==========================================================================================
Section N: HEALTH SERVICES AND INSURANCE (Respondent)
==========================================================================================
HHID HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 6 Decimals: 0
.................................................................................
20554 000003-959738. Household Identification Number
==========================================================================================
PN RESPONDENT PERSON IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
.................................................................................
11338 010. Person Identifier
693 011. Person Identifier
32 012. Person Identifier
1 013. Person Identifier
6649 020. Person Identifier
204 021. Person Identifier
12 022. Person Identifier
1 023. Person Identifier
593 030. Person Identifier
47 031. Person Identifier
7 032. Person Identifier
2 033. Person Identifier
910 040. Person Identifier
58 041. Person Identifier
6 042. Person Identifier
1 043. Person Identifier
==========================================================================================
NSUBHH 2012 SUB HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
.................................................................................
18993 0. Original sample household - no split from divorce or
separation of spouses or partners
780 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
610 2. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
58 5. Split household - one half of couple from SUBHH 1 or 2
9 6. Split household - one half of couple from SUBHH 1 or 2
103 7. Reunited household - respondents from split household
reunite
1 8. Split household - one half of couple from SUBHH 1 or 2
==========================================================================================
MSUBHH 2010 SUB HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
.................................................................................
19286 0. Original sample household - no split from divorce or
separation of spouses or partners
629 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
490 2. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
49 5. Split household - one half of couple from SUBHH 1 or 2
7 6. Split household - one half of couple from SUBHH 1 or 2
92 7. Reunited household - respondents from split household
reunite
1 8. Split household - one half of couple from SUBHH 1 or 2
==========================================================================================
NPN_SP 2012 SPOUSE/PARTNER PERSON NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
.................................................................................
5797 010. Person Identifier
548 011. Person Identifier
24 012. Person Identifier
5311 020. Person Identifier
175 021. Person Identifier
7 022. Person Identifier
1 023. Person Identifier
409 030. Person Identifier
33 031. Person Identifier
5 032. Person Identifier
2 033. Person Identifier
655 040. Person Identifier
47 041. Person Identifier
5 042. Person Identifier
1 043. Person Identifier
38 811. Spouse of Non-Original Respondent
3 812. Spouse of Non-Original Respondent
8 821. Spouse of Non-Original Respondent
1 822. Spouse of Non-Original Respondent
2 831. Spouse of Non-Original Respondent
4 841. Spouse of Non-Original Respondent
1 842. Spouse of Non-Original Respondent
7477 Blank. Single Respondent Household
==========================================================================================
NCSR 2012 WHETHER COVERSHEET RESPONDENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
.................................................................................
14314 1. Yes
18 3. 2nd Coverscreen R, answers not retained
6222 5. No
==========================================================================================
NFAMR 2012 WHETHER FAMILY RESPONDENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
.................................................................................
14147 1. Family R
14 3. 2nd Family R, answers not retained
6393 5. Non-Family R
==========================================================================================
NFINR 2012 WHETHER FINANCIAL RESPONDENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
.................................................................................
14191 1. Financial R
16 3. 2nd Financial R, answers not retained
6347 5. Non-Financial R
==========================================================================================
NN001 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?
.................................................................................
11351 1. YES
9070 5. NO
67 8. DK (Don't Know); NA (Not Ascertained)
18 9. RF (Refused)
48 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N001_
IF ((N001_ = YES) AND (piSecAContinuInterviewA019_RAge < 65)) OR ((((N001_ <>
YES) AND ((piSecAContinuInterviewA019_RAge > 70) OR
(piSecAContinuInterviewA019_RAge = 70))) AND (ACTIVELANGUAGE <> EXTENG)) AND
(ACTIVELANGUAGE <> EXTSPN)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN002M1 WHY NOT MEDICARE COVERED-1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N002_
Why is that?
IWER: R is age [R's age per A019], so probe why R is [not] covered by Medicare.
.................................................................................
792 1. R is disabled; R is on disability; Spouse on disability; R
is on Social Security disability or SSI
133 2. R has a specific medical problem. (E.g. If R says; 'Disabled
due to medical condition,' code it as 02, not 01)
56 3. R has Medicare-NFS
4. R mentions has Part A and Part B of Medicare
5 5. R mentions has Part A of Medicare; the first half of
Medicare
2 6. R mentions has Part B of Medicare; the second half of
Medicare
4 7. R mentions a Medicare card or the mechanics of using it
10 8. R receives Medicare through a deceased spouse
7 9. R mentions his/her age in conjunction with having Medicare;
R has had Medicare since a certain age; R got Medicare
'early'; will turn 65 this month (received benefits at
beginning of month)
4 10. R pays into Medicare, but doesn't use it; R has Medicare,
but chooses not to use it
7 50. R never applied for Medicare or invested in it-NFS
9 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
1 52. R is still working (If R mentions other insurance coverage
through his/her employment, code the appropriate insurance
code only)
11 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
9 55. Medicare charges too much; Medicare too expensive for what
you receive
11 56. R will be on Medicare in the future; R not old enough to
qualify at present; R in the process of getting Medicare
4 59. R is not familiar with Medicare; confusion about eligibility
18 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
1 72. R has federal employee/Postal Service insurance
13 73. R has private insurance; e.g. Cigna, Kaiser, Blue Cross/Blue
Shield
25 74. R is covered by Medicaid
22 75. R's spouse's medical insurance covers R
28 76. R covered under company health plan or health insurance; R
covered under former employer's health plan or health
insurance
20 90. R mentions income level/group, home ownership, an economic
factor
25 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)
21 92. R is not a U.S. citizen; R is an illegal alien; R lives
outside the USA
5 93. R doesn't need it - NFS
94. R "used it up"
5 95. R disputes age calculation
6 97. Other
55 98. DK (don't know); NA (not ascertained)
7 99. RF (refused)
19226 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N001_
IF ((N001_ = YES) AND (piSecAContinuInterviewA019_RAge < 65)) OR ((((N001_ <>
YES) AND ((piSecAContinuInterviewA019_RAge > 70) OR
(piSecAContinuInterviewA019_RAge = 70))) AND (ACTIVELANGUAGE <> EXTENG)) AND
(ACTIVELANGUAGE <> EXTSPN)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN002M2 WHY NOT MEDICARE COVERED-2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N002_
Why is that?
IWER: R is age [R's age per A019], so probe why R is [not] covered by Medicare.
.................................................................................
7 1. R is disabled; R is on disability; Spouse on disability; R
is on Social Security disability or SSI
1 2. R has a specific medical problem. (E.g. If R says; 'Disabled
due to medical condition,' code it as 02, not 01)
6 3. R has Medicare-NFS
1 4. R mentions has Part A and Part B of Medicare
2 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
2 7. R mentions a Medicare card or the mechanics of using it
2 8. R receives Medicare through a deceased spouse
2 9. R mentions his/her age in conjunction with having Medicare;
R has had Medicare since a certain age; R got Medicare
'early'; will turn 65 this month (received benefits at
beginning of month)
1 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)
2 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 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
59. R is not familiar with Medicare; confusion about eligibility
1 70. R has other medical insurance/coverage-NFS
4 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
6 73. R has private insurance; e.g. Cigna, Kaiser, Blue Cross/Blue
Shield
19 74. R is covered by Medicaid
75. R's spouse's medical insurance covers R
76. R covered under company health plan or health insurance; R
covered under former employer's health plan or health
insurance
5 90. R mentions income level/group, home ownership, an economic
factor
2 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"
7 95. R disputes age calculation
97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
20474 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N001_
IF SecN.GovCover.N001_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN004 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?
.................................................................................
10380 1. YES
647 5. NO
320 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
9203 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N001_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN005 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],
[R's Last IW Year]/in the last two years]?
.................................................................................
2369 1. YES
17976 5. NO
139 8. DK (Don't Know); NA (Not Ascertained)
22 9. RF (Refused)
48 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N005_
IF SecN.GovCover.N005_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN006 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)?
.................................................................................
2090 1. YES
261 5. NO
17 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
18185 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N005_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN007 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. Using the VA for health care does not
necessarily mean the respondent is covered by a military health plan.)
.................................................................................
1116 1. YES
19331 5. NO
47 8. DK (Don't Know); NA (Not Ascertained)
12 9. RF (Refused)
48 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N007_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN285 DRUGS/CARE FROM VET ADMIN
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N285_
Have you obtained medical care or prescription drugs from a Veteran's
Administration facility [since [R's Last IW Month], [R's Last IW Year]/in the
last two years]?
.................................................................................
1164 1. YES
19308 5. NO
26 8. DK (Don't Know); NA (Not Ascertained)
8 9. RF (Refused)
48 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N285_
IF SecN.GovCover.N285_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN286M1 DRUGS/CARE FROM VET ADMIN- KIND -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N286_[1]
What kind of care did you obtain? Hospital stay, doctor visit, prescription
drugs, eye care or what?
(CHECK all that apply)
.................................................................................
212 1. INPATIENT CARE (HOSPITAL STAY)
418 2. OUTPATIENT CARE (DOCTOR OR CLINIC VISIT, OUTPATIENT SURGERY)
442 3. PRESCRIPTION DRUGS
84 4. ANY OTHER SERVICES SUCH AS EMERGENCY CARE, LAB TESTS,
COUNSELING, EYE CARE, EYEGLASSES, OR PHYSICAL THERAPY
4 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
19390 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N285_
IF SecN.GovCover.N285_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN286M2 DRUGS/CARE FROM VET ADMIN- KIND -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N286_[2]
What kind of care did you obtain? Hospital stay, doctor visit, prescription
drugs, eye care or what?
(CHECK all that apply)
.................................................................................
17 1. INPATIENT CARE (HOSPITAL STAY)
327 2. OUTPATIENT CARE (DOCTOR OR CLINIC VISIT, OUTPATIENT SURGERY)
365 3. PRESCRIPTION DRUGS
124 4. ANY OTHER SERVICES SUCH AS EMERGENCY CARE, LAB TESTS,
COUNSELING, EYE CARE, EYEGLASSES, OR PHYSICAL THERAPY
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
19721 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N285_
IF SecN.GovCover.N285_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN286M3 DRUGS/CARE FROM VET ADMIN- KIND -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N286_[3]
What kind of care did you obtain? Hospital stay, doctor visit, prescription
drugs, eye care or what?
(CHECK all that apply)
.................................................................................
11 1. INPATIENT CARE (HOSPITAL STAY)
60 2. OUTPATIENT CARE (DOCTOR OR CLINIC VISIT, OUTPATIENT SURGERY)
203 3. PRESCRIPTION DRUGS
200 4. ANY OTHER SERVICES SUCH AS EMERGENCY CARE, LAB TESTS,
COUNSELING, EYE CARE, EYEGLASSES, OR PHYSICAL THERAPY
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20080 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N285_
IF SecN.GovCover.N285_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN286M4 DRUGS/CARE FROM VET ADMIN- KIND -4
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N286_[4]
What kind of care did you obtain? Hospital stay, doctor visit, prescription
drugs, eye care or what?
(CHECK all that apply)
.................................................................................
6 1. INPATIENT CARE (HOSPITAL STAY)
3 2. OUTPATIENT CARE (DOCTOR OR CLINIC VISIT, OUTPATIENT SURGERY)
3 3. PRESCRIPTION DRUGS
157 4. ANY OTHER SERVICES SUCH AS EMERGENCY CARE, LAB TESTS,
COUNSELING, EYE CARE, EYEGLASSES, OR PHYSICAL THERAPY
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20385 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN009 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 / a Medicare Advantage Plan, sometimes called a Medicare HMO]?
(that is a Health Maintenance Organization)?
Def: (With an HMO, you must generally receive care from HMO doctors, otherwise
the expense is not covered unless you were referred by the HMO or there was a
medical emergency.)
.................................................................................
3517 1. YES
7584 5. NO
859 8. DK (Don't Know); NA (Not Ascertained)
13 9. RF (Refused)
8581 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N009_
IF SecN.MediCaidCarePlan.N009_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN351 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?
.................................................................................
3169 1. YES
312 5. NO
34 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
17037 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N351_
IF piGovCoverN001_ <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN014 MEDICARE/MEDICAID HMO-AMT PAY
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.MediCaidCarePlan.N014_
[Not including co-pays or deductions from your Social Security, how/How] much do
you, yourself, pay in premiums for this plan?
IWER: Do not probe DK/RF
Amount:
Per:
.................................................................................
218 0-300. Actual Value
12 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
20324 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN015 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
.................................................................................
9 0. Value of Breakpoint
1 31. Value of Breakpoint
1 61. Value of Breakpoint
20543 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN016 MEDICARE/MEDICAID HMO-AMT PAY - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.MediCaidCarePlan.N016_
*
.................................................................................
4 29. Value of Breakpoint
1 59. Value of Breakpoint
1 99. Value of Breakpoint
5 99999996. Greater than Maximum Breakpoint
20543 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN017 MEDICARE/MEDICAID HMO-AMT PAY - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N017_
*
.................................................................................
1 97. Data Not Available
5 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
20547 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN018 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/How] much
do you, yourself, pay for this plan?)
Amount: [MEDICARE/MEDICAID HMO-AMT PAY]
Per:
.................................................................................
15 1. MONTH
2. QUARTER (EVERY 3 MONTHS)
3. SEMI-ANNUALLY (EVERY 6 MONTHS/TWICE A YEAR)
2 4. YEAR
4 7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20532 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N009_
IF piGovCoverN001_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN020 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], [R's Last IW Year]/in the last two
years] have you left an HMO or Medicare Advantage Plan that delivered Medicare
services?
.................................................................................
378 1. YES
10758 5. NO
204 8. DK (Don't Know); NA (Not Ascertained)
11 9. RF (Refused)
9203 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N020_
IF SecN.MediCaidCarePlan.N020_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN021M1 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?
IWER: CHOOSE all that apply
.................................................................................
121 2. PLAN DIDN'T PROVIDE NEEDED SERVICES
89 3. PLAN COSTS INCREASED; found cheaper plan
1 4. Plan encouraged me to leave
40 5. PLAN NO LONGER AVAILABLE
24 6. Too far away from HMO; R moved; HMO not in region
7 10. Switched to Medicare or Medicaid
4 11. R retired, left, or changed jobs
3 12. Less convenient
27 13. Lost coverage; NFS
29 14. Better coverage with new plan
27 97. OTHER (SPECIFY)
6 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
20176 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N020_
IF SecN.MediCaidCarePlan.N020_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN021M2 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?
IWER: CHOOSE all that apply
.................................................................................
3 2. PLAN DIDN'T PROVIDE NEEDED SERVICES
10 3. PLAN COSTS INCREASED; found cheaper plan
4. Plan encouraged me to leave
1 5. PLAN NO LONGER AVAILABLE
6. Too far away from HMO; R moved; HMO not in region
1 10. Switched to Medicare or Medicaid
1 11. R retired, left, or changed jobs
12. Less convenient
13. Lost coverage; NFS
10 14. Better coverage with new plan
3 97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
20525 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N020_
IF SecN.MediCaidCarePlan.N020_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN021M3 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?
IWER: CHOOSE all that apply
.................................................................................
2. PLAN DIDN'T PROVIDE NEEDED SERVICES
1 3. PLAN COSTS INCREASED; found cheaper plan
4. Plan 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)
20553 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N020_
IF SecN.MediCaidCarePlan.N020_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN021M4 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?
IWER: CHOOSE all that apply
.................................................................................
2. PLAN DIDN'T PROVIDE NEEDED SERVICES
3. PLAN COSTS INCREASED; found cheaper plan
4. Plan 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)
20554 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF (((ACTIVELANGUAGE <> EXTENG) AND (ACTIVELANGUAGE <> EXTSPN)) OR
(((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(SecA.ContinuInterview.A123_YrDeath > 2006))) AND (GovCover.N001_ = YES) THEN
IF (SecN.MediCaidCarePlan.N351_ <> YES) AND SecN.MediCaidCarePlan.N351_ <>
NONRESPONSE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN352 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?
.................................................................................
3682 1. YES
18 3. [VOL] ENROLLED IN IT AUTOMATICALLY
4262 5. NO
393 8. DK (Don't Know); NA (Not Ascertained)
8 9. RF (Refused)
12191 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF (SecN.MediCaidCarePlan.N351_ <> YES) AND SecN.MediCaidCarePlan.N351_ <>
NONRESPONSE THEN
IF (SecN.MedD.N352_ <> NO) AND SecN.MedD.N352_ <> NONRESPONSE THEN
IF piRvarsZ245_PWPlanName <> EMPTY THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN414 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?
.................................................................................
1624 1. YES
20 3. YES, SAME COMPANY, DIFFERENT PLAN
450 5. NO
9 6. Records Inaccurate
19 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18432 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MedD.N353_
IF (SecN.MedD.N414_ = SomeCODiffplan) OR (SecN.MedD.N414_ = NO) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN415M1 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?
IWER: Choose all that apply
.................................................................................
138 1. OLD ONE CLOSED; provider/company/medicare changed the plan;
same company different plan; moved; had to change plans
158 2. LOWER PREMIUMS
12 5. NO GAP IN COVERAGE
32 6. Lower costs, NFS
110 7. OTHER (SPECIFY); dissatisfied with old plan; new plan
better, NFS; new plan recommended to R
28 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20076 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MedD.N353_
IF (SecN.MedD.N414_ = SomeCODiffplan) OR (SecN.MedD.N414_ = NO) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN415M2 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?
IWER: Choose all that apply
.................................................................................
4 1. OLD ONE CLOSED; provider/company/medicare changed the plan;
same company different plan; moved; had to change plans
4 2. LOWER PREMIUMS
4 5. NO GAP IN COVERAGE
7 6. Lower costs, NFS
15 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)
20520 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MedD.N353_
IF (SecN.MedD.N414_ = SomeCODiffplan) OR (SecN.MedD.N414_ = NO) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN415M3 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?
IWER: 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
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)
20554 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF (SecN.MediCaidCarePlan.N351_ <> YES) AND SecN.MediCaidCarePlan.N351_ <>
NONRESPONSE THEN
IF SecN.MedD.N352_ = NO THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN417 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?
.................................................................................
3210 1. YES
1038 5. NO
14 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16292 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN404 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?
IWER: Do not probe DK/RF
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
2745 0 3939 63.90 141.50 16855
-----------------------------------------------------------------
1 9996. Not Ascertained; Amount included in N014 or N040
922 9998. DK (Don't Know); NA (Not Ascertained)
31 9999. RF (Refused)
==========================================================================================
NN405 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
.................................................................................
462 0. Value of Breakpoint
29 20. Value of Breakpoint
40 21. Value of Breakpoint
42 30. Value of Breakpoint
119 31. Value of Breakpoint
37 45. Value of Breakpoint
79 46. Value of Breakpoint
16 60. Value of Breakpoint
110 61. Value of Breakpoint
19620 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN406 MONTHLY PREMIUMS - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.MedD.N406_
*
.................................................................................
35 19. Value of Breakpoint
29 20. Value of Breakpoint
58 29. Value of Breakpoint
42 30. Value of Breakpoint
104 44. Value of Breakpoint
37 45. Value of Breakpoint
51 59. Value of Breakpoint
16 60. Value of Breakpoint
562 99999996. Greater than Maximum Breakpoint
19620 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN407 MONTHLY PREMIUMS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MedD.N407_
*
.................................................................................
19 97. Data Not Available
460 98. DK (Don't Know); NA (Not Ascertained)
26 99. RF (Refused)
20049 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN425 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?
.................................................................................
3722 1. YES
2590 5. NO
56 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
14185 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MedD.N425_knowabtprogram
IF SecN.MedD.N425_knowabtprogram = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN426 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?
.................................................................................
625 1. YES
3077 5. NO
20 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16832 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.MedD.N426_
IF SecN.MedD.N426_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN427 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?
.................................................................................
360 1. ACCEPTED
233 2. DENIED
24 3. STILL WAITING TO HEAR
8 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
19929 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN023 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.
Do NOT include long-term care insurance. [Other than your Medicare HMO or
Medicare Advantage Plan you've just told me about, how/How] many other plans do
you have?
IWER: ENTER zero for none
Number of plans:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
20339 0 11 0.57 0.59 49
-----------------------------------------------------------------
130 98. DK (Don't Know); NA (Not Ascertained)
36 99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN280_1 NAME PRIVATE HEALTH INSURANCE PLAN -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[1].N280_
Let's talk about [that plan/ the most important of those plans/ the
[second/third] most important of those plans]. What is the name of this plan?
Name of insurance plan:
IWER: If the respondent selects a plan already on the list, be sure to confirm
the entire plan name has remained the same. If not, add as a new plan
.................................................................................
6785 1. PW_PLAN1
55 2. PW_PLAN2
2 3. PW_PLAN3
3895 27. NOT ON LIST
62 98. DK (Don't Know); NA (Not Ascertained)
12 99. RF (Refused)
9743 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N280_
IF piGovCoverN001_ = YES THEN
IF SecN.PlanDetails[CNT].Counter = 1 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN025_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 Plan (per N024)]?
.................................................................................
3943 1. MEDICARE
706 2. NAME OF PLAN (N024_1)
100 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
15801 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N280_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN032_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?
IWER: The follow-up questions refer to the private plan, not to Medicare.
.................................................................................
8212 1. YES
2414 5. NO
182 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
9743 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF ((piSecJWORKSTATUSJ020_WorkforPay = YES) ) OR ((RVARS.Z123_CurWorkng_V =
YES) AND ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN))) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN033_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?]
.................................................................................
3629 1. YES
1967 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
14953 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF SecN.PlanDetails[CNT].N033_HowObtIns <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN034_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?
.................................................................................
2048 1. YES
5118 5. NO
16 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
13372 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN035_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?
.................................................................................
1516 1. YES
2537 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
16496 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) OR (piSecBB063_MarStatAssign = WIDOWED) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN036_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?
.................................................................................
982 1. YES
2528 5. NO
13 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17031 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN037_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?
.................................................................................
1789 1. INSURANCE COMPANY
51 2. R'S UNION
3 3. SPOUSE'S UNION
501 4. GROUP
123 6. Includes federal, state or military programs
94 7. OTHER (SPECIFY)
74 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
17916 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN281_1 PRIV PLAN HI- START MONTH -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[1].N281_MonthStart
When did this coverage start?
Month:
.................................................................................
1662 1. JAN
459 2. FEB
469 3. MAR
503 4. APR
481 5. MAY
783 6. JUN
696 7. JUL
624 8. AUG
755 9. SEP
599 10. OCT
437 11. NOV
423 12. DEC
86 13. WINTER
156 14. SPRING
140 15. SUMMER
160 16. FALL
2370 98. DK (Don't Know); NA (Not Ascertained)
7 99. RF (Refused)
9744 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N281_MonthStart
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN282_1 PRIV PLAN HI- START YEAR -1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.PlanDetails[1].N282_YearStart
When did this coverage start?
Year:
.................................................................................
9870 1905-2013. Actual Value
936 9998. DK (Don't Know); NA (Not Ascertained)
4 9999. RF (Refused)
9744 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N282_YearStart
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN039_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?
.................................................................................
5861 1. ALL
3230 2. SOME
1613 3. NONE
102 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
9744 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
IF SecN.PlanDetails[CNT].N039_PayHlthInsCost <> NONE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN040_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 (for you and any members of your household that are also covered)?
[IWER: PROBE if necessary. Count any payroll deductions, but do not include any
amount paid by the employer]
IWER: Do not probe DK/RF
Amount per Month:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
7472 0 5524 259.43 268.91 11357
-----------------------------------------------------------------
1617 99998. DK (Don't Know); NA (Not Ascertained)
108 99999. RF (Refused)
==========================================================================================
NN041_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
.................................................................................
554 0. Value of Breakpoint
29 50. Value of Breakpoint
109 51. Value of Breakpoint
58 100. Value of Breakpoint
186 101. Value of Breakpoint
61 150. Value of Breakpoint
475 151. Value of Breakpoint
57 300. Value of Breakpoint
128 301. Value of Breakpoint
17 500. Value of Breakpoint
46 501. Value of Breakpoint
18834 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN042_1 PRIV PLAN HI PAY PER/MONTH- MAX- 1
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.PlanDetails[1].N042_
*
.................................................................................
63 49. Value of Breakpoint
29 50. Value of Breakpoint
129 99. Value of Breakpoint
58 100. Value of Breakpoint
175 149. Value of Breakpoint
61 150. Value of Breakpoint
304 299. Value of Breakpoint
57 300. Value of Breakpoint
116 499. Value of Breakpoint
17 500. Value of Breakpoint
711 99999996. Greater than Maximum Breakpoint
18834 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN043_1 PRIV PLAN HI PAY PER/MONTH- RESULT- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[1].N043_
*
.................................................................................
5 97. Data Not Available
673 98. DK (Don't Know); NA (Not Ascertained)
87 99. RF (Refused)
19789 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN044_1 BRANCHPNT-SELF EMPLOYED/ALL OTH -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N044_
*
.................................................................................
899 1. R IS CURRENTLY SELF-EMPLOYED
9912 2. ALL OTHERS
9743 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN046_1 BRANCHPNT-SOURCE OF HEALTH INSURANCE -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N046_
*
.................................................................................
2132 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
552 2. INS THRU SOMEPLACE ELSE
8127 3. INS THRU CURRENT/FORMER EMPLOYER
9743 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN047_1 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N047_
*
.................................................................................
4753 1. R IS COVERED BY MEDICARE
6058 2. ALL OTHERS
9743 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN048_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 policy?
.................................................................................
5303 1. YES
5503 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
9744 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N048_AnyElseCov = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN049_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?
IWER: CHOOSE all that apply
.................................................................................
815 041-990. Other Person Number
4194 991. R'S SPOUSE/PARTNER
67 993. ALL CHILDREN
16 994. ONE OR MORE GRANDCHILDREN
190 995. Data Not Available
15 997. OTHER (SPECIFY); including ex-spouses; R's
employees
2 998. DK (Don't Know); NA (Not Ascertained)
3 999. RF (Refused)
15252 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N048_AnyElseCov = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN049_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?
IWER: CHOOSE all that apply
.................................................................................
666 041-990. Other Person Number
388 991. R'S SPOUSE/PARTNER
147 993. ALL CHILDREN
18 994. ONE OR MORE GRANDCHILDREN
158 995. Data Not Available
11 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
19166 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N048_AnyElseCov = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN049_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?
IWER: CHOOSE all that apply
.................................................................................
214 041-990. Other Person Number
186 991. R'S SPOUSE/PARTNER
1 993. ALL CHILDREN
10 994. ONE OR MORE GRANDCHILDREN
44 995. Data Not Available
5 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
20094 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N048_AnyElseCov = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN049_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?
IWER: CHOOSE all that apply
.................................................................................
55 041-990. Other Person Number
35 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
2 994. ONE OR MORE GRANDCHILDREN
11 995. Data Not Available
1 997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
20450 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N048_AnyElseCov = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN049_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?
IWER: CHOOSE all that apply
.................................................................................
13 041-990. Other Person Number
10 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
1 994. ONE OR MORE GRANDCHILDREN
1 995. Data Not Available
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
20529 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N048_AnyElseCov = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN049_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?
IWER: CHOOSE all that apply
.................................................................................
1 041-990. Other Person Number
991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
20553 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))) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN051_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?
.................................................................................
1236 1. YES
760 5. NO
58 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
18498 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN058_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_
*
.................................................................................
3251 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
626 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
6934 3. ALL OTHERS
9743 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
IF piSecAContinuInterviewA019_RAge < 65 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN059_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?
.................................................................................
1649 1. YES
1871 5. NO
162 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
16871 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N059_CovTo65
IF SecN.PlanDetails[CNT].N059_CovTo65 = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN060_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?
.................................................................................
749 1. YES
761 5. NO
139 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18905 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
IF (((SecA.Relations.A044TSpAge_A < 65) AND (piRespondents1X065ACouplenss <>
OTHER)) AND (SecN.PlanDetails[CNT].N059_CovTo65 <> NO)) AND
(SecN.PlanDetails[CNT].N051_SPCoverage = YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN062_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?
.................................................................................
152 1. YES
96 5. NO
29 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
20276 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N062_CovSPTo65
IF SecN.PlanDetails[CNT].N062_CovSPTo65 = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN063_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?
.................................................................................
70 1. YES
69 5. NO
13 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20402 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN284_1 HEALTH INSURANCE PLAN SATISFACTION -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N284_
Overall, how satisfied are you with this health plan? Are you very satisfied,
somewhat satisfied, neutral, somewhat dissatisfied, or very dissatisfied?
.................................................................................
5674 1. VERY SATISFIED
3131 2. SOMEWHAT SATISFIED
1179 3. NEUTRAL
514 4. SOMEWHAT DISSATISFIED
235 5. VERY DISSATISFIED
73 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
9744 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN280_2 NAME PRIVATE HEALTH INSURANCE PLAN -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[2].N280_
Let's talk about [that plan/ the most important of those plans/ the
[second/third] most important of those plans]. What is the name of this plan?
Name of insurance plan:
IWER: If the respondent selects a plan already on the list, be sure to confirm
the entire plan name has remained the same. If not, add as a new plan
.................................................................................
57 1. PW_PLAN1
102 2. PW_PLAN2
2 3. PW_PLAN3
420 27. NOT ON LIST
15 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
19957 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N280_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN032_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?
IWER: The follow-up questions refer to the private plan, not to Medicare.
.................................................................................
276 1. YES
304 5. NO
17 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
19957 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF ((piSecJWORKSTATUSJ020_WorkforPay = YES) ) OR ((RVARS.Z123_CurWorkng_V =
YES) AND ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN))) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN033_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?]
.................................................................................
155 1. YES
163 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20234 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF SecN.PlanDetails[CNT].N033_HowObtIns <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN034_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?
.................................................................................
111 1. YES
327 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20112 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN035_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?
.................................................................................
79 1. YES
178 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20295 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) OR (piSecBB063_MarStatAssign = WIDOWED) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN036_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?
.................................................................................
65 1. YES
176 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20310 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN037_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?
.................................................................................
111 1. INSURANCE COMPANY
7 2. R'S UNION
3 3. SPOUSE'S UNION
42 4. GROUP
7 6. Includes federal, state or military programs
7 7. OTHER (SPECIFY)
9 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
20366 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN281_2 PRIV PLAN HI- START MONTH -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[2].N281_MonthStart
When did this coverage start?
Month:
.................................................................................
87 1. JAN
17 2. FEB
34 3. MAR
18 4. APR
21 5. MAY
42 6. JUN
40 7. JUL
36 8. AUG
42 9. SEP
23 10. OCT
31 11. NOV
17 12. DEC
4 13. WINTER
9 14. SPRING
7 15. SUMMER
12 16. FALL
155 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
19957 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N281_MonthStart
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN282_2 PRIV PLAN HI- START YEAR -2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.PlanDetails[2].N282_YearStart
When did this coverage start?
Year:
.................................................................................
536 1927-2013. Actual Value
58 9998. DK (Don't Know); NA (Not Ascertained)
3 9999. RF (Refused)
19957 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N282_YearStart
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN039_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?
.................................................................................
342 1. ALL
136 2. SOME
107 3. NONE
11 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
19957 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
IF SecN.PlanDetails[CNT].N039_PayHlthInsCost <> NONE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN040_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 (for you and any members of your household that are also covered)?
[IWER: PROBE if necessary. Count any payroll deductions, but do not include any
amount paid by the employer]
IWER: Do not probe DK/RF
Amount per Month:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
402 0 2500 95.89 168.48 20064
-----------------------------------------------------------------
82 99998. DK (Don't Know); NA (Not Ascertained)
6 99999. RF (Refused)
==========================================================================================
NN041_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
.................................................................................
45 0. Value of Breakpoint
1 50. Value of Breakpoint
12 51. Value of Breakpoint
4 100. Value of Breakpoint
6 101. Value of Breakpoint
3 150. Value of Breakpoint
12 151. Value of Breakpoint
2 300. Value of Breakpoint
1 501. Value of Breakpoint
20468 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN042_2 PRIV PLAN HI PAY PER/MONTH- MAX- 2
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.PlanDetails[2].N042_
*
.................................................................................
9 49. Value of Breakpoint
1 50. Value of Breakpoint
13 99. Value of Breakpoint
4 100. Value of Breakpoint
8 149. Value of Breakpoint
3 150. Value of Breakpoint
5 299. Value of Breakpoint
2 300. Value of Breakpoint
41 99999996. Greater than Maximum Breakpoint
20468 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN043_2 PRIV PLAN HI PAY PER/MONTH- RESULT- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[2].N043_
*
.................................................................................
2 97. Data Not Available
38 98. DK (Don't Know); NA (Not Ascertained)
6 99. RF (Refused)
20508 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN044_2 BRANCHPNT-SELF EMPLOYED/ALL OTH -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N044_
*
.................................................................................
32 1. R IS CURRENTLY SELF-EMPLOYED
565 2. ALL OTHERS
19957 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN046_2 BRANCHPNT-SOURCE OF HEALTH INSURANCE -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N046_
*
.................................................................................
128 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
32 2. INS THRU SOMEPLACE ELSE
437 3. INS THRU CURRENT/FORMER EMPLOYER
19957 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN047_2 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N047_
*
.................................................................................
275 1. R IS COVERED BY MEDICARE
322 2. ALL OTHERS
19957 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN048_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?
.................................................................................
281 1. YES
311 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
19957 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N048_AnyElseCov = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN049_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?
IWER: CHOOSE all that apply
.................................................................................
29 041-990. Other Person Number
235 991. R'S SPOUSE/PARTNER
2 993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
14 995. Data Not Available
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
20274 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N048_AnyElseCov = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN049_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?
IWER: CHOOSE all that apply
.................................................................................
25 041-990. Other Person Number
13 991. R'S SPOUSE/PARTNER
4 993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
13 995. Data Not Available
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
20499 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N048_AnyElseCov = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN049_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?
IWER: CHOOSE all that apply
.................................................................................
7 041-990. Other Person Number
15 991. R'S SPOUSE/PARTNER
1 993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
1 995. Data Not Available
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
20530 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N048_AnyElseCov = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN049_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?
IWER: CHOOSE all that apply
.................................................................................
041-990. Other Person Number
991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
995. Data Not Available
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
20554 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))) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN051_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?
.................................................................................
61 1. YES
40 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
20444 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN058_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_
*
.................................................................................
132 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
31 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
434 3. ALL OTHERS
19957 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
IF piSecAContinuInterviewA019_RAge < 65 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN059_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?
.................................................................................
78 1. YES
62 5. NO
11 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20403 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N059_CovTo65
IF SecN.PlanDetails[CNT].N059_CovTo65 = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN060_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?
.................................................................................
40 1. YES
32 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20476 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
IF (((SecA.Relations.A044TSpAge_A < 65) AND (piRespondents1X065ACouplenss <>
OTHER)) AND (SecN.PlanDetails[CNT].N059_CovTo65 <> NO)) AND
(SecN.PlanDetails[CNT].N051_SPCoverage = YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN062_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
6 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20538 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N062_CovSPTo65
IF SecN.PlanDetails[CNT].N062_CovSPTo65 = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN063_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)
20546 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN284_2 HEALTH INSURANCE PLAN SATISFACTION -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N284_
Overall, how satisfied are you with this health plan? Are you very satisfied,
somewhat satisfied, neutral, somewhat dissatisfied, or very dissatisfied?
.................................................................................
299 1. VERY SATISFIED
164 2. SOMEWHAT SATISFIED
93 3. NEUTRAL
21 4. SOMEWHAT DISSATISFIED
4 5. VERY DISSATISFIED
14 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
19957 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN280_3 NAME PRIVATE HEALTH INSURANCE PLAN -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[3].N280_
Let's talk about [that plan/ the most important of those plans/ the
[second/third] most important of those plans]. What is the name of this plan?
Name of insurance plan:
IWER: If the respondent selects a plan already on the list, be sure to confirm
the entire plan name has remained the same. If not, add as a new plan
.................................................................................
1 1. PW_PLAN1
3 2. PW_PLAN2
3 3. PW_PLAN3
81 27. NOT ON LIST
6 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
20459 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N280_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN032_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?
IWER: The follow-up questions refer to the private plan, not to Medicare.
.................................................................................
13 1. YES
73 5. NO
7 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
20459 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF ((piSecJWORKSTATUSJ020_WorkforPay = YES) ) OR ((RVARS.Z123_CurWorkng_V =
YES) AND ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN))) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN033_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?]
.................................................................................
43 1. YES
20 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
20488 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF SecN.PlanDetails[CNT].N033_HowObtIns <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN034_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?
.................................................................................
11 1. YES
32 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
20502 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN035_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?
.................................................................................
7 1. YES
21 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
20521 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) OR (piSecBB063_MarStatAssign = WIDOWED) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN036_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?
.................................................................................
10 1. YES
16 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
20520 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN037_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?
.................................................................................
12 1. INSURANCE COMPANY
2. R'S UNION
3. SPOUSE'S UNION
1 4. GROUP
3 6. Includes federal, state or military programs
7. OTHER (SPECIFY)
5 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
20530 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN281_3 PRIV PLAN HI- START MONTH -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[3].N281_MonthStart
When did this coverage start?
Month:
.................................................................................
18 1. JAN
2 2. FEB
1 3. MAR
3 4. APR
6 5. MAY
5 6. JUN
7 7. JUL
7 8. AUG
9 9. SEP
6 10. OCT
4 11. NOV
4 12. DEC
13. WINTER
1 14. SPRING
1 15. SUMMER
16. FALL
18 98. DK (Don't Know); NA (Not Ascertained)
3 99. RF (Refused)
20459 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N281_MonthStart
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN282_3 PRIV PLAN HI- START YEAR -3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.PlanDetails[3].N282_YearStart
When did this coverage start?
Year:
.................................................................................
81 1960-2012. Actual Value
11 9998. DK (Don't Know); NA (Not Ascertained)
3 9999. RF (Refused)
20459 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N282_YearStart
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN039_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?
.................................................................................
55 1. ALL
14 2. SOME
18 3. NONE
5 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
20459 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
IF SecN.PlanDetails[CNT].N039_PayHlthInsCost <> NONE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN040_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 (for you and any members of your household that are also covered)?
[IWER: PROBE if necessary. Count any payroll deductions, but do not include any
amount paid by the employer]
IWER: Do not probe DK/RF
Amount per Month:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
56 0 300 42.54 64.30 20477
-----------------------------------------------------------------
18 99998. DK (Don't Know); NA (Not Ascertained)
3 99999. RF (Refused)
==========================================================================================
NN041_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
.................................................................................
13 0. Value of Breakpoint
1 51. Value of Breakpoint
1 100. Value of Breakpoint
2 101. Value of Breakpoint
4 151. Value of Breakpoint
20533 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN042_3 PRIV PLAN HI PAY PER/MONTH- MAX- 3
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.PlanDetails[3].N042_
*
.................................................................................
3 49. Value of Breakpoint
2 99. Value of Breakpoint
1 100. Value of Breakpoint
3 149. Value of Breakpoint
1 299. Value of Breakpoint
11 99999996. Greater than Maximum Breakpoint
20533 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN043_3 PRIV PLAN HI PAY PER/MONTH- RESULT- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[3].N043_
*
.................................................................................
11 98. DK (Don't Know); NA (Not Ascertained)
3 99. RF (Refused)
20540 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN044_3 BRANCHPNT-SELF EMPLOYED/ALL OTH -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N044_
*
.................................................................................
9 1. R IS CURRENTLY SELF-EMPLOYED
86 2. ALL OTHERS
20459 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN046_3 BRANCHPNT-SOURCE OF HEALTH INSURANCE -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N046_
*
.................................................................................
14 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
4 2. INS THRU SOMEPLACE ELSE
77 3. INS THRU CURRENT/FORMER EMPLOYER
20459 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN047_3 BRANCHPNT-COVERD BY MEDICARE/ALL OTH- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N047_
*
.................................................................................
36 1. R IS COVERED BY MEDICARE
59 2. ALL OTHERS
20459 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN048_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?
.................................................................................
51 1. YES
38 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
20459 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N048_AnyElseCov = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN049_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?
IWER: CHOOSE all that apply
.................................................................................
7 041-990. Other Person Number
42 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
1 995. Data Not Available
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
==========================================================================================
IF N048_AnyElseCov = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN049_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?
IWER: CHOOSE all that apply
.................................................................................
5 041-990. Other Person Number
991. R'S SPOUSE/PARTNER
1 993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
2 995. Data Not Available
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
20546 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N048_AnyElseCov = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN049_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?
IWER: CHOOSE all that apply
.................................................................................
2 041-990. Other Person Number
3 991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
995. Data Not Available
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
20549 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N048_AnyElseCov = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN049_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?
IWER: CHOOSE all that apply
.................................................................................
041-990. Other Person Number
991. R'S SPOUSE/PARTNER
993. ALL CHILDREN
994. ONE OR MORE GRANDCHILDREN
995. Data Not Available
997. OTHER (SPECIFY); including ex-spouses; R's
employees
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
20554 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))) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN051_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?
.................................................................................
3 1. YES
6 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
20540 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN058_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_
*
.................................................................................
38 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
1 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
56 3. ALL OTHERS
20459 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
IF piSecAContinuInterviewA019_RAge < 65 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN059_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?
.................................................................................
14 1. YES
18 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20520 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N059_CovTo65
IF SecN.PlanDetails[CNT].N059_CovTo65 = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN060_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?
.................................................................................
8 1. YES
5 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20540 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
IF (((SecA.Relations.A044TSpAge_A < 65) AND (piRespondents1X065ACouplenss <>
OTHER)) AND (SecN.PlanDetails[CNT].N059_CovTo65 <> NO)) AND
(SecN.PlanDetails[CNT].N051_SPCoverage = YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN062_3 EMP RETIREE HI COV FOR SP UP TO 65- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N062_CovSPTo65
[Could your spouse be covered by this plan/If you left your current employer now
could you continue your current health insurance coverage for your spouse] until
[he/she] is age 65?
.................................................................................
1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20553 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N062_CovSPTo65
IF SecN.PlanDetails[CNT].N062_CovSPTo65 = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN063_3 EMP RETIREE HI COV FOR SP AFTER 65- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N063_CovSPAft65
[Does your former /If you left your current employer now, does your] employer
offer some type of health insurance coverage for your spouse after the age of
65?
.................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20554 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN284_3 HEALTH INSURANCE PLAN SATISFACTION -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N284_
Overall, how satisfied are you with this health plan? Are you very satisfied,
somewhat satisfied, neutral, somewhat dissatisfied, or very dissatisfied?
.................................................................................
37 1. VERY SATISFIED
19 2. SOMEWHAT SATISFIED
27 3. NEUTRAL
2 4. SOMEWHAT DISSATISFIED
5. VERY DISSATISFIED
7 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
20459 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF SecN.PWPlancnt > 0 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN279 PLAN INTRO
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N279_PlanIntro
Last time we talked you mentioned other health insurance plans.
.................................................................................
2228 1. CONTINUE
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18326 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF SecN.PWPlancnt > 0 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN274_1 STILL COVERED -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[1].N274_StillCovered
Are you still covered by [Plan Name]?
.................................................................................
324 1. YES
1571 5. NO
19 8. DK (Don't Know); NA (Not Ascertained)
8 9. RF (Refused)
18632 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N274_StillCovered = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN275_1 MONTH STARTED -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[1].N275_Mo_Started
When did this coverage start?
Month/Year
.................................................................................
38 1. JAN
12 2. FEB
18 3. MAR
14 4. APR
14 5. MAY
21 6. JUN
27 7. JUL
16 8. AUG
22 9. SEP
17 10. OCT
12 11. NOV
6 12. DEC
105 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
20230 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N274_StillCovered = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN276_1 YEAR STARTED -1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[1].N276_Yr_Started
When did this coverage start?
Month/Year
.................................................................................
276 1950-2012. Actual Value
46 9998. DK (Don't Know); NA (Not Ascertained)
2 9999. RF (Refused)
20230 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N274_StillCovered <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN277_1 MONTH STOPPED -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[1].N277_Mo_Stopped
When did this coverage stop?
Month/Year
.................................................................................
276 1. JAN
46 2. FEB
63 3. MAR
64 4. APR
78 5. MAY
114 6. JUN
91 7. JUL
76 8. AUG
70 9. SEP
68 10. OCT
73 11. NOV
290 12. DEC
272 98. DK (Don't Know); NA (Not Ascertained)
17 99. RF (Refused)
18956 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N274_StillCovered <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN278_1 YEAR STOPPED -1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[1].N278_Yr_Stopped
When did this coverage stop?
Month/Year
.................................................................................
1396 1987-2013. Actual Value
186 9998. DK (Don't Know); NA (Not Ascertained)
16 9999. RF (Refused)
18956 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF SecN.PWPlancnt > 0 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN274_2 STILL COVERED -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[2].N274_StillCovered
Are you still covered by [Plan Name]?
.................................................................................
231 1. YES
156 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
20161 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N274_StillCovered = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN275_2 MONTH STARTED -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[2].N275_Mo_Started
When did this coverage start?
Month/Year
.................................................................................
36 1. JAN
7 2. FEB
4 3. MAR
5 4. APR
12 5. MAY
13 6. JUN
18 7. JUL
15 8. AUG
10 9. SEP
10 10. OCT
7 11. NOV
7 12. DEC
87 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
20323 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N274_StillCovered = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN276_2 YEAR STARTED -2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[2].N276_Yr_Started
When did this coverage start?
Month/Year
.................................................................................
190 1958-2013. Actual Value
41 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
20323 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N274_StillCovered <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN277_2 MONTH STOPPED -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[2].N277_Mo_Stopped
When did this coverage stop?
Month/Year
.................................................................................
31 1. JAN
3 2. FEB
7 3. MAR
6 4. APR
8 5. MAY
5 6. JUN
4 7. JUL
2 8. AUG
4 9. SEP
8 10. OCT
5 11. NOV
13 12. DEC
58 98. DK (Don't Know); NA (Not Ascertained)
8 99. RF (Refused)
20392 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N274_StillCovered <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN278_2 YEAR STOPPED -2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[2].N278_Yr_Stopped
When did this coverage stop?
Month/Year
.................................................................................
108 2006-2012. Actual Value
45 9998. DK (Don't Know); NA (Not Ascertained)
9 9999. RF (Refused)
20392 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF SecN.PWPlancnt > 0 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN274_3 STILL COVERED -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[3].N274_StillCovered
Are you still covered by [Plan Name]?
.................................................................................
53 1. YES
25 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20473 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N274_StillCovered = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN275_3 MONTH STARTED -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[3].N275_Mo_Started
When did this coverage start?
Month/Year
.................................................................................
14 1. JAN
3 2. FEB
3. MAR
1 4. APR
3 5. MAY
2 6. JUN
4 7. JUL
6 8. AUG
5 9. SEP
10. OCT
1 11. NOV
12. DEC
14 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
20501 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N274_StillCovered = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN276_3 YEAR STARTED -3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[3].N276_Yr_Started
When did this coverage start?
Month/Year
.................................................................................
44 1967-2012. Actual Value
9 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
20501 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N274_StillCovered <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN277_3 MONTH STOPPED -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[3].N277_Mo_Stopped
When did this coverage stop?
Month/Year
.................................................................................
3 1. JAN
2. FEB
1 3. MAR
4. APR
2 5. MAY
3 6. JUN
1 7. JUL
8. AUG
2 9. SEP
1 10. OCT
1 11. NOV
3 12. DEC
10 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
20526 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N274_StillCovered <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN278_3 YEAR STOPPED -3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[3].N278_Yr_Stopped
When did this coverage stop?
Month/Year
.................................................................................
18 2008-2012. Actual Value
9 9998. DK (Don't Know); NA (Not Ascertained)
1 9999. RF (Refused)
20526 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF SecN.N090_NumOfPlans = 0 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN342 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?
.................................................................................
2054 1. YES
202 5. NO
25 8. DK (Don't Know); NA (Not Ascertained)
13 9. RF (Refused)
18260 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N342_AnyInsurance
IF SecN.N342_AnyInsurance = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN260 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?
.................................................................................
189 1. 6 MONTHS OR LESS
127 2. MORE THAN 6 MONTHS, BUT NOT MORE THAN 1 YEAR AGO
380 3. MORE THAN 1 YEAR, BUT NOT MORE THAN 3 YEARS AGO
871 4. MORE THAN 3 YEARS
402 5. NEVER
76 8. DK (Don't Know); NA (Not Ascertained)
9 9. RF (Refused)
18500 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N260_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN261M1 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?
.................................................................................
217 1. PERSON IN FAMILY WITH HEALTH INSURANCE LOST JOB OR CHANGED
EMPLOYERS; unemployed
221 4. EMPLOYER DOES NOT OFFER COVERAGE/OR NOT ELIGIBLE FOR
COVERAGE
1123 5. COST IS TOO HIGH
1 7. Lost medicaid/medical plan because of new job or increase in
income
8. Lost medicaid (other)
43 9. Disputes coverage/is covered by insurance (including VA
coverage)
121 10. Not eligible (includes "don't qualify", "pre-existing
conditions", "don't have documents/illegal"
77 11. Don't need it (includes "don't want it", "don't have health
problems/ not sick")
58 12. Didn't apply; NFS
121 97. OTHER (SPECIFY)
52 98. DK (Don't Know); NA (Not Ascertained)
20 99. RF (Refused)
18500 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N260_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN261M2 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?
.................................................................................
19 1. PERSON IN FAMILY WITH HEALTH INSURANCE LOST JOB OR CHANGED
EMPLOYERS; unemployed
25 4. EMPLOYER DOES NOT OFFER COVERAGE/OR NOT ELIGIBLE FOR
COVERAGE
56 5. COST IS TOO HIGH
7. Lost medicaid/medical plan because of new job or increase in
income
1 8. Lost medicaid (other)
3 9. Disputes coverage/is covered by insurance (including VA
coverage)
17 10. Not eligible (includes "don't qualify", "pre-existing
conditions", "don't have documents/illegal"
5 11. Don't need it (includes "don't want it", "don't have health
problems/ not sick")
12. Didn't apply; NFS
4 97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
20424 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N260_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN261M3 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 1. PERSON IN FAMILY WITH HEALTH INSURANCE LOST JOB OR CHANGED
EMPLOYERS; unemployed
2 4. EMPLOYER DOES NOT OFFER COVERAGE/OR NOT ELIGIBLE FOR
COVERAGE
3 5. COST IS TOO HIGH
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
1 97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
20547 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N260_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN261M4 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
4. EMPLOYER DOES NOT OFFER COVERAGE/OR NOT ELIGIBLE FOR
COVERAGE
5. COST IS TOO HIGH
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")
1 12. Didn't apply; NFS
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
20553 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N342_AnyInsurance
IF SecN.N342_AnyInsurance = NO THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN343M1 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?
IWER: READ list:
Medicare
Medicaid
TRI-CARE/CHAMPUS/CHAMPVA
A private plan from an employer
A private plan purchased directly
Some other type of plan
IWER: CHOOSE all that apply.
IF R reports State name for Medicaid, Code as 2. Medicaid.
.................................................................................
8 1. MEDICARE
9 2. MEDICAID
2 3. TRI-CARE/CHAMPUS/CHAMPVA
100 4. A PRIVATE PLAN FROM AN EMPLOYER
9 5. A PRIVATE PLAN PURCHASED DIRECTLY
66 6. OTHER PLAN
4 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
20352 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N342_AnyInsurance
IF SecN.N342_AnyInsurance = NO THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN343M2 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?
IWER: READ list:
Medicare
Medicaid
TRI-CARE/CHAMPUS/CHAMPVA
A private plan from an employer
A private plan purchased directly
Some other type of plan
IWER: CHOOSE all that apply.
IF R reports State name for Medicaid, Code as 2. Medicaid.
.................................................................................
1. MEDICARE
1 2. MEDICAID
3. TRI-CARE/CHAMPUS/CHAMPVA
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)
20551 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N342_AnyInsurance
IF SecN.N342_AnyInsurance = NO THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN343M3 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?
IWER: READ list:
Medicare
Medicaid
TRI-CARE/CHAMPUS/CHAMPVA
A private plan from an employer
A private plan purchased directly
Some other type of plan
IWER: CHOOSE all that apply.
IF R reports State name for Medicaid, Code as 2. Medicaid.
.................................................................................
1. MEDICARE
2. MEDICAID
3. TRI-CARE/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)
20554 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN431 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?
.................................................................................
42 1. FIRST PLAN MENTIONED AT NN024
3 2. SECOND PLAN MENTIONED AT NN024
5 4. PLAN MENTIONED AT NN070
6 5. PLAN MENTIONED AT NN074
1 6. PLAN MENTIONED AT NN105
6 19. MEDICARE HMO
50 20. MEDICARE
70 21. MEDICAID
316 22. CHAMPUS
516 27. NOT ON LIST
214 97. GET MEDS THROUGH THE VA
37 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
19287 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: N090_NumOfPlans := N090_NumOfPlans + 1:IF SecN.GovCover.N001_ = YES
THEN
ORIF SecN.GovCover.N006_ = YES THEN
ORIF SecN.GovCover.N007_ = YES THEN
OR{PREVIOUS ASK} SecN.MedD.N353_
IF SecN.MedD.N353_ <> EMPTY THEN
ORIF (SecN.MediCaidCarePlan.N351_ <> YES) AND SecN.MediCaidCarePlan.N351_ <>
NONRESPONSE THEN
IF (SecN.MedD.N352_ <> NO) AND SecN.MedD.N352_ <> NONRESPONSE THEN
IF SecN.MedD.N414_ = YES THEN
OR{PREVIOUS ASK} SecN.PlanDetails[CNT].N024_
OR{PREVIOUS ASK} SecN.PlanDetails[CNT].N024_
IF SecN.PlanDetails[CNT].N280_ = PW_Plan1 THEN
OR{PREVIOUS ASK} SecN.PlanDetails[CNT].N024_
IF NOT(SecN.PlanDetails[CNT].N280_ = PW_Plan1) THEN
IF SecN.PlanDetails[CNT].N280_ = PW_Plan2 THEN
OR{PREVIOUS ASK} SecN.PlanDetails[CNT].N024_
IF NOT(SecN.PlanDetails[CNT].N280_ = PW_Plan1) THEN
IF NOT(SecN.PlanDetails[CNT].N280_ = PW_Plan2) THEN
IF SecN.PlanDetails[CNT].N280_ = PW_Plan3 THEN
OR{PREVIOUS ASK} SecN.N279_PlanIntro
IF SecN.AskPlanGrid.PlanRow[i].N274_StillCovered = YES THEN
OR{PREVIOUS ASK} SecN.AskPlanGrid.PlanRow[1].N276_Yr_Started
OR{PREVIOUS ASK} SecN.AskPlanGrid.PlanRow[2].N276_Yr_Started
OR{PREVIOUS ASK} SecN.AskPlanGrid.PlanRow[3].N276_Yr_Started
OR{PREVIOUS ASK} SecN.N432_Drugplanname
IF SecN.N432_Drugplanname <> EMPTY THEN
OR{PREVIOUS ASK} SecN.HospitalStay.N105_NamePlanCovHosp
IF SecN.HospitalStay.N105_NamePlanCovHosp <> EMPTY THEN
OR{PREVIOUS ASK} SecN.PrescpDrug.N179_PlanNameMeds
IF SecN.PrescpDrug.N179_PlanNameMeds <> EMPTY THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN090 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 NN090: NN001, NN006,
NN007, NN024, NN068, NN074, NN105, and NN179
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
20538 0 7 1.60 1.00 13
-----------------------------------------------------------------
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN067 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?
.................................................................................
8442 1. YES
11939 5. NO
106 8. DK (Don't Know); NA (Not Ascertained)
17 9. RF (Refused)
50 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.DentalPlans.N067_
IF SecN.NHomeINs.DentalPlans.N067_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN068 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?
.................................................................................
4699 1. PREVIOUSLY DESCRIBED PLAN
3684 2. DIFFERENT PLAN
57 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
12112 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.DentalPlans.N068_DenCovNewPrev
IF SecN.NHomeINs.DentalPlans.N068_DenCovNewPrev = PREVDESCRPLAN THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN069 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?
.................................................................................
2658 1. FIRST PLAN MENTIONED AT NN024
117 2. SECOND PLAN MENTIONED AT NN024
18 3. THIRD PLAN MENTIONED AT NN024
40 4. PLAN MENTIONED AT NN070
53 5. PLAN MENTIONED AT NN074
17 6. PLAN MENTIONED AT NN105
36 7. PLAN MENTIONED AT NN113
144 18. MEDICARE PART D - NAME OF PART D PLAN
683 19. MEDICARE HMO
86 20. MEDICARE
263 21. MEDICAID
86 22. CHAMPUS
423 27. NOT ON LIST
69 98. DK (Don't Know); NA (Not Ascertained)
6 99. RF (Refused)
15855 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN071 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?
.................................................................................
2297 1. YES
17881 5. NO
288 8. DK (Don't Know); NA (Not Ascertained)
25 9. RF (Refused)
63 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: N072_LTCCovNHNewPrev := DIFFERENTPLAN:{PREVIOUS ASK}
SecN.NHomeINs.N071_LTCIns
IF SecN.NHomeINs.N071_LTCIns = YES THEN
IF SecN.N090_NumOfPlans = 0 THEN
{PREVIOUS ASK} SecN.NHomeINs.N071_LTCIns
IF SecN.NHomeINs.N071_LTCIns = YES THEN
IF NOT(SecN.N090_NumOfPlans = 0) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN072 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?
.................................................................................
668 1. PREVIOUSLY DESCRIBED PLAN
1616 2. DIFFERENT PLAN
12 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
18257 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: N073_LTCCovNHWhi := Plan27:{PREVIOUS ASK} SecN.NHomeINs.N071_LTCIns
IF SecN.NHomeINs.N071_LTCIns = YES THEN
IF SecN.N090_NumOfPlans = 0 THEN
OR{PREVIOUS ASK} SecN.NHomeINs.N073_LTCCovNHWhi
IF SecN.NHomeINs.N072_LTCCovNHNewPrev = DIFFERENTPLAN THEN
{PREVIOUS ASK} SecN.NHomeINs.N072_LTCCovNHNewPrev
IF SecN.NHomeINs.N072_LTCCovNHNewPrev = PREVDESCRPLAN THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN073 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?
.................................................................................
375 1. FIRST PLAN MENTIONED AT NN024
10 2. SECOND PLAN MENTIONED AT NN024
2 3. THIRD PLAN MENTIONED AT NN024
4 4. PLAN MENTIONED AT NN070
2 5. PLAN MENTIONED AT NN074
4 7. PLAN MENTIONED AT NN113
11 8. PLAN MENTIONED AT NN242
30 18. MEDICARE PART D - NAME OF PART D PLAN
91 19. MEDICARE HMO
20 20. MEDICARE
20 21. MEDICAID
20 22. CHAMPUS
1679 27. NOT ON LIST
16 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
18270 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.N071_LTCIns
IF SecN.NHomeINs.N071_LTCIns = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN075 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?
.................................................................................
231 1. NURSING HOME CARE ONLY
95 2. IN-HOME CARE ONLY
1839 3. BOTH
6 7. OTHER (SPECIFY)
125 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
18257 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF (((piRespondents1X065ACouplenss <> OTHER) AND ((N072_LTCCovNHNewPrev =
DIFFERENTPLAN) OR (N073_LTCCovNHWhi = Plan27))) AND (ACTIVELANGUAGE <> EXTENG))
AND (ACTIVELANGUAGE <> EXTSPN) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN238 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?
.................................................................................
666 1. YES
504 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
19375 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.N075_CovNHInHome
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN077 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?
.................................................................................
158 1. YES
2128 5. NO
11 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18257 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.N077_RcvBenefLTC
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN078 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?
.................................................................................
1153 1. YES
847 5. NO
297 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18257 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.N077_RcvBenefLTC
IF (SecN.NHomeINs.N072_LTCCovNHNewPrev <> PREVDESCRPLAN) OR
(SecN.NHomeINs.N073_LTCCovNHWhi = Plan27) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN079 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?]
IWER: ENTER 0 if no payments are made
IWER: Do not probe DK/RF
Amount:
Per:
.................................................................................
1448 0-400000. Actual Value
215 999998. DK (Don't Know); NA (Not Ascertained)
28 999999. RF (Refused)
18863 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN080 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 {NOT 1} AT X502
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
139 0. Value of Breakpoint
4 50. Value of Breakpoint
15 51. Value of Breakpoint
9 100. Value of Breakpoint
34 101. Value of Breakpoint
9 200. Value of Breakpoint
17 201. Value of Breakpoint
4 300. Value of Breakpoint
12 301. Value of Breakpoint
20311 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN081 AMT PAY FOR LTC - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.NHomeINs.N081_
*
.................................................................................
16 49. Value of Breakpoint
4 50. Value of Breakpoint
20 99. Value of Breakpoint
9 100. Value of Breakpoint
35 199. Value of Breakpoint
9 200. Value of Breakpoint
12 299. Value of Breakpoint
4 300. Value of Breakpoint
134 99999996. Greater than Maximum Breakpoint
20311 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN082 AMT PAY FOR LTC- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeINs.N082_
*
.................................................................................
112 98. DK (Don't Know); NA (Not Ascertained)
22 99. RF (Refused)
20420 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.N079_AmtPayLTC
IF SecN.NHomeINs.N079_AmtPayLTC > 0 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN083 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?]
IWER: ENTER 0 if no payments are made
IWER: Do not probe DK/RF
Amount: [AMT PAY FOR LTC]
Per:
.................................................................................
615 1. MONTH
89 2. QUARTER (EVERY 3 MONTHS)
588 4. YEAR
20 6. Lump sum payment
5 7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
19236 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: N256_RAgePREVIW := RVARS.Z093_IwYr_V -
Respondents[1].X067AYrBorn:{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN256 R AGE PREV INTERVIEW
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.N256_RAgePREVIW
*
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
20540 9 102 65.40 11.59 14
-----------------------------------------------------------------
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (SecN.N090_NumOfPlans > 0) AND ((piRvarsZ201_PWMedicareCovered <> YES) OR
(SecN.N256_RAgePREVIW < 65)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN091 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], [R's Last IW Year]/in the last two years]?
.................................................................................
611 1. YES
8238 5. NO
13 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
11692 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N091_NoInsurance
IF SecN.N091_NoInsurance = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN294 MONTHS W/OUT INSUR
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.N294_MONTHSWOUTINSUR
Altogether, how many months were you without health insurance [since [R's Last
IW Month], [R's Last IW Year]/in the last two years?]
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
575 1 48 9.97 8.10 19943
-----------------------------------------------------------------
34 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (((piSecJWorkstatusJ021_EmpSelfOth = SOMEONEELSE) AND
(PlanDetails[1].N033_HowObtIns <> YES)) AND (PlanDetails[2].N033_HowObtIns <>
YES)) AND (PlanDetails[3].N033_HowObtIns <> YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN092 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?
.................................................................................
1556 1. YES
1233 5. NO
75 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
17686 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.RNotCovEmp.N092_EmplHlthIns
IF SecN.RNotCovEmp.N092_EmplHlthIns = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN093 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?
.................................................................................
1049 1. YES
501 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18998 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (piSecJWorkstatusJ021_EmpSelfOth = SOMEONEELSE) AND
(((PlanDetails[1].N033_HowObtIns = YES) OR (PlanDetails[2].N033_HowObtIns =
YES)) OR (PlanDetails[3].N033_HowObtIns = YES)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN094 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?
.................................................................................
1751 1. YES, MORE THAN ONE PLAN
1625 5. NO, ONLY ONE PLAN
18 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17160 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: RCovEmp.N249_PlanCnt1 := N090_NumOfPlans:{PREVIOUS ASK} SecN.N023_
IF SecN.RCovEmp.N094_ChoicePlan <> EMPTY AND SecN.RCovEmp.N249_PlanCnt1 = EMPTY
THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN249 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
3394 0 7 1.28 0.70 17160
-----------------------------------------------------------------
==========================================================================================
ASSIGN: N098_ := ALLOTHS:{PREVIOUS ASK} SecN.N023_
IF NOT((((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
ASSIGN: N098_ := RSHEALTHINSPAYPARTSCRIPDENTAL:{PREVIOUS ASK} SecN.N023_
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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN098 BRANCHPNT-DENTAL/MEDS COVRGE/ALL OTH
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N098_
*
.................................................................................
8317 1. R'S HEALTH INSURANCE PAYS PART OF PRESCRIPTION AND/OR DENTAL
12224 2. ALL OTHERS
13 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN099 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], [R's Last IW Year]/In the last two years], have you
been a patient in a hospital overnight?
.................................................................................
5221 1. YES
15235 5. NO
29 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
64 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N099_OverniteHosp
IF SecN.HospitalStay.N099_OverniteHosp = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN100 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], [R's Last IW Year]/in the last two years]?
IWER: If R asks, include mental hospitals and sanitariums
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
5162 1 95 1.94 2.36 15333
-----------------------------------------------------------------
58 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N100_TimeOverHosp
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN101 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], [R's Last IW Year]/in the last two years]?
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
5083 0 450 8.59 17.91 15333
-----------------------------------------------------------------
134 998. DK (Don't Know); NA (Not Ascertained)
4 999. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N099_OverniteHosp
IF (SecN.HospitalStay.N099_OverniteHosp = YES) OR
(PISecAContinuInterviewA124_PlaceDied = INHOSPITAL) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN102 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?
.................................................................................
2445 1. COMPLETELY COVERED
1793 2. MOSTLY COVERED
615 3. PARTIALLY COVERED
209 5. NOT COVERED AT ALL
81 7. [VOL] COSTS NOT SETTLED YET
73 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
15333 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N102_HospCovIns
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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN104 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?
.................................................................................
858 1. FIRST PLAN MENTIONED AT NN024
1 2. SECOND PLAN MENTIONED AT NN024
9 4. PLAN MENTIONED AT NN070
1 5. PLAN MENTIONED AT NN074
2 7. PLAN MENTIONED AT NN113
17 8. PLAN MENTIONED AT NN242
5 9. PLAN MENTIONED AT NN138
29 18. MEDICARE PART D - NAME OF PART D PLAN
144 19. MEDICARE HMO
312 20. MEDICARE
246 21. MEDICAID
114 22. CHAMPUS
294 27. NOT ON LIST
129 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
18391 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N105_NamePlanCovHosp
IF SecN.HospitalStay.N105_NamePlanCovHosp <> NONRESPONSE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN359 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?
.................................................................................
103 1. YES
176 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20274 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N102_HospCovIns
IF SecN.HospitalStay.N102_HospCovIns <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN106 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], [R's Last IW Year]/in the last two years]?
IWER: Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
2186 0 201000 1915.94 5830.99 17778
-----------------------------------------------------------------
567 9999998. DK (Don't Know); NA (Not Ascertained)
23 9999999. RF (Refused)
==========================================================================================
NN107 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
.................................................................................
207 0. Value of Breakpoint
29 500. Value of Breakpoint
191 501. Value of Breakpoint
26 5000. Value of Breakpoint
42 5001. Value of Breakpoint
4 10000. Value of Breakpoint
65 10001. Value of Breakpoint
4 20000. Value of Breakpoint
15 20001. Value of Breakpoint
1 50000. Value of Breakpoint
6 50001. Value of Breakpoint
19964 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN108 AMT PAID O-O-P HOSPITAL COSTS - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.HospitalStay.N108_
*
.................................................................................
83 499. Value of Breakpoint
29 500. Value of Breakpoint
219 4999. Value of Breakpoint
26 5000. Value of Breakpoint
55 9999. Value of Breakpoint
4 10000. Value of Breakpoint
25 19999. Value of Breakpoint
4 20000. Value of Breakpoint
14 49999. Value of Breakpoint
1 50000. Value of Breakpoint
130 99999996. Greater than Maximum Breakpoint
19964 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN109 AMT PAID O-O-P HOSPITAL COSTS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.HospitalStay.N109_
*
.................................................................................
156 98. DK (Don't Know); NA (Not Ascertained)
18 99. RF (Refused)
20380 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N099_OverniteHosp
IF ((ACTIVELANGUAGE = CORENG) OR (ACTIVELANGUAGE = CORSPN)) AND
(SecN.HospitalStay.N099_OverniteHosp = YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN263 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?
.................................................................................
2768 1. R (OR FAMILY) CHOSE
1361 2. DOCTOR CHOSE
203 3. INSURANCE CHOSE
197 4. TAKEN BY AMBULANCE(VOL)
119 5. NO CHOICE TO MAKE--ONLY HOSPITAL IN AREA(VOL)
94 7. OTHER (SPECIFY)
16 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
15793 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N263_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN287 VISIT TO ER PRIOR HOSPITAL
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N287_PriorHopsital
Did this hospital stay begin with a visit to an emergency room?
.................................................................................
3054 1. YES
1681 5. NO
22 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
15793 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: N114_OverniteNH := YES:{PREVIOUS ASK} SecN.N023_
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN114 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], [R's Last IW 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?
.................................................................................
1012 1. YES
19469 5. NO
7 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
63 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF NOT((((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((PISecAContinuInterviewA124_PlaceDied = INNURSINGHOME) OR
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))) AND
(SecN.NHomeStay.N114_OverniteNH <> YES)) THEN
IF SecN.NHomeStay.N114_OverniteNH = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN115 # TIMES SPENT OVERNIGHT IN NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.N115_TimeOverNH
How many [times, including now, have you been a patient in a nursing home/times
were you a patient in a nursing home] or other long-term care facility [since
[R's Last IW Month], [R's Last IW Year]/in the last two years]?
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
938 1 95 1.82 6.89 19543
-----------------------------------------------------------------
71 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF SecN.NHomeStay.N114_OverniteNH = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN116 NUM NIGHTS R SPENT OVERNIGHT IN NH
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.NHomeStay.N116_NiteOverNH
[Altogether, how/How] many nights or months have you been a patient in a nursing
home [since [R's Last IW Month], [R's Last IW Year]/in the last two years]?
IWER: ENTER 996 for continuous since entered or [since [R's Last IW Month], [R's
Last IW 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
483 0 660 32.39 67.56 19821
-----------------------------------------------------------------
184 996. CONTINUOUS SINCE ENTERED
64 998. DK (Don't Know); NA (Not Ascertained)
2 999. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N116_NiteOverNH
IF SecN.NHomeStay.N116_NiteOverNH = EMPTY THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN117 NUM MOS R SPENT OVERNIGHT IN NH
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.N117_MoOverNH
[Altogether, how/How] many nights or months have you been a patient in a nursing
home [since [R's Last IW Month], [R's Last IW Year]/in the last two years]?
Nights:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
263 1 75 9.11 9.44 20276
-----------------------------------------------------------------
15 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN118 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 by/Were
the costs for your nursing home stay(s) completely covered by] insurance, mostly
covered, only partially covered, or not covered at all by insurance?
.................................................................................
475 1. COMPLETELY COVERED
206 2. MOSTLY COVERED
116 3. PARTIALLY COVERED
148 5. NOT COVERED AT ALL
12 7. [VOL] COSTS NOT SETTLED YET
52 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
19543 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF SecN.NHomeStay.N118_InsCovCost <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN119 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], [R's Last IW Year]/in the last two years]?
IWER: Do not probe DK/RF
Include any amount paid by others
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
388 0 360000 20287.65 36627.78 20018
-----------------------------------------------------------------
142 9999998. DK (Don't Know); NA (Not Ascertained)
6 9999999. RF (Refused)
==========================================================================================
NN120 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
.................................................................................
56 0. Value of Breakpoint
6 500. Value of Breakpoint
22 501. Value of Breakpoint
3 5000. Value of Breakpoint
4 5001. Value of Breakpoint
1 10000. Value of Breakpoint
32 10001. Value of Breakpoint
1 20000. Value of Breakpoint
8 20001. Value of Breakpoint
2 50000. Value of Breakpoint
10 50001. Value of Breakpoint
20409 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN121 AMT PAID O-O-P NURSING HOME- MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.NHomeStay.N121_
*
.................................................................................
8 499. Value of Breakpoint
6 500. Value of Breakpoint
29 4999. Value of Breakpoint
3 5000. Value of Breakpoint
7 9999. Value of Breakpoint
1 10000. Value of Breakpoint
6 19999. Value of Breakpoint
1 20000. Value of Breakpoint
7 49999. Value of Breakpoint
2 50000. Value of Breakpoint
75 99999996. Greater than Maximum Breakpoint
20409 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN122 AMT PAID O-O-P NURSING HOME- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.N122_
*
.................................................................................
3 97. Data Not Available
71 98. DK (Don't Know); NA (Not Ascertained)
6 99. RF (Refused)
20474 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN124_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], [R's Last IW 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], [R's Last IW 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], [R's Last IW 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?
Year:
.................................................................................
777 1994-2013. Actual Value
28 9998. DK (Don't Know); NA (Not Ascertained)
3 9999. RF (Refused)
19746 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1 >=
Init.A062T2YrsAgo_A THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN123_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:
.................................................................................
72 1. JAN
67 2. FEB
66 3. MAR
61 4. APR
74 5. MAY
44 6. JUN
42 7. JUL
48 8. AUG
39 9. SEP
34 10. OCT
66 11. NOV
51 12. DEC
3 13. WINTER
7 14. SPRING
8 15. SUMMER
2 16. FALL
27 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
19843 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN126_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:
.................................................................................
562 2005-2013. Actual Value
4 9995. Continuous since entered; R still in nursing
home
13 9998. DK (Don't Know); NA (Not Ascertained)
1 9999. RF (Refused)
19974 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N126_YrMovOutNH1
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N126_YrMovOutNH1 >=
Init.A062T2YrsAgo_A THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN125_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:
.................................................................................
43 1. JAN
44 2. FEB
48 3. MAR
58 4. APR
51 5. MAY
57 6. JUN
40 7. JUL
23 8. AUG
38 9. SEP
31 10. OCT
29 11. NOV
47 12. DEC
1 13. WINTER
5 14. SPRING
6 15. SUMMER
1 16. FALL
27 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
20005 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
IF piGovCoverN005_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN127_1 ELIGIBLE FOR MEDICAID START NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N127_
Were you eligible for (Medicaid/State name for Medicaid) at the time your
[first/second/last/current] nursing home stay started?
.................................................................................
219 1. YES
55 5. NO
11 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
20268 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_ = NO THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN128_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?
.................................................................................
44 1. YES
11 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20499 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF piGovCoverN005_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN129_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_
*
.................................................................................
59 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE/IN TH
WAVE/IN TH
227 2. ALL OTHERS
20268 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) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN130_1 LOSE ELIGIBILITY-LAST NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N130_
Did you lose your eligibility for (Medicaid/State name for Medicaid) when you
were discharged from your (last) nursing home stay?
.................................................................................
2 1. YES
67 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20483 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)) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN131_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 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?)
.................................................................................
168 1. R LIVED BY HIM/HER SELF, ALONE
219 2. R LIVED WITH SPOUSE/PARTNER ONLY
76 3. R LIVED WITH CHILD AND CHILD'S FAMILY
19 4. R LIVED WITH OTHER RELATIVE(S)
12 5. R LIVED IN RETIREMENT CENTER
60 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
35 7. OTHER (SPECIFY)
2 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
19962 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N131_LiveAftNH1 = RLIVEDWITHCHILDCHILDSFAM THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN133_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?)
.................................................................................
74 041-990. Other Person Number
1 992. DECEASED CHILD
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
20479 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN124_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], [R's Last IW 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], [R's Last IW 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], [R's Last IW 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?
Year:
.................................................................................
147 2010-2013. Actual Value
12 9998. DK (Don't Know); NA (Not Ascertained)
1 9999. RF (Refused)
20394 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1 >=
Init.A062T2YrsAgo_A THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN123_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:
.................................................................................
10 1. JAN
18 2. FEB
16 3. MAR
11 4. APR
10 5. MAY
14 6. JUN
11 7. JUL
10 8. AUG
5 9. SEP
5 10. OCT
12 11. NOV
9 12. DEC
13. WINTER
2 14. SPRING
1 15. SUMMER
3 16. FALL
8 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
20409 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN126_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:
.................................................................................
105 2010-2013. Actual Value
1 9995. Continuous since entered; R still in nursing
home
10 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
20438 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N126_YrMovOutNH1
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N126_YrMovOutNH1 >=
Init.A062T2YrsAgo_A THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN125_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:
.................................................................................
9 1. JAN
5 2. FEB
12 3. MAR
8 4. APR
11 5. MAY
9 6. JUN
7 7. JUL
9 8. AUG
6 9. SEP
5 10. OCT
7 11. NOV
4 12. DEC
2 13. WINTER
1 14. SPRING
1 15. SUMMER
16. FALL
8 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
20450 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
IF piGovCoverN005_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN127_2 ELIGIBLE FOR MEDICAID START NH STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N127_
Were you eligible for (Medicaid/State name for Medicaid) at the time your
[first/second/last/current] nursing home stay started?
.................................................................................
46 1. YES
8 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20495 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_ = NO THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN128_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?
.................................................................................
5 1. YES
3 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20546 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF piGovCoverN005_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN129_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_
*
.................................................................................
59 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE/IN TH
WAVE/IN TH
2. ALL OTHERS
20495 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) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN130_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
10 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20543 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)) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN131_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?)
.................................................................................
26 1. R LIVED BY HIM/HER SELF, ALONE
37 2. R LIVED WITH SPOUSE/PARTNER ONLY
15 3. R LIVED WITH CHILD AND CHILD'S FAMILY
8 4. R LIVED WITH OTHER RELATIVE(S)
5 5. R LIVED IN RETIREMENT CENTER
20 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
9 7. OTHER (SPECIFY)
2 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
20431 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N131_LiveAftNH1 = RLIVEDWITHCHILDCHILDSFAM THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN133_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?)
.................................................................................
15 041-990. Other Person Number
992. DECEASED CHILD
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
20539 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN124_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], [R's Last IW 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], [R's Last IW 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], [R's Last IW 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?
Year:
.................................................................................
31 2009-2012. Actual Value
7 9998. DK (Don't Know); NA (Not Ascertained)
1 9999. RF (Refused)
20515 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1 >=
Init.A062T2YrsAgo_A THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN123_3 MONTH R MOVED TO NURSING HOME -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N123_MoMovInNH1
(What month was that?)
Month:
.................................................................................
2 1. JAN
3 2. FEB
3 3. MAR
4. APR
8 5. MAY
5 6. JUN
2 7. JUL
3 8. AUG
9. SEP
1 10. OCT
11. NOV
12. DEC
13. WINTER
14. SPRING
1 15. SUMMER
16. FALL
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
20524 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN126_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:
.................................................................................
21 2011-2012. Actual Value
2 9995. Continuous since entered; R still in nursing
home
4 9998. DK (Don't Know); NA (Not Ascertained)
1 9999. RF (Refused)
20526 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N126_YrMovOutNH1
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N126_YrMovOutNH1 >=
Init.A062T2YrsAgo_A THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN125_3 MONTH R MOVED OUT OF NURSING HOME- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N125_MoMovOutNH1
(What month was that?)
Month:
.................................................................................
1 1. JAN
2. FEB
1 3. MAR
3 4. APR
5 5. MAY
1 6. JUN
3 7. JUL
1 8. AUG
2 9. SEP
1 10. OCT
1 11. NOV
12. DEC
13. WINTER
14. SPRING
1 15. SUMMER
16. FALL
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
20533 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
IF piGovCoverN005_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN127_3 ELIGIBLE FOR MEDICAID START NH STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N127_
Were you eligible for (Medicaid/State name for Medicaid) at the time your
[first/second/last/current] nursing home stay started?
.................................................................................
18 1. YES
3 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20533 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_ = NO THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN128_3 ELIGIBLE FOR MEDICAID DURNG NH STAY-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N128_
Did you become eligible for (Medicaid/State name for Medicaid) during that
nursing home stay?
.................................................................................
2 1. YES
5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20551 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF piGovCoverN005_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN129_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_
*
.................................................................................
21 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE/IN TH
WAVE/IN TH
2. ALL OTHERS
20533 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) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN130_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?
.................................................................................
1 1. YES
6 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20547 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)) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN131_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?)
.................................................................................
8 1. R LIVED BY HIM/HER SELF, ALONE
6 2. R LIVED WITH SPOUSE/PARTNER ONLY
4 3. R LIVED WITH CHILD AND CHILD'S FAMILY
4. R LIVED WITH OTHER RELATIVE(S)
1 5. R LIVED IN RETIREMENT CENTER
6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
3 7. OTHER (SPECIFY)
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20528 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N131_LiveAftNH1 = RLIVEDWITHCHILDCHILDSFAM THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN133_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?)
.................................................................................
4 041-990. Other Person Number
992. DECEASED CHILD
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
20550 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN134 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], [R's Last
IW Year]/in the last two years], have you had outpatient surgery?
.................................................................................
3680 1. YES
16770 5. NO
35 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
64 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.OutPatSurgery.N134_OutSurgLst2Yrs
IF SecN.OutPatSurgery.N134_OutSurgLst2Yrs = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN135 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?
.................................................................................
1618 1. COMPLETELY COVERED
1389 2. MOSTLY COVERED
456 3. PARTIALLY COVERED
120 5. NOT COVERED AT ALL
58 7. [VOL] COSTS NOT SETTLED YET
36 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
16874 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.OutPatSurgery.N135_SurgCov
IF SecN.OutPatSurgery.N135_SurgCov <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN139 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], [R's Last IW Year]/in the last two years]?
IWER: Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1750 0 30000 1037.96 2079.77 18492
-----------------------------------------------------------------
301 9999998. DK (Don't Know); NA (Not Ascertained)
11 9999999. RF (Refused)
==========================================================================================
NN140 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
.................................................................................
153 0. Value of Breakpoint
14 500. Value of Breakpoint
66 501. Value of Breakpoint
11 2000. Value of Breakpoint
30 2001. Value of Breakpoint
4 5000. Value of Breakpoint
27 5001. Value of Breakpoint
4 10000. Value of Breakpoint
1 10001. Value of Breakpoint
2 20001. Value of breakpoint
20242 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN141 AMT PAID O-O-P OUTPAT SURGERY - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.OutPatSurgery.N141_
*
.................................................................................
81 499. Value of Breakpoint
14 500. Value of Breakpoint
87 1999. Value of Breakpoint
11 2000. Value of Breakpoint
39 4999. Value of Breakpoint
4 5000. Value of Breakpoint
10 9999. Value of Breakpoint
4 10000. Value of Breakpoint
1 19999. Value of Breakpoint
61 99999996. Greater than Maximum Breakpoint
20242 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN142 AMT PAID O-O-P OUTPAT SURGERY - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.OutPatSurgery.N142_
*
.................................................................................
81 98. DK (Don't Know); NA (Not Ascertained)
13 99. RF (Refused)
20460 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN147 # TIMES SEEN DR- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.DocVisit.N147_TimeSeeDoc
[Aside from any hospital stays, how/Aside from any outpatient surgery, how
/Aside from 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 [since [R's Last IW Month], [R's Last IW Year]/in the
last two years]?
IWER: 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
19325 0 900 9.95 25.49 64
-----------------------------------------------------------------
1135 998. DK (Don't Know); NA (Not Ascertained)
30 999. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.DocVisit.N147_TimeSeeDoc
IF SecN.DocVisit.N147_TimeSeeDoc = NONRESPONSE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN148 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?
.................................................................................
468 1. LESS THAN 20 TIMES
103 3. ABOUT 20 TIMES
431 5. MORE THAN 20 TIMES
147 8. DK (Don't Know); NA (Not Ascertained)
16 9. RF (Refused)
19389 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN149 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?
.................................................................................
78 1. LESS THAN 5 TIMES
37 3. ABOUT 5 TIMES
335 5. MORE THAN 5 TIMES
17 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
20086 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN150 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], [R's Last IW Year]/in the last two years]?
.................................................................................
233 1. YES
11 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
20295 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN151 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?
.................................................................................
233 1. LESS THAN 50 TIMES
28 3. ABOUT 50 TIMES
137 5. MORE THAN 50 TIMES
32 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
20123 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN152 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?
.................................................................................
5878 1. COMPLETELY COVERED
7961 2. MOSTLY COVERED
3063 3. PARTIALLY COVERED
1302 5. NOT COVERED AT ALL
26 7. [VOL] COSTS NOT SETTLED YET
149 8. DK (Don't Know); NA (Not Ascertained)
14 9. RF (Refused)
2161 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.DocVisit.N152_VisitCovIns
IF SecN.DocVisit.N152_VisitCovIns <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN156 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], [R's Last IW Year]/in the last two years]?
IWER: Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
10556 0 30000 596.23 1326.93 8039
-----------------------------------------------------------------
1887 9999998. DK (Don't Know); NA (Not Ascertained)
72 9999999. RF (Refused)
==========================================================================================
NN157 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
.................................................................................
776 0. Value of Breakpoint
145 500. Value of Breakpoint
441 501. Value of Breakpoint
130 2000. Value of Breakpoint
242 2001. Value of Breakpoint
50 5000. Value of Breakpoint
153 5001. Value of Breakpoint
4 10000. Value of Breakpoint
10 10001. Value of Breakpoint
2 20000. Value of Breakpoint
3 20001. Value of Breakpoint
18598 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN158 AMT PAY O-O-P FOR DOC VISITS - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.DocVisit.N158_
*
.................................................................................
456 499. Value of Breakpoint
145 500. Value of Breakpoint
491 1999. Value of Breakpoint
130 2000. Value of Breakpoint
281 4999. Value of Breakpoint
50 5000. Value of Breakpoint
72 9999. Value of Breakpoint
4 10000. Value of Breakpoint
9 19999. Value of Breakpoint
2 20000. Value of Breakpoint
316 99999996. Greater than Maximum Breakpoint
18598 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN159 AMT PAY O-O-P FOR DOC VISITS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.DocVisit.N159_
*
.................................................................................
2 97. Data Not Available
371 98. DK (Don't Know); NA (Not Ascertained)
65 99. RF (Refused)
20116 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN164 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], [R's Last IW Year]/In the last two years] have you
seen a dentist for dental care, including dentures?
.................................................................................
12387 1. YES
8057 5. NO
39 8. DK (Don't Know); NA (Not Ascertained)
7 9. RF (Refused)
64 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.DentalCare.N164_SeeDentPW
IF SecN.DentalCare.N164_SeeDentPW = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN165 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?
.................................................................................
1602 1. COMPLETELY COVERED
2560 2. MOSTLY COVERED
3029 3. PARTIALLY COVERED
5096 5. NOT COVERED AT ALL
26 7. [VOL] COSTS NOT SETTLED YET
68 8. DK (Don't Know); NA (Not Ascertained)
6 9. RF (Refused)
8167 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.DentalCare.N165_DentCovIns
IF SecN.DentalCare.N165_DentCovIns <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN168 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], [R's Last IW Year]/in the last two years]?
IWER: Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
10039 0 70000 1060.04 2025.56 9769
-----------------------------------------------------------------
693 9999998. DK (Don't Know); NA (Not Ascertained)
53 9999999. RF (Refused)
==========================================================================================
NN169 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
.................................................................................
203 0. Value of Breakpoint
9 100. Value of Breakpoint
45 101. Value of Breakpoint
30 200. Value of Breakpoint
96 201. Value of Breakpoint
43 400. Value of Breakpoint
178 401. Value of Breakpoint
26 1000. Value of Breakpoint
88 1001. Value of Breakpoint
7 3000. Value of Breakpoint
21 3001. Value of Breakpoint
19808 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN170 AMT PAY O-O-P DENTAL - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.DentalCare.N170_
*
.................................................................................
41 99. Value of Breakpoint
9 100. Value of Breakpoint
47 199. Value of Breakpoint
30 200. Value of Breakpoint
101 399. Value of Breakpoint
43 400. Value of Breakpoint
129 999. Value of Breakpoint
25 1000. Value of Breakpoint
79 2999. Value of Breakpoint
8 3000. Value of Breakpoint
234 99999996. Greater than Maximum Breakpoint
19808 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN171 AMT PAY O-O-P DENTAL - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.DentalCare.N171_
*
.................................................................................
194 98. DK (Don't Know); NA (Not Ascertained)
50 99. RF (Refused)
20310 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: N175_TkMedsReg := MEDICATIONSKNOWN:{PREVIOUS ASK} SecN.N023_
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
{PREVIOUS ASK} SecN.N023_
IF NOT(((((((piSecCBloodpressureC006_HBPMeds = YES) OR
(piSecCDiabetesC011_DiabetesMeds = YES)) OR (piSecCDiabetesC012_DiabetesInsulin
= YES)) OR (piSecCHeartAttackC046_AnginaMeds = YES)) OR
(piSecCHeartAttackC050_HeartFailMeds = YES)) OR (piSecCStrokeC060_StrokeMeds =
YES)) OR (piSecCPsychiatricC068_PsychMeds = YES)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN175 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?
.................................................................................
3650 1. YES
3865 5. NO
12997 7. MEDICATIONS KNOWN (assigned)
3 8. DK (Don't Know); NA (Not Ascertained)
5 9. RF (Refused)
34 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF ((SecN.PrescpDrug.N175_TkMedsReg = YES) OR (SecN.PrescpDrug.N175_TkMedsReg =
MEDICATIONSKNOWN)) OR SecN.PrescpDrug.N175_TkMedsReg = EMPTY THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN360 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?
.................................................................................
8900 1. YES
7629 5. NO
86 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
3937 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N360_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN361 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?
.................................................................................
5372 1. YES
11217 5. NO
27 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
3937 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N361_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN362 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?
.................................................................................
3284 1. YES
13315 5. NO
17 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
3937 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N362_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN363 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?
.................................................................................
3616 1. YES
12979 5. NO
20 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
3937 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N363_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN364 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
13654 5. NO
17 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
3937 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N364_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN365 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?
.................................................................................
3793 1. YES
12797 5. NO
25 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
3937 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N365_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN283 RX DRUGS REGULARLY-ASPIRIN OR BLOOD THINNERS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N283_
Do you regularly take prescription medications other than aspirin to thin your
blood or to prevent blood clots?
.................................................................................
3286 1. YES
13241 5. NO
88 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
3937 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (SecN.PrescpDrug.N175_TkMedsReg <> NO) AND SecN.PrescpDrug.N175_TkMedsReg <>
NONRESPONSE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN176 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?
.................................................................................
2333 1. COMPLETELY COVERED
7734 2. MOSTLY COVERED
4777 3. PARTIALLY COVERED
1627 5. NOT COVERED AT ALL
9 7. [VOL] COSTS NOT SETTLED YET
124 8. DK (Don't Know); NA (Not Ascertained)
13 9. RF (Refused)
3937 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)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN178 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?
.................................................................................
5309 1. FIRST PLAN MENTIONED AT NN024
90 2. SECOND PLAN MENTIONED AT NN024
6 3. THIRD PLAN MENTIONED AT NN024
68 4. PLAN MENTIONED AT NN070
27 5. PLAN MENTIONED AT NN074
1 6. PLAN MENTIONED AT NN105
350 7. PLAN MENTIONED AT NN113
126 8. PLAN MENTIONED AT NN242
11 9. PLAN MENTIONED AT NN138
111 10. PLAN MENTIONED AT NN146
2309 18. MEDICARE PART D - NAME OF PART D PLAN
2323 19. MEDICARE HMO
855 20. MEDICARE
645 21. MEDICAID
508 22. CHAMPUS
1277 27. NOT ON LIST
350 97. GET MEDS THROUGH THE VA
453 98. DK (Don't Know); NA (Not Ascertained)
25 99. RF (Refused)
5710 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N176_MedsCovIns
IF SecN.PrescpDrug.N176_MedsCovIns <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN180 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], [R's Last IW Year]/in the last two
years]?
IWER: Do not probe DK/RF
Amount per month:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
12559 0 5000 70.06 122.93 6270
-----------------------------------------------------------------
1645 99998. DK (Don't Know); NA (Not Ascertained)
80 99999. RF (Refused)
==========================================================================================
NN181 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
.................................................................................
438 0. Value of Breakpoint
65 20. Value of Breakpoint
153 21. Value of Breakpoint
144 40. Value of Breakpoint
328 41. Value of Breakpoint
103 100. Value of Breakpoint
278 101. Value of Breakpoint
60 200. Value of Breakpoint
104 201. Value of Breakpoint
13 500. Value of Breakpoint
38 501. Value of Breakpoint
18830 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN182 AMT PAY O-O-P RX DRUGS PER MONTH- MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.PrescpDrug.N182_
*
.................................................................................
124 19. Value of Breakpoint
65 20. Value of Breakpoint
178 39. Value of Breakpoint
144 40. Value of Breakpoint
359 99. Value of Breakpoint
103 100. Value of Breakpoint
166 199. Value of Breakpoint
60 200. Value of Breakpoint
96 499. Value of Breakpoint
13 500. Value of Breakpoint
416 99999996. Greater than Maximum Breakpoint
18830 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN183 AMT PAY O-O-P RX DRUGS PER MONTH- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PrescpDrug.N183_
*
.................................................................................
1 97. Data Not Available
396 98. DK (Don't Know); NA (Not Ascertained)
75 99. RF (Refused)
20082 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN368 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 $ Amount (where N181=N182)/ between $ Amount (per N181) and $
Amount (per N182)] [since [R's Last IW Month], [R's Last IW Year]/in the last
two years].
Have there been some months when your out-of-pocket payments were much higher
than this?
.................................................................................
4013 1. YES
9630 5. NO
96 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
6811 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N368_
IF SecN.PrescpDrug.N368_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN369M1 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?
IWER: Choose all that apply.
.................................................................................
2076 1. HAD TO TAKE ADDITIONAL MEDICATIONS
535 2. INSURANCE RAN OUT/WOULDN'T COVER; changed insurance plan
253 3. HAD TO PAY DOWN DEDUCTIBLE
316 4. Cost of meds increased
51 5. Costs decreased
285 6. Cost naturally varies; bulk purchases; different meds each
month
401 7. OTHER (SPECIFY)
95 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
16541 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N368_
IF SecN.PrescpDrug.N368_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN369M2 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?
IWER: Choose all that apply.
.................................................................................
38 1. HAD TO TAKE ADDITIONAL MEDICATIONS
89 2. INSURANCE RAN OUT/WOULDN'T COVER; changed insurance plan
22 3. HAD TO PAY DOWN DEDUCTIBLE
49 4. Cost of meds increased
2 5. Costs decreased
30 6. Cost naturally varies; bulk purchases; different meds each
month
60 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20264 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N368_
IF SecN.PrescpDrug.N368_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN369M3 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?
IWER: Choose all that apply.
.................................................................................
3 1. HAD TO TAKE ADDITIONAL MEDICATIONS
2. INSURANCE RAN OUT/WOULDN'T COVER; changed insurance plan
4 3. HAD TO PAY DOWN DEDUCTIBLE
1 4. Cost of meds increased
1 5. Costs decreased
6. Cost naturally varies; bulk purchases; different meds each
month
1 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20544 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N368_
IF SecN.PrescpDrug.N368_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN369M4 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?
IWER: 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
1 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20553 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN188 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], [R's Last IW Year]/in the last
two years] have you ended up taking less medication than was prescribed for you
because of the cost?
.................................................................................
2277 1. YES
18178 5. NO
24 8. DK (Don't Know); NA (Not Ascertained)
10 9. RF (Refused)
65 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (piN116_NiteOverNH <> 996) OR ((piX008AInNHome_V <> INNURSINGHOME) AND
(piN116_NiteOverNH = 996)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN189 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], [R's Last IW Year]/in the last two years], has any
medically-trained person come to your home to help you, yourself?
IWER: We only want to include help given to R, not help for R when R is a
caregiver for someone else
IWER: Include hospice are received at home.
Def: (Medically-trained persons include professional nurses, visiting nurse's
aides, physical or occupational therapists, chemotherapists, respiratory oxygen
therapists, and hospice caregivers.)
.................................................................................
1764 1. YES
18564 5. NO
11 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
213 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.InHomeCare.N189_HomeHlthSvc
IF SecN.InHomeCare.N189_HomeHlthSvc = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN190 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?
.................................................................................
1291 1. COMPLETELY COVERED
233 2. MOSTLY COVERED
100 3. PARTIALLY COVERED
78 5. NOT COVERED AT ALL
22 7. [VOL] COSTS NOT SETTLED YET
40 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
18790 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.InHomeCare.N190_HHSvcCovIns
IF SecN.InHomeCare.N190_HHSvcCovIns <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN194 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], [R's Last IW Year]/in the last two years]?
IWER: Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
327 0 70000 1228.86 5644.16 20081
-----------------------------------------------------------------
144 999998. DK (Don't Know); NA (Not Ascertained)
2 999999. RF (Refused)
==========================================================================================
NN195 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
.................................................................................
77 0. Value of Breakpoint
12 500. Value of Breakpoint
20 501. Value of Breakpoint
4 2000. Value of Breakpoint
10 2001. Value of Breakpoint
1 5000. Value of Breakpoint
17 5001. Value of Breakpoint
1 10000. Value of Breakpoint
2 10001. Value of Breakpoint
2 20001. Value of Breakpoint
20408 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN196 AMT PAY O-O-P HOME HEALTH SVC - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.InHomeCare.N196_
*
.................................................................................
27 499. Value of Breakpoint
12 500. Value of Breakpoint
26 1999. Value of Breakpoint
4 2000. Value of Breakpoint
12 4999. Value of Breakpoint
1 5000. Value of Breakpoint
9 9999. Value of Breakpoint
1 10000. Value of Breakpoint
2 19999. Value of Breakpoint
52 99999996. Greater than Maximum Breakpoint
20408 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN197 AMT PAY O-O-P HOME HEALTH SVC - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.InHomeCare.N197_
*
.................................................................................
65 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
20488 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN202 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], [R's Last IW 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?
.................................................................................
3117 1. YES
17348 5. NO
20 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
65 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.OthHealthCare.N202_UseOthSvc
IF SecN.OthHealthCare.N202_UseOthSvc = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN203 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?
.................................................................................
1130 1. YES
1958 5. NO
29 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
17437 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.OthHealthCare.N203_OthSvcCovIns
IF SecN.OthHealthCare.N203_OthSvcCovIns = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN239 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?
IWER: Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
987 0 70000 818.97 3391.76 19423
-----------------------------------------------------------------
142 9999998. DK (Don't Know); NA (Not Ascertained)
2 9999999. RF (Refused)
==========================================================================================
NN246 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
.................................................................................
78 0. Value of Breakpoint
8 500. Value of Breakpoint
11 501. Value of Breakpoint
7 1000. Value of Breakpoint
24 1001. Value of Breakpoint
1 5000. Value of Breakpoint
10 5001. Value of Breakpoint
2 10001. Value of breakpoint
1 20001. Value of Breakpoint
20412 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN247 AMT PAY O-O-P OTHER HEALTH SERVICE- MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.OthHealthCare.N247_
*
.................................................................................
59 499. Value of Breakpoint
8 500. Value of Breakpoint
12 999. Value of Breakpoint
7 1000. Value of Breakpoint
30 4999. Value of Breakpoint
1 5000. Value of Breakpoint
1 9999. Value of Breakpoint
1 19999. Value of breakpoint
23 99999996. Greater than Maximum Breakpoint
20412 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN248 AMT PAY O-O-P OTHER HEALTH SVC- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.OthHealthCare.N248_
*
.................................................................................
2 97. Data Not Available
28 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
20522 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.OthHealthCare.N202_UseOthSvc
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN332 EX OTHER MEDICAL EXPENSES
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.OthHealthCare.N332_
[Since [R's Last IW Month], [R's Last IW 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?
.................................................................................
2228 1. YES
18197 5. NO
54 8. DK (Don't Know); NA (Not Ascertained)
10 9. RF (Refused)
65 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.OthHealthCare.N332_
IF SecN.OthHealthCare.N332_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN333 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], [R's Last IW Year]/in the last two years]?
IWER: Do not probe DK/RF
Amount
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1961 0 100000 1038.56 3621.74 18326
-----------------------------------------------------------------
260 999998. DK (Don't Know); NA (Not Ascertained)
7 999999. RF (Refused)
==========================================================================================
NN334 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
.................................................................................
118 0. Value of Breakpoint
19 500. Value of Breakpoint
40 501. Value of Breakpoint
12 1000. Value of Breakpoint
46 1001. Value of Breakpoint
6 5000. Value of Breakpoint
21 5001. Value of Breakpoint
2 10001. Value of Breakpoint
2 20000. Value of Breakpoint
1 20001. Value of breakpoint
20287 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN335 AMT PAY O-O-P OTHER MEDICAL - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.OthHealthCare.N335_
*
.................................................................................
76 499. Value of Breakpoint
19 500. Value of Breakpoint
46 999. Value of Breakpoint
12 1000. Value of Breakpoint
51 4999. Value of Breakpoint
6 5000. Value of Breakpoint
7 9999. Value of Breakpoint
2 19999. Value of Breakpoint
2 20000. Value of Breakpoint
46 99999996. Greater than Maximum Breakpoint
20287 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN336 AMT PAY O-O-P OTHER MEDICAL - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.OthHealthCare.N336_
*
.................................................................................
54 98. DK (Don't Know); NA (Not Ascertained)
5 99. RF (Refused)
20495 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: N204_AssgnHospCost := 0:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.HospitalStay.N106_AmtOOPHospCost = RESPONSE) THEN
IF NOT(((SecN.HospitalStay.N106_AmtOOPHospCost = DONTKNOW) OR
(SecN.HospitalStay.N106_AmtOOPHospCost = REFUSAL)) AND (SecN.HospitalStay.N107_
= RESPONSE)) THEN
ASSIGN: N204_AssgnHospCost := HospitalStay.N106_AmtOOPHospCost:{PREVIOUS ASK}
SecN.N023_
IF SecN.HospitalStay.N106_AmtOOPHospCost = RESPONSE THEN
ASSIGN: N204_AssgnHospCost := HospitalStay.N107_:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.HospitalStay.N106_AmtOOPHospCost = RESPONSE) THEN
IF ((SecN.HospitalStay.N106_AmtOOPHospCost = DONTKNOW) OR
(SecN.HospitalStay.N106_AmtOOPHospCost = REFUSAL)) AND (SecN.HospitalStay.N107_
= RESPONSE) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN204 ASSIGN HOSPITAL COSTS
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.N204_AssgnHospCost
User Note: N106 and N107 are used to calculate NN204.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
20541 0 201000 299.06 2374.99 13
-----------------------------------------------------------------
==========================================================================================
ASSIGN: N205_AssgnNHCost := 0:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.NHomeStay.N119_AmtPayNHHosp = RESPONSE) THEN
IF NOT(((SecN.NHomeStay.N119_AmtPayNHHosp = DONTKNOW) OR
(SecN.NHomeStay.N119_AmtPayNHHosp = REFUSAL)) AND (SecN.NHomeStay.N120_ =
RESPONSE)) THEN
ASSIGN: N205_AssgnNHCost := NHomeStay.N119_AmtPayNHHosp:{PREVIOUS ASK}
SecN.N023_
IF SecN.NHomeStay.N119_AmtPayNHHosp = RESPONSE THEN
ASSIGN: N205_AssgnNHCost := NHomeStay.N120_:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.NHomeStay.N119_AmtPayNHHosp = RESPONSE) THEN
IF ((SecN.NHomeStay.N119_AmtPayNHHosp = DONTKNOW) OR
(SecN.NHomeStay.N119_AmtPayNHHosp = REFUSAL)) AND (SecN.NHomeStay.N120_ =
RESPONSE) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN205 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 NN205.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
20541 0 160000 356.78 4650.09 13
-----------------------------------------------------------------
==========================================================================================
ASSIGN: N206_AssgnOutSurgCost := 0:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.OutPatSurgery.N139_AmtOOPOutSurg = RESPONSE) THEN
IF NOT(((SecN.OutPatSurgery.N139_AmtOOPOutSurg = DONTKNOW) OR
(SecN.OutPatSurgery.N139_AmtOOPOutSurg = REFUSAL)) AND
(SecN.OutPatSurgery.N140_ = RESPONSE)) THEN
ASSIGN: N206_AssgnOutSurgCost := OutPatSurgery.N139_AmtOOPOutSurg:{PREVIOUS
ASK} SecN.N023_
IF SecN.OutPatSurgery.N139_AmtOOPOutSurg = RESPONSE THEN
ASSIGN: N206_AssgnOutSurgCost := OutPatSurgery.N140_:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.OutPatSurgery.N139_AmtOOPOutSurg = RESPONSE) THEN
IF ((SecN.OutPatSurgery.N139_AmtOOPOutSurg = DONTKNOW) OR
(SecN.OutPatSurgery.N139_AmtOOPOutSurg = REFUSAL)) AND
(SecN.OutPatSurgery.N140_ = RESPONSE) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN206 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 NN206.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
20541 0 30000 108.13 768.23 13
-----------------------------------------------------------------
==========================================================================================
ASSIGN: N207_AssgnDocVstCost := 0:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.DocVisit.N156_AmtOOPVisit = RESPONSE) THEN
IF NOT(((SecN.DocVisit.N156_AmtOOPVisit = DONTKNOW) OR
(SecN.DocVisit.N156_AmtOOPVisit = REFUSAL)) AND (SecN.DocVisit.N157_ =
RESPONSE)) THEN
ASSIGN: N207_AssgnDocVstCost := DocVisit.N156_AmtOOPVisit:{PREVIOUS ASK}
SecN.N023_
IF SecN.DocVisit.N156_AmtOOPVisit = RESPONSE THEN
ASSIGN: N207_AssgnDocVstCost := DocVisit.N157_:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.DocVisit.N156_AmtOOPVisit = RESPONSE) THEN
IF ((SecN.DocVisit.N156_AmtOOPVisit = DONTKNOW) OR
(SecN.DocVisit.N156_AmtOOPVisit = REFUSAL)) AND (SecN.DocVisit.N157_ =
RESPONSE) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN207 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 NN207.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
20541 0 30000 421.68 1199.06 13
-----------------------------------------------------------------
==========================================================================================
ASSIGN: N208_AssgnDentCost := 0:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.DentalCare.N168_AmtPayOOPDental = RESPONSE) THEN
IF NOT(((SecN.DentalCare.N168_AmtPayOOPDental = DONTKNOW) OR
(SecN.DentalCare.N168_AmtPayOOPDental = REFUSAL)) AND (SecN.DentalCare.N169_ =
RESPONSE)) THEN
ASSIGN: N208_AssgnDentCost := DentalCare.N168_AmtPayOOPDental:{PREVIOUS ASK}
SecN.N023_
IF SecN.DentalCare.N168_AmtPayOOPDental = RESPONSE THEN
ASSIGN: N208_AssgnDentCost := DentalCare.N169_:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.DentalCare.N168_AmtPayOOPDental = RESPONSE) THEN
IF ((SecN.DentalCare.N168_AmtPayOOPDental = DONTKNOW) OR
(SecN.DentalCare.N168_AmtPayOOPDental = REFUSAL)) AND (SecN.DentalCare.N169_ =
RESPONSE) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN208 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 NN208.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
20541 0 70000 535.69 1520.53 13
-----------------------------------------------------------------
==========================================================================================
ASSIGN: N209_AssgnPresCost := 0:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.PrescpDrug.N180_AmtOOPMeds = RESPONSE) THEN
IF NOT(((SecN.PrescpDrug.N180_AmtOOPMeds = DONTKNOW) OR
(SecN.PrescpDrug.N180_AmtOOPMeds = REFUSAL)) AND (SecN.PrescpDrug.N181_ =
RESPONSE)) THEN
ASSIGN: N209_AssgnPresCost := PrescpDrug.N180_AmtOOPMeds:{PREVIOUS ASK}
SecN.N023_
IF SecN.PrescpDrug.N180_AmtOOPMeds = RESPONSE THEN
ASSIGN: N209_AssgnPresCost := PrescpDrug.N181_:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.PrescpDrug.N180_AmtOOPMeds = RESPONSE) THEN
IF ((SecN.PrescpDrug.N180_AmtOOPMeds = DONTKNOW) OR
(SecN.PrescpDrug.N180_AmtOOPMeds = REFUSAL)) AND (SecN.PrescpDrug.N181_ =
RESPONSE) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN209 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 NN209.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
20541 0 5000 49.51 117.62 13
-----------------------------------------------------------------
==========================================================================================
ASSIGN: N210_AssgnHomeHCCost := 0:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.InHomeCare.N194_AmtPayOOPHHS = RESPONSE) THEN
IF NOT(((SecN.InHomeCare.N194_AmtPayOOPHHS = DONTKNOW) OR
(SecN.InHomeCare.N194_AmtPayOOPHHS = REFUSAL)) AND (SecN.InHomeCare.N195_ =
RESPONSE)) THEN
ASSIGN: N210_AssgnHomeHCCost := InHomeCare.N194_AmtPayOOPHHS:{PREVIOUS ASK}
SecN.N023_
IF SecN.InHomeCare.N194_AmtPayOOPHHS = RESPONSE THEN
ASSIGN: N210_AssgnHomeHCCost := InHomeCare.N195_:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.InHomeCare.N194_AmtPayOOPHHS = RESPONSE) THEN
IF ((SecN.InHomeCare.N194_AmtPayOOPHHS = DONTKNOW) OR
(SecN.InHomeCare.N194_AmtPayOOPHHS = REFUSAL)) AND (SecN.InHomeCare.N195_ =
RESPONSE) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN210 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 NN210.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
20541 0 70000 27.72 765.88 13
-----------------------------------------------------------------
==========================================================================================
ASSIGN: N064_AssgnOthSvcCost := 0:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.OthHealthCare.N239_OthSvcCost = RESPONSE) THEN
IF NOT(((SecN.OthHealthCare.N239_OthSvcCost = DONTKNOW) OR
(SecN.OthHealthCare.N239_OthSvcCost = REFUSAL)) AND (SecN.OthHealthCare.N246_ =
RESPONSE)) THEN
ASSIGN: N064_AssgnOthSvcCost := OthHealthCare.N239_OthSvcCost:{PREVIOUS ASK}
SecN.N023_
IF SecN.OthHealthCare.N239_OthSvcCost = RESPONSE THEN
ASSIGN: N064_AssgnOthSvcCost := OthHealthCare.N246_:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.OthHealthCare.N239_OthSvcCost = RESPONSE) THEN
IF ((SecN.OthHealthCare.N239_OthSvcCost = DONTKNOW) OR
(SecN.OthHealthCare.N239_OthSvcCost = REFUSAL)) AND (SecN.OthHealthCare.N246_ =
RESPONSE) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN064 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 NN064.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
20541 0 70000 43.05 769.51 13
-----------------------------------------------------------------
==========================================================================================
ASSIGN: N211_TotMajMedExp := (((((((N204_AssgnHospCost + N205_AssgnNHCost) +
N206_AssgnOutSurgCost) + N207_AssgnDocVstCost) + N208_AssgnDentCost) +
N209_AssgnPresCost) + N210_AssgnHomeHCCost) + N064_AssgnOthSvcCost) +
N065_AssgnHospicecost:{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN211 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: NN211 = N204 + N205 + N206 + N207 + N208 + N209 + N210 + N064.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
20541 0 207300 1841.62 6067.12 13
-----------------------------------------------------------------
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF piN211_TotMajMedExp >= 10000 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN212 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], [R's Last IW Year]/in the last two years], or helped you pay the cost of
health insurance or for long-term care insurance?
.................................................................................
40 1. YES
627 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
19879 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HowPayMedBill.N212_HelpPayHCCost
IF SecN.HowPayMedBill.N212_HelpPayHCCost = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN213 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]],
or is that someone else?
.................................................................................
15 1. CHILD/CHILD-IN-LAW/GRANDCHILD
13 2. OTHER RELATIVE
12 3. SOMEONE ELSE
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
20514 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN214M1 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?)
IWER: Choose all that apply
IWER: 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?)
.................................................................................
13 041-990. Other Person Number
992. DECEASED CHILD
2 993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
20539 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN214M2 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?)
IWER: Choose all that apply
IWER: 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)
20553 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN214M3 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?)
IWER: Choose all that apply
IWER: 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)
20553 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
IF N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN214M4 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?)
IWER: Choose all that apply
IWER: 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)
20554 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HowPayMedBill.N213_WhoHelpPayHCCost
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN215 AMT OF OTHER HELP
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.HowPayMedBill.N215_AmtOthHelp
Altogether, about how much money did that help amount to?
IWER: Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
28 100 50000 6209.86 10402.33 20514
-----------------------------------------------------------------
12 999998. DK (Don't Know); NA (Not Ascertained)
999999. RF (Refused)
==========================================================================================
NN216 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
.................................................................................
6 0. Value of Breakpoint
1 1001. Value of Breakpoint
2 3001. Value of Breakpoint
3 10001. Value of Breakpoint
20542 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN217 AMT OF OTHER HELP - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.HowPayMedBill.N217_
*
.................................................................................
2 499. Value of Breakpoint
1 2999. Value of Breakpoint
2 9999. Value of Breakpoint
7 99999996. Greater than Maximum Breakpoint
20542 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
NN218 AMT OF OTHER HELP - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.HowPayMedBill.N218_
*
.................................................................................
5 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
20549 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN226 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)
.................................................................................
950 1. NUMBER RECORDED
982 4. R REFUSED NUMBER
374 5. NUMBER NOT RECORDED (NOT REFUSED)
19 8. DK (Don't Know); NA (Not Ascertained)
33 9. RF (Refused)
18196 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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN231 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.)
.................................................................................
1042 1. NUMBER RECORDED
254 4. R REFUSED NUMBER
398 5. NUMBER NOT RECORDED (NOT REFUSED)
41 8. DK (Don't Know); NA (Not Ascertained)
11 9. RF (Refused)
18808 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN235 HOW SATISFIED W/ HEALTH CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N235_SatisfWHlthCare
Thinking about the quality, cost, and convenience of your health care, how
satisfied are you overall, very satisfied, somewhat satisfied, neutral, somewhat
dissatisfied, or very dissatisfied?
.................................................................................
9623 1. VERY SATISFIED
6563 2. SOMEWHAT SATISFIED
2483 3. NEUTRAL
910 4. SOMEWHAT DISSATISFIED
640 5. VERY DISSATISFIED
233 8. DK (Don't Know); NA (Not Ascertained)
37 9. RF (Refused)
65 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N235_SatisfWHlthCare
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN290 COULDNT AFFORD MEDICAL CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HealthCareAccess.N290_AffordCare
[Since [R's Last IW Month], [R's Last IW Year]/In the last two years], was there
any time when you needed medical care, but did not get it because you couldn't
afford it?
.................................................................................
1790 1. YES
18666 5. NO
17 8. DK (Don't Know); NA (Not Ascertained)
15 9. RF (Refused)
66 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HealthCareAccess.N290_AffordCare
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN291 HAVE USUAL PLACE OF CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HealthCareAccess.N291_Placeofcare
Is there a place that you usually go to when you are sick or need advice about
your health?
.................................................................................
17315 1. YES
3095 5. THERE IS NO PLACE
33 7. THERE IS MORE THAN ONE PLACE (VOL)
33 8. DK (Don't Know); NA (Not Ascertained)
12 9. RF (Refused)
66 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HealthCareAccess.N291_Placeofcare
IF (SecN.HealthCareAccess.N291_Placeofcare = YES) OR
(SecN.HealthCareAccess.N291_Placeofcare = Morethanone) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN292 USUAL PLACE OF CARE LOC
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HealthCareAccess.N292_PLACEOFCARELOC
What kind of place [is it/do you go to most often] - a clinic, doctor's office,
emergency room, or some other place?
IWER: Instruct the respondent to select the place used most often if needed.
.................................................................................
3369 1. CLINIC OR HEALTH CENTER
12764 2. DOCTOR'S OFFICE OR HMO
593 3. HOSPITAL EMERGENCY ROOM
85 4. (VOL)HOSPITAL OUTPATIENT DEPARTMENT
468 5. SOME OTHER PLACE
37 6. DOESN'T GO TO ONE PLACE MOST OFTEN
28 8. DK (Don't Know); NA (Not Ascertained)
4 9. RF (Refused)
3206 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.HealthCareAccess.N291_Placeofcare
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NN293 TROUBLE FIND DR
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HealthCareAccess.N293_TROBFINDDR
[Since [R's Last IW Month], [R's Last IW Year]/In the last two years] did you
have any trouble finding a general doctor or provider who would see you?
.................................................................................
687 1. YES
19774 5. NO
18 8. DK (Don't Know); NA (Not Ascertained)
9 9. RF (Refused)
66 Blank. INAP (Inapplicable); Partial Interview
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{PREVIOUS ASK} SecN.N235_SatisfWHlthCare
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NN236 ASSIST SECTION N
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N236_AssistN
IWER: How often did R receive assistance with answers in section N - health
services and insurance?
.................................................................................
19322 1. NEVER
686 2. A FEW TIMES
391 3. MOST OR ALL OF THE TIME
89 4. THE SECTION WAS DONE BY A PROXY REPORTER
66 Blank. INAP (Inapplicable); Partial Interview
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NVDATE 2012 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.
.................................................................................
2286 1. Version 1
1676 2. Version 2
6890 3. Version 3
9702 4. Version 4
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NVERSION 2012 DATA RELEASE VERSION
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
.................................................................................
20554 3. HRS 2012 Final Release
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