know); NA (Not Ascertained)
26 9. RF (Refused)
248 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN002M1 WHY NOT MEDICARE COVERED-1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N002_
Why is that?
INTERVIEWER: R IS AGE ([See Blaise Specifications for
piSecAContinuInterviewA019_RAge assignment]), SO PROBE WHY R IS (NOT) COVERED BY
MEDICARE
.................................................................................
807 1. R is disabled; R is on disability; Spouse on disability; R
is on Social Security disability or SSI
97 2. R has a specific medical problem. (E.g. If R says; 'Disabled
due to medical condition,' code it as 02, not 01)
40 3. R has Medicare-NFS
4. R mentions has Part A and Part B of Medicare
4 5. R mentions has Part A of Medicare; the first half of
Medicare
1 6. R mentions has Part B of Medicare; the second half of
Medicare
1 7. R mentions a Medicare card or the mechanics of using it
5 8. R receives Medicare through a deceased spouse
18 9. R mentions his/her age in conjunction with having Medicare;
R has had Medicare since a certain age; R got Medicare
'early'
1 10. R pays into Medicare, but doesn't use it; R has Medicare,
but chooses not to use it
17 50. R never applied for Medicare or invested in it-NFS
5 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
7 52. R is still working (If R mentions other insurance coverage
through his/her employment, code the appropriate insurance
code only)
6 53. R never qualified for Medicare in his/her employment; R was
in the military/a federal employee/a postal worker etc.; R
doesn't get Social Security or Medicaid
3 54. R used to have Medicare-NFS; R had Medicare, but not now; R
dropped it
2 55. Medicare charges too much; Medicare too expensive for what
you receive
4 56. R will be on Medicare in the future; R not old enough to
qualify at present; R in the process of getting Medicare
57. R had Medicare through a deceased spouse and R no longer
receives it
58. R's spouse only receives Medicare
59. R is not familiar with Medicare; confusion about eligibility
17 70. R has other medical insurance/coverage-NFS
12 71. R has veteran's coverage or insurance; 'I'm covered by the
VA'; covered under TriCare or Champus
6 72. R has federal employee/Postal Service insurance
20 73. R has private insurance; e.g. Cigna, Kaiser, Blue Cross/Blue
Shield
14 74. R is covered by Medicaid
23 75. R's spouse's medical insurance covers R
16 76. R covered under company health plan or health insurance; R
covered under former employer's health plan or health
insurance
27 90. R mentions income level/group, home ownership, an economic
factor
16 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)
23 92. R is not a U.S. citizen; R is an illegal alien; R lives
outside the USA
6 93. R doesn't need it - NFS
94. R "used it up"
10 95. R disputes age calculation
27 97. Other
90 98. DK (don't know); NA (not ascertained)
12 99. RF (refused)
20697 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN002M2 WHY NOT MEDICARE COVERED-2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Why is that?
INTERVIEWER: R IS AGE ([See Blaise Specifications for
piSecAContinuInterviewA019_RAge assignment]), SO PROBE WHY R IS (NOT) COVERED BY
MEDICARE
.................................................................................
1. 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
1 4. R mentions has Part A and Part B of Medicare
1 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
1 8. R receives Medicare through a deceased spouse
9. R mentions his/her age in conjunction with having Medicare;
R has had Medicare since a certain age; R got Medicare
'early'
10. R pays into Medicare, but doesn't use it; R has Medicare,
but chooses not to use it
1 50. R never applied for Medicare or invested in it-NFS
1 51. R didn't work long enough to qualify for Medicare; R didn't
work enough quarters; R's spouse didn't work enough quarters
to qualify
52. R is still working (If R mentions other insurance coverage
through his/her employment, code the appropriate insurance
code only)
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
1 55. Medicare charges too much; Medicare too expensive for what
you receive
56. R will be on Medicare in the future; R not old enough to
qualify at present; R in the process of getting Medicare
57. R had Medicare through a deceased spouse and R no longer
receives it
58. R's spouse only receives Medicare
59. R is not familiar with Medicare; confusion about eligibility
1 70. R has other medical insurance/coverage-NFS
2 71. R has veteran's coverage or insurance; 'I'm covered by the
VA'; covered under TriCare or Champus
1 72. R has federal employee/Postal Service insurance
1 73. R has private insurance; e.g. Cigna, Kaiser, Blue Cross/Blue
Shield
2 74. R is covered by Medicaid
2 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
7 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"
1 95. R disputes age calculation
97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
22011 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N001_
IF SecN.GovCover.N001_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN004 MEDICARE PART B COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N004_
Part A of Medicare covers most hospital expenses.
Part B covers many doctors expenses including doctor visits, and the premium is
usually deducted from your Social Security.
Are you covered under Part B of Medicare?
.................................................................................
10588 1. YES
646 5. NO
301 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
10494 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N001_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN005 MEDICAID COVERAGE SINCE PREV WAVE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N005_
Have you been covered by health insurance through (Medicaid/STATE NAME FOR
MEDICAID or any other Medicaid program) at any time [since R's LAST IW MONTH
(per Z092), YEAR (per Z093)/in the last two years]?
.................................................................................
2470 1. YES
19110 5. NO
177 8. DK (Don't Know); NA (Not Ascertained)
29 9. RF (Refused)
248 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N005_
IF SecN.GovCover.N005_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN006 CURRENTLY COVERED BY MEDICAID
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N006_
Are you currently covered by (Medicaid/State name for Medicaid)?
.................................................................................
2148 1. YES
301 5. NO
21 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
19564 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N005_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN007 CHAMPUS/CHAMPVA COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N007_
Are you currently covered by TRI-CARE, CHAMPUS, CHAMP-VA, or any other military
health care plan?
Def: TRI-CARE is the new name for the military's health insurance programs. It
includes what used to be known as CHAMPUS and CHAMP-VA. CHAMPUS was a health
care program for active or retired military personnel and their dependents or
survivors. CHAMP-VA provided medical care for veterans and their dependents or
survivors of veterans who had a service-connected disability. VA is not a health
insurance program.
.................................................................................
1221 1. YES
20502 5. NO
43 8. DK (Don't Know); NA (Not Ascertained)
20 9. RF (Refused)
248 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N007_
IF ((SecN.GovCover.N007_ = YES) OR (piRvarsZ240_PW_MilitaryService =
YESActiveService)) AND ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = PRXENG))
THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN430 CURRENTLY COVERED BY MEDICAID
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N430_
Have you obtained prescription drugs from a veteran's administration facility
[since R's LAST IW MONTH, YEAR/in the last two years]?
.................................................................................
1053 1. YES
2800 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
18171 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST) THEN
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN009 MEDICARE/MEDICAID HMO
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N009_
We are interested in how your [Medicare /(Medicaid/State name for MEDICAID)]
health insurance works for routine care.
Do you receive your [Medicare /(Medicaid/State name for MEDICAID)] benefits
through an HMO, that is a Health Maintenance Organization?
Def: (With an HMO, the cost of the physician visit is typically covered in full
or you pay only a small amount. All of your routine care must be provided by an
HMO physician.)
.................................................................................
3360 1. YES
7868 5. NO
1025 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
9775 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N009_
IF SecN.MediCaidCarePlan.N009_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN010 MEDICARE/MEDICAID HMO- HOW LONG - YRS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N010_
About how long have you been receiving your
[Medicare/(Medicaid/STATE NAME FOR MEDICAID)] benefits through this plan?
Years:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
2787 0 25 7.37 6.32 19064
-----------------------------------------------------------------
181 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N010_
IF (SecN.MediCaidCarePlan.N010_ = 0) OR SecN.MediCaidCarePlan.N010_ = EMPTY
THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN011 MEDICARE/MEDICAID HMO- HOW LONG - MOS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N011_
About how long have you been receiving your
[Medicare/(Medicaid/STATE NAME FOR MEDICAID)] benefits through this plan?
Years: [MEDICARE/MEDICAID HMO- HOW LONG - YRS]
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
404 0 34 5.89 5.16 21458
-----------------------------------------------------------------
171 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N010_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN351 HMO PAY FOR REGULAR RX DRUGS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N351_
Does this plan cover or provide help with paying for regular prescription drugs?
.................................................................................
2971 1. YES
353 5. NO
36 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18674 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N351_
IF piGovCoverN001_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN265 MA - SS DEDUCTION
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N265_
Some people who have Medicare Advantage pay for their coverage with a deduction
from their Social Security checks. Some pay directly to the insurance company.
How do you pay for yours?
.................................................................................
1622 1. DEDUCTED FROM SOCIAL SECURITY
796 2. PAY DIRECTLY
111 3. BOTH
439 4. [VOL] I DON'T PAY ANYTHING
128 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
18935 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N265_
IF SecN.MediCaidCarePlan.N265_ = Deducted THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN266 MA - SS DEDUCTION MONTHLY
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.MediCaidCarePlan.N266_
About how much is your Social Security deduction per month for your Medicare
Advantage coverage?
Do not probe DK/RF
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1142 0 9800 165.13 768.04 20412
-----------------------------------------------------------------
468 9998. DK (Don't Know); NA (Not Ascertained)
12 9999. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N351_
IF (piGovCoverN001_ <> YES) OR ((SecN.MediCaidCarePlan.N265_ = PayDirect) OR
(SecN.MediCaidCarePlan.N265_ = Both)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN014 MEDICARE/MEDICAID HMO-AMT PAY
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.MediCaidCarePlan.N014_
Not including co-pays or deductions from your Social Security, how much do you,
yourself, pay in premiums for this plan?
Do not probe DK/RF
Amount:
Per:
.................................................................................
1034 0-1000. Actual Value
128 9998. DK (Don't Know); NA (Not Ascertained)
6 9999. RF (Refused)
20866 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN015 MEDICARE/MEDICAID HMO-AMT PAY - MIN
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.MediCaidCarePlan.N015_
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
.................................................................................
259 0. Value of Breakpoint
14 30. Value of Breakpoint
50 31. Value of Breakpoint
52 60. Value of Breakpoint
102 61. Value of Breakpoint
31 100. Value of Breakpoint
69 101. Value of Breakpoint
6 200. Value of Breakpoint
31 201. Value of Breakpoint
21420 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN016 MEDICARE/MEDICAID HMO-AMT PAY - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.MediCaidCarePlan.N016_
*
.................................................................................
28 29. Value of Breakpoint
14 30. Value of Breakpoint
66 59. Value of Breakpoint
52 60. Value of Breakpoint
106 99. Value of Breakpoint
31 100. Value of Breakpoint
56 199. Value of Breakpoint
6 200. Value of Breakpoint
255 99999996. Greater than Maximum Breakpoint
21420 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN017 MEDICARE/MEDICAID HMO-AMT PAY - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N017_
*
.................................................................................
255 98. DK (Don't Know); NA (Not Ascertained)
12 99. RF (Refused)
21767 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N351_
IF ((SecN.MediCaidCarePlan.N014_ > 0) AND (SecN.MediCaidCarePlan.N014_ <>
REFUSAL)) AND (SecN.MediCaidCarePlan.N014_ <> DONTKNOW) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN018 MEDICARE/MEDICAID HMO-AMT PAY - PER
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N018_
(Not including co-pays or deductions from your Social Security, how much do you,
yourself, pay for this plan?)
Amount: [MEDICARE/MEDICAID HMO-AMT PAY]
Per:
.................................................................................
698 1. MONTH
24 2. QUARTER (EVERY 3 MONTHS)
2 3. SEMI-ANNUALLY (EVERY 6 MONTHS/TWICE A YEAR)
7 4. YEAR
1 7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
21301 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N009_
IF piGovCoverN001_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN020 LEFT MEDICARE HMO LAST TWO YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N020_
At any time [since R's LAST IW MONTH, YEAR/in the last two years] have you left
an HMO or Medicare Advantage Plan that delivered Medicare services?
.................................................................................
512 1. YES
10758 5. NO
266 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
10494 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N020_
IF SecN.MediCaidCarePlan.N020_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN021M1 WHY LEAVE MEDICARE HMO- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N021M[1]
Why did you leave that plan?
CHOOSE all that apply
.................................................................................
7 1. OWN PHYSICIAN LEFT PLAN
109 2. HMO DIDN'T PROVIDE NEEDED SERVICES
134 3. HMO COSTS INCREASED; found cheaper plan
16 4. HMO ENCOURAGED ME TO LEAVE
110 5. PLAN NO LONGER AVAILABLE
22 6. Too far away from HMO; R moved; HMO not in region
11 10. Switched to Medicare or Medicaid
4 11. R retired, left, or changed jobs
1 12. Less convenient
31 13. Lost coverage; NFS
39 14. Better coverage with new plan
22 97. OTHER (SPECIFY)
6 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
21522 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N020_
IF SecN.MediCaidCarePlan.N020_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN021M2 WHY LEAVE MEDICARE HMO- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N021M[2]
Why did you leave that plan?
CHOOSE all that apply
.................................................................................
1. OWN PHYSICIAN LEFT PLAN
7 2. HMO DIDN'T PROVIDE NEEDED SERVICES
9 3. HMO COSTS INCREASED; found cheaper plan
2 4. HMO ENCOURAGED ME TO LEAVE
5. PLAN NO LONGER AVAILABLE
1 6. Too far away from HMO; R moved; HMO not in region
2 10. Switched to Medicare or Medicaid
1 11. R retired, left, or changed jobs
12. Less convenient
4 13. Lost coverage; NFS
4 14. Better coverage with new plan
2 97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
22002 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N020_
IF SecN.MediCaidCarePlan.N020_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN021M3 WHY LEAVE MEDICARE HMO- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N021M[3]
Why did you leave that plan?
CHOOSE all that apply
.................................................................................
1. OWN PHYSICIAN LEFT PLAN
2. HMO DIDN'T PROVIDE NEEDED SERVICES
1 3. HMO COSTS INCREASED; found cheaper plan
4. HMO ENCOURAGED ME TO LEAVE
5. PLAN NO LONGER AVAILABLE
6. Too far away from HMO; R moved; HMO not in region
10. Switched to Medicare or Medicaid
11. R retired, left, or changed jobs
12. Less convenient
13. Lost coverage; NFS
14. Better coverage with new plan
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
22033 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N020_
IF SecN.MediCaidCarePlan.N020_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN021M4 WHY LEAVE MEDICARE HMO -4
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N021M[4]
Why did you leave that plan?
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
10. Switched to Medicare or Medicaid
11. R retired, left, or changed jobs
12. Less convenient
13. Lost coverage; NFS
14. Better coverage with new plan
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
22034 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST) THEN
IF (((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) OR
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(SecA.ContinuInterview.A123_YrDeath > 2006))) AND (SecN.GovCover.N001_ = YES)
THEN
IF (SecN.MediCaidCarePlan.N351_ <> YES) AND SecN.MediCaidCarePlan.N351_ <>
NONRESPONSE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN352 SIGNED UP MEDICARE PRESCRIPTION COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N352_
Part D of Medicare provides coverage for prescription drugs, usually through a
private insurance provider.
Are you enrolled in Medicare Part D, also known as the Medicare Prescription
Drug Plan?
.................................................................................
3726 1. YES
21 3. [VOL] ENROLLED IN IT AUTOMATICALLY
4622 5. NO
408 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
13252 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF (((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) OR
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(SecA.ContinuInterview.A123_YrDeath > 2006))) AND (SecN.GovCover.N001_ = YES)
THEN
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF (SecN.MediCaidCarePlan.N351_ <> YES) AND SecN.MediCaidCarePlan.N351_ <>
NONRESPONSE THEN
IF SecN.MedD.N352_ = EnrolledAutomatic THEN
N394_ChooseEnrolled := EnrolledAutomatic
IF SecN.MedD.N352_ = YES THEN
N394_ChooseEnrolled.ASK
ELSE
IF SecN.MedD.N352_ = EnrolledAutomatic THEN
N394_ChooseEnrolled := EnrolledAutomatic
IF SecN.MedD.N352_ = YES THEN
N394_ChooseEnrolled.ASK
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN394 CHOSE OWN PLAN?
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N394_ChooseEnrolled
Did you choose your own plan, did someone you know choose for you, or were you
enrolled in it automatically?
.................................................................................
2131 1. CHOSE PLAN
500 2. SOMEONE ELSE CHOSE
1048 3. [VOL] ENROLLED IN IT AUTOMATICALLY
68 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18287 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST) THEN
IF (((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) OR
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(SecA.ContinuInterview.A123_YrDeath > 2006))) AND (SecN.GovCover.N001_ = YES)
THEN
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF (SecN.MediCaidCarePlan.N351_ <> YES) AND SecN.MediCaidCarePlan.N351_ <>
NONRESPONSE THEN
IF (SecN.MedD.N352_ <> NO) AND SecN.MedD.N352_ <> NONRESPONSE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN414 GET MEDICARE DRUG COVERAGE THROUGH SAME PLAN
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N414_
The last time we talked with you about Part D, you told us that [PLAN NAME in
Z245] provided your Medicare drug coverage.
Do you still get your Medicare drug coverage through this plan?
.................................................................................
670 1. YES
12 3. YES, SAME COMPANY, DIFFERENT PLAN
266 5. NO
4 6. Records Inaccurate
13 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
21069 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MedD.N353_
IF (SecN.MedD.N414_ = SomeCODiffplan) OR (SecN.MedD.N414_ = NO) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN415M1 WHY CHANGE PART D -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N415_[1]
Why did you change to your new Part D plan?
CHOOSE all that apply
.................................................................................
87 1. OLD ONE CLOSED provider/company/medicare changed the plan;
same company different plan; moved; had to change plans
80 2. LOWER PREMIUMS
4 3. LOWER DEDUCTIBLES
26 4. THE DRUGS I NEED WERE CHEAPER
3 5. NO GAP IN COVERAGE
19 6. Lower costs, NFS
51 7. OTHER (SPECIFY); dissatisfied with old plan; new plan
better, NFS; new plan recommended to R
12 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
21752 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MedD.N353_
IF (SecN.MedD.N414_ = SomeCODiffplan) OR (SecN.MedD.N414_ = NO) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN415M2 WHY CHANGE PART D -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N415_[2]
Why did you change to your new Part D plan?
CHOOSE all that apply
.................................................................................
2 1. OLD ONE CLOSED provider/company/medicare changed the plan;
same company different plan; moved; had to change plans
2 2. LOWER PREMIUMS
4 3. LOWER DEDUCTIBLES
3 4. THE DRUGS I NEED WERE CHEAPER
5. NO GAP IN COVERAGE
3 6. Lower costs, NFS
8 7. OTHER (SPECIFY); dissatisfied with old plan; new plan
better, NFS; new plan recommended to R
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
22012 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MedD.N353_
IF (SecN.MedD.N414_ = SomeCODiffplan) OR (SecN.MedD.N414_ = NO) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN415M3 WHY CHANGE PART D -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N415_[3]
Why did you change to your new Part D plan?
CHOOSE all that apply
.................................................................................
1. OLD ONE CLOSED provider/company/medicare changed the plan;
same company different plan; moved; had to change plans
2. LOWER PREMIUMS
1 3. LOWER DEDUCTIBLES
4. THE DRUGS I NEED WERE CHEAPER
5. NO GAP IN COVERAGE
6. Lower costs, NFS
2 7. OTHER (SPECIFY); dissatisfied with old plan; new plan
better, NFS; new plan recommended to R
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
22031 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MedD.N353_
IF (SecN.MedD.N414_ = SomeCODiffplan) OR (SecN.MedD.N414_ = NO) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN415M4 WHY CHANGE PART D -4
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N415_[4]
Why did you change to your new Part D plan?
CHOOSE all that apply
.................................................................................
1. OLD ONE CLOSED provider/company/medicare changed the plan;
same company different plan; moved; had to change plans
2. LOWER PREMIUMS
3. LOWER DEDUCTIBLES
1 4. THE DRUGS I NEED WERE CHEAPER
5. NO GAP IN COVERAGE
6. Lower costs, NFS
7. OTHER (SPECIFY); dissatisfied with old plan; new plan
better, NFS; new plan recommended to R
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
22033 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MedD.N353_
IF (SecN.MedD.N414_ = SomeCODiffplan) OR (SecN.MedD.N414_ = NO) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN415M5 WHY CHANGE PART D -5
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N415_[5]
Why did you change to your new Part D plan?
CHOOSE all that apply
.................................................................................
1. OLD ONE CLOSED provider/company/medicare changed the plan;
same company different plan; moved; had to change plans
2. LOWER PREMIUMS
3. LOWER DEDUCTIBLES
4. THE DRUGS I NEED WERE CHEAPER
5. NO GAP IN COVERAGE
6. Lower costs, NFS
7. OTHER (SPECIFY); dissatisfied with old plan; new plan
better, NFS; new plan recommended to R
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
22034 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST) THEN
IF (((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) OR
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(SecA.ContinuInterview.A123_YrDeath > 2006))) AND (SecN.GovCover.N001_ = YES)
THEN
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF (SecN.MediCaidCarePlan.N351_ <> YES) AND SecN.MediCaidCarePlan.N351_ <>
NONRESPONSE THEN
IF SecN.MedD.N352_ = NO THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN417 PRESCRIPTION DRUG COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N417_
Do you have prescription drug coverage from some other source?
.................................................................................
3578 1. YES
1026 5. NO
17 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17412 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MedD.N417_
IF SecN.MedD.N417_ <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN356M1 REASON NOT SIGN UP -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MedD.N356M[1]
What is the reason that you did not sign up for Part D coverage?
CHOOSE all that apply
Probe responses of "I don't need it"
.................................................................................
91 1. ALREADY HAVE GOOD PRESCRIPTION DRUG COVERAGE
148 2. DIDN'T KNOW IT WAS AVAILABLE
7 3. Heard about it too late
91 4. Medicare plan too expensive
24 7. [Vol] haven't made a decision about whether to enroll
71 10. GET PRESCRIPTION DRUGS FROM THE VA
331 11. DON'T USE ENOUGH PRESCRIPTION DRUGS TO MAKE IT WORTHWHILE
67 12. R is confused about program
33 13. Don't need it; NFS
10 14. Didn't want to; NFS
5 15. R is on Medicaid (Vol)
50 97. OTHER (SPECIFY)
113 98. DK (Don't Know); NA (Not Ascertained)
3 99. RF (Refused)
20990 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MedD.N417_
IF SecN.MedD.N417_ <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN356M2 REASON NOT SIGN UP -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MedD.N356M[2]
What is the reason that you did not sign up for Part D coverage?
CHOOSE all that apply
Probe responses of "I don't need it"
.................................................................................
4 1. ALREADY HAVE GOOD PRESCRIPTION DRUG COVERAGE
3 2. DIDN'T KNOW IT WAS AVAILABLE
3. Heard about it too late
35 4. Medicare plan too expensive
2 7. [Vol] haven't made a decision about whether to enroll
3 10. GET PRESCRIPTION DRUGS FROM THE VA
6 11. DON'T USE ENOUGH PRESCRIPTION DRUGS TO MAKE IT WORTHWHILE
3 12. R is confused about program
4 13. Don't need it; NFS
14. Didn't want to; NFS
1 15. R is on Medicaid (Vol)
3 97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
21970 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MedD.N417_
IF SecN.MedD.N417_ <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN356M3 REASON NOT SIGN UP -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MedD.N356M[3]
What is the reason that you did not sign up for Part D coverage?
CHOOSE all that apply
Probe responses of "I don't need it"
.................................................................................
2 1. ALREADY HAVE GOOD PRESCRIPTION DRUG COVERAGE
2. DIDN'T KNOW IT WAS AVAILABLE
3. Heard about it too late
2 4. Medicare plan too expensive
7. [Vol] haven't made a decision about whether to enroll
10. GET PRESCRIPTION DRUGS FROM THE VA
11. DON'T USE ENOUGH PRESCRIPTION DRUGS TO MAKE IT WORTHWHILE
12. R is confused about program
13. Don't need it; NFS
14. Didn't want to; NFS
15. R is on Medicaid (Vol)
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
22030 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MedD.N417_
IF SecN.MedD.N417_ <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN356M4 REASON NOT SIGN UP -4
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MedD.N356M[4]
What is the reason that you did not sign up for Part D coverage?
CHOOSE all that apply
Probe responses of "I don't need it"
.................................................................................
1. ALREADY HAVE GOOD PRESCRIPTION DRUG COVERAGE
2. DIDN'T KNOW IT WAS AVAILABLE
3. Heard about it too late
4. Medicare plan too expensive
7. [Vol] haven't made a decision about whether to enroll
10. GET PRESCRIPTION DRUGS FROM THE VA
11. DON'T USE ENOUGH PRESCRIPTION DRUGS TO MAKE IT WORTHWHILE
12. R is confused about program
13. Don't need it; NFS
14. Didn't want to; NFS
15. R is on Medicaid (Vol)
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
22034 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST) THEN
IF (((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) OR
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(SecA.ContinuInterview.A123_YrDeath > 2006))) AND (SecN.GovCover.N001_ = YES)
THEN
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF (((SecN.MedD.N352_ = YES) OR (SecN.MedD.N352_ = EnrolledAutomatic)) OR
(SecN.MediCaidCarePlan.N351_ = YES)) OR ((SecN.MedD.N417_ <> YES) AND
SecN.MedD.N417_ <> EMPTY) THEN
IF (ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN422 TIME SPENT LOOKING
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N422_
IF R IS ENROLLED IN MEDICARE PART D (N352={1 or 3}:
How much time would you say you have spent looking at other Part D plans?
IF HMO COVERS PRESCRIPTION DRUGS (N351=1):
How much time would you say you have spent looking at other Medicare HMO plans?
IF R {DOES NOT HAVE PRESCRIPTION COVERAGE FROM ANOTHER SOURCE or DID NOT SAY}
(N417= {5 or DK or RF}):
How much time would you say you have spent looking at Part D plans?
.................................................................................
576 1. A LOT
1092 2. SOME
1497 3. A LITTLE
3638 4. NONE AT ALL
43 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
15186 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST) THEN
IF (((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) OR
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(SecA.ContinuInterview.A123_YrDeath > 2006))) AND (SecN.GovCover.N001_ = YES)
THEN
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF (((SecN.MedD.N352_ = YES) OR (SecN.MedD.N352_ = EnrolledAutomatic)) OR
(SecN.MediCaidCarePlan.N351_ = YES)) OR ((SecN.MedD.N417_ <> YES) AND
SecN.MedD.N417_ <> EMPTY) THEN
IF (SecN.MedD.N352_ = YES) OR (SecN.MedD.N352_ = EnrolledAutomatic) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN423 HOW PAY MEDICARE PREMIUMS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N423_
Many Medicare beneficiaries pay the premium for their Medicare drug coverage
through their Social Security checks. Some pay directly to the provider. How do
you pay for yours?
.................................................................................
1800 1. DEDUCTED FROM SOCIAL SECURITY
1243 2. PAY DIRECTLY
30 3. BOTH
433 4. (VOL) I DON'T PAY ANYTHING
233 8. DK (Don't Know); NA (Not Ascertained)
8 9. RF (Refused)
18287 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MedD.N423_
IF SecN.MedD.N423_ = Deducted THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN424 SS DEDUCTION MONTHLY PREMIUMS
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.MedD.N424_
How much is your Social Security deduction per month for your Part D plan?
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1118 0 9650 117.14 521.64 20235
-----------------------------------------------------------------
4 9996. Not Ascertained; Amount included in N014 or N040
666 9998. DK (Don't Know); NA (Not Ascertained)
11 9999. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.MedD.N424_
IF (SecN.MedD.N423_ = PayDirect) OR (SecN.MedD.N423_ = Both) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN404 MONTHLY PREMIUMS
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.MedD.N404_Monthlypremiums
How much do you, yourself, pay per month in premiums for this plan?
Do not probe DK/RF
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1028 0 5700 105.58 346.04 20761
-----------------------------------------------------------------
16 9996. Not Ascertained; Amount included in N014 or N040
217 9998. DK (Don't Know); NA (Not Ascertained)
12 9999. RF (Refused)
==========================================================================================
MN405 MONTHLY PREMIUMS - MIN
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MedD.N405_
Does it amount to less than $____ per month, more than $____ per month, or what?
PROCEDURES: 2Up1Down, 1Up2Down
BREAKPOINTS: $20, $30, $45, $60
RANDOM ENTRY POINTS: $30, $45
ENTRY POINT ASSIGNMENT: 1 OR {NOT 1} AT X503
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
419 0. Value of Breakpoint
13 20. Value of Breakpoint
48 21. Value of Breakpoint
50 30. Value of Breakpoint
98 31. Value of Breakpoint
57 45. Value of Breakpoint
84 46. Value of Breakpoint
20 60. Value of Breakpoint
117 61. Value of Breakpoint
21128 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN406 MONTHLY PREMIUMS - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.MedD.N406_
*
.................................................................................
31 19. Value of Breakpoint
13 20. Value of Breakpoint
66 29. Value of Breakpoint
50 30. Value of Breakpoint
92 44. Value of Breakpoint
57 45. Value of Breakpoint
45 59. Value of Breakpoint
20 60. Value of Breakpoint
532 99999996. Greater than Maximum Breakpoint
21128 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN407 MONTHLY PREMIUMS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MedD.N407_
*
.................................................................................
1 97. Data Not Available
439 98. DK (Don't Know); NA (Not Ascertained)
17 99. RF (Refused)
21577 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST) THEN
IF (((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) OR
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(SecA.ContinuInterview.A123_YrDeath > 2006))) AND (SecN.GovCover.N001_ = YES)
THEN
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF (((SecN.MedD.N352_ <> YES) AND (SecN.MedD.N352_ <> EnrolledAutomatic)) AND
(SecN.MediCaidCarePlan.N351_ <> YES)) AND SecN.MediCaidCarePlan.N351_ <>
NONRESPONSE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN358 LIKLEY SIGN UP NEXT YEAR
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N358_
How likely is it that you will sign up for Medicare prescription drug coverage
next year?
Would you say very likely, somewhat likely, not too likely, or not at all
likely?
.................................................................................
471 1. VERY LIKELY
445 2. SOMEWHAT LIKELY
928 3. NOT TOO LIKELY
2897 4. NOT AT ALL LIKELY
23 6. [VOL] ALREADY SIGNED UP FOR NEXT YEAR
261 8. DK (Don't Know); NA (Not Ascertained)
9 9. RF (Refused)
17000 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST) THEN
IF (((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) OR
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(SecA.ContinuInterview.A123_YrDeath > 2006))) AND (SecN.GovCover.N001_ = YES)
THEN
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF ((((SecN.MedD.N352_ = YES) OR (SecN.MedD.N352_ = EnrolledAutomatic)) OR
(SecN.MediCaidCarePlan.N351_ = YES)) OR ((SecN.MedD.N417_ <> YES) AND
SecN.MedD.N417_ <> EMPTY)) AND (piGovCoverN005_ <> YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN425 KNOW ABOUT PROGRAM
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N425_knowabtprogram
Medicare beneficiaries with limited income and resources may qualify to get
extra help paying for their prescription drug coverage. Did you know about this
program?
.................................................................................
3586 1. YES
2525 5. NO
82 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
15837 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MedD.N425_knowabtprogram
IF SecN.MedD.N425_knowabtprogram = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN426 DID YOU APPLY FOR EXTRA HELP
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N426_
Did you apply for extra help?
.................................................................................
585 1. YES
2982 5. NO
18 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
18448 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MedD.N426_
IF SecN.MedD.N426_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN427 APPLICATION EXTRA HELP ACCEPTED/DENIED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N427_AppAccepted
Was your application for extra help accepted or denied?
.................................................................................
301 1. ACCEPTED
239 2. DENIED
38 3. STILL WAITING TO HEAR
6 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
21449 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST) THEN
IF (((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) OR
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(SecA.ContinuInterview.A123_YrDeath > 2006))) AND (SecN.GovCover.N001_ = YES)
THEN
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF (((SecN.MedD.N352_ = YES) OR (SecN.MedD.N352_ = EnrolledAutomatic)) OR
(SecN.MediCaidCarePlan.N351_ = YES)) AND ((ACTIVELANGUAGE = CORENG) OR
(ACTIVELANGUAGE = CORSPN)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN428 HOW SATISFIED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N428_Satisfied
IF R IS ENROLLED IN MEDICARE PART D (N352={1 or 3}:
How satisfied are you with drug coverage in your current Part D plan?
IF HMO COVERS PRESCRIPTION DRUGS (N351=1):
How satisfied are you with drug coverage in your current Medicare HMO plan?
ASK ALL Rs:
Would you say you are very satisfied, somewhat satisfied, not very satisfied, or
not at all satisfied?
.................................................................................
2838 1. VERY SATISFIED
2379 2. SOMEWHAT SATISFIED
374 3. NOT VERY SATISFIED
186 4. NOT AT ALL SATISFIED
103 8. DK (Don't Know); NA (Not Ascertained)
7 9. RF (Refused)
16147 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MedD.N428_Satisfied
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN429 LIKELY TO SWITCH
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N429_LikeSwitch
IF R IS ENROLLED IN MEDICARE PART D (N352={1 or 3}):
How likely is it that you will switch to a new Part D plan for prescription
drugs next year?
IF HMO COVERS PRESCRIPTION DRUGS (N351=1):
How likely is it that you will switch to a new Medicare HMO plan for
prescription drugs next year?
ASK ALL Rs:
Would you say very likely, somewhat likely, not too likely, or not at all
likely?
[IWER: IF R HAS ALREADY SIGNED UP FOR NEXT YEAR, PROBE AS NEEDED TO DETERMINE IF
R STAYED WITH SAME PLAN OR SWITCHED PLANS.]
.................................................................................
495 1. VERY LIKELY
906 2. SOMEWHAT LIKELY
1603 3. NOT TOO LIKELY
2718 4. NOT AT ALL LIKELY
10 6. [VOL] ALREADY SIGNED UP FOR NEXT YEAR, STAYED WITH SAME PLAN
30 7. [VOL] ALREADY SIGNED UP FOR NEXT YEAR, SWITCHED PLANS
123 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
16147 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF ((RVARS.Z145_TypeExit_V <> NEWPOSTEXIT) AND (RVARS.Z145_TypeExit_V <>
FIRSTREPEATPOST)) AND (RVARS.Z145_TypeExit_V <> SECREPEATPOST) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN023 NUM PRIVATE HEALTH INS PLANS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.N023_
Now, we'd like to ask about all the other types of health insurance plans you
might have, such as insurance through an employer or a business, coverage for
retirees, or health insurance you buy for yourself, including any (Medigap or)
other supplemental coverage.
IF R HAS MEDICARE COVERAGE (N001=1) and R RECEIVES MEDICARE/MEDICAID THROUGH AN
HMO (N009=1):
Do NOT include long-term care insurance. Other than your Medicare HMO you've
just told me about, how many other such plans do you have?
OTHERWISE:
Do NOT include long-term care insurance, or anything that you have just told me
about. How many other such plans do you have?
[IWER: ENTER ZERO FOR NONE]
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
21599 0 12 0.61 0.60 251
-----------------------------------------------------------------
144 98. DK (Don't Know); NA (Not Ascertained)
40 99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N024_
IF piGovCoverN001_ = YES THEN
IF SecN.PlanDetails[CNT].Counter = 1 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN025_1 WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N025_
Which is your primary plan, Medicare or NAME OF FIRST PLAN (N024_1)?
.................................................................................
4275 1. MEDICARE
783 2. NAME OF PLAN (N024_1)
109 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16867 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N024_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN032_1 PRIVATE PLAN 1-3 HELP PAY REGULAR RX- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N032_
Does [NAME OF PLAN (per N024)] provide help with paying for regular prescription
drugs?
The follow-up questions refer to the private plan, not to Medicare.
.................................................................................
9336 1. YES
2622 5. NO
207 8. DK (Don't Know); NA (Not Ascertained)
9 9. RF (Refused)
9860 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF (((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN))) OR
((RVARS.Z123_CurWorkng_V = YES) AND ((ACTIVELANGUAGE = EXTENG) OR
(ACTIVELANGUAGE = EXTSPN))) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN033_1 OBTAIN HI THRU CURRNT EMP/OWN BUSINESS-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N033_HowObtIns
Do you obtain this health insurance through [your own business or professional
organization?/your current employer?]
.................................................................................
4139 1. YES
2271 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
15621 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF SecN.PlanDetails[CNT].N033_HowObtIns <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN034_1 OBTAIN INS THRU FORMER EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N034_
Do you obtain this health insurance through a former employer of yours?
.................................................................................
2413 1. YES
5595 5. NO
22 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
13999 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N034_
IF SecN.PlanDetails[CNT].N034_ <> YES THEN
IF ((((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL)) OR (piSecBB063_MarStatAssign = ANULLED)) OR
(piSecBB063_MarStatAssign = SEPARATED)) OR (piSecBB063_MarStatAssign =
DIVORCED) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN035_1 OBTAIN INS THRU HWP CURRENT EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N035_
Do you obtain this health insurance through your [former] (spouse's/partner's)
current employer?
.................................................................................
1789 1. YES
2701 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
17535 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N034_
IF SecN.PlanDetails[CNT].N034_ <> YES THEN
IF ((SecN.PlanDetails[CNT].N035_ <> YES) AND SecN.PlanDetails[CNT].N035_ <>
EMPTY) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN036_1 OBTAIN INS THRU HWP FORMER EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N036_
Do you obtain this health insurance through your [former] (spouse's/partner's)
former employer?
.................................................................................
1038 1. YES
2668 5. NO
24 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
18300 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N034_
IF SecN.PlanDetails[CNT].N034_ <> YES THEN
IF (SecN.PlanDetails[CNT].N035_ <> YES) AND (SecN.PlanDetails[CNT].N036_ <>
YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN037_1 WHERE PURCHASE PRIVATE PLAN INSURANCE- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N037_
Did you purchase this plan directly from an insurance company, through your [or
your] [husband/wife/partner's/] union, through a group such as AARP, a church,
or other organization, or what?
.................................................................................
1862 1. INSURANCE COMPANY
46 2. R'S UNION
11 3. SPOUSE'S UNION
545 4. GROUP
121 6. Includes federal, state or military programs
115 7. OTHER (SPECIFY)
88 8. DK (Don't Know); NA (Not Ascertained)
11 9. RF (Refused)
19235 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
IF piSecJWorkstatusJ021_EmpSelfOth = SLFEMPD THEN
N044_ := RISCURRLYSLFEMPD
ELSE
N044_ := ALLOTHS
ELSE
IF piSecJWorkstatusJ021_EmpSelfOth = SLFEMPD THEN
N044_ := RISCURRLYSLFEMPD
ELSE
N044_ := ALLOTHS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN044_1 BRANCHPNT-SELF EMPLOYED/ALL OTH -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N044_
*
.................................................................................
1051 1. R IS CURRENTLY SELF-EMPLOYED
11124 2. ALL OTHERS
9859 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
IF ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss =
PARTNERED_VOL)) AND ((SecN.PlanDetails[CNT].N035_ = YES) OR
(SecN.PlanDetails[CNT].N036_ = YES)) THEN
N046_ := INSTHRUSPANDRISMDS
ELSE
IF SecN.PlanDetails[CNT].N037_ = OTH_SPECIFY THEN
N046_ := INSTHRUSOMEPLACEELSEATR15
ELSE
N046_ := INSTHRUCURFOREMPORUNION
ELSE
IF ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss =
PARTNERED_VOL)) AND ((SecN.PlanDetails[CNT].N035_ = YES) OR
(SecN.PlanDetails[CNT].N036_ = YES)) THEN
N046_ := INSTHRUSPANDRISMDS
ELSE
IF SecN.PlanDetails[CNT].N037_ = OTH_SPECIFY THEN
N046_ := INSTHRUSOMEPLACEELSEATR15
ELSE
N046_ := INSTHRUCURFOREMPORUNION
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN046_1 BRANCHPNT-SOURCE OF HEALTH INSURANCE -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N046_
*
.................................................................................
2448 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
580 2. INS THRU SOMEPLACE ELSE
9147 3. INS THRU CURRENT/FORMER EMPLOYER
9859 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
IF piGovCoverN001_ = YES THEN
N047_ := RISCOVEREDBYMCARE
ELSE
N047_ := ALLOTHS
ELSE
IF piGovCoverN001_ = YES THEN
N047_ := RISCOVEREDBYMCARE
ELSE
N047_ := ALLOTHS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN047_1 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N047_
*
.................................................................................
5168 1. R IS COVERED BY MEDICARE
7007 2. ALL OTHERS
9859 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN048_1 PRIV PLAN HI- ANYONE ELSE COVERED- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N048_AnyElseCov
Besides you, is anyone else covered on this health insurance?
.................................................................................
6142 1. YES
6011 5. NO
16 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
9860 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN049_1A PRIV PLAN HI- WHO COVERED- 1- 1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[1].N049AWhoCov[1]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
1169 041-990. Other Person Number
4831 991. R'S SPOUSE/PARTNER
992. INAP (Inapplicable); Partial Interview
91 993. ALL CHILDREN
16 994. ONE OR MORE GRANDCHILDREN
33 997. OTHER (SPECIFY); including ex-spouses; R's
employees
1 998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
15892 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN049_1B PRIV PLAN HI- WHO COVERED- 1- 2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[1].N049AWhoCov[2]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
883 041-990. Other Person Number
462 991. R'S SPOUSE/PARTNER
992. INAP (Inapplicable); Partial Interview
150 993. ALL CHILDREN
23 994. ONE OR MORE GRANDCHILDREN
12 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
20504 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN049_1C PRIV PLAN HI- WHO COVERED- 1- 3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[1].N049AWhoCov[3]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
287 041-990. Other Person Number
243 991. R'S SPOUSE/PARTNER
992. INAP (Inapplicable); Partial Interview
993. ALL CHILDREN
7 994. ONE OR MORE GRANDCHILDREN
13 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
21484 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN049_1D PRIV PLAN HI- WHO COVERED- 1- 4
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[1].N049AWhoCov[4]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
54 041-990. Other Person Number
58 991. R'S SPOUSE/PARTNER
992. INAP (Inapplicable); Partial Interview
993. ALL CHILDREN
3 994. ONE OR MORE GRANDCHILDREN
2 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
21917 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN049_1E PRIV PLAN HI- WHO COVERED- 1- 5
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[1].N049AWhoCov[5]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
19 041-990. Other Person Number
12 991. R'S SPOUSE/PARTNER
992. INAP (Inapplicable); Partial Interview
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
22003 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN049_1F PRIV PLAN HI- WHO COVERED- 1- 6
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[1].N049AWhoCov[6]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
041-990. Other Person Number
991. R'S SPOUSE/PARTNER
992. INAP (Inapplicable); Partial Interview
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
22034 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN039_1 PAY ALL/SOME/NONE PRIV PLAN HI COSTS- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N039_PayHlthInsCost
Including any help from your family, do you [or your husband/wife/partner/ ] pay
all of the costs, some of the costs, or none of the costs of the premium for
this health insurance coverage?
.................................................................................
6533 1. ALL
3668 2. SOME
1851 3. NONE
112 8. DK (Don't Know); NA (Not Ascertained)
10 9. RF (Refused)
9860 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
IF SecN.PlanDetails[CNT].N039_PayHlthInsCost <> NONE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN040_1 PRIV PLAN HI PAY PER/MONTH- AMT- 1
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.PlanDetails[1].N040_
How much do you [or your] [husband/wife/partner] pay per month in premiums for
this plan?
[PROBE if necessary. Count any payroll deductions, but do not include any amount
paid by the employer]
Do not probe DK/RF
Amount per Month:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
8366 0 9950 258.51 403.67 11711
-----------------------------------------------------------------
1837 99998. DK (Don't Know); NA (Not Ascertained)
120 99999. RF (Refused)
==========================================================================================
MN041_1 PRIV PLAN HI PAY PER/MONTH- MIN- 1
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.PlanDetails[1].N041_
Does 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
.................................................................................
619 0. Value of Breakpoint
26 50. Value of Breakpoint
135 51. Value of Breakpoint
54 100. Value of Breakpoint
197 101. Value of Breakpoint
85 150. Value of Breakpoint
553 151. Value of Breakpoint
69 300. Value of Breakpoint
144 301. Value of Breakpoint
11 500. Value of Breakpoint
62 501. Value of Breakpoint
20079 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN042_1 PRIV PLAN HI PAY PER/MONTH- MAX- 1
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.PlanDetails[1].N042_
*
.................................................................................
62 49. Value of Breakpoint
26 50. Value of Breakpoint
169 99. Value of Breakpoint
54 100. Value of Breakpoint
175 149. Value of Breakpoint
85 150. Value of Breakpoint
331 299. Value of Breakpoint
69 300. Value of Breakpoint
119 499. Value of Breakpoint
11 500. Value of Breakpoint
854 99999996. Greater than Maximum Breakpoint
20079 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN043_1 PRIV PLAN HI PAY PER/MONTH- RESULT- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[1].N043_
*
.................................................................................
2 97. Data Not Available
816 98. DK (Don't Know); NA (Not Ascertained)
84 99. RF (Refused)
21132 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
IF (((((piRespondents1X065ACouplenss = MARRIED) AND
(SecN.PlanDetails[CNT].N035_ <> YES)) AND (SecN.PlanDetails[CNT].N036_ <> YES))
AND (SecN.PlanDetails[CNT].N037_ <> SPOUSESUNION)) AND
((SecN.PlanDetails[CNT].N048_AnyElseCov = NO) OR NOT (C91 IN
SecN.PlanDetails[CNT].N253_N049MWhoCov))) AND ((ACTIVELANGUAGE <> EXTENG) AND
(ACTIVELANGUAGE <> EXTSPN)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN051_1 PRIV HI- COULD SPOUSE BE COVERED- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N051_SPCoverage
Could you have obtained coverage for your spouse through this health insurance
plan?
.................................................................................
1283 1. YES
850 5. NO
86 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
19811 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN052_1 PRIVATE PLAN INSURANCE AN HMO- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N052_Plan1HMO
Is this plan an HMO, that is a Health Maintenance Organization?
Def: (With an HMO, the cost of the physician visit is typically covered in full
or you pay only a small amount. All of your routine care must be provided by an
HMO physician.)
.................................................................................
3512 1. YES
7876 5. NO
778 8. DK (Don't Know); NA (Not Ascertained)
8 9. RF (Refused)
9860 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N052_Plan1HMO
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN053_1 NUMBER YEARS IN PLAN- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[1].N053_NumYrPlan
How long have you been with this plan?
If less than 1 year, enter number of months; if 1 year or more, enter in years.
For periods of time between 1-2 years, round to the nearest year.
Years:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
10793 0 50 12.48 11.81 10841
-----------------------------------------------------------------
384 98. DK (Don't Know); NA (Not Ascertained)
16 99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N053_NumYrPlan
IF (SecN.PlanDetails[CNT].N053_NumYrPlan = 0) OR
SecN.PlanDetails[CNT].N053_NumYrPlan = EMPTY THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN054_1 NUMBER MONTHS IN PLAN- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[1].N054_NumMoPlan
How long have you been with this plan?
If less than 1 year, enter number of months; if 1 year or more, enter in years.
For periods of time between 1-2 years, round to the nearest year.
Years:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
986 1 12 4.86 2.92 20647
-----------------------------------------------------------------
385 98. DK (Don't Know); NA (Not Ascertained)
16 99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N053_NumYrPlan
IF SecN.PlanDetails[CNT].N052_Plan1HMO <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN055_1 PRIV PLAN HI- HAS LIST OF DRS- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N055_ListDoctor
Does this health insurance plan have a list or book of doctors that you are
encouraged or required to use?
.................................................................................
3891 1. YES
4575 5. NO
189 8. DK (Don't Know); NA (Not Ascertained)
7 9. RF (Refused)
13372 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N053_NumYrPlan
IF (SecN.PlanDetails[CNT].N055_ListDoctor = YES) OR
(SecN.PlanDetails[CNT].N052_Plan1HMO = YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN056_1 PLAN PAY FOR DOCTORS NOT ON LIST- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N056_DocNotList
Does [this health insurance plan/the HMO] pay any of the costs for routine care
if you see a doctor who is not [on this list/in the HMO]?
.................................................................................
4498 1. YES
220 2. YES, WITH A REFERRAL
2074 5. NO
609 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
14631 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
IF (piSecAContinuInterviewA019_Rage < 65) AND
(SecN.PlanDetails[CNT].N033_HowObtIns = YES) THEN
N058_ := HLTHINSFROMCUREMPLESS65
ELSE
IF (piSecAContinuInterviewA019_Rage < 65) AND (SecN.PlanDetails[CNT].N034_ =
YES) THEN
N058_ := HLTHINSFORMEREMPLESS65
ELSE
N058_ := ALLOTHS
ELSE
IF (piSecAContinuInterviewA019_Rage < 65) AND
(SecN.PlanDetails[CNT].N033_HowObtIns = YES) THEN
N058_ := HLTHINSFROMCUREMPLESS65
ELSE
IF (piSecAContinuInterviewA019_Rage < 65) AND (SecN.PlanDetails[CNT].N034_ =
YES) THEN
N058_ := HLTHINSFORMEREMPLESS65
ELSE
N058_ := ALLOTHS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN058_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_
*
.................................................................................
3770 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
766 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
7639 3. ALL OTHERS
9859 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N053_NumYrPlan
IF ((((SecN.PlanDetails[CNT].N033_HowObtIns = YES) AND
(piSecJWorkstatusJ021_EmpSelfOth = SOMEONEELSE)) OR
(SecN.PlanDetails[CNT].N034_ = YES)) AND (ACTIVELANGUAGE <> EXTENG)) AND
(ACTIVELANGUAGE <> EXTSPN) THEN
IF piSecAContinuInterviewA019_RAge < 65 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN059_1 EMPLOYER RETIREE COVERAGE UP TO 65- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N059_CovTo65
[Can/If you left your current employer now, could] you continue this insurance
coverage for yourself up to the age of 65?
.................................................................................
1948 1. YES
2089 5. NO
287 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17709 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N059_CovTo65
IF SecN.PlanDetails[CNT].N059_CovTo65 = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN060_1 EMPLOYER RETIREE HI COVERAGE AFTER 65- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N060_EmpCovAft65
[Does your former /If you left your current employer now, does your ] employer
offer some type of health insurance coverage for you after the age of 65?
.................................................................................
867 1. YES
879 5. NO
202 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20086 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N053_NumYrPlan
IF ((((SecN.PlanDetails[CNT].N033_HowObtIns = YES) AND
(piSecJWorkstatusJ021_EmpSelfOth = SOMEONEELSE)) OR
(SecN.PlanDetails[CNT].N034_ = YES)) AND (ACTIVELANGUAGE <> EXTENG)) AND
(ACTIVELANGUAGE <> EXTSPN) THEN
IF (((SecA.Relations.A044TSpAge_A < 65) AND (piRespondents1X065ACouplenss <>
OTHER)) AND (SecN.PlanDetails[CNT].N059_CovTo65 <> NO)) AND
(SecN.PlanDetails[CNT].N051_SPCoverage = YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN062_1 EMP RETIREE HI COV FOR SP UP TO 65- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N062_CovSPTo65
[Could your spouse be covered by this plan/If you left your current employer now
could you continue your current health insurance coverage for your spouse] until
[he/she] is age 65?
.................................................................................
153 1. YES
112 5. NO
38 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
21731 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N062_CovSPTo65
IF SecN.PlanDetails[CNT].N062_CovSPTo65 = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN063_1 EMP RETIREE HI COV FOR SP AFTER 65- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N063_CovSPAft65
[Does your former /If you left your current employer now, does your] employer
offer some type of health insurance coverage for your spouse after the age of
65?
.................................................................................
73 1. YES
64 5. NO
16 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
21881 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N053_NumYrPlan
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN066_1 LIMITS ON HI DUE TO PREEXISTING COND- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N066_LimitHlthIns
Are there any limits or restrictions on this health insurance plan due to a
preexisting condition?
.................................................................................
922 1. YES
10259 5. NO
982 8. DK (Don't Know); NA (Not Ascertained)
11 9. RF (Refused)
9860 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N024_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN032_2 PRIVATE PLAN 1-3 HELP PAY REGULAR RX- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N032_
Does [NAME OF PLAN (per N024)] provide help with paying for regular prescription
drugs?
The follow-up questions refer to the private plan, not to Medicare.
.................................................................................
321 1. YES
392 5. NO
21 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
21294 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF (((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN))) OR
((RVARS.Z123_CurWorkng_V = YES) AND ((ACTIVELANGUAGE = EXTENG) OR
(ACTIVELANGUAGE = EXTSPN))) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN033_2 OBTAIN HI THRU CURRNT EMP/OWN BUSINESS-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N033_HowObtIns
Do you obtain this health insurance through [your own business or professional
organization?/your current employer?]
.................................................................................
217 1. YES
216 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
21595 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF SecN.PlanDetails[CNT].N033_HowObtIns <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN034_2 OBTAIN INS THRU FORMER EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N034_
Do you obtain this health insurance through a former employer of yours?
.................................................................................
121 1. YES
394 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
21511 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N034_
IF SecN.PlanDetails[CNT].N034_ <> YES THEN
IF ((((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL)) OR (piSecBB063_MarStatAssign = ANULLED)) OR
(piSecBB063_MarStatAssign = SEPARATED)) OR (piSecBB063_MarStatAssign =
DIVORCED) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN035_2 OBTAIN INS THRU HWP CURRENT EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N035_
Do you obtain this health insurance through your [former] (spouse's/partner's)
current employer?
.................................................................................
117 1. YES
195 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
21715 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N034_
IF SecN.PlanDetails[CNT].N034_ <> YES THEN
IF ((SecN.PlanDetails[CNT].N035_ <> YES) AND SecN.PlanDetails[CNT].N035_ <>
EMPTY) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN036_2 OBTAIN INS THRU HWP FORMER EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N036_
Do you obtain this health insurance through your [former] (spouse's/partner's)
former employer?
.................................................................................
78 1. YES
191 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
21756 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N034_
IF SecN.PlanDetails[CNT].N034_ <> YES THEN
IF (SecN.PlanDetails[CNT].N035_ <> YES) AND (SecN.PlanDetails[CNT].N036_ <>
YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN037_2 WHERE PURCHASE PRIVATE PLAN INSURANCE- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N037_
Did you purchase this plan directly from an insurance company, through your [or
your] [husband/wife/partner's/] union, through a group such as AARP, a church,
or other organization, or what?
.................................................................................
133 1. INSURANCE COMPANY
7 2. R'S UNION
1 3. SPOUSE'S UNION
36 4. GROUP
9 6. Includes federal, state or military programs
7 7. OTHER (SPECIFY)
8 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
21828 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
IF piSecJWorkstatusJ021_EmpSelfOth = SLFEMPD THEN
N044_ := RISCURRLYSLFEMPD
ELSE
N044_ := ALLOTHS
ELSE
IF piSecJWorkstatusJ021_EmpSelfOth = SLFEMPD THEN
N044_ := RISCURRLYSLFEMPD
ELSE
N044_ := ALLOTHS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN044_2 BRANCHPNT-SELF EMPLOYED/ALL OTH -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N044_
*
.................................................................................
64 1. R IS CURRENTLY SELF-EMPLOYED
676 2. ALL OTHERS
21294 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
IF ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss =
PARTNERED_VOL)) AND ((SecN.PlanDetails[CNT].N035_ = YES) OR
(SecN.PlanDetails[CNT].N036_ = YES)) THEN
N046_ := INSTHRUSPANDRISMDS
ELSE
IF SecN.PlanDetails[CNT].N037_ = OTH_SPECIFY THEN
N046_ := INSTHRUSOMEPLACEELSEATR15
ELSE
N046_ := INSTHRUCURFOREMPORUNION
ELSE
IF ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss =
PARTNERED_VOL)) AND ((SecN.PlanDetails[CNT].N035_ = YES) OR
(SecN.PlanDetails[CNT].N036_ = YES)) THEN
N046_ := INSTHRUSPANDRISMDS
ELSE
IF SecN.PlanDetails[CNT].N037_ = OTH_SPECIFY THEN
N046_ := INSTHRUSOMEPLACEELSEATR15
ELSE
N046_ := INSTHRUCURFOREMPORUNION
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN046_2 BRANCHPNT-SOURCE OF HEALTH INSURANCE -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N046_
*
.................................................................................
169 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
41 2. INS THRU SOMEPLACE ELSE
530 3. INS THRU CURRENT/FORMER EMPLOYER
21294 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
IF piGovCoverN001_ = YES THEN
N047_ := RISCOVEREDBYMCARE
ELSE
N047_ := ALLOTHS
ELSE
IF piGovCoverN001_ = YES THEN
N047_ := RISCOVEREDBYMCARE
ELSE
N047_ := ALLOTHS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN047_2 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N047_
*
.................................................................................
281 1. R IS COVERED BY MEDICARE
459 2. ALL OTHERS
21294 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN048_2 PRIV PLAN HI- ANYONE ELSE COVERED- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N048_AnyElseCov
Besides you, is anyone else covered on this health insurance?
.................................................................................
390 1. YES
343 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
21294 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN049_2A PRIV PLAN HI- WHO COVERED- 2- 1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[2].N049AWhoCov[1]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
67 041-990. Other Person Number
316 991. R'S SPOUSE/PARTNER
992. INAP (Inapplicable); Partial Interview
6 993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
21644 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN049_2B PRIV PLAN HI- WHO COVERED- 2- 2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[2].N049AWhoCov[2]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
58 041-990. Other Person Number
28 991. R'S SPOUSE/PARTNER
992. INAP (Inapplicable); Partial Interview
11 993. ALL CHILDREN
3 994. ONE OR MORE GRANDCHILDREN
2 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
21932 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN049_2C PRIV PLAN HI- WHO COVERED- 2- 3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[2].N049AWhoCov[3]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
18 041-990. Other Person Number
11 991. R'S SPOUSE/PARTNER
992. INAP (Inapplicable); Partial Interview
993. ALL CHILDREN
1 994. ONE OR MORE GRANDCHILDREN
1 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
22003 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN049_2D PRIV PLAN HI- WHO COVERED- 2- 4
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[2].N049AWhoCov[4]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
3 041-990. Other Person Number
3 991. R'S SPOUSE/PARTNER
992. INAP (Inapplicable); Partial Interview
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
22028 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN049_2E PRIV PLAN HI- WHO COVERED -2- 5
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[2].N049AWhoCov[5]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
1 041-990. Other Person Number
1 991. R'S SPOUSE/PARTNER
992. INAP (Inapplicable); Partial Interview
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
22032 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN049_2F PRIV PLAN HI- WHO COVERED- 2- 6
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[2].N049AWhoCov[6]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
041-990. Other Person Number
991. R'S SPOUSE/PARTNER
992. INAP (Inapplicable); Partial Interview
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
22034 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN039_2 PAY ALL/SOME/NONE PRIV PLAN HI COSTS- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N039_PayHlthInsCost
Including any help from your family, do you [or your husband/wife/partner/ ] pay
all of the costs, some of the costs, or none of the costs of the premium for
this health insurance coverage?
.................................................................................
435 1. ALL
152 2. SOME
140 3. NONE
8 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
21295 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
IF SecN.PlanDetails[CNT].N039_PayHlthInsCost <> NONE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN040_2 PRIV PLAN HI PAY PER/MONTH- AMT- 2
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.PlanDetails[2].N040_
How much do you [or your] [husband/wife/partner] pay per month in premiums for
this plan?
[PROBE if necessary. Count any payroll deductions, but do not include any amount
paid by the employer]
Do not probe DK/RF
Amount per Month:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
462 0 4776 124.49 362.97 21435
-----------------------------------------------------------------
123 99998. DK (Don't Know); NA (Not Ascertained)
14 99999. RF (Refused)
==========================================================================================
MN041_2 PRIV PLAN HI PAY PER/MONTH- MIN- 2
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.PlanDetails[2].N041_
Does 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
.................................................................................
65 0. Value of Breakpoint
4 50. Value of Breakpoint
11 51. Value of Breakpoint
2 100. Value of Breakpoint
16 101. Value of Breakpoint
8 150. Value of Breakpoint
24 151. Value of Breakpoint
3 300. Value of Breakpoint
2 301. Value of Breakpoint
2 501. Value of Breakpoint
21897 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN042_2 PRIV PLAN HI PAY PER/MONTH- MAX- 2
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.PlanDetails[2].N042_
*
.................................................................................
18 49. Value of Breakpoint
4 50. Value of Breakpoint
15 99. Value of Breakpoint
2 100. Value of Breakpoint
16 149. Value of Breakpoint
8 150. Value of Breakpoint
15 299. Value of Breakpoint
3 300. Value of Breakpoint
2 499. Value of Breakpoint
54 99999996. Greater than Maximum Breakpoint
21897 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN043_2 PRIV PLAN HI PAY PER/MONTH- RESULT- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[2].N043_
*
.................................................................................
53 98. DK (Don't Know); NA (Not Ascertained)
12 99. RF (Refused)
21969 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
IF (((((piRespondents1X065ACouplenss = MARRIED) AND
(SecN.PlanDetails[CNT].N035_ <> YES)) AND (SecN.PlanDetails[CNT].N036_ <> YES))
AND (SecN.PlanDetails[CNT].N037_ <> SPOUSESUNION)) AND
((SecN.PlanDetails[CNT].N048_AnyElseCov = NO) OR NOT (C91 IN
SecN.PlanDetails[CNT].N253_N049MWhoCov))) AND ((ACTIVELANGUAGE <> EXTENG) AND
(ACTIVELANGUAGE <> EXTSPN)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN051_2 PRIV HI- COULD SPOUSE BE COVERED- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N051_SPCoverage
Could you have obtained coverage for your spouse through this health insurance
plan?
.................................................................................
83 1. YES
33 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
21909 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN052_2 PRIVATE PLAN INSURANCE AN HMO- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N052_Plan1HMO
Is this plan an HMO, that is a Health Maintenance Organization?
Def: (With an HMO, the cost of the physician visit is typically covered in full
or you pay only a small amount. All of your routine care must be provided by an
HMO physician.)
.................................................................................
139 1. YES
547 5. NO
49 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
21294 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N052_Plan1HMO
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN053_2 NUMBER YEARS IN PLAN- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[2].N053_NumYrPlan
How long have you been with this plan?
If less than 1 year, enter number of months; if 1 year or more, enter in years.
For periods of time between 1-2 years, round to the nearest year.
Years:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
663 1 50 12.50 11.66 21336
-----------------------------------------------------------------
28 98. DK (Don't Know); NA (Not Ascertained)
7 99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N053_NumYrPlan
IF (SecN.PlanDetails[CNT].N053_NumYrPlan = 0) OR
SecN.PlanDetails[CNT].N053_NumYrPlan = EMPTY THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN054_2 NUMBER MONTHS IN PLAN- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[2].N054_NumMoPlan
How long have you been with this plan?
If less than 1 year, enter number of months; if 1 year or more, enter in years.
For periods of time between 1-2 years, round to the nearest year.
Years:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
43 1 11 4.79 2.88 21957
-----------------------------------------------------------------
27 98. DK (Don't Know); NA (Not Ascertained)
7 99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N053_NumYrPlan
IF SecN.PlanDetails[CNT].N052_Plan1HMO <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN055_2 PRIV PLAN HI- HAS LIST OF DRS- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N055_ListDoctor
Does this health insurance plan have a list or book of doctors that you are
encouraged or required to use?
.................................................................................
160 1. YES
419 5. NO
17 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
21433 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N053_NumYrPlan
IF (SecN.PlanDetails[CNT].N055_ListDoctor = YES) OR
(SecN.PlanDetails[CNT].N052_Plan1HMO = YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN056_2 PLAN PAY FOR DOCTORS NOT ON LIST- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N056_DocNotList
Does [this health insurance plan/the HMO] pay any of the costs for routine care
if you see a doctor who is not [on this list/in the HMO]?
.................................................................................
177 1. YES
2 2. YES, WITH A REFERRAL
94 5. NO
26 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
21735 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
IF (piSecAContinuInterviewA019_Rage < 65) AND
(SecN.PlanDetails[CNT].N033_HowObtIns = YES) THEN
N058_ := HLTHINSFROMCUREMPLESS65
ELSE
IF (piSecAContinuInterviewA019_Rage < 65) AND (SecN.PlanDetails[CNT].N034_ =
YES) THEN
N058_ := HLTHINSFORMEREMPLESS65
ELSE
N058_ := ALLOTHS
ELSE
IF (piSecAContinuInterviewA019_Rage < 65) AND
(SecN.PlanDetails[CNT].N033_HowObtIns = YES) THEN
N058_ := HLTHINSFROMCUREMPLESS65
ELSE
IF (piSecAContinuInterviewA019_Rage < 65) AND (SecN.PlanDetails[CNT].N034_ =
YES) THEN
N058_ := HLTHINSFORMEREMPLESS65
ELSE
N058_ := ALLOTHS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN058_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_
*
.................................................................................
199 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
33 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
508 3. ALL OTHERS
21294 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N053_NumYrPlan
IF ((((SecN.PlanDetails[CNT].N033_HowObtIns = YES) AND
(piSecJWorkstatusJ021_EmpSelfOth = SOMEONEELSE)) OR
(SecN.PlanDetails[CNT].N034_ = YES)) AND (ACTIVELANGUAGE <> EXTENG)) AND
(ACTIVELANGUAGE <> EXTSPN) THEN
IF piSecAContinuInterviewA019_RAge < 65 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN059_2 EMPLOYER RETIREE COVERAGE UP TO 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N059_CovTo65
[Can/If you left your current employer now, could] you continue this insurance
coverage for yourself up to the age of 65?
.................................................................................
110 1. YES
92 5. NO
13 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
21819 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N059_CovTo65
IF SecN.PlanDetails[CNT].N059_CovTo65 = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN060_2 EMPLOYER RETIREE HI COVERAGE AFTER 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N060_EmpCovAft65
[Does your former /If you left your current employer now, does your ] employer
offer some type of health insurance coverage for you after the age of 65?
.................................................................................
46 1. YES
59 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
21924 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N053_NumYrPlan
IF ((((SecN.PlanDetails[CNT].N033_HowObtIns = YES) AND
(piSecJWorkstatusJ021_EmpSelfOth = SOMEONEELSE)) OR
(SecN.PlanDetails[CNT].N034_ = YES)) AND (ACTIVELANGUAGE <> EXTENG)) AND
(ACTIVELANGUAGE <> EXTSPN) THEN
IF (((SecA.Relations.A044TSpAge_A < 65) AND (piRespondents1X065ACouplenss <>
OTHER)) AND (SecN.PlanDetails[CNT].N059_CovTo65 <> NO)) AND
(SecN.PlanDetails[CNT].N051_SPCoverage = YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN062_2 EMP RETIREE HI COV FOR SP UP TO 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N062_CovSPTo65
[Could your spouse be covered by this plan/If you left your current employer now
could you continue your current health insurance coverage for your spouse] until
[he/she] is age 65?
.................................................................................
8 1. YES
11 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
22014 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N062_CovSPTo65
IF SecN.PlanDetails[CNT].N062_CovSPTo65 = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN063_2 EMP RETIREE HI COV FOR SP AFTER 65- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N063_CovSPAft65
[Does your former /If you left your current employer now, does your ] employer
offer some type of health insurance coverage for your spouse after the age of
65?
.................................................................................
4 1. YES
3 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
22026 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N053_NumYrPlan
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN066_2 LIMITS ON HI DUE TO PREEXISTING COND- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N066_LimitHlthIns
Are there any limits or restrictions on this health insurance plan due to a
preexisting condition?
.................................................................................
67 1. YES
621 5. NO
46 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
21294 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N024_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN032_3 PRIVATE PLAN 1-3 HELP PAY REGULAR RX- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N032_
Does [NAME OF PLAN (per N024)] provide help with paying for regular prescription
drugs?
The follow-up questions refer to the private plan, not to Medicare.
.................................................................................
23 1. YES
96 5. NO
7 8. DK (Don't Know); NA (Not Ascertained)
8 9. RF (Refused)
21900 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF (((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN))) OR
((RVARS.Z123_CurWorkng_V = YES) AND ((ACTIVELANGUAGE = EXTENG) OR
(ACTIVELANGUAGE = EXTSPN))) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN033_3 OBTAIN HI THRU CURRNT EMP/OWN BUSINESS-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N033_HowObtIns
Do you obtain this health insurance through [your own business or professional
organization?/your current employer?]
.................................................................................
63 1. YES
27 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
21940 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF SecN.PlanDetails[CNT].N033_HowObtIns <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN034_3 OBTAIN INS THRU FORMER EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N034_
Do you obtain this health insurance through a former employer of yours?
.................................................................................
16 1. YES
47 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
21963 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N034_
IF SecN.PlanDetails[CNT].N034_ <> YES THEN
IF ((((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL)) OR (piSecBB063_MarStatAssign = ANULLED)) OR
(piSecBB063_MarStatAssign = SEPARATED)) OR (piSecBB063_MarStatAssign =
DIVORCED) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN035_3 OBTAIN INS THRU HWP CURRENT EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N035_
Do you obtain this health insurance through your [former] (spouse's/partner's)
current employer?
.................................................................................
12 1. YES
25 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
21992 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N034_
IF SecN.PlanDetails[CNT].N034_ <> YES THEN
IF ((SecN.PlanDetails[CNT].N035_ <> YES) AND SecN.PlanDetails[CNT].N035_ <>
EMPTY) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN036_3 OBTAIN INS THRU HWP FORMER EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N036_
Do you obtain this health insurance through your [former] (spouse's/partner's)
former employer?
.................................................................................
6 1. YES
27 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
21994 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N034_
IF SecN.PlanDetails[CNT].N034_ <> YES THEN
IF (SecN.PlanDetails[CNT].N035_ <> YES) AND (SecN.PlanDetails[CNT].N036_ <>
YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN037_3 WHERE PURCHASE PRIVATE PLAN INSURANCE- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N037_
Did you purchase this plan directly from an insurance company, through your [or
your] [husband/wife/partner's/] union, through a group such as AARP, a church,
or other organization, or what?
.................................................................................
17 1. INSURANCE COMPANY
1 2. R'S UNION
3. SPOUSE'S UNION
4 4. GROUP
2 6. Includes federal, state or military programs
2 7. OTHER (SPECIFY)
5 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
21997 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
IF piSecJWorkstatusJ021_EmpSelfOth = SLFEMPD THEN
N044_ := RISCURRLYSLFEMPD
ELSE
N044_ := ALLOTHS
ELSE
IF piSecJWorkstatusJ021_EmpSelfOth = SLFEMPD THEN
N044_ := RISCURRLYSLFEMPD
ELSE
N044_ := ALLOTHS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN044_3 BRANCHPNT-SELF EMPLOYED/ALL OTH -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N044_
*
.................................................................................
19 1. R IS CURRENTLY SELF-EMPLOYED
115 2. ALL OTHERS
21900 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
IF ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss =
PARTNERED_VOL)) AND ((SecN.PlanDetails[CNT].N035_ = YES) OR
(SecN.PlanDetails[CNT].N036_ = YES)) THEN
N046_ := INSTHRUSPANDRISMDS
ELSE
IF SecN.PlanDetails[CNT].N037_ = OTH_SPECIFY THEN
N046_ := INSTHRUSOMEPLACEELSEATR15
ELSE
N046_ := INSTHRUCURFOREMPORUNION
ELSE
IF ((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss =
PARTNERED_VOL)) AND ((SecN.PlanDetails[CNT].N035_ = YES) OR
(SecN.PlanDetails[CNT].N036_ = YES)) THEN
N046_ := INSTHRUSPANDRISMDS
ELSE
IF SecN.PlanDetails[CNT].N037_ = OTH_SPECIFY THEN
N046_ := INSTHRUSOMEPLACEELSEATR15
ELSE
N046_ := INSTHRUCURFOREMPORUNION
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN046_3 BRANCHPNT-SOURCE OF HEALTH INSURANCE -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N046_
*
.................................................................................
17 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
6 2. INS THRU SOMEPLACE ELSE
111 3. INS THRU CURRENT/FORMER EMPLOYER
21900 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
IF piGovCoverN001_ = YES THEN
N047_ := RISCOVEREDBYMCARE
ELSE
N047_ := ALLOTHS
ELSE
IF piGovCoverN001_ = YES THEN
N047_ := RISCOVEREDBYMCARE
ELSE
N047_ := ALLOTHS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN047_3 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N047_
*
.................................................................................
31 1. R IS COVERED BY MEDICARE
103 2. ALL OTHERS
21900 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN048_3 PRIV PLAN HI- ANYONE ELSE COVERED- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N048_AnyElseCov
Besides you, is anyone else covered on this health insurance?
.................................................................................
70 1. YES
55 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
21900 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN049_3A PRIV PLAN HI- WHO COVERED- 3- 1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[3].N049AWhoCov[1]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
13 041-990. Other Person Number
55 991. R'S SPOUSE/PARTNER
992. INAP (Inapplicable); Partial Interview
2 993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
21964 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN049_3B PRIV PLAN HI- WHO COVERED- 3- 2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[3].N049AWhoCov[2]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
13 041-990. Other Person Number
7 991. R'S SPOUSE/PARTNER
992. INAP (Inapplicable); Partial Interview
1 993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
22013 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN049_3C PRIV PLAN HI- WHO COVERED- 3- 3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[3].N049AWhoCov[3]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
5 041-990. Other Person Number
4 991. R'S SPOUSE/PARTNER
992. INAP (Inapplicable); Partial Interview
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
1 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
22024 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN049_3D PRIV PLAN HI- WHO COVERED- 3- 4
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[3].N049AWhoCov[4]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
1 041-990. Other Person Number
991. R'S SPOUSE/PARTNER
992. INAP (Inapplicable); Partial Interview
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
22033 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN049_3E PRIV PLAN HI- WHO COVERED- 3- 4
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.PlanDetails[3].N049AWhoCov[5]
Who besides yourself is covered?
CHOOSE all that apply
.................................................................................
041-990. Other Person Number
991. R'S SPOUSE/PARTNER
992. INAP (Inapplicable); Partial Interview
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
22034 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN039_3 PAY ALL/SOME/NONE PRIV PLAN HI COSTS-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N039_PayHlthInsCost
Including any help from your family, do you [or your husband/wife/partner/] pay
all of the costs, some of the costs, or none of the costs of the premium for
this health insurance coverage?
.................................................................................
83 1. ALL
26 2. SOME
18 3. NONE
2 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
21900 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
IF SecN.PlanDetails[CNT].N039_PayHlthInsCost <> NONE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN040_3 PRIV PLAN HI PAY PER/MONTH- AMT- 3
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.PlanDetails[3].N040_
How much do you [or your] [husband/wife/partner] pay per month in premiums for
this plan?
[PROBE if necessary. Count any payroll deductions, but do not include any amount
paid by the employer]
Do not probe DK/RF
Amount per Month:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
87 0 950 48.52 104.89 21918
-----------------------------------------------------------------
21 99998. DK (Don't Know); NA (Not Ascertained)
8 99999. RF (Refused)
==========================================================================================
MN041_3 PRIV PLAN HI PAY PER/MONTH- MIN- 3
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.PlanDetails[3].N041_
Does 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
.................................................................................
19 0. Value of Breakpoint
2 51. Value of Breakpoint
1 100. Value of Breakpoint
1 101. Value of Breakpoint
6 151. Value of Breakpoint
22005 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN042_3 PRIV PLAN HI PAY PER/MONTH- MAX- 3
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.PlanDetails[3].N042_
*
.................................................................................
8 49. Value of Breakpoint
3 99. Value of Breakpoint
1 100. Value of Breakpoint
1 149. Value of Breakpoint
2 299. Value of Breakpoint
14 99999996. Greater than Maximum Breakpoint
22005 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN043_3 PRIV PLAN HI PAY PER/MONTH- RESULT- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[3].N043_
*
.................................................................................
8 98. DK (Don't Know); NA (Not Ascertained)
7 99. RF (Refused)
22019 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
IF (((((piRespondents1X065ACouplenss = MARRIED) AND
(SecN.PlanDetails[CNT].N035_ <> YES)) AND (SecN.PlanDetails[CNT].N036_ <> YES))
AND (SecN.PlanDetails[CNT].N037_ <> SPOUSESUNION)) AND
((SecN.PlanDetails[CNT].N048_AnyElseCov = NO) OR NOT (C91 IN
SecN.PlanDetails[CNT].N253_N049MWhoCov))) AND ((ACTIVELANGUAGE <> EXTENG) AND
(ACTIVELANGUAGE <> EXTSPN)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN051_3 PRIV HI- COULD SPOUSE BE COVERED- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N051_SPCoverage
Could you have obtained coverage for your spouse through this health insurance
plan?
.................................................................................
12 1. YES
4 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
22014 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN052_3 PRIVATE PLAN INSURANCE AN HMO- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N052_Plan1HMO
Is this plan an HMO, that is a Health Maintenance Organization?
Def: (With an HMO, the cost of the physician visit is typically covered in full
or you pay only a small amount. All of your routine care must be provided by an
HMO physician.)
.................................................................................
19 1. YES
105 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
21900 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N052_Plan1HMO
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN053_3 NUMBER YEARS IN PLAN- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[3].N053_NumYrPlan
How long have you been with this plan?
If less than 1 year, enter number of months; if 1 year or more, enter in years.
For periods of time between 1-2 years, round to the nearest year.
Years:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
113 1 50 11.41 10.49 21910
-----------------------------------------------------------------
6 98. DK (Don't Know); NA (Not Ascertained)
5 99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N053_NumYrPlan
IF (SecN.PlanDetails[CNT].N053_NumYrPlan = 0) OR
SecN.PlanDetails[CNT].N053_NumYrPlan = EMPTY THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN054_3 NUMBER MONTHS IN PLAN- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[3].N054_NumMoPlan
How long have you been with this plan?
If less than 1 year, enter number of months; if 1 year or more, enter in years.
For periods of time between 1-2 years, round to the nearest year.
Years:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
10 1 11 5.30 3.68 22013
-----------------------------------------------------------------
6 98. DK (Don't Know); NA (Not Ascertained)
5 99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N053_NumYrPlan
IF SecN.PlanDetails[CNT].N052_Plan1HMO <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN055_3 PRIV PLAN HI- HAS LIST OF DRS- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N055_ListDoctor
Does this health insurance plan have a list or book of doctors that you are
encouraged or required to use?
.................................................................................
32 1. YES
74 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
21919 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N053_NumYrPlan
IF (SecN.PlanDetails[CNT].N055_ListDoctor = YES) OR
(SecN.PlanDetails[CNT].N052_Plan1HMO = YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN056_3 PLAN PAY FOR DOCTORS NOT ON LIST- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N056_DocNotList
Does [this health insurance plan/the HMO] pay any of the costs for routine care
if you see a doctor who is not [on this list/in the HMO]?
.................................................................................
27 1. YES
2. YES, WITH A REFERRAL
20 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
21983 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
IF (piSecAContinuInterviewA019_Rage < 65) AND
(SecN.PlanDetails[CNT].N033_HowObtIns = YES) THEN
N058_ := HLTHINSFROMCUREMPLESS65
ELSE
IF (piSecAContinuInterviewA019_Rage < 65) AND (SecN.PlanDetails[CNT].N034_ =
YES) THEN
N058_ := HLTHINSFORMEREMPLESS65
ELSE
N058_ := ALLOTHS
ELSE
IF (piSecAContinuInterviewA019_Rage < 65) AND
(SecN.PlanDetails[CNT].N033_HowObtIns = YES) THEN
N058_ := HLTHINSFROMCUREMPLESS65
ELSE
IF (piSecAContinuInterviewA019_Rage < 65) AND (SecN.PlanDetails[CNT].N034_ =
YES) THEN
N058_ := HLTHINSFORMEREMPLESS65
ELSE
N058_ := ALLOTHS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN058_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_
*
.................................................................................
61 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
9 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
64 3. ALL OTHERS
21900 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N053_NumYrPlan
IF ((((SecN.PlanDetails[CNT].N033_HowObtIns = YES) AND
(piSecJWorkstatusJ021_EmpSelfOth = SOMEONEELSE)) OR
(SecN.PlanDetails[CNT].N034_ = YES)) AND (ACTIVELANGUAGE <> EXTENG)) AND
(ACTIVELANGUAGE <> EXTSPN) THEN
IF piSecAContinuInterviewA019_RAge < 65 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN059_3 EMPLOYER RETIREE COVERAGE UP TO 65- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N059_CovTo65
[Can/If you left your current employer now, could] you continue this insurance
coverage for yourself up to the age of 65?
.................................................................................
31 1. YES
24 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
21971 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N059_CovTo65
IF SecN.PlanDetails[CNT].N059_CovTo65 = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN060_3 EMPLOYER RETIREE HI COVERAGE AFTER 65- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N060_EmpCovAft65
[Does your former /If you left your current employer now, does your ] employer
offer some type of health insurance coverage for you after the age of 65?
.................................................................................
16 1. YES
14 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
22003 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N053_NumYrPlan
IF ((((SecN.PlanDetails[CNT].N033_HowObtIns = YES) AND
(piSecJWorkstatusJ021_EmpSelfOth = SOMEONEELSE)) OR
(SecN.PlanDetails[CNT].N034_ = YES)) AND (ACTIVELANGUAGE <> EXTENG)) AND
(ACTIVELANGUAGE <> EXTSPN) THEN
IF (((SecA.Relations.A044TSpAge_A < 65) AND (piRespondents1X065ACouplenss <>
OTHER)) AND (SecN.PlanDetails[CNT].N059_CovTo65 <> NO)) AND
(SecN.PlanDetails[CNT].N051_SPCoverage = YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN062_3 EMP RETIREE HI COV FOR SP UP TO 65- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N062_CovSPTo65
[Could your spouse be covered by this plan/If you left your current employer now
could you continue your current health insurance coverage for your spouse] until
[he/she] is age 65?
.................................................................................
2 1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
22031 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N062_CovSPTo65
IF SecN.PlanDetails[CNT].N062_CovSPTo65 = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN063_3 EMP RETIREE HI COV FOR SP AFTER 65- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N063_CovSPAft65
[Does your former /If you left your current employer now, does your] employer
offer some type of health insurance coverage for your spouse after the age of
65?
.................................................................................
1 1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
22032 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N053_NumYrPlan
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN066_3 LIMITS ON HI DUE TO PREEXISTING COND- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N066_LimitHlthIns
Are there any limits or restrictions on this health insurance plan due to a
preexisting condition?
.................................................................................
12 1. YES
111 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
21900 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF SecN.N090_NumOfPlans = 0 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN342 CONFIRM NO MEDICAL INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N342_AnyInsurance
According to my information, you are not currently covered by any government or
private health insurance plans that provide medical care. Is that correct?
.................................................................................
2081 1. YES
174 5. NO
19 8. DK (Don't Know); NA (Not Ascertained)
20 9. RF (Refused)
19740 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N342_AnyInsurance
IF SecN.N342_AnyInsurance = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN260 LAST HAD HEALTH CARE COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N260_
About how long has it been since you last had health care coverage?
.................................................................................
200 1. 6 MONTHS OR LESS
141 2. MORE THAN 6 MONTHS, BUT NOT MORE THAN 1 YEAR AGO
414 3. MORE THAN 1 YEAR, BUT NOT MORE THAN 3 YEARS AGO
825 4. MORE THAN 3 YEARS
444 5. NEVER
51 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
19953 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N260_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN261M1 REASON NOT HAVE HEALTH CARE COVERAGE -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.N261_[1]
What is the main reason you don't have health care coverage?
.................................................................................
241 1. PERSON IN FAMILY WITH HEALTH INSURANCE LOST JOB OR CHANGED
EMPLOYERS; unemployed
14 2. GOT DIVORCED OR SEPARATED/DEATH OF SPOUSE
11 3. BECAME INELIGIBLE BECAUSE OF AGE
227 4. EMPLOYER DOES NOT OFFER COVERAGE/OR NOT ELIGIBLE FOR
COVERAGE
1159 5. COST IS TOO HIGH
28 6. INSURANCE COMPANY REFUSED COVERAGE
17 7. LOST MEDICAID/MEDICAL PLAN BECAUSE OF NEW JOB OR INCREASE IN
INCOME
15 8. LOST MEDICAID (OTHER)
36 9. Disputes coverage/is covered by insurance (including VA
coverage)
83 10. Not eligible (includes "don't qualify", "pre-existing
conditions", "don't have documents/illegal"
71 11. Don't need it (includes "don't want it", "don't have health
problems/ not sick")
36 12. Didn't apply; NFS
95 97. OTHER (SPECIFY)
37 98. DK (Don't Know); NA (Not Ascertained)
11 99. RF (Refused)
19953 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N260_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN261M2 REASON NOT HAVE HEALTH CARE COVERAGE -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.N261_[2]
What is the main reason you don't have health care coverage?
.................................................................................
16 1. PERSON IN FAMILY WITH HEALTH INSURANCE LOST JOB OR CHANGED
EMPLOYERS; unemployed
2. GOT DIVORCED OR SEPARATED/DEATH OF SPOUSE
2 3. BECAME INELIGIBLE BECAUSE OF AGE
33 4. EMPLOYER DOES NOT OFFER COVERAGE/OR NOT ELIGIBLE FOR
COVERAGE
78 5. COST IS TOO HIGH
8 6. INSURANCE COMPANY REFUSED COVERAGE
1 7. LOST MEDICAID/MEDICAL PLAN BECAUSE OF NEW JOB OR INCREASE IN
INCOME
5 8. LOST MEDICAID (OTHER)
3 9. Disputes coverage/is covered by insurance (including VA
coverage)
16 10. Not eligible (includes "don't qualify", "pre-existing
conditions", "don't have documents/illegal"
12 11. Don't need it (includes "don't want it", "don't have health
problems/ not sick")
6 12. Didn't apply; NFS
15 97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
21839 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N260_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN261M3 REASON NOT HAVE HEALTH CARE COVERAGE -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.N261_[3]
What is the main reason you don't have health care coverage?
.................................................................................
1. PERSON IN FAMILY WITH HEALTH INSURANCE LOST JOB OR CHANGED
EMPLOYERS; unemployed
2. GOT DIVORCED OR SEPARATED/DEATH OF SPOUSE
3. BECAME INELIGIBLE BECAUSE OF AGE
4. EMPLOYER DOES NOT OFFER COVERAGE/OR NOT ELIGIBLE FOR
COVERAGE
2 5. COST IS TOO HIGH
2 6. INSURANCE COMPANY REFUSED COVERAGE
7. LOST MEDICAID/MEDICAL PLAN BECAUSE OF NEW JOB OR INCREASE IN
INCOME
1 8. LOST MEDICAID (OTHER)
1 9. Disputes coverage/is covered by insurance (including VA
coverage)
2 10. Not eligible (includes "don't qualify", "pre-existing
conditions", "don't have documents/illegal"
11. Don't need it (includes "don't want it", "don't have health
problems/ not sick")
12. Didn't apply; NFS
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
22026 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N260_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN261M4 REASON NOT HAVE HEALTH CARE COVERAGE -4
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.N261_[4]
What is the main reason you don't have health care coverage?
.................................................................................
1. PERSON IN FAMILY WITH HEALTH INSURANCE LOST JOB OR CHANGED
EMPLOYERS; unemployed
2. GOT DIVORCED OR SEPARATED/DEATH OF SPOUSE
3. BECAME INELIGIBLE BECAUSE OF AGE
4. EMPLOYER DOES NOT OFFER COVERAGE/OR NOT ELIGIBLE FOR
COVERAGE
5. COST IS TOO HIGH
6. INSURANCE COMPANY REFUSED COVERAGE
7. LOST MEDICAID/MEDICAL PLAN BECAUSE OF NEW JOB OR INCREASE IN
INCOME
8. LOST MEDICAID (OTHER)
9. Disputes coverage/is covered by insurance (including VA
coverage)
10. Not eligible (includes "don't qualify", "pre-existing
conditions", "don't have documents/illegal"
11. Don't need it (includes "don't want it", "don't have health
problems/ not sick")
12. Didn't apply; NFS
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
22034 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N342_AnyInsurance
IF SecN.N342_AnyInsurance = NO THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN343M1 WHICH PLAN- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N343_WhatInsurance[1]
Under which of the following plans are you covered?
READ list:
Medicare
Medicaid
Champus/ChampVA
A private plan from an employer
A private plan purchased directly
Some other type of plan
CHOOSE all that apply.
IF R reports State name for Medicaid, Code as 2. Medicaid.
.................................................................................
11 1. MEDICARE
12 2. MEDICAID
1 3. CHAMPUS/CHAMPVA
73 4. A PRIVATE PLAN FROM AN EMPLOYER
8 5. A PRIVATE PLAN PURCHASED DIRECTLY
58 6. OTHER PLAN
9 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
21860 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N342_AnyInsurance
IF SecN.N342_AnyInsurance = NO THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN343M2 WHICH PLAN- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N343_WhatInsurance[2]
Under which of the following plans are you covered?
READ list:
Medicare
Medicaid
Champus/ChampVA
A private plan from an employer
A private plan purchased directly
Some other type of plan
CHOOSE all that apply.
IF R reports State name for Medicaid, Code as 2. Medicaid.
.................................................................................
1. MEDICARE
2. MEDICAID
3. CHAMPUS/CHAMPVA
1 4. A PRIVATE PLAN FROM AN EMPLOYER
5. A PRIVATE PLAN PURCHASED DIRECTLY
2 6. OTHER PLAN
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
22031 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N342_AnyInsurance
IF SecN.N342_AnyInsurance = NO THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN343M3 WHICH PLAN- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N343_WhatInsurance[3]
Under which of the following plans are you covered?
READ list:
Medicare
Medicaid
Champus/ChampVA
A private plan from an employer
A private plan purchased directly
Some other type of plan
CHOOSE all that apply.
IF R reports State name for Medicaid, Code as 2. Medicaid.
.................................................................................
1. MEDICARE
2. MEDICAID
3. CHAMPUS/CHAMPVA
4. A PRIVATE PLAN FROM AN EMPLOYER
5. A PRIVATE PLAN PURCHASED DIRECTLY
6. OTHER PLAN
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
22034 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (((SecN.MedD.N417_ = YES) AND (PlanDetails[1].N032_ <> YES)) AND
(PlanDetails[2].N032_ <> YES)) AND (PlanDetails[3].N032_ <> YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN431 PRESCRIPTION DRUG COVERAGE, WHICH PLAN
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.N431_DrugPlan
Earlier you told us that you have prescription drug coverage. Which plan is
that?
.................................................................................
49 1. FIRST PLAN MENTIONED AT MN024
2. SECOND PLAN MENTIONED AT MN024
3. THIRD PLAN MENTIONED AT MN024
4. PLAN MENTIONED AT MN070
5. PLAN MENTIONED AT MN074
6. PLAN MENTIONED AT MN105
7. PLAN MENTIONED AT MN113
8. PLAN MENTIONED AT MN242
9. PLAN MENTIONED AT MN138
10. PLAN MENTIONED AT MN146
11. PLAN MENTIONED AT MN155
12. PLAN MENTIONED AT MN163
13. PLAN MENTIONED AT MN167
15. PLAN MENTIONED AT MN179
16. PLAN MENTIONED AT MN187
6 19. MEDICARE HMO
51 20. MEDICARE
56 21. MEDICAID
351 22. CHAMPUS
583 27. NOT ON LIST
227 97. GET MEDS THROUGH THE VA
35 98. DK (Don't Know); NA (Not Ascertained)
3 99. RF (Refused)
20673 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: N090_NumOfPlans := 0
IF SecN.GovCover.N001_ = YES THEN
N090_NumOfPlans := N090_NumOfPlans + 1
IF SecN.GovCover.N006_ = YES THEN
N090_NumOfPlans := N090_NumOfPlans + 1
IF SecN.GovCover.N007_ = YES THEN
N090_NumOfPlans := N090_NumOfPlans + 1
IF (((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) OR
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(SecA.ContinuInterview.A123_YrDeath > 2006))) AND (SecN.GovCover.N001_ = YES)
THEN
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF (SecN.MediCaidCarePlan.N351_ <> YES) AND SecN.MediCaidCarePlan.N351_ <>
NONRESPONSE THEN
IF (SecN.MedD.N352_ <> NO) AND SecN.MedD.N352_ <> NONRESPONSE THEN
IF ((((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR
(ACTIVELANGUAGE = PRXENG)) OR (ACTIVELANGUAGE = PRXSPN)) AND ((SecN.MedD.N414_
= EMPTY OR (SecN.MedD.N414_ = SomeCODiffplan)) OR (SecN.MedD.N414_ = NO)) THEN
IF SecN.MedD.N353_ <> EMPTY THEN
ptN090_NumOfPlans := ptN090_NumOfPlans + 1
IF SecN.MedD.N414_ = YES THEN
ptN090_NumOfPlans := ptN090_NumOfPlans + 1
IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
IF SecN.PlanDetails[CNT].N024_ <> EMPTY THEN
ptN090_NumOfPlans := ptN090_NumOfPlans + 1
IF (((SecN.MedD.N417_ = YES) AND (PlanDetails[1].N032_ <> YES)) AND
(PlanDetails[2].N032_ <> YES)) AND (PlanDetails[3].N032_ <> YES) THEN
IF SecN.N431_DrugPlan = Plan27 THEN
IF SecN.N432_Drugplanname <> EMPTY THEN
N090_NumOfPlans := N090_NumOfPlans + 1
IF (SecN.HospitalStay.N099_OverniteHosp = YES) THEN
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF ((piGovCoverN001_ <> YES) OR ((((SecN.GovCover.N006_ = YES) OR
(SecN.GovCover.N007_ = YES)) OR (SecN.N023_ <> 0)) AND (PlanDetails[1].N025_ <>
MEDICARE))) AND (((SecN.HospitalStay.N102_HospCovIns = COMPLETELYCOVRD) OR
(SecN.HospitalStay.N102_HospCovIns = MOSTLYCOVRD)) OR
(SecN.HospitalStay.N102_HospCovIns = PARTIALLYCOVRD)) THEN
IF SecN.HospitalStay.N104_WhiPlanCovHosp = Plan27 THEN
IF SecN.HospitalStay.N105_NamePlanCovHosp <> EMPTY THEN
ptN090_NumOfPlans := ptN090_NumOfPlans + 1
IF ((((((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) ) AND
(SecN.HospitalStay.N099_OverniteHosp <> YES)) AND (piGovCoverN001_ <> YES)) AND
(piGovCoverN006_ <> YES)) AND (piGovCoverN007_ <> YES) THEN
IF SecN.HospitalStay.N110_ExpInsCovHosp = YES THEN
IF SecN.HospitalStay.N112_ExpWhiPlanHosp = Plan27 THEN
IF SecN.HospitalStay.N113_ExpNamePlanHosp <> EMPTY THEN
ptN090_NumOfPlans := ptN090_NumOfPlans + 1
IF (SecN.PrescpDrug.N175_TkMedsReg <> NO) AND SecN.PrescpDrug.N175_TkMedsReg <>
NONRESPONSE THEN
IF (((SecN.PrescpDrug.N176_MedsCovIns = COMPLETELYCOVRD) OR
(SecN.PrescpDrug.N176_MedsCovIns = MOSTLYCOVRD)) OR
(SecN.PrescpDrug.N176_MedsCovIns = PARTIALLYCOVRD)) AND ((ACTIVELANGUAGE <>
EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) THEN
IF SecN.PrescpDrug.N178_WhiPlanCovMeds = Plan27 THEN
IF SecN.PrescpDrug.N179_PlanNameMeds <> EMPTY THEN
ptN090_NumOfPlans := ptN090_NumOfPlans + 1
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF (SecN.PrescpDrug.N175_TkMedsReg <> YES) AND (SecN.PrescpDrug.N175_TkMedsReg
<> MEDICATIONSKNOWN) THEN
ELSE
IF SecN.PrescpDrug.N184_MedsCovInsNeed = YES THEN
IF SecN.PrescpDrug.N186_WhiPlanCovMedsNd = Plan27 THEN
IF SecN.PrescpDrug.N187_NamePlanMeds <> EMPTY THEN
ptN090_NumOfPlans := ptN090_NumOfPlans + 1
ELSE
N090_NumOfPlans := 0
IF SecN.GovCover.N001_ = YES THEN
N090_NumOfPlans := N090_NumOfPlans + 1
IF SecN.GovCover.N006_ = YES THEN
N090_NumOfPlans := N090_NumOfPlans + 1
IF SecN.GovCover.N007_ = YES THEN
N090_NumOfPlans := N090_NumOfPlans + 1
IF (((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) OR
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(SecA.ContinuInterview.A123_YrDeath > 2006))) AND (SecN.GovCover.N001_ = YES)
THEN
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF (SecN.MediCaidCarePlan.N351_ <> YES) AND SecN.MediCaidCarePlan.N351_ <>
NONRESPONSE THEN
IF (SecN.MedD.N352_ <> NO) AND SecN.MedD.N352_ <> NONRESPONSE THEN
IF ((((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) OR
(ACTIVELANGUAGE = PRXENG)) OR (ACTIVELANGUAGE = PRXSPN)) AND ((SecN.MedD.N414_
= EMPTY OR (SecN.MedD.N414_ = SomeCODiffplan)) OR (SecN.MedD.N414_ = NO)) THEN
IF SecN.MedD.N353_ <> EMPTY THEN
ptN090_NumOfPlans := ptN090_NumOfPlans + 1
IF SecN.MedD.N414_ = YES THEN
ptN090_NumOfPlans := ptN090_NumOfPlans + 1
IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
IF SecN.PlanDetails[CNT].N024_ <> EMPTY THEN
ptN090_NumOfPlans := ptN090_NumOfPlans + 1
IF (((SecN.MedD.N417_ = YES) AND (PlanDetails[1].N032_ <> YES)) AND
(PlanDetails[2].N032_ <> YES)) AND (PlanDetails[3].N032_ <> YES) THEN
IF SecN.N431_DrugPlan = Plan27 THEN
IF SecN.N432_Drugplanname <> EMPTY THEN
N090_NumOfPlans := N090_NumOfPlans + 1
IF (SecN.HospitalStay.N099_OverniteHosp = YES) OR
(PISecAContinuInterviewA124_PlaceDied = INHOSPITAL) THEN
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF ((piGovCoverN001_ <> YES) OR ((((SecN.GovCover.N006_ = YES) OR
(SecN.GovCover.N007_ = YES)) OR (SecN.N023_ <> 0)) AND (PlanDetails[1].N025_ <>
MEDICARE))) AND (((SecN.HospitalStay.N102_HospCovIns = COMPLETELYCOVRD) OR
(SecN.HospitalStay.N102_HospCovIns = MOSTLYCOVRD)) OR
(SecN.HospitalStay.N102_HospCovIns = PARTIALLYCOVRD)) THEN
IF SecN.HospitalStay.N104_WhiPlanCovHosp = Plan27 THEN
IF SecN.HospitalStay.N105_NamePlanCovHosp <> EMPTY THEN
ptN090_NumOfPlans := ptN090_NumOfPlans + 1
IF ((((((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) AND
(PISecAContinuInterviewA124_PlaceDied <> INHOSPITAL)) AND
(SecN.HospitalStay.N099_OverniteHosp <> YES)) AND (piGovCoverN001_ <> YES)) AND
(piGovCoverN006_ <> YES)) AND (piGovCoverN007_ <> YES) THEN
IF SecN.HospitalStay.N110_ExpInsCovHosp = YES THEN
IF SecN.HospitalStay.N112_ExpWhiPlanHosp = Plan27 THEN
IF SecN.HospitalStay.N113_ExpNamePlanHosp <> EMPTY THEN
ptN090_NumOfPlans := ptN090_NumOfPlans + 1
IF (SecN.PrescpDrug.N175_TkMedsReg <> NO) AND SecN.PrescpDrug.N175_TkMedsReg <>
NONRESPONSE THEN
IF (((SecN.PrescpDrug.N176_MedsCovIns = COMPLETELYCOVRD) OR
(SecN.PrescpDrug.N176_MedsCovIns = MOSTLYCOVRD)) OR
(SecN.PrescpDrug.N176_MedsCovIns = PARTIALLYCOVRD)) AND ((ACTIVELANGUAGE <>
EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) THEN
IF SecN.PrescpDrug.N178_WhiPlanCovMeds = Plan27 THEN
IF SecN.PrescpDrug.N179_PlanNameMeds <> EMPTY THEN
ptN090_NumOfPlans := ptN090_NumOfPlans + 1
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF (SecN.PrescpDrug.N175_TkMedsReg <> YES) AND (SecN.PrescpDrug.N175_TkMedsReg
<> MEDICATIONSKNOWN) THEN
ELSE
IF SecN.PrescpDrug.N184_MedsCovInsNeed = YES THEN
IF SecN.PrescpDrug.N186_WhiPlanCovMedsNd = Plan27 THEN
IF SecN.PrescpDrug.N187_NamePlanMeds <> EMPTY THEN
ptN090_NumOfPlans := ptN090_NumOfPlans + 1
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN090 NUMBER OF PUBLIC/PRIVATE HI PLANS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N090_NumOfPlans
*
User Note: The following variables are used to calculate MN090: MN001, MN006,
MN007, MN024, MN068, MN074, MN105, MN113, MN179, and MN187.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
22026 0 6 1.56 0.92 8
-----------------------------------------------------------------
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN067 DENTAL COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.DentalPlans.N067_
Do you have any insurance that covers dental bills?
.................................................................................
9063 1. YES
12544 5. NO
144 8. DK (Don't Know); NA (Not Ascertained)
30 9. RF (Refused)
253 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.DentalPlans.N067_
IF SecN.NHomeINs.DentalPlans.N067_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN068 DENTAL COV - NEW OR PREV MENTION PLAN
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.DentalPlans.N068_DenCovNewPrev
Is that one of the plans you have already described, or a different plan?
.................................................................................
4822 1. PREVIOUSLY DESCRIBED PLAN
4174 2. DIFFERENT PLAN
65 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
12971 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.DentalPlans.N068_DenCovNewPrev
IF SecN.NHomeINs.DentalPlans.N068_DenCovNewPrev = PREVDESCRPLAN THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN069 DENTAL COV - WHICH PREV MENTION PLAN
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeINs.DentalPlans.N069_DenCovWhi
Which plan is that?
.................................................................................
2969 1. FIRST PLAN MENTIONED AT MN024
148 2. SECOND PLAN MENTIONED AT MN024
33 3. THIRD PLAN MENTIONED AT MN024
4. PLAN MENTIONED AT MN070
5. PLAN MENTIONED AT MN074
6. PLAN MENTIONED AT MN105
7. PLAN MENTIONED AT MN113
42 8. PLAN MENTIONED AT MN242
9. PLAN MENTIONED AT MN138
10. PLAN MENTIONED AT MN146
11. PLAN MENTIONED AT MN155
12. PLAN MENTIONED AT MN163
13. PLAN MENTIONED AT MN167
15. PLAN MENTIONED AT MN179
16. PLAN MENTIONED AT MN187
124 18. MEDICARE PART D - NAME OF PART D PLAN
628 19. MEDICARE HMO
81 20. MEDICARE
326 21. MEDICAID
103 22. CHAMPUS
309 27. NOT ON LIST
52 98. DK (Don't Know); NA (Not Ascertained)
7 99. RF (Refused)
17212 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN071 LTC INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N071_LTCIns
[Not including government programs, do] you now have any long-term care
insurance which specifically covers nursing home care for a year or more or any
part of personal or medical care in your home?
.................................................................................
2530 1. YES
18763 5. NO
441 8. DK (Don't Know); NA (Not Ascertained)
39 9. RF (Refused)
261 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF SecN.NHomeINs.N071_LTCIns = YES THEN
IF ptN090_NumOfPlans = 0 THEN
N072_LTCCovNHNewPrev := DIFFERENTPLAN
ELSE
N072_LTCCovNHNewPrev.ASK
ELSE
IF ptN090_NumOfPlans = 0 THEN
N072_LTCCovNHNewPrev := DIFFERENTPLAN
ELSE
N072_LTCCovNHNewPrev.ASK
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN072 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?
.................................................................................
769 1. PREVIOUSLY DESCRIBED PLAN
1744 2. DIFFERENT PLAN
16 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
19504 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF SecN.NHomeINs.N071_LTCIns = YES THEN
IF ptN090_NumOfPlans = 0 THEN
N073_LTCCovNHWhi := Plan27
ELSE
IF SecN.NHomeINs.N072_LTCCovNHNewPrev = PREVDESCRPLAN THEN
N073_LTCCovNHWhi.ASK
ELSE
IF SecN.NHomeINs.N072_LTCCovNHNewPrev = DIFFERENTPLAN THEN
N073_LTCCovNHWhi := Plan27
ELSE
IF ptN090_NumOfPlans = 0 THEN
N073_LTCCovNHWhi := Plan27
ELSE
IF SecN.NHomeINs.N072_LTCCovNHNewPrev = PREVDESCRPLAN THEN
N073_LTCCovNHWhi.ASK
ELSE
IF SecN.NHomeINs.N072_LTCCovNHNewPrev = DIFFERENTPLAN THEN
N073_LTCCovNHWhi := Plan27
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN073 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?
.................................................................................
455 1. FIRST PLAN MENTIONED AT MN024
18 2. SECOND PLAN MENTIONED AT MN024
3. THIRD PLAN MENTIONED AT MN024
7 4. PLAN MENTIONED AT MN070
5. PLAN MENTIONED AT MN074
6. PLAN MENTIONED AT MN105
7. PLAN MENTIONED AT MN113
5 8. PLAN MENTIONED AT MN242
9. PLAN MENTIONED AT MN138
10. PLAN MENTIONED AT MN146
11. PLAN MENTIONED AT MN155
12. PLAN MENTIONED AT MN163
13. PLAN MENTIONED AT MN167
15. PLAN MENTIONED AT MN179
16. PLAN MENTIONED AT MN187
31 18. MEDICARE PART D - NAME OF PART D PLAN
113 19. MEDICARE HMO
37 20. MEDICARE
28 21. MEDICAID
18 22. CHAMPUS
1783 27. NOT ON LIST
18 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
19521 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.N071_LTCIns
IF SecN.NHomeINs.N071_LTCIns = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN075 COVER NURSING HOME/IN-HOME CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N075_CovNHInHome
Does this plan cover care in a nursing home facility only, personal or long-term
care at home, or both in-home and nursing home care?
.................................................................................
244 1. NURSING HOME CARE ONLY
100 2. IN-HOME CARE ONLY
2017 3. BOTH
14 7. OTHER (SPECIFY)
153 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
19504 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.N075_CovNHInHome
IF (((piRespondents1X065ACouplenss <> OTHER) AND
((SecN.NHomeINs.N072_LTCCovNHNewPrev = DIFFERENTPLAN) OR
(SecN.NHomeINs.N073_LTCCovNHWhi = Plan27))) AND (ACTIVELANGUAGE <> EXTENG)) AND
(ACTIVELANGUAGE <> EXTSPN) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN238 SPOUSE COVER NURSING HOME/IN-HOME CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N238_SPCovNHInHome
Does this plan provide long-term care coverage for your [husband/wife/partner]
as well as for yourself?
.................................................................................
758 1. YES
510 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
20762 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.N075_CovNHInHome
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN077 RECD BENEFITS UNDER LTC
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N077_RcvBenefLTC
Have you [[or your] [husband/wife/partner]] ever received benefits under your
long-term care policy?
.................................................................................
171 1. YES
2341 5. NO
16 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
19504 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.N077_RcvBenefLTC
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN078 PAYMENTS INCREASE W/ INFLATION
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N078_PlanPayIncInfl
Does this plan increase payments with inflation?
.................................................................................
1139 1. YES
989 5. NO
399 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
19504 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.N077_RcvBenefLTC
IF (SecN.NHomeINs.N072_LTCCovNHNewPrev <> PREVDESCRPLAN) OR
(SecN.NHomeINs.N073_LTCCovNHWhi = Plan27) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN079 AMT PAY FOR LTC
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.NHomeINs.N079_AmtPayLTC
[How much do you [or your] [husband/wife/partner] pay for this plan?/How much do
you [or your] [husband/wife/partner] pay for this long-term care coverage?]
ENTER 0 if no payments are made
Do not probe DK/RF
Amount:
Per:
.................................................................................
1515 0-100000. Actual Value
1 999995. Amount included with other insurance payments
256 999998. DK (Don't Know); NA (Not Ascertained)
28 999999. RF (Refused)
20234 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN080 AMT PAY FOR LTC - MIN
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.NHomeINs.N080_
Does 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 2 or {NOT 1 and NOT 2} AT X502
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
151 0. Value of Breakpoint
8 50. Value of Breakpoint
14 51. Value of Breakpoint
12 100. Value of Breakpoint
50 101. Value of Breakpoint
7 200. Value of Breakpoint
28 201. Value of Breakpoint
1 300. Value of Breakpoint
13 301. Value of Breakpoint
21750 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN081 AMT PAY FOR LTC - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.NHomeINs.N081_
*
.................................................................................
18 49. Value of Breakpoint
8 50. Value of Breakpoint
24 99. Value of Breakpoint
12 100. Value of Breakpoint
48 199. Value of Breakpoint
7 200. Value of Breakpoint
19 299. Value of Breakpoint
1 300. Value of Breakpoint
147 99999996. Greater than Maximum Breakpoint
21750 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN082 AMT PAY FOR LTC- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeINs.N082_
*
.................................................................................
134 98. DK (Don't Know); NA (Not Ascertained)
20 99. RF (Refused)
21880 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.N079_AmtPayLTC
IF SecN.NHomeINs.N079_AmtPayLTC > 0 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN083 AMT PAY FOR LTC PER
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N083_AmtPayLTCPer
[How much do you [or your] [husband/wife/partner] pay for this plan?/How much do
you [or your] [husband/wife/partner] pay for this long-term care coverage?]
ENTER 0 if no payments are made
Do not probe DK/RF
Amount: [AMT PAY FOR LTC]
Per:
.................................................................................
665 1. MONTH
91 2. QUARTER (EVERY 3 MONTHS)
4 3. Week
647 4. YEAR
11 6. Lump sum payment
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20616 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: N256_RAgePREVIW := RVARS.Z093_IwYr_V - Respondents[1].X067AYrBorn
ELSE
N256_RAgePREVIW := RVARS.Z093_IwYr_V - Respondents[1].X067AYrBorn
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN256 R AGE PREV INTERVIEW
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.N256_RAgePREVIW
*
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
22026 17 107 63.80 11.86 8
-----------------------------------------------------------------
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (SecN.N090_NumOfPlans > 0) AND ((piRvarsZ201_PWMedicareCovered <> YES) OR
(SecN.N256_RAgePREVIW < 65)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN091 EVER WITHOUT HI AMONG CURRENTLY INSURED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N091_NoInsurance
Were you ever without health insurance coverage at any time [since R's LAST IW
MONTH, YEAR/in the last two years]?
.................................................................................
804 1. YES
9283 5. NO
16 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
11927 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF (((piSecJWorkstatusJ021_EmpSelfOth = SOMEONEELSE) AND
(PlanDetails[1].N033_HowObtIns <> YES)) AND (PlanDetails[2].N033_HowObtIns <>
YES)) AND (PlanDetails[3].N033_HowObtIns <> YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN092 EMP/UNION OFFER HI - WRKG R W/O EMP INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.RNotCovEmp.N092_EmplHlthIns
Does your employer or union offer a health insurance plan to any of its
employees?
.................................................................................
1650 1. YES
1328 5. NO
93 8. DK (Don't Know); NA (Not Ascertained)
9 9. RF (Refused)
18954 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.RNotCovEmp.N092_EmplHlthIns
IF SecN.RNotCovEmp.N092_EmplHlthIns = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN093 OFFERED HI THRU JOB- WRKNG R W/O EMP INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.RNotCovEmp.N093_JobHlthIns
Were you offered health insurance through your job?
.................................................................................
1136 1. YES
509 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20384 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF (piSecJWorkstatusJ021_EmpSelfOth = SOMEONEELSE) AND
(((PlanDetails[1].N033_HowObtIns = YES) OR (PlanDetails[2].N033_HowObtIns =
YES)) OR (PlanDetails[3].N033_HowObtIns = YES)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN094 CHOICE IN PLANS- WRKNG R W/ EMP INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.RCovEmp.N094_ChoicePlan
In the last two years, has your employer offered a choice of different health
insurance plans that provided hospital and physician benefits or was only one
health insurance plan offered to you?
.................................................................................
2012 1. YES, MORE THAN ONE PLAN
1861 5. NO, ONLY ONE PLAN
23 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
18136 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.RCovEmp.N094_ChoicePlan
IF SecN.RCovEmp.N094_ChoicePlan = YESMORETHANONEPLAN THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN095 EMP OFFERED BETTER COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.RCovEmp.N095_BetterCov
Compared to your current coverage through your employer, did any of these other
plans...Provide better coverage?
.................................................................................
471 1. YES
1431 5. NO
109 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
20022 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.RCovEmp.N095_BetterCov
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN096 EMP OFFERED GREATER PHYSICIAN CHOICE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.RCovEmp.N096_MoreChoice
(Compared to your current coverage through your employer, did any of these other
plans...)
Provide greater choice of physicians?
.................................................................................
583 1. YES
1291 5. NO
137 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
20022 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.RCovEmp.N096_MoreChoice
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN097 EMP OFFERED MORE COSTLY HI PLANS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.RCovEmp.N097_CostMore
(Compared to your current coverage through your employer, did any of these other
plans...)
Cost more than your plan?
.................................................................................
1214 1. YES
718 5. NO
79 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
20022 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF (piSecJWorkstatusJ021_EmpSelfOth = SOMEONEELSE) AND
(((PlanDetails[1].N033_HowObtIns = YES) OR (PlanDetails[2].N033_HowObtIns =
YES)) OR (PlanDetails[3].N033_HowObtIns = YES)) THEN
N249_PlanCnt1.KEEP
IF SecN.RCovEmp.N094_ChoicePlan <> EMPTY AND SecN.RCovEmp.N249_PlanCnt1 = EMPTY
THEN
RCovEmp.N249_PlanCnt1 := N090_NumOfPlans
ELSE
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF (piSecJWorkstatusJ021_EmpSelfOth = SOMEONEELSE) AND
(((PlanDetails[1].N033_HowObtIns = YES) OR (PlanDetails[2].N033_HowObtIns =
YES)) OR (PlanDetails[3].N033_HowObtIns = YES)) THEN
N249_PlanCnt1.KEEP
IF SecN.RCovEmp.N094_ChoicePlan <> EMPTY AND SecN.RCovEmp.N249_PlanCnt1 = EMPTY
THEN
RCovEmp.N249_PlanCnt1 := N090_NumOfPlans
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN249 PLAN COUNT 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.RCovEmp.N249_PlanCnt1
User Note: This value is assigned from N090 where N094 is not empty.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
3898 1 4 1.18 0.46 18136
-----------------------------------------------------------------
==========================================================================================
ASSIGN: IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF (((PlanDetails[1].N032_ = YES) OR (PlanDetails[2].N032_ = YES)) OR
(PlanDetails[3].N032_ = YES)) OR (((SecN.PrescpDrug.N176_MedsCovIns =
COMPLETELYCOVRD) OR (SecN.PrescpDrug.N176_MedsCovIns = MOSTLYCOVRD)) OR
(SecN.PrescpDrug.N176_MedsCovIns = PARTIALLYCOVRD)) THEN
N098_ := RSHEALTHINSPAYPARTSCRIPDENTAL
ELSE
N098_ := ALLOTHS
ELSE
IF (((PlanDetails[1].N032_ = YES) OR (PlanDetails[2].N032_ = YES)) OR
(PlanDetails[3].N032_ = YES)) OR (((SecN.PrescpDrug.N176_MedsCovIns =
COMPLETELYCOVRD) OR (SecN.PrescpDrug.N176_MedsCovIns = MOSTLYCOVRD)) OR
(SecN.PrescpDrug.N176_MedsCovIns = PARTIALLYCOVRD)) THEN
N098_ := RSHEALTHINSPAYPARTSCRIPDENTAL
ELSE
N098_ := ALLOTHS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN098 BRANCHPNT-DENTAL/MEDS COVRGE/ALL OTH
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N098_
*
.................................................................................
9435 1. R'S HEALTH INSURANCE PAYS PART OF PRESCRIPTION AND/OR DENTAL
12591 2. ALL OTHERS
8 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN099 OVERNIGHT STAY IN HOSP-SINCE PREV IW/2YR
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N099_OverniteHosp
The next questions are about health care you have received.
[Since R's LAST IW MONTH, YEAR/In the last two years], have you been a patient
in a hospital overnight?
.................................................................................
6105 1. YES
15620 5. NO
33 8. DK (Don't Know); NA (Not Ascertained)
14 9. RF (Refused)
262 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N099_OverniteHosp
IF SecN.HospitalStay.N099_OverniteHosp = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN100 NUM TIMES R STAYED OVERNIGHT IN HOSP
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.HospitalStay.N100_TimeOverHosp
How many different times were you a patient in a hospital overnight [since R's
LAST IW MONTH, YEAR/in the last two years]?
[IWER: IF R ASKS, INCLUDE MENTAL HOSPITALS AND SANITARIUMS]
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
6055 1 75 2.02 2.56 15929
-----------------------------------------------------------------
46 98. DK (Don't Know); NA (Not Ascertained)
4 99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N100_TimeOverHosp
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN101 NUM NIGHTS R SPENT OVERNIGHT IN HOSPITAL
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.HospitalStay.N101_NiteOverHosp
(Altogether) [how/How] many nights were you a patient in the hospital [since R's
LAST IW MONTH, YEAR/in the last two years]?
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
5970 0 400 8.75 17.63 15929
-----------------------------------------------------------------
132 998. DK (Don't Know); NA (Not Ascertained)
3 999. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N099_OverniteHosp
IF (SecN.HospitalStay.N099_OverniteHosp = YES) OR
(PISecAContinuInterviewA124_PlaceDied = INHOSPITAL) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN102 HOSPITAL STAYS COVERED BY INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N102_HospCovIns
Were the costs for your hospital stay(s) completely covered by health insurance,
mostly covered, only partially covered, or not covered at all by insurance?
.................................................................................
2945 1. COMPLETELY COVERED
2096 2. MOSTLY COVERED
623 3. PARTIALLY COVERED
284 5. NOT COVERED AT ALL
78 7. [VOL] COSTS NOT SETTLED YET
73 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
15929 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N102_HospCovIns
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF ((piGovCoverN001_ <> YES) OR ((((SecN.GovCover.N006_ = YES) OR
(SecN.GovCover.N007_ = YES)) OR (SecN.N023_ <> 0)) AND (PlanDetails[1].N025_ <>
MEDICARE))) AND (((SecN.HospitalStay.N102_HospCovIns = COMPLETELYCOVRD) OR
(SecN.HospitalStay.N102_HospCovIns = MOSTLYCOVRD)) OR
(SecN.HospitalStay.N102_HospCovIns = PARTIALLYCOVRD)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN104 WHICH PLAN COV LGST SHARE HOSPITAL COST
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.HospitalStay.N104_WhiPlanCovHosp
What is the name of the health insurance plan that covered the largest share of
the costs?
.................................................................................
1175 1. FIRST PLAN MENTIONED AT MN024
6 2. SECOND PLAN MENTIONED AT MN024
3. THIRD PLAN MENTIONED AT MN024
21 4. PLAN MENTIONED AT MN070
3 5. PLAN MENTIONED AT MN074
6. PLAN MENTIONED AT MN105
7. PLAN MENTIONED AT MN113
4 8. PLAN MENTIONED AT MN242
9. PLAN MENTIONED AT MN138
10. PLAN MENTIONED AT MN146
11. PLAN MENTIONED AT MN155
12. PLAN MENTIONED AT MN163
13. PLAN MENTIONED AT MN167
15. PLAN MENTIONED AT MN179
16. PLAN MENTIONED AT MN187
34 18. MEDICARE PART D - NAME OF PART D PLAN
164 19. MEDICARE HMO
360 20. MEDICARE
326 21. MEDICAID
129 22. CHAMPUS
349 27. NOT ON LIST
122 98. DK (Don't Know); NA (Not Ascertained)
7 99. RF (Refused)
19334 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N105_NamePlanCovHosp
IF SecN.HospitalStay.N105_NamePlanCovHosp <> NONRESPONSE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN359 LGST SHARE HOSPITAL COST- STILL COVERED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N359_
Are you still covered under this plan?
.................................................................................
101 1. YES
230 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
21702 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N102_HospCovIns
IF SecN.HospitalStay.N102_HospCovIns <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN106 AMT PAID O-O-P HOSPITAL COSTS
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.HospitalStay.N106_AmtOOPHospCost
About how much did you pay out-of-pocket for hospital bills [since R's LAST IW
MONTH, YEAR/in the last two years]?
Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
2454 0 479000 2038.92 10486.12 18874
-----------------------------------------------------------------
689 9999998. DK (Don't Know); NA (Not Ascertained)
17 9999999. RF (Refused)
==========================================================================================
MN107 AMT PAID O-O-P HOSPITAL COSTS - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.HospitalStay.N107_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $500, $5,000, $10,000, $20,000, $50,000
RANDOM ENTRY POINTS: $5,000, $10,000, $20,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X511
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
245 0. Value of Breakpoint
43 500. Value of Breakpoint
231 501. Value of Breakpoint
34 5000. Value of Breakpoint
58 5001. Value of Breakpoint
12 10000. Value of Breakpoint
68 10001. Value of Breakpoint
3 20000. Value of Breakpoint
5 20001. Value of Breakpoint
1 50000. Value of Breakpoint
5 50001. Value of Breakpoint
21329 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN108 AMT PAID O-O-P HOSPITAL COSTS - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.HospitalStay.N108_
*
.................................................................................
97 499. Value of Breakpoint
43 500. Value of Breakpoint
260 4999. Value of Breakpoint
34 5000. Value of Breakpoint
77 9999. Value of Breakpoint
12 10000. Value of Breakpoint
34 19999. Value of Breakpoint
3 20000. Value of Breakpoint
3 49999. Value of Breakpoint
1 50000. Value of Breakpoint
141 99999996. Greater than Maximum Breakpoint
21329 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN109 AMT PAID O-O-P HOSPITAL COSTS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.HospitalStay.N109_
*
.................................................................................
184 98. DK (Don't Know); NA (Not Ascertained)
17 99. RF (Refused)
21833 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N099_OverniteHosp
IF ((((((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) AND
(PISecAContinuInterviewA124_PlaceDied <> INHOSPITAL)) AND
(SecN.HospitalStay.N099_OverniteHosp <> YES)) AND (piGovCoverN001_ <> YES)) AND
(piGovCoverN006_ <> YES)) AND (piGovCoverN007_ <> YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN110 EXPECT INS TO COVER HOSPITAL COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N110_ExpInsCovHosp
If you did need to stay in a hospital overnight, would you expect any of the
costs to be covered by insurance?
.................................................................................
5892 1. YES
1676 5. NO
47 8. DK (Don't Know); NA (Not Ascertained)
19 9. RF (Refused)
14400 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N110_ExpInsCovHosp
IF SecN.HospitalStay.N110_ExpInsCovHosp = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN112 WHICH PLAN COVER LGST SHARE HOSP COST
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.HospitalStay.N112_ExpWhiPlanHosp
What is the name of the health insurance plan that would cover the largest share
of the costs?
.................................................................................
5335 1. FIRST PLAN MENTIONED AT MN024
26 2. SECOND PLAN MENTIONED AT MN024
1 3. THIRD PLAN MENTIONED AT MN024
62 4. PLAN MENTIONED AT MN070
9 5. PLAN MENTIONED AT MN074
6. PLAN MENTIONED AT MN105
7. PLAN MENTIONED AT MN113
8. PLAN MENTIONED AT MN242
9. PLAN MENTIONED AT MN138
10. PLAN MENTIONED AT MN146
11. PLAN MENTIONED AT MN155
12. PLAN MENTIONED AT MN163
13. PLAN MENTIONED AT MN167
15. PLAN MENTIONED AT MN179
16. PLAN MENTIONED AT MN187
19. MEDICARE HMO
20. MEDICARE
21. MEDICAID
22. CHAMPUS
324 27. NOT ON LIST
114 98. DK (Don't Know); NA (Not Ascertained)
21 99. RF (Refused)
16142 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N099_OverniteHosp
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) AND
(SecN.HospitalStay.N099_OverniteHosp = YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN263 WHO CHOSE HOSPITAL
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N263_
Thinking about your most recent hospital stay, would you say that you chose
which hospital to go to or did your doctor or health insurance provider tell you
which hospital to use?
.................................................................................
3191 1. R (OR FAMILY) CHOSE
1572 2. DOCTOR CHOSE
243 3. INSURANCE CHOSE
251 4. TAKEN BY AMBULANCE(VOL)
126 5. NO CHOICE TO MAKE--ONLY HOSPITAL IN AREA(VOL)
76 7. OTHER (SPECIFY)
21 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
16551 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: N250_PlanCnt2.KEEP
IF SecN.HospitalStay.N113_ExpNamePlanHosp <> EMPTY AND
SecN.HospitalStay.N250_PlanCnt2 = EMPTY THEN
N250_PlanCnt2 := ptN090_NumOfPlans
IF (SecN.HospitalStay.N099_OverniteHosp <> EMPTY OR
SecN.HospitalStay.N113_ExpNamePlanHosp <> EMPTY) AND
SecN.HospitalStay.N250_PlanCnt2 = EMPTY THEN
HospitalStay.N250_PlanCnt2 := N090_NumOfPlans
ELSE
N250_PlanCnt2.KEEP
IF SecN.HospitalStay.N113_ExpNamePlanHosp <> EMPTY AND
SecN.HospitalStay.N250_PlanCnt2 = EMPTY THEN
N250_PlanCnt2 := ptN090_NumOfPlans
IF (SecN.HospitalStay.N099_OverniteHosp <> EMPTY OR
SecN.HospitalStay.N113_ExpNamePlanHosp <> EMPTY) AND
SecN.HospitalStay.N250_PlanCnt2 = EMPTY THEN
HospitalStay.N250_PlanCnt2 := N090_NumOfPlans
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN250 PLAN COUNT 2
Section: N Level: Respondent Type: Numeric Width: 1 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
21772 0 6 1.48 0.90 262
-----------------------------------------------------------------
==========================================================================================
ASSIGN: IF ((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) AND
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) THEN
N114_OverniteNH := YES
ELSE
N114_OverniteNH.ASK
ELSE
IF ((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) AND
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) THEN
N114_OverniteNH := YES
ELSE
N114_OverniteNH.ASK
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN114 EVER PATIENT OVERNIGHT IN NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.N114_OverniteNH
[Since R's LAST IW MONTH, YEAR/in the last two years] have you been a patient
overnight in a nursing home, convalescent home, or other long-term health care
facility?
.................................................................................
1052 1. YES
20692 5. NO
15 8. DK (Don't Know); NA (Not Ascertained)
13 9. RF (Refused)
262 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF NOT((((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND (
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))) AND
(SecN.NHomeStay.N114_OverniteNH <> YES)) THEN
IF SecN.NHomeStay.N114_OverniteNH = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN115 # TIMES SPENT OVERNIGHT IN NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.N115_TimeOverNH
IF R LIVES IN A NURSING HOME (A028=1):
How many times, including now, have you been a patient in a nursing home or
other long-term care facility [since R's LAST IW MONTH, YEAR/in the last two
years]?
OTHERWISE:
How many times were you a patient in a nursing home or other long-term care
facility [since R's LAST IW MONTH, YEAR/in the last two years]?
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1018 1 95 1.73 6.12 20984
-----------------------------------------------------------------
30 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF SecN.NHomeStay.N114_OverniteNH = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN116 NUM NIGHTS R SPENT OVERNIGHT IN NH
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.NHomeStay.N116_NiteOverNH
IF R HAS HAD MORE THAN ONE NURSING HOME STAY, INLCUDING CURRENT STAY (N115>1):
Altogether, how many nights or months have you been a patient in a nursing home
[since R's LAST IW MONTH, YEAR/in the last two years]?
OTHERWISE:
How many nights or months have you been a patient in a nursing home [since R's
LAST IW MONTH, YEAR/in the last two years]?
[IWER: ENTER 996 FOR CONTINUOUS SINCE ENTERED OR [SINCE R'S LAST IW MONTH,
YEAR/IN THE LAST TWO YEARS]
[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
526 0 830 36.28 85.43 21298
-----------------------------------------------------------------
175 996. CONTINUOUS SINCE ENTERED
34 998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N116_NiteOverNH
IF SecN.NHomeStay.N116_NiteOverNH = EMPTY THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN117 NUM MOS R SPENT OVERNIGHT IN NH
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.N117_MoOverNH
IF R HAS HAD MORE THAN ONE NURSING HOME STAY, INLCUDING CURRENT STAY (N115>1):
Altogether, how many nights or months have you been a patient in a nursing home
[since R's LAST IW MONTH, YEAR/in the last two years]?
OTHERWISE:
How many nights or months have you been a patient in a nursing home [since R's
LAST IW MONTH, YEAR/in the last two years]?
[IWER: ENTER 996 FOR CONTINUOUS SINCE ENTERED OR [SINCE R'S LAST IW MONTH,
YEAR/IN THE LAST TWO YEARS]
Nights:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
302 1 40 10.25 9.45 21719
-----------------------------------------------------------------
13 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF ((SecN.NHomeStay.N114_OverniteNH = YES) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)) OR
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN118 NH COSTS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.N118_InsCovCost
[Have the costs for your nursing home stay(s) been completely covered be/Were
the costs for your nursing home stay(s) completely covered by] insurance, mostly
covered, only partially covered, or not covered at all by insurance?
.................................................................................
499 1. COMPLETELY COVERED
216 2. MOSTLY COVERED
128 3. PARTIALLY COVERED
135 5. NOT COVERED AT ALL
16 7. [VOL] COSTS NOT SETTLED YET
53 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
20984 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF SecN.NHomeStay.N118_InsCovCost <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN119 AMT PAID O-O-P NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.NHomeStay.N119_AmtPayNHHosp
About how much did you pay out-of-pocket for nursing home bills [since R's LAST
IW MONTH, YEAR/in the last two years]?
[IWER: DO NOT PROBE DK/RF]
[IWER: INCLUDE ANY AMOUNT PAID BY OTHERS]
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
387 0 288000 20077.62 39903.31 21483
-----------------------------------------------------------------
160 9999998. DK (Don't Know); NA (Not Ascertained)
4 9999999. RF (Refused)
==========================================================================================
MN120 AMT PAID O-O-P NURSING HOME- MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.NHomeStay.N120_
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
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
71 0. Value of Breakpoint
3 500. Value of Breakpoint
19 501. Value of Breakpoint
5 5000. Value of Breakpoint
10 5001. Value of Breakpoint
2 10000. Value of Breakpoint
36 10001. Value of Breakpoint
1 20000. Value of Breakpoint
6 20001. Value of Breakpoint
1 50000. Value of Breakpoint
8 50001. Value of Breakpoint
21872 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN121 AMT PAID O-O-P NURSING HOME- MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.NHomeStay.N121_
*
.................................................................................
16 499. Value of Breakpoint
3 500. Value of Breakpoint
23 4999. Value of Breakpoint
5 5000. Value of Breakpoint
13 9999. Value of Breakpoint
2 10000. Value of Breakpoint
16 19999. Value of Breakpoint
1 20000. Value of Breakpoint
5 49999. Value of Breakpoint
1 50000. Value of Breakpoint
77 99999996. Greater than Maximum Breakpoint
21872 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN122 AMT PAID O-O-P NURSING HOME- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.N122_
*
.................................................................................
2 97. Data Not Available
74 98. DK (Don't Know); NA (Not Ascertained)
3 99. RF (Refused)
21955 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
IF ((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <> 996)) AND
(((piLPCNTR = piN115_TimeOverNH) AND ((SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME) OR (PISecAContinuInterviewA124_PlaceDied = INNURSINGHOME))) OR
((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR ((piN115_TimeOverNH
> 1) AND piN115_TimeOverNH <> NONRESPONSE)) 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))))) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN124_1 YEAR R MOVED TO NURSING HOME- 1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N124_YrMovInNH1
IF THIS IS FIRST TIME THROUGH LOOP and R HAD MORE THAN ONE NURSING HOME STAY
(N115>1):
Think back to the first time [since R's LAST IW MONTH, YEAR/in the last two
years] that you were a patient in a nursing home or other long-term care
facility.
IF THIS IS SECOND TIME THROUGH LOOP and R HAD MORE THAN TWO NURSING HOME STAYS
(N115>2):
Think back to the second time ([since R's LAST IW MONTH, YEAR/in the last two
years]) that you were a patient in a nursing home or other long-term care
facility.
IF THIS IS THE LAST TIME THROUGH THE LOOP {(LOOP COUNTER {=3 or = NUMBER OF
NURSING HOME STAYS (per N115)} and R HAD MORE THAN ONE NURSING HOME STAY
(N115>1) and R {DOES NOT LIVE IN A NURSING HOME (A167_A028 NOT 1)
OTHERWISE:
Think back to the time [since R's LAST IW MONTH, YEAR/in the last two years]
that you were a patient in a nursing home or other long-term care facility.
ASK ALL Rs:
In what year did you go into the nursing home or health care facility?
.................................................................................
870 1992-2011. Actual Value
33 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
21131 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1 >=
Init.A062T2YrsAgo_A THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN123_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:
.................................................................................
63 1. JAN
44 2. FEB
58 3. MAR
60 4. APR
44 5. MAY
51 6. JUN
58 7. JUL
43 8. AUG
61 9. SEP
73 10. OCT
70 11. NOV
56 12. DEC
7 13. WINTER
4 14. SPRING
5 15. SUMMER
9 16. FALL
33 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
21294 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1
IF ((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR (piLPCNTR <
piN115_TimeOverNH) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN126_1 YEAR R MOVED OUT OF NURSING HOME- 1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N126_YrMovOutNH1
In what year did you move out of the nursing home or health care facility?
Year:
.................................................................................
609 2000-2011. Actual Value
4 9995. Continuous since entered; R still in nursing
home
20 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
21401 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N126_YrMovOutNH1
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N126_YrMovOutNH1 >=
Init.A062T2YrsAgo_A THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN125_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:
.................................................................................
55 1. JAN
29 2. FEB
39 3. MAR
49 4. APR
49 5. MAY
32 6. JUN
35 7. JUL
42 8. AUG
42 9. SEP
49 10. OCT
43 11. NOV
47 12. DEC
3 13. WINTER
4 14. SPRING
3 15. SUMMER
5 16. FALL
41 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
21466 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
IF piGovCoverN005_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN127_1 ELIGIBLE FOR MEDICAID START NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N127_
IF THIS IS THE LAST TIME THROUGH THE LOOP {(LOOP COUNTER {= 3 or = NUMBER OF
NURSING HOME STAYS (per N115)} and R HAD MORE THAN ONE NURSING HOME STAY
(N115>1) and R {LIVES IN A NURSING HOME (A167_A028=1):
Think about your current stay at the nursing home or other long-term care
facility.
ASK ALL Rs:
Were you eligible for (Medicaid/STATE NAME FOR MEDICAID) at the time your
[first/second/last/current] nursing home stay started?
.................................................................................
232 1. YES
76 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
21717 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_ = NO THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN128_1 ELIGIBLE FOR MEDICAID DURNG NH STAY-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N128_
Did you become eligible for (Medicaid/State name for Medicaid) during that
nursing home stay?
.................................................................................
42 1. YES
31 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
21958 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF ((SecN.NHomeStay.N114_OverniteNH = YES) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)) OR
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) THEN
IF piLPCNTR <= piN115_TimeOverNH THEN
IF piGovCoverN005_ = YES THEN
IF piN115_TimeOverNH > 1 THEN
N129_ := RHADMORETHAN1STAYINNHOMESINCELA
ELSE
N129_ := ALLOTHS
ELSE
IF piN115_TimeOverNH > 1 THEN
N129_ := RHADMORETHAN1STAYINNHOMESINCELA
ELSE
N129_ := ALLOTHS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN129_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_
*
.................................................................................
69 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE/IN TH
WAVE/IN TH
248 2. ALL OTHERS
21717 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_
IF (((SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_ = YES) OR
(SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N128_ = YES)) AND
(((piN115_TimeOverNH <= 3) AND (piLPCNTR = piN115_TimeOverNH)) OR
(((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR =
3)))) AND ((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) ) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN130_1 LOSE ELIGIBILITY-LAST NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N130_
Did you lose your eligibility for (Medicaid/State name for Medicaid) when you
were discharged from your (last) nursing home stay?
.................................................................................
8 1. YES
57 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
21963 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
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)) ) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN131_1 WHERE R LIVE AFTER NURSING HOME STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N131_LiveAftNH1
Where did you live after leaving the nursing home or health care facility? (Did
you live alone, [with you only,/with [her /his /your ][husband/wife/partner]
only,] with one of your children and his or her own family, with other
relatives, in a retirement center, or what?)
.................................................................................
194 1. R LIVED BY HIM/HER SELF, ALONE
220 2. R LIVED WITH SPOUSE/PARTNER ONLY
88 3. R LIVED WITH CHILD AND CHILD'S FAMILY
15 4. R LIVED WITH OTHER RELATIVE(S)
16 5. R LIVED IN RETIREMENT CENTER
55 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
53 7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
21392 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF ((SecN.NHomeStay.N114_OverniteNH = YES) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)) OR
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) THEN
IF piLPCNTR <= piN115_TimeOverNH THEN
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)) ) THEN
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N131_LiveAftNH1 =
RLIVEDWITHCHILDCHILDSFAM THEN
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N255_N133_WhiChldNH1_A <>
NONRESPONSE THEN
N133_WhiChldNH1 := aArrayInteger[N255_N133_WhiChldNH1_A.ORD]
ELSE
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N255_N133_WhiChldNH1_A = DONTKNOW
THEN
N133_WhiChldNH1 := DONTKNOW
ELSE
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N255_N133_WhiChldNH1_A = REFUSAL
THEN
N133_WhiChldNH1 := REFUSAL
ELSE
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)) THEN
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N255_N133_WhiChldNH1_A <>
NONRESPONSE THEN
N133_WhiChldNH1 := aArrayInteger[N255_N133_WhiChldNH1_A.ORD]
ELSE
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N255_N133_WhiChldNH1_A = DONTKNOW
THEN
N133_WhiChldNH1 := DONTKNOW
ELSE
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N255_N133_WhiChldNH1_A = REFUSAL
THEN
N133_WhiChldNH1 := REFUSAL
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN133_1 LIVE WITH WHICH CHILD AFTER NH STAY- 1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N133_WhiChldNH1
(Which child is that?)
If grandchild: (which of your children is the parent of that grandchild?)
.................................................................................
86 041-990. Other Person Number
992. DECEASED CHILD
1 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
21947 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
IF ((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <> 996)) AND
(((piLPCNTR = piN115_TimeOverNH) AND ((SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME) OR (PISecAContinuInterviewA124_PlaceDied = INNURSINGHOME))) OR
((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR ((piN115_TimeOverNH
> 1) AND piN115_TimeOverNH <> NONRESPONSE)) 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))))) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN124_2 YEAR R MOVED TO NURSING HOME- 2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N124_YrMovInNH1
IF THIS IS FIRST TIME THROUGH LOOP and R HAD MORE THAN ONE NURSING HOME STAY
(N115>1):
Think back to the first time [since R's LAST IW MONTH, YEAR/in the last two
years] that you were a patient in a nursing home or other long-term care
facility.
IF THIS IS SECOND TIME THROUGH LOOP and R HAD MORE THAN TWO NURSING HOME STAYS
(N115>2):
Think back to the second time ([since R's LAST IW MONTH, YEAR/in the last two
years]) that you were a patient in a nursing home or other long-term care
facility.
IF THIS IS THE LAST TIME THROUGH THE LOOP {(LOOP COUNTER {=3 or = NUMBER OF
NURSING HOME STAYS (per N115)} and R HAD MORE THAN ONE NURSING HOME STAY
(N115>1) and R {DOES NOT LIVE IN A NURSING HOME (A167_A028 NOT 1)
OTHERWISE:
Think back to the time [since R's LAST IW MONTH, YEAR/in the last two years]
that you were a patient in a nursing home or other long-term care facility.
ASK ALL Rs:
In what year did you go into the nursing home or health care facility?
.................................................................................
170 1994-2011. Actual Value
19 9998. DK (Don't Know); NA (Not Ascertained)
2 9999. RF (Refused)
21843 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1 >=
Init.A062T2YrsAgo_A THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN123_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:
.................................................................................
14 1. JAN
10 2. FEB
9 3. MAR
11 4. APR
12 5. MAY
8 6. JUN
11 7. JUL
10 8. AUG
9 9. SEP
14 10. OCT
15 11. NOV
15 12. DEC
13. WINTER
1 14. SPRING
15. SUMMER
4 16. FALL
16 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
21874 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1
IF ((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR (piLPCNTR <
piN115_TimeOverNH) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN126_2 YEAR R MOVED OUT OF NURSING HOME- 2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N126_YrMovOutNH1
In what year did you move out of the nursing home or health care facility?
Year:
.................................................................................
123 2000-2011. Actual Value
2 9995. Continuous since entered; R still in nursing
home
18 9998. DK (Don't Know); NA (Not Ascertained)
2 9999. RF (Refused)
21889 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N126_YrMovOutNH1
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N126_YrMovOutNH1 >=
Init.A062T2YrsAgo_A THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN125_2 MONTH R MOVED OUT OF NURSING HOME- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N125_MoMovOutNH1
(What month was that?)
Month:
.................................................................................
7 1. JAN
8 2. FEB
11 3. MAR
12 4. APR
12 5. MAY
9 6. JUN
3 7. JUL
9 8. AUG
8 9. SEP
6 10. OCT
5 11. NOV
12 12. DEC
13. WINTER
1 14. SPRING
15. SUMMER
3 16. FALL
9 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
21918 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
IF piGovCoverN005_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN127_2 ELIGIBLE FOR MEDICAID START NH STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N127_
IF THIS IS THE LAST TIME THROUGH THE LOOP {(LOOP COUNTER {= 3 or = NUMBER OF
NURSING HOME STAYS (per N115)} and R HAD MORE THAN ONE NURSING HOME STAY
(N115>1) and R {LIVES IN A NURSING HOME (A167_A028=1):
Think about your current stay at the nursing home or other long-term care
facility.
ASK ALL Rs:
Were you eligible for (Medicaid/STATE NAME FOR MEDICAID) at the time your
[first/second/last/current] nursing home stay started?
.................................................................................
44 1. YES
16 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
21968 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_ = NO THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN128_2 ELIGIBLE FOR MEDICAID DURNG NH STAY-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N128_
Did you become eligible for (Medicaid/State name for Medicaid) during that
nursing home stay?
.................................................................................
8 1. YES
7 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
22018 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF ((SecN.NHomeStay.N114_OverniteNH = YES) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)) OR
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) THEN
IF piLPCNTR <= piN115_TimeOverNH THEN
IF piGovCoverN005_ = YES THEN
IF piN115_TimeOverNH > 1 THEN
N129_ := RHADMORETHAN1STAYINNHOMESINCELA
ELSE
N129_ := ALLOTHS
ELSE
IF piN115_TimeOverNH > 1 THEN
N129_ := RHADMORETHAN1STAYINNHOMESINCELA
ELSE
N129_ := ALLOTHS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN129_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_
*
.................................................................................
66 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE/IN TH
WAVE/IN TH
2. ALL OTHERS
21968 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_
IF (((SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_ = YES) OR
(SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N128_ = YES)) AND
(((piN115_TimeOverNH <= 3) AND (piLPCNTR = piN115_TimeOverNH)) OR
(((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR =
3)))) AND ((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) ) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN130_2 LOSE ELIGIBILITY-LAST NH STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N130_
Did you lose your eligibility for (Medicaid/State name for Medicaid) when you
were discharged from your (last) nursing home stay?
.................................................................................
1 1. YES
12 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
22019 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
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)) ) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN131_2 WHERE R LIVE AFTER NURSING HOME STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N131_LiveAftNH1
Where did you live after leaving the nursing home or health care facility? (Did
you live alone, [with you only,/with [her/his/your] [husband/wife/partner]
only,] with one of your children and his or her own family, with other
relatives, in a retirement center, or what?)
.................................................................................
45 1. R LIVED BY HIM/HER SELF, ALONE
34 2. R LIVED WITH SPOUSE/PARTNER ONLY
26 3. R LIVED WITH CHILD AND CHILD'S FAMILY
3 4. R LIVED WITH OTHER RELATIVE(S)
3 5. R LIVED IN RETIREMENT CENTER
18 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
13 7. OTHER (SPECIFY)
4 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
21886 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF ((SecN.NHomeStay.N114_OverniteNH = YES) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)) OR
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) THEN
IF piLPCNTR <= piN115_TimeOverNH THEN
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)) ) THEN
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N131_LiveAftNH1 =
RLIVEDWITHCHILDCHILDSFAM THEN
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N255_N133_WhiChldNH1_A <>
NONRESPONSE THEN
N133_WhiChldNH1 := aArrayInteger[N255_N133_WhiChldNH1_A.ORD]
ELSE
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N255_N133_WhiChldNH1_A = DONTKNOW
THEN
N133_WhiChldNH1 := DONTKNOW
ELSE
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N255_N133_WhiChldNH1_A = REFUSAL
THEN
N133_WhiChldNH1 := REFUSAL
ELSE
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)) THEN
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N255_N133_WhiChldNH1_A <>
NONRESPONSE THEN
N133_WhiChldNH1 := aArrayInteger[N255_N133_WhiChldNH1_A.ORD]
ELSE
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N255_N133_WhiChldNH1_A = DONTKNOW
THEN
N133_WhiChldNH1 := DONTKNOW
ELSE
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N255_N133_WhiChldNH1_A = REFUSAL
THEN
N133_WhiChldNH1 := REFUSAL
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN133_2 LIVE WITH WHICH CHILD AFTER NH STAY -2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N133_WhiChldNH1
(Which child is that?)
If grandchild: (which of your children is the parent of that grandchild?)
.................................................................................
24 041-990. Other Person Number
992. DECEASED CHILD
1 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
22009 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
IF ((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <> 996)) AND
(((piLPCNTR = piN115_TimeOverNH) AND ((SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME) OR (PISecAContinuInterviewA124_PlaceDied = INNURSINGHOME))) OR
((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR ((piN115_TimeOverNH
> 1) AND piN115_TimeOverNH <> NONRESPONSE)) 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))))) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN124_3 YEAR R MOVED TO NURSING HOME- 3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N124_YrMovInNH1
IF THIS IS FIRST TIME THROUGH LOOP and R HAD MORE THAN ONE NURSING HOME STAY
(N115>1):
Think back to the first time [since R's LAST IW MONTH, YEAR/in the last two
years] that you were a patient in a nursing home or other long-term care
facility.
IF THIS IS SECOND TIME THROUGH LOOP and R HAD MORE THAN TWO NURSING HOME STAYS
(N115>2):
Think back to the second time ([since R's LAST IW MONTH, YEAR/in the last two
years]) that you were a patient in a nursing home or other long-term care
facility.
IF THIS IS THE LAST TIME THROUGH THE LOOP {(LOOP COUNTER {=3 or = NUMBER OF
NURSING HOME STAYS (per N115)} and R HAD MORE THAN ONE NURSING HOME STAY
(N115>1) and R {DOES NOT LIVE IN A NURSING HOME (A167_A028 NOT 1)
OTHERWISE:
Think back to the time [since R's LAST IW MONTH, YEAR/in the last two years]
that you were a patient in a nursing home or other long-term care facility.
ASK ALL Rs:
In what year did you go into the nursing home or health care facility?
.................................................................................
35 2000-2011. Actual Value
12 9998. DK (Don't Know); NA (Not Ascertained)
2 9999. RF (Refused)
21985 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1 >=
Init.A062T2YrsAgo_A THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN123_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:
.................................................................................
3 1. JAN
2 2. FEB
1 3. MAR
2 4. APR
1 5. MAY
2 6. JUN
2 7. JUL
3 8. AUG
5 9. SEP
1 10. OCT
5 11. NOV
2 12. DEC
13. WINTER
14. SPRING
15. SUMMER
16. FALL
3 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
22002 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1
IF ((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR (piLPCNTR <
piN115_TimeOverNH) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN126_3 YEAR R MOVED OUT OF NURSING HOME- 3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N126_YrMovOutNH1
In what year did you move out of the nursing home or health care facility?
Year:
.................................................................................
25 2000-2011. Actual Value
9995. Continuous since entered; R still in nursing
home
10 9998. DK (Don't Know); NA (Not Ascertained)
2 9999. RF (Refused)
21997 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N126_YrMovOutNH1
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N126_YrMovOutNH1 >=
Init.A062T2YrsAgo_A THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN125_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:
.................................................................................
2 1. JAN
2. FEB
1 3. MAR
3 4. APR
2 5. MAY
2 6. JUN
1 7. JUL
3 8. AUG
3 9. SEP
1 10. OCT
11. NOV
2 12. DEC
13. WINTER
14. SPRING
15. SUMMER
16. FALL
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
22013 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
IF piGovCoverN005_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN127_3 ELIGIBLE FOR MEDICAID START NH STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N127_
IF THIS IS THE LAST TIME THROUGH THE LOOP {(LOOP COUNTER {= 3 or = NUMBER OF
NURSING HOME STAYS (per N115)} and R HAD MORE THAN ONE NURSING HOME STAY
(N115>1) and R {LIVES IN A NURSING HOME (A167_A028=1):
Think about your current stay at the nursing home or other long-term care
facility.
ASK ALL Rs:
Were you eligible for (Medicaid/STATE NAME FOR MEDICAID) at the time your
[first/second/last/current] nursing home stay started?
.................................................................................
13 1. YES
6 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
22009 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_ = NO THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN128_3 ELIGIBLE FOR MEDICAID DURNG NH STAY-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N128_
Did you become eligible for (Medicaid/State name for Medicaid) during that
nursing home stay?
.................................................................................
4 1. YES
2 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
22028 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF ((SecN.NHomeStay.N114_OverniteNH = YES) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)) OR
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) THEN
IF piLPCNTR <= piN115_TimeOverNH THEN
IF piGovCoverN005_ = YES THEN
IF piN115_TimeOverNH > 1 THEN
N129_ := RHADMORETHAN1STAYINNHOMESINCELA
ELSE
N129_ := ALLOTHS
ELSE
IF piN115_TimeOverNH > 1 THEN
N129_ := RHADMORETHAN1STAYINNHOMESINCELA
ELSE
N129_ := ALLOTHS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN129_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_
*
.................................................................................
25 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE/IN TH
WAVE/IN TH
2. ALL OTHERS
22009 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_
IF (((SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_ = YES) OR
(SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N128_ = YES)) AND
(((piN115_TimeOverNH <= 3) AND (piLPCNTR = piN115_TimeOverNH)) OR
(((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR =
3)))) AND ((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) ) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN130_3 LOSE ELIGIBILITY-LAST NH STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N130_
Did you lose your eligibility for (Medicaid/State name for Medicaid) when you
were discharged from your (last) nursing home stay?
.................................................................................
2 1. YES
6 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
22026 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
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)) ) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN131_3 WHERE R LIVE AFTER NURSING HOME STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N131_LiveAftNH1
Where did you live after leaving the nursing home or health care facility? (Did
you live alone, [with you only,/with [her /his /your][husband/wife/partner]
only,] with one of your children and his or her own family, with other
relatives, in a retirement center, or what?)
.................................................................................
14 1. R LIVED BY HIM/HER SELF, ALONE
8 2. R LIVED WITH SPOUSE/PARTNER ONLY
5 3. R LIVED WITH CHILD AND CHILD'S FAMILY
1 4. R LIVED WITH OTHER RELATIVE(S)
1 5. R LIVED IN RETIREMENT CENTER
1 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
3 7. OTHER (SPECIFY)
4 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
21996 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF ((SecN.NHomeStay.N114_OverniteNH = YES) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)) OR
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) THEN
IF piLPCNTR <= piN115_TimeOverNH THEN
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)) ) THEN
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N131_LiveAftNH1 =
RLIVEDWITHCHILDCHILDSFAM THEN
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N255_N133_WhiChldNH1_A <>
NONRESPONSE THEN
N133_WhiChldNH1 := aArrayInteger[N255_N133_WhiChldNH1_A.ORD]
ELSE
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N255_N133_WhiChldNH1_A = DONTKNOW
THEN
N133_WhiChldNH1 := DONTKNOW
ELSE
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N255_N133_WhiChldNH1_A = REFUSAL
THEN
N133_WhiChldNH1 := REFUSAL
ELSE
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)) THEN
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N255_N133_WhiChldNH1_A <>
NONRESPONSE THEN
N133_WhiChldNH1 := aArrayInteger[N255_N133_WhiChldNH1_A.ORD]
ELSE
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N255_N133_WhiChldNH1_A = DONTKNOW
THEN
N133_WhiChldNH1 := DONTKNOW
ELSE
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N255_N133_WhiChldNH1_A = REFUSAL
THEN
N133_WhiChldNH1 := REFUSAL
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN133_3 LIVE WITH WHICH CHILD AFTER NH STAY -3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N133_WhiChldNH1
(Which child is that?)
If grandchild: (which of your children is the parent of that grandchild?)
.................................................................................
5 041-990. Other Person Number
992. DECEASED CHILD
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
22029 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN134 OUTPATIENT SURGERY- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.OutPatSurgery.N134_OutSurgLst2Yrs
(Not counting overnight hospital stays,) [since R's LAST IW MONTH, YEAR/in the
last two years], have you had outpatient surgery?
.................................................................................
4542 1. YES
17160 5. NO
56 8. DK (Don't Know); NA (Not Ascertained)
12 9. RF (Refused)
264 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.OutPatSurgery.N134_OutSurgLst2Yrs
IF SecN.OutPatSurgery.N134_OutSurgLst2Yrs = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN135 OUTPATIENT SURG COSTS COVERED BY HI
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.OutPatSurgery.N135_SurgCov
Were the expenses for your outpatient surgery completely covered by health
insurance, mostly covered, only partially covered, or not covered at all by
insurance?
.................................................................................
2017 1. COMPLETELY COVERED
1779 2. MOSTLY COVERED
517 3. PARTIALLY COVERED
143 5. NOT COVERED AT ALL
49 7. [VOL] COSTS NOT SETTLED YET
37 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17492 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.OutPatSurgery.N135_SurgCov
IF SecN.OutPatSurgery.N135_SurgCov <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN139 AMT PAID O-O-P OUTPAT SURGERY
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.OutPatSurgery.N139_AmtOOPOutSurg
About how much did you pay out-of-pocket for outpatient surgery [since R's LAST
IW MONTH, YEAR/in the last two years]?
[IWER: DO NOT PROBE DK/RF]
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
2087 0 40000 1026.35 2158.76 19509
-----------------------------------------------------------------
425 9999998. DK (Don't Know); NA (Not Ascertained)
13 9999999. RF (Refused)
==========================================================================================
MN140 AMT PAID O-O-P OUTPAT SURGERY - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.OutPatSurgery.N140_
Did it amount to less than $____ per month, more than $____ per month, or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $500, $2,000, $5,000, $10,000, $20,000
RANDOM ENTRY POINTS: $2,000, $5,000, $10,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X514
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
209 0. Value of Breakpoint
25 500. Value of Breakpoint
100 501. Value of Breakpoint
19 2000. Value of Breakpoint
31 2001. Value of Breakpoint
4 5000. Value of Breakpoint
44 5001. Value of Breakpoint
1 10000. Value of Breakpoint
4 10001. Value of Breakpoint
21597 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN141 AMT PAID O-O-P OUTPAT SURGERY - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.OutPatSurgery.N141_
*
.................................................................................
119 499. Value of Breakpoint
25 500. Value of Breakpoint
127 1999. Value of Breakpoint
19 2000. Value of Breakpoint
44 4999. Value of Breakpoint
4 5000. Value of Breakpoint
21 9999. Value of Breakpoint
1 10000. Value of Breakpoint
2 19999. Value of Breakpoint
75 99999996. Greater than Maximum Breakpoint
21597 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN142 AMT PAID O-O-P OUTPAT SURGERY - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.OutPatSurgery.N142_
*
.................................................................................
1 97. Data Not Available
117 98. DK (Don't Know); NA (Not Ascertained)
8 99. RF (Refused)
21908 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.OutPatSurgery.N135_SurgCov
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN143 EXPECT INS TO COVER OUTPAT SURGERY COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.OutPatSurgery.N143_ExpInsCovOutSurg
If you did need to have outpatient surgery, would you expect any of the costs to
be covered by insurance?
.................................................................................
14662 1. YES
2313 5. NO
225 8. DK (Don't Know); NA (Not Ascertained)
28 9. RF (Refused)
4806 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN147 # TIMES SEEN DR- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.DocVisit.N147_TimeSeeDoc
(Aside from any [hospital stays,/outpatient surgery,/hospital stays and
outpatient surgery,]) [how/How] many times have you seen or talked to a medical
doctor about your health, including emergency room, clinic visits, or house
calls [since R's LAST IW MONTH, YEAR/in the last two years]?
USE zero for none
[IWER: INCLUDE VISITS WITH NURSE PRACTITIONERS AND MEDICAL TESTS OR PROCEDURES
PERFORMED BY ANYONE PRACTICING UNDER A DOCTOR'S SUPERVISION SUCH AS MAMMOGRAMS
OR X-RAYS. DO NOT INCLUDE PHYSICAL THERAPY OR REHABILITATION SERVICES]
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
20575 0 900 10.86 24.60 264
-----------------------------------------------------------------
1158 998. DK (Don't Know); NA (Not Ascertained)
37 999. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.DocVisit.N147_TimeSeeDoc
IF SecN.DocVisit.N147_TimeSeeDoc = NONRESPONSE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN148 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?
.................................................................................
446 1. LESS THAN 20 TIMES
138 3. ABOUT 20 TIMES
477 5. MORE THAN 20 TIMES
107 8. DK (Don't Know); NA (Not Ascertained)
27 9. RF (Refused)
20839 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.DocVisit.N148_TimeSeeDoc20
IF SecN.DocVisit.N148_TimeSeeDoc20 <> ABT20TIMES THEN
IF SecN.DocVisit.N148_TimeSeeDoc20 <> MORETHAN20TIMES THEN
IF SecN.DocVisit.N148_TimeSeeDoc20 <> NONRESPONSE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN149 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?
.................................................................................
68 1. LESS THAN 5 TIMES
57 3. ABOUT 5 TIMES
303 5. MORE THAN 5 TIMES
18 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
21588 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.DocVisit.N148_TimeSeeDoc20
IF SecN.DocVisit.N148_TimeSeeDoc20 <> ABT20TIMES THEN
IF SecN.DocVisit.N148_TimeSeeDoc20 <> MORETHAN20TIMES THEN
IF (SecN.DocVisit.N149_TimeSeeDoc5 <> ABT5TIMES) AND
(SecN.DocVisit.N149_TimeSeeDoc5 <> MORETHAN5TIMES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN150 HAS R SOUGHT DOC ADVICE IN PAST 2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DocVisit.N150_DocAdvPast2Yrs
Do you think you have seen a medical doctor about your health at least once
[since R's LAST IW MONTH, YEAR/in the last two years]?
.................................................................................
195 1. YES
7 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
14 9. RF (Refused)
21814 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.DocVisit.N148_TimeSeeDoc20
IF SecN.DocVisit.N148_TimeSeeDoc20 <> ABT20TIMES THEN
IF SecN.DocVisit.N148_TimeSeeDoc20 = MORETHAN20TIMES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN151 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?
.................................................................................
244 1. LESS THAN 50 TIMES
43 3. ABOUT 50 TIMES
162 5. MORE THAN 50 TIMES
27 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
21557 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.DocVisit.N147_TimeSeeDoc
IF ((SecN.DocVisit.N150_DocAdvPast2Yrs = YES) OR
(((((SecN.DocVisit.N147_TimeSeeDoc <> 0) AND (SecN.DocVisit.N147_TimeSeeDoc =
RESPONSE)) OR (SecN.DocVisit.N148_TimeSeeDoc20 = ABT20TIMES)) OR
(SecN.DocVisit.N149_TimeSeeDoc5 = ABT5TIMES)) OR
(SecN.DocVisit.N149_TimeSeeDoc5 = MORETHAN5TIMES))) OR
SecN.DocVisit.N151_SkDocAdv50 <> EMPTY THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN152 DOCTOR VISITS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DocVisit.N152_VisitCovIns
Were the costs for your doctor or clinic visit(s) completely covered by health
insurance, mostly covered, only partially covered, or not covered at all by
insurance?
.................................................................................
6056 1. COMPLETELY COVERED
9054 2. MOSTLY COVERED
3051 3. PARTIALLY COVERED
1296 5. NOT COVERED AT ALL
29 7. [VOL] COSTS NOT SETTLED YET
126 8. DK (Don't Know); NA (Not Ascertained)
11 9. RF (Refused)
2411 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.DocVisit.N152_VisitCovIns
IF SecN.DocVisit.N152_VisitCovIns <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN156 AMT PAY O-O-P FOR DOC VISITS
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.DocVisit.N156_AmtOOPVisit
About how much did you pay out-of-pocket for doctor or clinic visits [since R's
LAST IW MONTH, YEAR/in the last two years]?
Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
11408 0 70000 626.66 1663.16 8467
-----------------------------------------------------------------
2080 9999998. DK (Don't Know); NA (Not Ascertained)
79 9999999. RF (Refused)
==========================================================================================
MN157 AMT PAY O-O-P FOR DOC VISITS - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.DocVisit.N157_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $500, $2,000, $5,000, $10,000, $20,000
RANDOM ENTRY POINTS: $2,000, $5,000, $10,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X515
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
915 0. Value of Breakpoint
156 500. Value of Breakpoint
469 501. Value of Breakpoint
144 2000. Value of Breakpoint
223 2001. Value of Breakpoint
48 5000. Value of Breakpoint
160 5001. Value of Breakpoint
8 10000. Value of Breakpoint
20 10001. Value of Breakpoint
1 20000. Value of Breakpoint
6 20001. Value of Breakpoint
19884 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN158 AMT PAY O-O-P FOR DOC VISITS - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.DocVisit.N158_
*
.................................................................................
511 499. Value of Breakpoint
156 500. Value of Breakpoint
550 1999. Value of Breakpoint
144 2000. Value of Breakpoint
290 4999. Value of Breakpoint
48 5000. Value of Breakpoint
109 9999. Value of Breakpoint
8 10000. Value of Breakpoint
17 19999. Value of Breakpoint
1 20000. Value of Breakpoint
316 99999996. Greater than Maximum Breakpoint
19884 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN159 AMT PAY O-O-P FOR DOC VISITS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.DocVisit.N159_
*
.................................................................................
9 97. Data Not Available
445 98. DK (Don't Know); NA (Not Ascertained)
62 99. RF (Refused)
21518 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.DocVisit.N152_VisitCovIns
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN160 EXPECT HI TO COVER DR VISIT COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DocVisit.N160_ExpDocCovIns
If you did need to see a medical doctor, would you expect any of the costs to be
covered by insurance?
.................................................................................
1394 1. YES
713 5. NO
27 8. DK (Don't Know); NA (Not Ascertained)
13 9. RF (Refused)
19887 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN164 SEEN DENTIST SINCE PREV IW/2YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DentalCare.N164_SeeDentPW
[Since R's LAST IW MONTH, YEAR/In the last two years] have you seen a dentist
for dental care, including dentures?
.................................................................................
13742 1. YES
7983 5. NO
27 8. DK (Don't Know); NA (Not Ascertained)
18 9. RF (Refused)
264 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.DentalCare.N164_SeeDentPW
IF SecN.DentalCare.N164_SeeDentPW = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN165 DENTAL COSTS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DentalCare.N165_DentCovIns
Were your dental expenses completely covered by insurance, mostly covered, only
partially covered, or not covered at all by insurance?
.................................................................................
1716 1. COMPLETELY COVERED
2896 2. MOSTLY COVERED
3321 3. PARTIALLY COVERED
5730 5. NOT COVERED AT ALL
17 7. [VOL] COSTS NOT SETTLED YET
55 8. DK (Don't Know); NA (Not Ascertained)
7 9. RF (Refused)
8292 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.DentalCare.N165_DentCovIns
IF SecN.DentalCare.N165_DentCovIns <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN168 AMT PAY O-O-P DENTAL
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.DentalCare.N168_AmtPayOOPDental
About how much did you pay out-of-pocket for dental bills [since R's LAST IW
MONTH, YEAR/in the last two years]?
Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
11129 0 60000 1125.96 2082.42 10008
-----------------------------------------------------------------
846 9999998. DK (Don't Know); NA (Not Ascertained)
51 9999999. RF (Refused)
==========================================================================================
MN169 AMT PAY O-O-P DENTAL - MIN
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.DentalCare.N169_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $100, $200, $400, $1,000, $3,000
RANDOM ENTRY POINTS: $200, $400, $1,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X516
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
217 0. Value of Breakpoint
22 100. Value of Breakpoint
61 101. Value of Breakpoint
33 200. Value of Breakpoint
116 201. Value of Breakpoint
49 400. Value of Breakpoint
227 401. Value of Breakpoint
23 1000. Value of Breakpoint
96 1001. Value of Breakpoint
12 3000. Value of Breakpoint
39 3001. Value of Breakpoint
21139 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN170 AMT PAY O-O-P DENTAL - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.DentalCare.N170_
*
.................................................................................
52 99. Value of Breakpoint
22 100. Value of Breakpoint
73 199. Value of Breakpoint
33 200. Value of Breakpoint
125 399. Value of Breakpoint
49 400. Value of Breakpoint
178 999. Value of Breakpoint
23 1000. Value of Breakpoint
92 2999. Value of Breakpoint
12 3000. Value of Breakpoint
236 99999996. Greater than Maximum Breakpoint
21139 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN171 AMT PAY O-O-P DENTAL - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.DentalCare.N171_
*
.................................................................................
2 97. Data Not Available
206 98. DK (Don't Know); NA (Not Ascertained)
44 99. RF (Refused)
21782 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: N251_PlanCnt3.KEEP
IF SecN.DentalCare.N251_PlanCnt3 = EMPTY AND (SecN.DentalCare.N164_SeeDentPW <>
EMPTY OR (((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) AND
SecN.DocVisit.N160_ExpDocCovIns <> EMPTY)) THEN
DentalCare.N251_PlanCnt3 := N090_NumOfPlans
ELSE
N251_PlanCnt3.KEEP
IF SecN.DentalCare.N251_PlanCnt3 = EMPTY AND (SecN.DentalCare.N164_SeeDentPW <>
EMPTY OR (((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) AND
SecN.DocVisit.N160_ExpDocCovIns <> EMPTY)) THEN
DentalCare.N251_PlanCnt3 := N090_NumOfPlans
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN251 PLAN COUNT 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DentalCare.N251_PlanCnt3
*
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
21770 0 6 1.51 0.89 264
-----------------------------------------------------------------
==========================================================================================
ASSIGN: 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) THEN
N175_TkMedsReg := MEDICATIONSKNOWN
ELSE
N175_TkMedsReg.ASK
ELSE
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) THEN
N175_TkMedsReg := MEDICATIONSKNOWN
ELSE
N175_TkMedsReg.ASK
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN175 TAKE RX DRUGS REGULARLY
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N175_TkMedsReg
Do you regularly take prescription medications?
.................................................................................
3932 1. YES
4473 5. NO
13469 7. MEDICATIONS KNOWN (assigned)
2 8. DK (Don't Know); NA (Not Ascertained)
11 9. RF (Refused)
147 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF ((SecN.PrescpDrug.N175_TkMedsReg = YES) OR (SecN.PrescpDrug.N175_TkMedsReg =
MEDICATIONSKNOWN)) OR SecN.PrescpDrug.N175_TkMedsReg = EMPTY THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN360 RX DRUGS REGULARLY CHOLESTEROL
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N360_
Do you regularly take prescription medications for any of the following common
health problems:
To help lower your cholesterol?
.................................................................................
8916 1. YES
8274 5. NO
82 8. DK (Don't Know); NA (Not Ascertained)
12 9. RF (Refused)
4750 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N360_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN361 RX DRUGS REGULARLY PAIN
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N361_
(Do you regularly take prescription medications for any of the following common
health problems:)
For pain in your joints or muscles?
.................................................................................
5493 1. YES
11752 5. NO
27 8. DK (Don't Know); NA (Not Ascertained)
12 9. RF (Refused)
4750 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N361_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN362 PRESC DRUGS REGULARLY BREATHING PROBLEMS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N362_
(Do you regularly take prescription medications for any of the following common
health problems:)
For asthma or allergies or other breathing problems?
.................................................................................
3355 1. YES
13895 5. NO
25 8. DK (Don't Know); NA (Not Ascertained)
9 9. RF (Refused)
4750 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N362_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN363 PRESC DRUGS REGULARLY STOMACH PROBLEMS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N363_
(Do you regularly take prescription medications for any of the following common
health problems:)
For stomach problems?
.................................................................................
3672 1. YES
13576 5. NO
28 8. DK (Don't Know); NA (Not Ascertained)
8 9. RF (Refused)
4750 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N363_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN364 PRESC DRUGS REGULARLY HELP SLEEP
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N364_
(Do you regularly take prescription medications for any of the following common
health problems:)
To help you sleep?
.................................................................................
2945 1. YES
14300 5. NO
30 8. DK (Don't Know); NA (Not Ascertained)
9 9. RF (Refused)
4750 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N364_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN365 RX DRUGS REGULARLY-ANXIETY OR DEPRESSION
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N365_
(Do you regularly take prescription medications for any of the following common
health problems:)
To help relieve anxiety or depression?
.................................................................................
3880 1. YES
13361 5. NO
34 8. DK (Don't Know); NA (Not Ascertained)
9 9. RF (Refused)
4750 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (SecN.PrescpDrug.N175_TkMedsReg <> NO) AND SecN.PrescpDrug.N175_TkMedsReg <>
NONRESPONSE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN176 DRUG COSTS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N176_MedsCovIns
[Earlier you said you are taking prescription medications.]
Have the costs of your prescription medications been completely covered by
health insurance, mostly covered, only partially covered, or not covered at all
by insurance?
.................................................................................
2286 1. COMPLETELY COVERED
8250 2. MOSTLY COVERED
4996 3. PARTIALLY COVERED
1627 5. NOT COVERED AT ALL
9 7. [VOL] COSTS NOT SETTLED YET
102 8. DK (Don't Know); NA (Not Ascertained)
14 9. RF (Refused)
4750 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N176_MedsCovIns
IF (((SecN.PrescpDrug.N176_MedsCovIns = COMPLETELYCOVRD) OR
(SecN.PrescpDrug.N176_MedsCovIns = MOSTLYCOVRD)) OR
(SecN.PrescpDrug.N176_MedsCovIns = PARTIALLYCOVRD)) AND ((ACTIVELANGUAGE <>
EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN178 WHICH PLAN COVERED DRUG COSTS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PrescpDrug.N178_WhiPlanCovMeds
What is the name of the health insurance plan that covered the largest share of
the costs?
.................................................................................
5935 1. FIRST PLAN MENTIONED AT MN024
86 2. SECOND PLAN MENTIONED AT MN024
8 3. THIRD PLAN MENTIONED AT MN024
124 4. PLAN MENTIONED AT MN070
10 5. PLAN MENTIONED AT MN074
108 6. PLAN MENTIONED AT MN105
83 7. PLAN MENTIONED AT MN113
413 8. PLAN MENTIONED AT MN242
9. PLAN MENTIONED AT MN138
10. PLAN MENTIONED AT MN146
11. PLAN MENTIONED AT MN155
12. PLAN MENTIONED AT MN163
13. PLAN MENTIONED AT MN167
15. PLAN MENTIONED AT MN179
16. PLAN MENTIONED AT MN187
2374 18. MEDICARE PART D - NAME OF PART D PLAN
2168 19. MEDICARE HMO
859 20. MEDICARE
696 21. MEDICAID
541 22. CHAMPUS
1262 27. NOT ON LIST
379 97. GET MEDS THROUGH THE VA
452 98. DK (Don't Know); NA (Not Ascertained)
34 99. RF (Refused)
6502 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N176_MedsCovIns
IF SecN.PrescpDrug.N176_MedsCovIns <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN180 AMT PAY O-O-P RX DRUGS PER MONTH
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.PrescpDrug.N180_AmtOOPMeds
On average, about how much have you paid out-of-pocket per month for these
prescriptions [since R's LAST IW MONTH, YEAR/in the last two years]?
Do not probe DK/RF
Amount per month:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
13199 0 3600 73.71 145.46 7036
-----------------------------------------------------------------
1732 99998. DK (Don't Know); NA (Not Ascertained)
67 99999. RF (Refused)
==========================================================================================
MN181 AMT PAY O-O-P RX DRUGS PER MONTH- MIN
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.PrescpDrug.N181_
Did it amount to less than $____ per month, more than $____ per month, or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $20, $40, $100, $200, $500
RANDOM ENTRY POINTS: $40, $100, $200
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X517
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
414 0. Value of Breakpoint
69 20. Value of Breakpoint
119 21. Value of Breakpoint
148 40. Value of Breakpoint
341 41. Value of Breakpoint
103 100. Value of Breakpoint
348 101. Value of Breakpoint
66 200. Value of Breakpoint
131 201. Value of Breakpoint
14 500. Value of Breakpoint
44 501. Value of Breakpoint
20237 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN182 AMT PAY O-O-P RX DRUGS PER MONTH- MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.PrescpDrug.N182_
*
.................................................................................
118 19. Value of Breakpoint
69 20. Value of Breakpoint
151 39. Value of Breakpoint
148 40. Value of Breakpoint
352 99. Value of Breakpoint
103 100. Value of Breakpoint
238 199. Value of Breakpoint
66 200. Value of Breakpoint
122 499. Value of Breakpoint
14 500. Value of Breakpoint
416 99999996. Greater than Maximum Breakpoint
20237 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN183 AMT PAY O-O-P RX DRUGS PER MONTH- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PrescpDrug.N183_
*
.................................................................................
2 97. Data Not Available
393 98. DK (Don't Know); NA (Not Ascertained)
61 99. RF (Refused)
21578 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF (SecN.PrescpDrug.N175_TkMedsReg <> NO) AND SecN.PrescpDrug.N175_TkMedsReg <>
NONRESPONSE THEN
IF ((SecN.PrescpDrug.N180_AmtOOPMeds <> EMPTY AND
SecN.PrescpDrug.N180_AmtOOPMeds <> NONRESPONSE) AND SecN.PrescpDrug.N182_ =
EMPTY) OR ((SecN.PrescpDrug.N180_AmtOOPMeds = NONRESPONSE AND
(SecN.PrescpDrug.N182_ <= 500)) AND SecN.PrescpDrug.N183_ <> NONRESPONSE) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN368 OUT-OF-POCKET PAYMENTS WERE MUCH HIGHER
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N368_
You said your average payment for prescription drugs has been [$ AMOUNT (per
N180)/ about $ SINGLE BRACKETED AMOUNT WHERE MIN=MAX/ between $ MINIMUM
BRACKETED AMOUNT (per N181) and $ MAXIMUM BRACKETED AMOUNT (per N182)] per month
over the last two years.
Have there been some months when your out-of-pocket payments were much higher
than this?
If R wishes to correct the report of monthly spending, or the bracket answer,
enter an F2 comment here
.................................................................................
4516 1. YES
9852 5. NO
107 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
7557 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N368_
IF SecN.PrescpDrug.N368_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN369M1 CAUSED PAYMENTS TO BE HIGHER -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N369_[1]
What caused your payments to be higher in those months?
CHOOSE all that apply.
.................................................................................
2514 1. HAD TO TAKE ADDITIONAL MEDICATIONS
721 2. INSURANCE RAN OUT/WOULDN'T COVER; changed insurance plan
316 3. HAD TO PAY DOWN DEDUCTIBLE
406 4. Cost of meds increased
57 5. Costs decreased
276 6. Cost naturally varies; bulk purchases; different meds each
month
128 7. OTHER (SPECIFY)
98 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
17517 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N368_
IF SecN.PrescpDrug.N368_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN369M2 CAUSED PAYMENTS TO BE HIGHER -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N369_[2]
What caused your payments to be higher in those months?
CHOOSE all that apply.
.................................................................................
39 1. HAD TO TAKE ADDITIONAL MEDICATIONS
97 2. INSURANCE RAN OUT/WOULDN'T COVER; changed insurance plan
35 3. HAD TO PAY DOWN DEDUCTIBLE
53 4. Cost of meds increased
4 5. Costs decreased
31 6. Cost naturally varies; bulk purchases; different meds each
month
14 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
21761 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N368_
IF SecN.PrescpDrug.N368_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN369M3 CAUSED PAYMENTS TO BE HIGHER -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N369_[3]
What caused your payments to be higher in those months?
CHOOSE all that apply.
.................................................................................
1 1. HAD TO TAKE ADDITIONAL MEDICATIONS
1 2. INSURANCE RAN OUT/WOULDN'T COVER; changed insurance plan
9 3. HAD TO PAY DOWN DEDUCTIBLE
2 4. Cost of meds increased
1 5. Costs decreased
1 6. Cost naturally varies; bulk purchases; different meds each
month
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
22019 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N368_
IF SecN.PrescpDrug.N368_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN369M4 CAUSED PAYMENTS TO BE HIGHER -4
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N369_[4]
What caused your payments to be higher in those months?
CHOOSE all that apply.
.................................................................................
1. HAD TO TAKE ADDITIONAL MEDICATIONS
2. INSURANCE RAN OUT/WOULDN'T COVER; changed insurance plan
3. HAD TO PAY DOWN DEDUCTIBLE
4. Cost of meds increased
5. Costs decreased
6. Cost naturally varies; bulk purchases; different meds each
month
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
22034 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
IF (SecN.PrescpDrug.N175_TkMedsReg <> YES) AND (SecN.PrescpDrug.N175_TkMedsReg
<> MEDICATIONSKNOWN) THEN
IF (((((SecN.MediCaidCarePlan.N351_ = YES) OR ((SecN.MedD.N352_ = YES) OR
(SecN.MedD.N352_ = EnrolledAutomatic))) OR (PlanDetails[1].N032_ = YES)) OR
(PlanDetails[2].N032_ = YES)) OR (PlanDetails[3].N032_ = YES)) OR
(SecN.MedD.N417_ = YES) THEN
N184_MedsCovInsNeed := PrevReportedCoverage
ELSE
N184_MedsCovInsNeed.ASK
ELSE
IF (((((SecN.MediCaidCarePlan.N351_ = YES) OR ((SecN.MedD.N352_ = YES) OR
(SecN.MedD.N352_ = EnrolledAutomatic))) OR (PlanDetails[1].N032_ = YES)) OR
(PlanDetails[2].N032_ = YES)) OR (PlanDetails[3].N032_ = YES)) OR
(SecN.MedD.N417_ = YES) THEN
N184_MedsCovInsNeed := PrevReportedCoverage
ELSE
N184_MedsCovInsNeed.ASK
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN184 EXPECT INS TO COVER DRUG COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N184_MedsCovInsNeed
If your doctor did prescribe medication, would you expect any of the costs to be
covered by insurance?
.................................................................................
481 1. YES
2724 2. ASSIGN - PREVIOUSLY REPORTED DRUG COVERAGE
1234 5. NO
39 8. DK (Don't Know); NA (Not Ascertained)
11 9. RF (Refused)
17545 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N184_MedsCovInsNeed
IF SecN.PrescpDrug.N184_MedsCovInsNeed = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN186 WHICH PLAN WOULD COVER DRUG COSTS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PrescpDrug.N186_WhiPlanCovMedsNd
What is the name of the health insurance plan that would cover the largest share
of the costs?
.................................................................................
59 1. FIRST PLAN MENTIONED AT MN024
1 2. SECOND PLAN MENTIONED AT MN024
3. THIRD PLAN MENTIONED AT MN024
18 4. PLAN MENTIONED AT MN070
1 5. PLAN MENTIONED AT MN074
12 6. PLAN MENTIONED AT MN105
53 7. PLAN MENTIONED AT MN113
8. PLAN MENTIONED AT MN242
9. PLAN MENTIONED AT MN138
10. PLAN MENTIONED AT MN146
11. PLAN MENTIONED AT MN155
12. PLAN MENTIONED AT MN163
13. PLAN MENTIONED AT MN167
15. PLAN MENTIONED AT MN179
16. PLAN MENTIONED AT MN187
7 19. MEDICARE HMO
53 20. MEDICARE
62 21. MEDICAID
41 22. CHAMPUS
93 27. NOT ON LIST
10 97. GET MEDS THROUGH THE VA
67 98. DK (Don't Know); NA (Not Ascertained)
4 99. RF (Refused)
21553 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN188 EVER TAKE LESS MEDS BECAUSE OF COST
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N188_TkLessMedsCost
Sometimes people delay taking medication or filling prescriptions because of the
cost. At any time [since R's LAST IW MONTH, YEAR/in the last two years] have
you ended up taking less medication than was prescribed for you because of the
cost?
.................................................................................
2792 1. YES
18927 5. NO
30 8. DK (Don't Know); NA (Not Ascertained)
21 9. RF (Refused)
264 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (piN116_NiteOverNH <> 996) OR ((piX008AInNHome_V <> INNURSINGHOME) AND
(piN116_NiteOverNH = 996)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN189 USED HOME HEALTH SVC- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.InHomeCare.N189_HomeHlthSvc
Since R's LAST IW MONTH, YEAR/in the last two years], has any medically-trained
person come to your home to help you, yourself?
We only want to include help given to R, not help for R when R is a caregiver
for someone else
Def: (Medically-trained persons include professional nurses, visiting nurse's
aides, physical or occupational therapists, chemotherapists, and respiratory
oxygen therapists.)
.................................................................................
1913 1. YES
19709 5. NO
10 8. DK (Don't Know); NA (Not Ascertained)
12 9. RF (Refused)
390 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.InHomeCare.N189_HomeHlthSvc
IF SecN.InHomeCare.N189_HomeHlthSvc = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN190 HOME HEALTH SERVICE COST COVERED BY INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.InHomeCare.N190_HHSvcCovIns
Were the costs of your home medical care completely covered by health insurance,
mostly covered, only partially covered, or not covered at all by insurance?
.................................................................................
1382 1. COMPLETELY COVERED
274 2. MOSTLY COVERED
95 3. PARTIALLY COVERED
109 5. NOT COVERED AT ALL
18 7. [VOL] COSTS NOT SETTLED YET
34 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
20121 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.InHomeCare.N190_HHSvcCovIns
IF SecN.InHomeCare.N190_HHSvcCovIns <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN194 AMT PAY O-O-P HOME HEALTH SVC
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.InHomeCare.N194_AmtPayOOPHHS
About how much did you pay out-of-pocket for in-home medical care [since R's
LAST IW MONTH, YEAR/in the last two years]?
Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
386 0 32000 845.20 3550.15 21503
-----------------------------------------------------------------
138 999998. DK (Don't Know); NA (Not Ascertained)
7 999999. RF (Refused)
==========================================================================================
MN195 AMT PAY O-O-P HOME HEALTH SVC - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.InHomeCare.N195_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $500, $2,000, $5,000, $10,000, $20,000
RANDOM ENTRY POINTS: $2,000, $5,000, $10,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X518
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
75 0. Value of Breakpoint
5 500. Value of Breakpoint
19 501. Value of Breakpoint
3 2000. Value of Breakpoint
13 2001. Value of Breakpoint
3 5000. Value of Breakpoint
19 5001. Value of Breakpoint
2 10000. Value of Breakpoint
2 10001. Value of Breakpoint
3 20001. Value of Breakpoint
21890 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN196 AMT PAY O-O-P HOME HEALTH SVC - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.InHomeCare.N196_
*
.................................................................................
32 499. Value of Breakpoint
5 500. Value of Breakpoint
29 1999. Value of Breakpoint
3 2000. Value of Breakpoint
15 4999. Value of Breakpoint
3 5000. Value of Breakpoint
3 9999. Value of Breakpoint
2 10000. Value of Breakpoint
2 19999. Value of Breakpoint
50 99999996. Greater than Maximum Breakpoint
21890 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN197 AMT PAY O-O-P HOME HEALTH SVC - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.InHomeCare.N197_
*
.................................................................................
1 97. Data Not Available
56 98. DK (Don't Know); NA (Not Ascertained)
4 99. RF (Refused)
21973 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.InHomeCare.N190_HHSvcCovIns
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN198 EXPECT HI COVER HOME HEALTH SVC COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.InHomeCare.N198_HHSCovIns
If you were to need medical care in your home, would you expect any of the costs
to be covered by insurance?
.................................................................................
13102 1. YES
5323 5. NO
1274 8. DK (Don't Know); NA (Not Ascertained)
32 9. RF (Refused)
2303 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN202 USED OTHER HEALTH SVC- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.OthHealthCare.N202_UseOthSvc
IWER: READ SLOWLY:
[Since R's LAST IW MONTH, YEAR/In the last two years], did you use any special
facility or service which we haven't talked about, such as: an adult care
center, a social worker, an outpatient rehabilitation program, physical therapy,
or transportation for the elderly or disabled?
.................................................................................
3667 1. YES
18061 5. NO
25 8. DK (Don't Know); NA (Not Ascertained)
15 9. RF (Refused)
266 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.OthHealthCare.N202_UseOthSvc
IF SecN.OthHealthCare.N202_UseOthSvc = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN203 OTHER HEALTH SVC PAID BY R/SP/P
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.OthHealthCare.N203_OthSvcCovIns
Did you [or your] [husband/wife/partner] have to pay for any of these services?
.................................................................................
1389 1. YES
2230 5. NO
48 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18367 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.OthHealthCare.N203_OthSvcCovIns
IF SecN.OthHealthCare.N203_OthSvcCovIns = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN239 AMT PAY O-O-P OTHER HEALTH SERVICE
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.OthHealthCare.N239_OthSvcCost
Altogether, about how much did you have to pay?
Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1182 0 60000 754.14 2675.92 20645
-----------------------------------------------------------------
204 9999998. DK (Don't Know); NA (Not Ascertained)
3 9999999. RF (Refused)
==========================================================================================
MN246 AMT PAY O-O-P OTHER HEALTH SERVICE- MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.OthHealthCare.N246_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $500, $1,000, $5,000, $10,000, $20,000
RANDOM ENTRY POINTS: $1,000, $5,000, $10,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X519
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
89 0. Value of Breakpoint
11 500. Value of Breakpoint
27 501. Value of Breakpoint
11 1000. Value of Breakpoint
31 1001. Value of Breakpoint
3 5000. Value of Breakpoint
13 5001. Value of Breakpoint
1 10000. Value of Breakpoint
2 20001. Value of Breakpoint
21846 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN247 AMT PAY O-O-P OTHER HEALTH SERVICE- MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.OthHealthCare.N247_
*
.................................................................................
55 499. Value of Breakpoint
11 500. Value of Breakpoint
39 999. Value of Breakpoint
11 1000. Value of Breakpoint
37 4999. Value of Breakpoint
3 5000. Value of Breakpoint
5 9999. Value of Breakpoint
1 10000. Value of Breakpoint
26 99999996. Greater than Maximum Breakpoint
21846 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN248 AMT PAY O-O-P OTHER HEALTH SVC- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.OthHealthCare.N248_
*
.................................................................................
19 97. Data Not Available
42 98. DK (Don't Know); NA (Not Ascertained)
3 99. RF (Refused)
21970 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.OthHealthCare.N202_UseOthSvc
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN332 EX OTHER MEDICAL EXPENSES
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.OthHealthCare.N332_
[Since R's LAST IW MONTH, YEAR/In the last two years], aside from the medical
expenses we already mentioned, have you had any other out-of pocket expenses,
that is, expenses not covered by insurance, such as medications, special food,
equipment such as a special bed or chair, visits by health professionals, or
other costs?
.................................................................................
2631 1. YES
19070 5. NO
47 8. DK (Don't Know); NA (Not Ascertained)
19 9. RF (Refused)
267 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.OthHealthCare.N332_
IF SecN.OthHealthCare.N332_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN333 EX PAY O-O-P OTHER MEDICAL
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.OthHealthCare.N333_
About how much did you pay out-of-pocket for these expenses [since R's LAST IW
MONTH, YEAR/in the last two years]?
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
2309 0 75000 966.19 2894.23 19403
-----------------------------------------------------------------
313 999998. DK (Don't Know); NA (Not Ascertained)
9 999999. RF (Refused)
==========================================================================================
MN334 AMT PAY O-O-P OTHER MEDICAL - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.OthHealthCare.N334_
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
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
134 0. Value of Breakpoint
22 500. Value of Breakpoint
36 501. Value of Breakpoint
21 1000. Value of Breakpoint
61 1001. Value of Breakpoint
9 5000. Value of Breakpoint
25 5001. Value of Breakpoint
3 10000. Value of Breakpoint
3 10001. Value of Breakpoint
2 20000. Value of Breakpoint
21718 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN335 AMT PAY O-O-P OTHER MEDICAL - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.OthHealthCare.N335_
*
.................................................................................
78 499. Value of Breakpoint
22 500. Value of Breakpoint
51 999. Value of Breakpoint
21 1000. Value of Breakpoint
66 4999. Value of Breakpoint
9 5000. Value of Breakpoint
16 9999. Value of Breakpoint
3 10000. Value of Breakpoint
1 19999. Value of Breakpoint
2 20000. Value of Breakpoint
47 99999996. Greater than Maximum Breakpoint
21718 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN336 AMT PAY O-O-P OTHER MEDICAL - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.OthHealthCare.N336_
*
.................................................................................
6 97. Data Not Available
66 98. DK (Don't Know); NA (Not Ascertained)
8 99. RF (Refused)
21954 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: IF SecN.HospitalStay.N106_AmtOOPHospCost = RESPONSE THEN
N204_AssgnHospCost := HospitalStay.N106_AmtOOPHospCost
ELSE
IF ((SecN.HospitalStay.N106_AmtOOPHospCost = DONTKNOW) OR
(SecN.HospitalStay.N106_AmtOOPHospCost = REFUSAL)) AND (SecN.HospitalStay.N107_
= RESPONSE) THEN
N204_AssgnHospCost := HospitalStay.N107_
ELSE
N204_AssgnHospCost := 0
ELSE
IF SecN.HospitalStay.N106_AmtOOPHospCost = RESPONSE THEN
N204_AssgnHospCost := HospitalStay.N106_AmtOOPHospCost
ELSE
IF ((SecN.HospitalStay.N106_AmtOOPHospCost = DONTKNOW) OR
(SecN.HospitalStay.N106_AmtOOPHospCost = REFUSAL)) AND (SecN.HospitalStay.N107_
= RESPONSE) THEN
N204_AssgnHospCost := HospitalStay.N107_
ELSE
N204_AssgnHospCost := 0
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN204 ASSIGN HOSPITAL COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.N204_AssgnHospCost
User Note: N106 and N107 are used to calculate MN204.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
22026 0 82000 296.38 1951.65 8
-----------------------------------------------------------------
==========================================================================================
ASSIGN: IF SecN.NHomeStay.N119_AmtPayNHHosp = RESPONSE THEN
N205_AssgnNHCost := NHomeStay.N119_AmtPayNHHosp
ELSE
IF ((SecN.NHomeStay.N119_AmtPayNHHosp = DONTKNOW) OR
(SecN.NHomeStay.N119_AmtPayNHHosp = REFUSAL)) AND (SecN.NHomeStay.N120_ =
RESPONSE) THEN
N205_AssgnNHCost := NHomeStay.N120_
ELSE
N205_AssgnNHCost := 0
ELSE
IF SecN.NHomeStay.N119_AmtPayNHHosp = RESPONSE THEN
N205_AssgnNHCost := NHomeStay.N119_AmtPayNHHosp
ELSE
IF ((SecN.NHomeStay.N119_AmtPayNHHosp = DONTKNOW) OR
(SecN.NHomeStay.N119_AmtPayNHHosp = REFUSAL)) AND (SecN.NHomeStay.N120_ =
RESPONSE) THEN
N205_AssgnNHCost := NHomeStay.N120_
ELSE
N205_AssgnNHCost := 0
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN205 ASSIGN NURSING HOME COSTS
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.N205_AssgnNHCost
User Note: N119 and N120 are used to calculate MN205.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
22026 0 288000 359.47 5521.37 8
-----------------------------------------------------------------
==========================================================================================
ASSIGN: IF SecN.OutPatSurgery.N139_AmtOOPOutSurg = RESPONSE THEN
N206_AssgnOutSurgCost := OutPatSurgery.N139_AmtOOPOutSurg
ELSE
IF ((SecN.OutPatSurgery.N139_AmtOOPOutSurg = DONTKNOW) OR
(SecN.OutPatSurgery.N139_AmtOOPOutSurg = REFUSAL)) AND
(SecN.OutPatSurgery.N140_ = RESPONSE) THEN
N206_AssgnOutSurgCost := OutPatSurgery.N140_
ELSE
N206_AssgnOutSurgCost := 0
ELSE
IF SecN.OutPatSurgery.N139_AmtOOPOutSurg = RESPONSE THEN
N206_AssgnOutSurgCost := OutPatSurgery.N139_AmtOOPOutSurg
ELSE
IF ((SecN.OutPatSurgery.N139_AmtOOPOutSurg = DONTKNOW) OR
(SecN.OutPatSurgery.N139_AmtOOPOutSurg = REFUSAL)) AND
(SecN.OutPatSurgery.N140_ = RESPONSE) THEN
N206_AssgnOutSurgCost := OutPatSurgery.N140_
ELSE
N206_AssgnOutSurgCost := 0
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN206 ASSIGN OUTPATIENT SURGERY COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.N206_AssgnOutSurgCost
User Note: N139 and N140 are used to calculate MN206.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
22026 0 40000 117.83 784.28 8
-----------------------------------------------------------------
==========================================================================================
ASSIGN: IF SecN.DocVisit.N156_AmtOOPVisit = RESPONSE THEN
N207_AssgnDocVstCost := DocVisit.N156_AmtOOPVisit
ELSE
IF ((SecN.DocVisit.N156_AmtOOPVisit = DONTKNOW) OR
(SecN.DocVisit.N156_AmtOOPVisit = REFUSAL)) AND (SecN.DocVisit.N157_ =
RESPONSE) THEN
N207_AssgnDocVstCost := DocVisit.N157_
ELSE
N207_AssgnDocVstCost := 0
ELSE
IF SecN.DocVisit.N156_AmtOOPVisit = RESPONSE THEN
N207_AssgnDocVstCost := DocVisit.N156_AmtOOPVisit
ELSE
IF ((SecN.DocVisit.N156_AmtOOPVisit = DONTKNOW) OR
(SecN.DocVisit.N156_AmtOOPVisit = REFUSAL)) AND (SecN.DocVisit.N157_ =
RESPONSE) THEN
N207_AssgnDocVstCost := DocVisit.N157_
ELSE
N207_AssgnDocVstCost := 0
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN207 ASSIGN DOCTOR VISIT COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.N207_AssgnDocVstCost
User Note: N156 and N157 are used to calculate MN207.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
22026 0 70000 437.51 1417.80 8
-----------------------------------------------------------------
==========================================================================================
ASSIGN: IF SecN.DentalCare.N168_AmtPayOOPDental = RESPONSE THEN
N208_AssgnDentCost := DentalCare.N168_AmtPayOOPDental
ELSE
IF ((SecN.DentalCare.N168_AmtPayOOPDental = DONTKNOW) OR
(SecN.DentalCare.N168_AmtPayOOPDental = REFUSAL)) AND (SecN.DentalCare.N169_ =
RESPONSE) THEN
N208_AssgnDentCost := DentalCare.N169_
ELSE
N208_AssgnDentCost := 0
ELSE
IF SecN.DentalCare.N168_AmtPayOOPDental = RESPONSE THEN
N208_AssgnDentCost := DentalCare.N168_AmtPayOOPDental
ELSE
IF ((SecN.DentalCare.N168_AmtPayOOPDental = DONTKNOW) OR
(SecN.DentalCare.N168_AmtPayOOPDental = REFUSAL)) AND (SecN.DentalCare.N169_ =
RESPONSE) THEN
N208_AssgnDentCost := DentalCare.N169_
ELSE
N208_AssgnDentCost := 0
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN208 ASSIGN DENTAL COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.N208_AssgnDentCost
User Note: N168 and N169 are used to calculate MN208.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
22026 0 60000 587.92 1585.40 8
-----------------------------------------------------------------
==========================================================================================
ASSIGN: IF SecN.PrescpDrug.N180_AmtOOPMeds = RESPONSE THEN
N209_AssgnPresCost := PrescpDrug.N180_AmtOOPMeds
ELSE
IF ((SecN.PrescpDrug.N180_AmtOOPMeds = DONTKNOW) OR
(SecN.PrescpDrug.N180_AmtOOPMeds = REFUSAL)) AND (SecN.PrescpDrug.N181_ =
RESPONSE) THEN
N209_AssgnPresCost := PrescpDrug.N181_
ELSE
N209_AssgnPresCost := 0
ELSE
IF SecN.PrescpDrug.N180_AmtOOPMeds = RESPONSE THEN
N209_AssgnPresCost := PrescpDrug.N180_AmtOOPMeds
ELSE
IF ((SecN.PrescpDrug.N180_AmtOOPMeds = DONTKNOW) OR
(SecN.PrescpDrug.N180_AmtOOPMeds = REFUSAL)) AND (SecN.PrescpDrug.N181_ =
RESPONSE) THEN
N209_AssgnPresCost := PrescpDrug.N181_
ELSE
N209_AssgnPresCost := 0
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN209 ASSIGN RX COSTS
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.N209_AssgnPresCost
User Note: N180 and N181 are used to calculate MN209.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
22026 0 7000 51.49 136.95 8
-----------------------------------------------------------------
==========================================================================================
ASSIGN: IF SecN.InHomeCare.N194_AmtPayOOPHHS = RESPONSE THEN
N210_AssgnHomeHCCost := InHomeCare.N194_AmtPayOOPHHS
ELSE
IF ((SecN.InHomeCare.N194_AmtPayOOPHHS = DONTKNOW) OR
(SecN.InHomeCare.N194_AmtPayOOPHHS = REFUSAL)) AND (SecN.InHomeCare.N195_ =
RESPONSE) THEN
N210_AssgnHomeHCCost := InHomeCare.N195_
ELSE
N210_AssgnHomeHCCost := 0
ELSE
IF SecN.InHomeCare.N194_AmtPayOOPHHS = RESPONSE THEN
N210_AssgnHomeHCCost := InHomeCare.N194_AmtPayOOPHHS
ELSE
IF ((SecN.InHomeCare.N194_AmtPayOOPHHS = DONTKNOW) OR
(SecN.InHomeCare.N194_AmtPayOOPHHS = REFUSAL)) AND (SecN.InHomeCare.N195_ =
RESPONSE) THEN
N210_AssgnHomeHCCost := InHomeCare.N195_
ELSE
N210_AssgnHomeHCCost := 0
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN210 ASSIGN IN-HOME HEALTH CARE COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.N210_AssgnHomeHCCost
User Note: N194 and N195 are used to calculate MN210.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
22026 0 32000 25.45 572.33 8
-----------------------------------------------------------------
==========================================================================================
ASSIGN: IF SecN.OthHealthCare.N239_OthSvcCost = RESPONSE THEN
N064_AssgnOthSvcCost := OthHealthCare.N239_OthSvcCost
ELSE
IF ((SecN.OthHealthCare.N239_OthSvcCost = DONTKNOW) OR
(SecN.OthHealthCare.N239_OthSvcCost = REFUSAL)) AND (SecN.OthHealthCare.N246_ =
RESPONSE) THEN
N064_AssgnOthSvcCost := OthHealthCare.N246_
ELSE
N064_AssgnOthSvcCost := 0
ELSE
IF SecN.OthHealthCare.N239_OthSvcCost = RESPONSE THEN
N064_AssgnOthSvcCost := OthHealthCare.N239_OthSvcCost
ELSE
IF ((SecN.OthHealthCare.N239_OthSvcCost = DONTKNOW) OR
(SecN.OthHealthCare.N239_OthSvcCost = REFUSAL)) AND (SecN.OthHealthCare.N246_ =
RESPONSE) THEN
N064_AssgnOthSvcCost := OthHealthCare.N246_
ELSE
N064_AssgnOthSvcCost := 0
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN064 ASSIGN OTHER SERVICES COST
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.N064_AssgnOthSvcCost
User Note: N239 and N246 are used to calculate MN064.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
22026 0 60000 46.83 663.93 8
-----------------------------------------------------------------
==========================================================================================
ASSIGN: N211_TotMajMedExp := (((((((N204_AssgnHospCost + N205_AssgnNHCost) +
N206_AssgnOutSurgCost) + N207_AssgnDocVstCost) + N208_AssgnDentCost) +
N209_AssgnPresCost) + N210_AssgnHomeHCCost) + N064_AssgnOthSvcCost) +
N065_AssgnHospicecost
ELSE
N211_TotMajMedExp := (((((((N204_AssgnHospCost + N205_AssgnNHCost) +
N206_AssgnOutSurgCost) + N207_AssgnDocVstCost) + N208_AssgnDentCost) +
N209_AssgnPresCost) + N210_AssgnHomeHCCost) + N064_AssgnOthSvcCost) +
N065_AssgnHospicecost
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN211 ASSIGN TOTAL O-O-P FOR MAJOR MED COSTS
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.N211_TotMajMedExp
User Note: MN211 = N204 + N205 + N206 + N207 + N208 + N209 + N210 + N064.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
22026 0 293101 1922.90 6734.36 8
-----------------------------------------------------------------
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN212 HELP PAY HEALTH CARE COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HowPayMedBill.N212_HelpPayHCCost
Besides any costs covered by insurance, has anyone helped you (and your
[husband/wife/partner]) pay for your health care costs [since R's LAST IW MONTH,
YEAR/in the last two years], or helped you pay the cost of health insurance or
for long-term care insurance?
.................................................................................
539 1. YES
21177 5. NO
35 8. DK (Don't Know); NA (Not Ascertained)
16 9. RF (Refused)
267 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HowPayMedBill.N212_HelpPayHCCost
IF SecN.HowPayMedBill.N212_HelpPayHCCost = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN213 WHO HELP PAY HEALTH CARE COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HowPayMedBill.N213_WhoHelpPayHCCost
Is that a [child or other] relative of yours [and your husband/wife/partner's/
], or is that someone else?
.................................................................................
239 1. CHILD/CHILD-IN-LAW/GRANDCHILD
127 2. OTHER RELATIVE
170 3. SOMEONE ELSE
2 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
21495 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN214M1 WHICH CHILD PAY HEALTH CARE COSTS -1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.HowPayMedBill.N214AWhiChldPayHC[1]
(Which child is that?)
CHOOSE all that apply
ACCEPT more than 1 child only after probe: Which child helps the most?
If grandchild: (Which of your children is the parent of that grandchild?)
.................................................................................
215 041-990. Other Person Number
1 992. DECEASED CHILD
22 993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
21796 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN214M2 WHICH CHILD PAY HEALTH CARE COSTS -2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.HowPayMedBill.N214AWhiChldPayHC[2]
(Which child is that?)
CHOOSE all that apply
ACCEPT more than 1 child only after probe: Which child helps the most?
If grandchild: (Which of your children is the parent of that grandchild?)
.................................................................................
42 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
21992 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN214M3 WHICH CHILD PAY HEALTH CARE COSTS -3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.HowPayMedBill.N214AWhiChldPayHC[3]
(Which child is that?)
CHOOSE all that apply
ACCEPT more than 1 child only after probe: Which child helps the most?
If grandchild: (Which of your children is the parent of that grandchild?)
.................................................................................
18 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
22016 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN214M4 WHICH CHILD PAY HEALTH CARE COSTS -4
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.HowPayMedBill.N214AWhiChldPayHC[4]
(Which child is that?)
CHOOSE all that apply
ACCEPT more than 1 child only after probe: Which child helps the most?
If grandchild: (Which of your children is the parent of that grandchild?)
.................................................................................
7 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
22027 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN214M5 WHICH CHILD PAY HEALTH CARE COSTS -5
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.HowPayMedBill.N214AWhiChldPayHC[5]
(Which child is that?)
CHOOSE all that apply
ACCEPT more than 1 child only after probe: Which child helps the most?
If grandchild: (Which of your children is the parent of that grandchild?)
.................................................................................
3 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
22031 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN214M6 WHICH CHILD PAY HEALTH CARE COSTS -6
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.HowPayMedBill.N214AWhiChldPayHC[6]
(Which child is that?)
CHOOSE all that apply
ACCEPT more than 1 child only after probe: Which child helps the most?
If grandchild: (Which of your children is the parent of that grandchild?)
.................................................................................
1 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
22033 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN214M7 WHICH CHILD PAY HEALTH CARE COSTS -7
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.HowPayMedBill.N214AWhiChldPayHC[7]
(Which child is that?)
CHOOSE all that apply
ACCEPT more than 1 child only after probe: Which child helps the most?
If grandchild: (Which of your children is the parent of that grandchild?)
.................................................................................
1 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
22033 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN214M8 WHICH CHILD PAY HEALTH CARE COSTS -8
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.HowPayMedBill.N214AWhiChldPayHC[8]
(Which child is that?)
CHOOSE all that apply
ACCEPT more than 1 child only after probe: Which child helps the most?
If grandchild: (Which of your children is the parent of that grandchild?)
.................................................................................
041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
22034 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HowPayMedBill.N213_WhoHelpPayHCCost
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN215 AMT OF OTHER HELP
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.HowPayMedBill.N215_AmtOthHelp
Altogether, about how much money did that help amount to?
Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
383 0 1000000 9035.17 59029.38 21495
-----------------------------------------------------------------
150 9999998. DK (Don't Know); NA (Not Ascertained)
6 9999999. RF (Refused)
==========================================================================================
MN216 AMT OF OTHER HELP - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.HowPayMedBill.N216_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 2Up1Down, 1Up2Down
BREAKPOINTS: $500, $1,000, $3,000, $10,000
RANDOM ENTRY POINTS: $1,000, $3,000
ENTRY POINT ASSIGNMENT: 1 or {NOT 1} AT X503
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
56 0. Value of Breakpoint
7 500. Value of Breakpoint
10 501. Value of Breakpoint
8 1000. Value of Breakpoint
24 1001. Value of Breakpoint
8 3000. Value of Breakpoint
26 3001. Value of Breakpoint
1 10000. Value of Breakpoint
10 10001. Value of Breakpoint
21884 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN217 AMT OF OTHER HELP - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.HowPayMedBill.N217_
*
.................................................................................
16 499. Value of Breakpoint
7 500. Value of Breakpoint
12 999. Value of Breakpoint
8 1000. Value of Breakpoint
28 2999. Value of Breakpoint
8 3000. Value of Breakpoint
26 9999. Value of Breakpoint
1 10000. Value of Breakpoint
44 99999996. Greater than Maximum Breakpoint
21884 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MN218 AMT OF OTHER HELP - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.HowPayMedBill.N218_
*
.................................................................................
6 97. Data Not Available
38 98. DK (Don't Know); NA (Not Ascertained)
3 99. RF (Refused)
21987 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HowPayMedBill.N212_HelpPayHCCost
IF piN211_TotMajMedExp >= 10000 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN219M1 HOW FINANCE LARGE MEDICAL EXPENSES-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HowPayMedBill.N219_HowFinLgMedExp[1]
[You have just told me that you have had some rather large out-of pocket medical
expenditures. Apart from what you received from others, how/You have just told
me that you have had some rather large out-of-pocket medical expenditures. How]
did you finance these -- did you pay directly from your savings or earnings, did
you take out a loan, have you not yet paid these bills, or what?
CHOOSE all that apply
If payments are still being made, enter both code 3 and code 4
.................................................................................
512 1. PAID USING SAVINGS/EARNINGS
46 2. TOOK OUT A LOAN
76 3. HAVE NOT YET PAID
58 4. MAKING PAYMENTS
19 5. Not paid by R (filed for bankruptcy, someone else [like a
relative] paid, doctor let the bills drop, etc.)
10 6. Records inaccurate, R did not have large out of pocket
expenses
5 7. OTHER (SPECIFY)
20 8. DK (Don't Know); NA (Not Ascertained)
9 9. RF (Refused)
21279 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HowPayMedBill.N212_HelpPayHCCost
IF piN211_TotMajMedExp >= 10000 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN219M2 HOW FINANCE LARGE MEDICAL EXPENSES-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HowPayMedBill.N219_HowFinLgMedExp[2]
[You have just told me that you have had some rather large out-of pocket medical
expenditures. Apart from what you received from others, how/You have just told
me that you have had some rather large out-of-pocket medical expenditures. How]
did you finance these -- did you pay directly from your savings or earnings, did
you take out a loan, have you not yet paid these bills, or what?
CHOOSE all that apply
If payments are still being made, enter both code 3 and code 4
.................................................................................
10 1. PAID USING SAVINGS/EARNINGS
15 2. TOOK OUT A LOAN
17 3. HAVE NOT YET PAID
24 4. MAKING PAYMENTS
6 5. Not paid by R (filed for bankruptcy, someone else [like a
relative] paid, doctor let the bills drop, etc.)
6. Records inaccurate, R did not have large out of pocket
expenses
2 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
21960 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HowPayMedBill.N212_HelpPayHCCost
IF piN211_TotMajMedExp >= 10000 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN219M3 HOW FINANCE LARGE MEDICAL EXPENSES-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HowPayMedBill.N219_HowFinLgMedExp[3]
[You have just told me that you have had some rather large out-of pocket medical
expenditures. Apart from what you received from others, how/You have just told
me that you have had some rather large out-of-pocket medical expenditures. How]
did you finance these -- did you pay directly from your savings or earnings, did
you take out a loan, have you not yet paid these bills, or what?
CHOOSE all that apply
If payments are still being made, enter both code 3 and code 4
.................................................................................
3 1. PAID USING SAVINGS/EARNINGS
1 2. TOOK OUT A LOAN
3 3. HAVE NOT YET PAID
7 4. MAKING PAYMENTS
1 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)
22019 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HowPayMedBill.N212_HelpPayHCCost
IF piN211_TotMajMedExp >= 10000 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN219M4 HOW FINANCE LARGE MEDICAL EXPENSES-4
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HowPayMedBill.N219_HowFinLgMedExp[4]
[You have just told me that you have had some rather large out-of pocket medical
expenditures. Apart from what you received from others, how/You have just told
me that you have had some rather large out-of-pocket medical expenditures. How]
did you finance these -- did you pay directly from your savings or earnings, did
you take out a loan, have you not yet paid these bills, or what?
CHOOSE all that apply
If payments are still being made, enter both code 3 and code 4
.................................................................................
1. PAID USING SAVINGS/EARNINGS
2. TOOK OUT A LOAN
3. HAVE NOT YET PAID
2 4. MAKING PAYMENTS
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)
22032 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HowPayMedBill.N212_HelpPayHCCost
IF piN211_TotMajMedExp >= 10000 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN219M5 HOW FINANCE LARGE MEDICAL EXPENSES-5
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HowPayMedBill.N219_HowFinLgMedExp[5]
[You have just told me that you have had some rather large out-of pocket medical
expenditures. Apart from what you received from others, how/You have just told
me that you have had some rather large out-of-pocket medical expenditures. How]
did you financ
.................................................................................
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)
22034 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF ((SecA.StartInterview.A009_SelfPrxy = SLF) OR (ACTIVELANGUAGE = EXTENG)) OR
(ACTIVELANGUAGE = EXTSPN) THEN
IF (piRvarsZ113_GaveMedcareNo_V <> YES) AND (piGovCoverN001_ = YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN226 MEDICARE NUMBER RECORDED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCareCaidNumber.N226_MedicareNumRec
We would like to understand how people's medical history affects their financial
status, and how use of health care may change as people age. To do that, we need
to obtain information about health care costs and diagnoses for statistical
purposes. The best place to get this information without taking up a lot more of
your time is in the Medicare files.
Could you give me your Medicare number for this purpose? (Under the Privacy Act
of 1974, providing your number is a voluntary decision. The benefits you may be
receiving under this program will not be affected in any way by your decision.
Any remaining benefits under this program will not be affected in any way by
your decision)
.................................................................................
1316 1. NUMBER RECORDED
1090 4. R REFUSED NUMBER
308 5. NUMBER NOT RECORDED (NOT REFUSED)
23 8. DK (Don't Know); NA (Not Ascertained)
22 9. RF (Refused)
19275 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF ((SecA.StartInterview.A009_SelfPrxy = SLF) OR (ACTIVELANGUAGE = EXTENG)) OR
(ACTIVELANGUAGE = EXTSPN) THEN
IF (piGovCoverN006_ = YES) AND (SecN.MediCareCaidNumber.N226_MedicareNumRec <>
RREFUSEDNUMBER) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN231 MEDICAID NUMBER RECORDED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCareCaidNumber.N231_MedicaidNumRec
(We would like to understand how people's medical history affects their
financial status, and how use of health care may change as people age. To do
that, we need to obtain information about health care costs and diagnoses for
statistical purposes. The best place to get this information without taking up a
lot more of your time is in the (Medicaid/State name for Medicaid) files.)
Could you give me your Medicaid number for this purpose?
(Under the Privacy Act of 1974, providing your number is (also) a voluntary
decision. The benefits you may be receiving under this program will not be
affected in any way by your decision.)
.................................................................................
1068 1. NUMBER RECORDED
296 4. R REFUSED NUMBER
332 5. NUMBER NOT RECORDED (NOT REFUSED)
30 8. DK (Don't Know); NA (Not Ascertained)
8 9. RF (Refused)
20300 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN235 HOW SATISFIED W/ HEALTH CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N235_SatisfWHlthCare
Now, thinking about the quality, cost, and convenience of your health care,
altogether would you say that you are very satisfied, somewhat satisfied, or not
satisfied at all with your health care?
.................................................................................
11177 1. VERY SATISFIED
8488 3. SOMEWHAT SATISFIED
1840 5. NOT SATISFIED AT ALL
216 8. DK (Don't Know); NA (Not Ascertained)
44 9. RF (Refused)
269 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N235_SatisfWHlthCare
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MN236 ASSIST SECTION N
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N236_AssistN
How often did R receive assistance with answers in Section N - Health services
and insurance?
.................................................................................
20136 1. NEVER
1112 2. A FEW TIMES
432 3. MOST OR ALL OF THE TIME
85 4. THE SECTION WAS DONE BY A PROXY REPORTER
269 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
MVDATE 2010 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.
.................................................................................
589 1. Version 1
1843 2. Version 2
311 3. Version 3
684 4. Version 4
1101 5. Version 5
1764 6. Version 6
12940 7. Version 7
2802 8. Version 8
==========================================================================================
MVERSION 2010 DATA RELEASE VERSION
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 1
.................................................................................
22034 5.1. HRS 2010 Final Release
|