HHID      HOUSEHOLD IDENTIFIER                      
          Section: R            Level: Respondent      CAI Reference: Q9001
          Type: Character       Width: 6               Decimals: 0
          ................................................................................
            775       200000-209999. HOUSEHOLD IDENTIFICATION NUMBER


PN RESPONDENT PERSON NUMBER Section: R Level: Respondent CAI Reference: Q9002 Type: Character Width: 3 Decimals: 0 User Note: The range 010-040 is reserved for respondent person numbers. Respondent person numbers ending in zero are generally original sample members, while respondent person numbers ending in one are generally new spouses added after the original sample. ................................................................................ 607 010. RESPONDENT PERSON NUMBER 168 020. RESPONDENT PERSON NUMBER
NSUBHH 1995 SUB-HOUSEHOLD IDENTIFIER Section: R Level: Respondent CAI Reference: Q9003 Type: Character Width: 1 Decimals: 0 ................................................................................ 754 3. Deceased respondent household 21 4. 2ND Deceased respondent household
BSUBHH 1993 SUB-HOUSEHOLD IDENTIFIER Section: R Level: Respondent CAI Reference: Q9004 Type: Character Width: 1 Decimals: 0 ................................................................................ 775 0. Original Sample Household - No Split From Divorce or Separation of Spouses or Partners
NPN_SP SPOUSE / PARTNER PERSON NUMBER Section: R Level: Respondent CAI Reference: Q9005 Type: Character Width: 3 Decimals: 0 User Note: New Spouses of deceased respondents are not considered respondents, thus are not assigned a person number. ................................................................................ 163 010. Person Number 9 011. Person Number 216 020. Person Number 387 Blank. No Spouse
N5274 R0.INSURANCE INTRO Section: R Level: Respondent CAI Reference: Q5274 Type: Character Width: 1 Decimals: 0 R0. Health and health insurance are important areas of our study. IF Q126 IS (1) We know that [Q371-R FIRST NAME] was covered by Medicare, but there are many kinds of insurance that people use. ELSE There are many kinds of health insurance that people use. END User note: This preamble variable has been included in this data set in order to document questionnaire flow; all data values are blanks. ................................................................................ 775 Blank. No Data Collected
N5275 R1.MEDICARE COVER Section: R Level: Respondent CAI Reference: Q5275 Type: Numeric Width: 1 Decimals: 0 R1. For people 65 and over, Medicare is the most common type of health insurance. Was [Q371-R FIRST NAME] covered at any time (since last interview month/year/in the last two years)? ................................................................................ 46 1. YES 14 5. NO 8. DK 9. RF 715 Blank. INAP(inapplicable): [Q126:W1 MEDICARE COVER] IS (1) Or Partial Interview
N5276 R1a.R MEDICARE Section: R Level: Respondent CAI Reference: Q5276 Type: Numeric Width: 1 Decimals: 0 R1a. Part A of Medicare covers most hospital expenses. Part B covers many doctors expenses. The premium for Part B may have been deducted from (his/her) Social Security. Was [Q371-R FIRST NAME] covered by Medicare (since last interview month/year/in the last two years)? ................................................................................ 44 1. YES 2 5. NO 8. DK 9. RF 729 Blank. INAP(inapplicable): [Q126:W1 MEDICARE COVER] IS (1); [Q5275:R1] IS (5 OR DK OR RF) Or Partial Interview
N5277 R1b.INTRO MEDICARE CARD Section: R Level: Respondent CAI Reference: Q5277 Type: Character Width: 1 Decimals: 0 R1b. We would like to understand how people's medical history affects their use of health care. To do that, we need to obtain information about health care costs and diagnoses for for statistical purposes. The best place to get this information about [Q371-R FIRST NAME] without taking up a lot more of your time is in the Medicare files. Would you be able to read me the number from (his/her) Medicare card? R MAY NEED TO LOOK UP THE MEDICARE CARD AT THIS POINT. BE SURE TO USE F1(QxQ'S) IF R NEEDS MORE PERSUASION. User note: This preamble variable has been included in this data set in order to document questionnaire flow; all data values are blanks. ................................................................................ 775 Blank. INAP(inapplicable): [Q126:W1 MEDICARE COVER] IS (1); [Q5275:R1] IS (5 OR DK OR RF) Or Partial Interview
N5278 R1c/f.MEDICARE NUMBER Section: R Level: Respondent CAI Reference: Q5278 Type: Numeric Width: 1 Decimals: 0 R1c/f. NUMBER AVAILABLE: COPY MEDICARE NUMBER: Thank you. ................................................................................ 21 1. GOT NUMBER 25 5. NOT GET NUMBER 8. DK 9. RF 729 Blank. INAP(inapplicable): [Q126:W1 MEDICARE COVER] IS (1); [Q5275:R1] IS (5 OR DK OR RF) Or Partial Interview
N5286 R2.MEDICAID Section: R Level: Respondent CAI Reference: Q5286 Type: Numeric Width: 1 Decimals: 0 R2. "Medicaid" is a state program for people with low income or who are on public assistance. Sometimes people with very large medical bills are also covered by "Medicaid". Was [Q371-R FIRST NAME]'s health care covered by "Medicaid" anytime (since last interview month/year/in the last two years)? ................................................................................ 171 1. YES 589 5. NO 12 8. DK 9. RF 3 Blank. INAP
N5287 R3.MEDICAID CARD Section: R Level: Respondent CAI Reference: Q5287 Type: Numeric Width: 1 Decimals: 0 R3. Would you be able to give or read me the number from (his/her) "Medicaid" card? NUMBER AVAILABLE: COPY MEDICAID NUMBER: Thank you. ................................................................................ 31 1. R GAVE NUMBER 139 5. NOT GIVE NUMBER 1 8. DK 9. RF 604 Blank. INAP(inapplicable): [Q5286:R2] IS (NE 1) Or Partial Interview
N5289 R4.CURRENTLY ON MEDICAID Section: R Level: Respondent CAI Reference: Q5289 Type: Numeric Width: 1 Decimals: 0 R4. Was [Q371-R FIRST NAME] covered by "Medicaid" at the time of (his/her) death? ................................................................................ 169 1. YES 1 5. NO 1 8. DK 9. RF 604 Blank. INAP(inapplicable): [Q5286:R2] IS (NE 1) Or Partial Interview
N5290 R4a.MEDICAID START OF NURSING HOME-1 Section: R Level: Respondent CAI Reference: Q5290 Type: Numeric Width: 1 Decimals: 0 R4a. NUMBER OF STAYS: [Q1682-E6. NURHM # TIMES] Was (he/she) eligible for "Medicaid" at the time (his/her) (first) nursing home stay started? Did (he/she) become eligible for "Medicaid" during (his/her) (first) nursing home stay? Did (he/she) lose (his/her) eligibility for "Medicaid" when (he/she) was discharged from (his/her) (first) nursing home stay? ................................................................................ 54 1. YES 16 5. NO 8. DK 9. RF 705 Blank. INAP(inapplicable): [Q5286:R2] IS (NE 1); [Q1681:E5] IS (5) OR [Q5289:R4] IS (DK OR RF) Or Partial Interview
N5291 R4b MEDICAID DURING-1 Section: R Level: Respondent CAI Reference: Q5291 Type: Numeric Width: 1 Decimals: 0 ................................................................................ 10 1. YES 6 5. NO 8. DK 9. RF 759 Blank. INAP(inapplicable): [Q5286:R2] IS (NE 1); [Q1681:E5] IS (5) OR [Q5289:R4] IS (DK OR RF); [Q5290:R4a] IS (1) Or Partial Interview
N5292 R4c.MEDICAID AFTER-1 Section: R Level: Respondent CAI Reference: Q5292 Type: Numeric Width: 1 Decimals: 0 ................................................................................ 3 1. YES 10 5. NO 8. DK 9. RF 762 Blank. INAP(inapplicable): [Q5286:R2] IS (NE 1); [Q1681:E5] IS (5) OR [Q5289:R4] IS (DK OR RF); [Q5290:R4a] IS (NE 1) AND [Q5291:R4b MEDICAID DURING-1] IS (NE 1); [Q249:CS11] IS (1) AND [Q1682:E6] IS (1) Or Partial Interview
N5294 R4d.MEDICAID START OF NURSING HOME-2 Section: R Level: Respondent CAI Reference: Q5294 Type: Numeric Width: 1 Decimals: 0 R4d. NUMBER OF STAYS: [Q1682-E6. NURHM # TIMES] Was (he/she) eligible for "Medicaid" at the time (his/her) last nursing home stay started? Did (he/she) become eligible for "Medicaid" during (his/her) last nursing home stay? Did (he/she) lose (his/her) eligibility for "Medicaid" when (he/she) was discharged from (his/her) last nursing home stay? ................................................................................ 7 1. YES 3 5. NO 8. DK 9. RF 765 Blank. INAP(inapplicable): [Q5286:R2] IS (NE 1); [Q1681:E5] IS (5) OR [Q5289:R4] IS (DK OR RF); [Q1682:E6] IS (LT 2) Or Partial Interview
N5295 R4e.MEDICAID DURING-1 Section: R Level: Respondent CAI Reference: Q5295 Type: Numeric Width: 1 Decimals: 0 ................................................................................ 1 1. YES 2 5. NO 8. DK 9. RF 772 Blank. INAP(inapplicable): [Q5286:R2] IS (NE 1); [Q1681:E5] IS (5) OR [Q5289:R4] IS (DK OR RF); [Q1682:E6] IS (LT 2); [Q5294:R4d] IS (1) Or Partial Interview
N5296 R4f.MEDICAID AFTER-1 Section: R Level: Respondent CAI Reference: Q5296 Type: Numeric Width: 1 Decimals: 0 ................................................................................ 1. YES 5. NO 8. DK 9. RF 775 Blank. INAP(inapplicable): [Q5286:R2] IS (NE 1); [Q1681:E5] IS (5) OR [Q5289:R4] IS (DK OR RF); [Q1682:E6] IS (LT 2); [Q5294:R4d] IS (5 OR DK OR RF) AND [Q5295:R4e] IS (5 OR DK OR RF); [Q249:CS11] IS (1) Or Partial Interview
N5306 R5.OTHER GOVT INS Section: R Level: Respondent CAI Reference: Q5306 Type: Numeric Width: 1 Decimals: 0 R5. At the time [Q371-R FIRST NAME] died was (he/she) covered by any government health insurance programs (besides Medicare), such as Railroad retirement, CHAMP-US, CHAMP-VA, or other military programs? ................................................................................ 35 1. YES 730 5. NO 6 8. DK 1 9. RF 3 Blank. INAP
N5307 R5a.TYPE OTH GVT INS Section: R Level: Respondent CAI Reference: Q5307 Type: Numeric Width: 1 Decimals: 0 R5a. Which program was that? ................................................................................ 24 3. CHAMPVA/CHAMPUS 9 4. RAILROAD RETIREMENT 1 7. OTHER, SPECIFY 1 8. DK 9. RF 740 Blank. INAP(inapplicable): [Q5306:R5] IS (5 OR DK OR RF) Or Partial Interview
N5313 R6.INSURANCE PREAMBLE Section: R Level: Respondent CAI Reference: Q5313 Type: Numeric Width: 1 Decimals: 0 R6. Now I'm going to ask you about how [Q371-R FIRST NAME]'s health insurance worked. User note: This preamble variable has been included in this data set in order to document questionnaire flow; all data values are blanks. ................................................................................ 775 Blank. No Data Collected
N5314 R7.MEDICARE/RR HMO Section: R Level: Respondent CAI Reference: Q5314 Type: Numeric Width: 1 Decimals: 0 R7. First, we are interested in how [Q371-R FIRST NAME] 's (Medicare/Railroad retirement) health insurance worked for routine care. At the time (he/she) died, did [Q371-R FIRST NAME] receive (his/her) Medicare (and "Medicaid") benefits through an HMO, that is a Health Maintenance Organization? DEF: With an HMO, the cost of the physician visit is typically covered in full or the participant pays only a small amount. All routine care must be provided by an HMO physician. ................................................................................ 77 1. YES 639 5. NO 42 8. DK 9. RF 17 Blank. INAP(inapplicable): [Q5275:R1] IS (NE 1) AND [Q126:W1 MEDICARE COVER] IS (NE 1) AND [Q5307:R5a] IS (NE 4) Or Partial Interview
N5315 R7a.HOW LONG MEDICARE HMO? Section: R Level: Respondent CAI Reference: Q5315 Type: Numeric Width: 2 Decimals: 0 R7a. About how long had [Q371-R FIRST NAME] been receiving (his/her) Medicare benefits through this HMO? YEARS: OR MONTHS: ................................................................................ 58 1-15. Range of Values 1 97. Other 10 98. DK 99. RF 706 Blank. INAP(inapplicable): [Q5275:R1] IS (NE 1) AND [Q126:W1 MEDICARE COVER] IS (NE 1) AND [Q5307:R5a] IS (NE 4); [Q5314:R7] IS (NE 1) Or Partial Interview
N5316 R7b.MONTHS MEDICARE HMO Section: R Level: Respondent CAI Reference: Q5316 Type: Numeric Width: 2 Decimals: 0 ................................................................................ 10 1-25. Range of Values 98. DK 99. RF 765 Blank. INAP(inapplicable): [Q5275:R1] IS (NE 1) AND [Q126:W1 MEDICARE COVER] IS (NE 1) AND [Q5307:R5a] IS (NE 4); [Q5314:R7] IS (NE 1) Or Partial Interview
N5324 R7e. HOW MUCH R PAY MEDICARE HMO Section: R Level: Respondent CAI Reference: Q5324 Type: Numeric Width: 5 Decimals: 0 R7e. About how much were [Q371-R FIRST NAME]'s premiums for this plan? AMOUNT: PER: ................................................................................ 50 0-99996. Range of Values 1 99997. Other 26 99998. DK 99999. RF 698 Blank. INAP(inapplicable): [Q5275:R1] IS (NE 1) AND [Q126:W1 MEDICARE COVER] IS (NE 1) AND [Q5307:R5a] IS (NE 4); [Q5314:R7] IS (NE 1) Or Partial Interview
N5325 R7f. PER R7e. Section: R Level: Respondent CAI Reference: Q5325 Type: Numeric Width: 1 Decimals: 0 ................................................................................ 34 1. MONTH 3 2. QUARTER (3 MONTHS) 3. YEAR 13 4. NO PREMIUM 7. OTHER 1 8. DK 9. RF 724 Blank. INAP(inapplicable): [Q5275:R1] IS (NE 1) AND [Q126:W1 MEDICARE COVER] IS (NE 1) AND [Q5307:R5a] IS (NE 4); [Q5314:R7] IS (NE 1); [Q5324:R7e] IS (DK OR RF) Or Partial Interview
N5333 R8. MEDICAID IS HMO Section: R Level: Respondent CAI Reference: Q5333 Type: Numeric Width: 1 Decimals: 0 R8. We are interested in how [Q371-R FIRST NAME] 's "Medicaid" worked for routine care. At the time (he/she) died, did [Q371-R FIRST NAME] receive (his/her) "Medicaid" through an HMO (that is, a Health Maintenance Organization)? DEF: With an HMO, the cost of the physician visit is typically covered in full or the participant pays only a small amount. All routine care must be provided by an HMO physician. ................................................................................ 4 1. YES 129 5. NO 21 8. DK 9. RF 621 Blank. INAP(inapplicable): [Q5289:R4] IS (NE 1); [Q5289:R4] IS (1) AND [Q5314:R7] IS (1) Or Partial Interview
N5334 R8a. HOW LONG MEDICAID HMO? Section: R Level: Respondent CAI Reference: Q5334 Type: Numeric Width: 2 Decimals: 0 R8a. About how long had [Q371-R FIRST NAME] received (his/her) "Medicaid" through this HMO? MONTHS: YEARS: ................................................................................ 1-25. Range of Values 2 98. DK 99. RF 773 Blank. INAP(inapplicable): [Q5289:R4] IS (NE 1); [Q5289:R4] IS (1) AND [Q5314:R7] IS (1); [Q5333:R8] IS (NE 1) Or Partial Interview
N5335 R8b.YEARS MEDICAID HMO Section: R Level: Respondent CAI Reference: Q5335 Type: Numeric Width: 2 Decimals: 0 ................................................................................ 2 1-15. Range of Values 98. DK 99. RF 773 Blank. INAP(inapplicable): [Q5289:R4] IS (NE 1); [Q5289:R4] IS (1) AND [Q5314:R7] IS (1); [Q5333:R8] IS (NE 1) Or Partial Interview
N5339 R9.OTHER HEALTH INSURANCE Section: R Level: Respondent CAI Reference: Q5339 Type: Numeric Width: 1 Decimals: 0 R9. Not counting long-term care insurance IF Q126 IS (1) OR Q5275 IS (1) OR Q5288 IS (1) or Medicare, END IF Q5289 IS (1) or "Medicaid", END IF Q5307 IS (1 OR 2 OR 3) or (his/her) government health insurance, END at the time [Q371-R FIRST NAME] died, did (he/she) have any health insurance that paid any part of hospital or doctor bills? (Sometimes this is called a Medi-Gap policy). ................................................................................ 433 1. YES 327 5. NO 11 8. DK 1 9. RF 3 Blank. INAP
N5340 R9a.# OTHER HEALTH INS Section: R Level: Respondent CAI Reference: Q5340 Type: Numeric Width: 2 Decimals: 0 R9a. How many other health plans did [Q371-R FIRST NAME] have at the time (he/she) died? ................................................................................ 432 0-10. Range of Values 1 98. DK 99. RF 342 Blank. INAP(inapplicable): [Q5339:R9] IS (5 OR DK OR RF) Or Partial Interview
N5341M1 R10d.HOW OBTAIN OTHER HMO-1 Section: R Level: Respondent CAI Reference: Q5341 Type: Numeric Width: 1 Decimals: 0 R10d. IF Q5340 IS (GT1) Thinking about the first of these plans, END How did (he/she) obtain this type of health insurance coverage? Was it through (his/her) (or his/her husband's/or his/her wife's/or his/her partner's/...) employer or union, or through an organization or what? CHOOSE ALL THAT APPLY User Note: Up to three mentions were allowed, maximum used was two. ................................................................................ 146 1. R EMPLOYER/FORMER EMPLOYER 3 2. R UNION 55 3. SPOUSE/PARTNER EMPLOYER/FORMER EMPLOYER 1 4. SPOUSE/PARTNER UNION 90 5. OTHER ORGANIZATION 109 7. OTHER; someplace else; self; not through any organization 29 8. DK 342 Blank. INAP(inapplicable): [Q5339:R9] IS (5 OR DK OR RF) Or Partial Interview
N5341M2 R10d.HOW OBTAIN OTHER HMO-1 Section: R Level: Respondent CAI Reference: Q5341 Type: Numeric Width: 1 Decimals: 0 R10d. IF Q5340 IS (GT1) Thinking about the first of these plans, END How did (he/she) obtain this type of health insurance coverage? Was it through (his/her) (or his/her husband's/or his/her wife's/or his/her partner's/...) employer or union, or through an organization or what? CHOOSE ALL THAT APPLY User Note: Up to three mentions were allowed, maximum used was two. ................................................................................ 1. R EMPLOYER/FORMER EMPLOYER 2. R UNION 4 3. SPOUSE/PARTNER EMPLOYER/FORMER EMPLOYER 4. SPOUSE/PARTNER UNION 2 5. OTHER ORGANIZATION 2 7. OTHER; someplace else; self; not through any organization 8. DK 767 Blank. INAP(inapplicable): [Q5339:R9] IS (5 OR DK OR RF) Or Partial Interview
N5341M3 R10d.HOW OBTAIN OTHER HMO-1 Section: R Level: Respondent CAI Reference: Q5341 Type: Numeric Width: 1 Decimals: 0 R10d. IF Q5340 IS (GT1) Thinking about the first of these plans, END How did (he/she) obtain this type of health insurance coverage? Was it through (his/her) (or his/her husband's/or his/her wife's/or his/her partner's/...) employer or union, or through an organization or what? CHOOSE ALL THAT APPLY User Note: Up to three mentions were allowed, maximum used was two. ................................................................................ 1. R EMPLOYER/FORMER EMPLOYER 2. R UNION 3. SPOUSE/PARTNER EMPLOYER/FORMER EMPLOYER 4. SPOUSE/PARTNER UNION 5. OTHER ORGANIZATION 7. OTHER; someplace else; self; not through any organization 8. DK 775 Blank. INAP(inapplicable): [Q5339:R9] IS (5 OR DK OR RF) Or Partial Interview
N5342 R10e.HOW PAY FOR HMO-1 Section: R Level: Respondent CAI Reference: Q5342 Type: Numeric Width: 1 Decimals: 0 R10e. How was this coverage paid for--entirely by (him/her) (or his/her husband/or his/her wife/or his/her partner/...), entirely by (his/her) (husband's/wife's/partner's/...) (former) employer or union, or partly by a (former) employer or union, or what? ................................................................................ 285 1. ENTIRELY BY R OR SP/PARTNER 81 2. ENTIRELY BY (FORMER) EMPLOYER OR UNION 45 3. PARTLY BY (FORMER) EMPLOYER OR UNION 9 7. OTHER 13 8. DK 342 Blank. INAP(inapplicable): [Q5339:R9] IS (5 OR DK OR RF) Or Partial Interview
N5352 R10f. HOW MUCH R PAY HMO-1 Section: R Level: Respondent CAI Reference: Q5352 Type: Numeric Width: 5 Decimals: 0 R10f. About how much were (his/her) premiums for this plan? AMOUNT: PER: ................................................................................ 249 0-99996. Range of Values 105 99998. DK 99999. RF 421 Blank. INAP(inapplicable): [Q5339:R9] IS (5 OR DK OR RF); [Q5342:R10e] IS (2) Or Partial Interview
N5353 R10g. PER R10f. Section: R Level: Respondent CAI Reference: Q5353 Type: Numeric Width: 1 Decimals: 0 ................................................................................ 167 1. MONTH 47 2. QUARTER (3 MONTHS) 31 3. YEAR 4 5. NO PREMIUMS 7. OTHER 8. DK 9. RF 526 Blank. INAP(inapplicable): [Q5339:R9] IS (5 OR DK OR RF); [Q5342:R10e] IS (2); [Q5352:R10f] IS (DK OR RF) Or Partial Interview
N5362M1 R11d.HOW OBTAIN OTHER HMO-1 Section: R Level: Respondent CAI Reference: Q5362 Type: Numeric Width: 1 Decimals: 0 R11d. Thinking about (his/her) other health insurance plans, how did (he/she) obtain this type of health insurance coverage? Was it through (his/her) (or his/her husband's/or his/her wife's/or his/her partner's/...) employer or union, or through an organization or what? CHOOSE ALL THAT APPLY User Note: Up to three mentions were allowed, maximum used was two. ................................................................................ 5 1. R EMPLOYER/FORMER EMPLOYER 2. R UNION 3 3. SPOUSE/PARTNER EMPLOYER/FORMER EMPLOYER 4. SPOUSE/PARTNER UNION 11 5. OTHER ORGANIZATION 24 7. OTHER 2 8. DK 730 Blank. INAP(inapplicable): [Q5339:R9] IS (5 OR DK OR RF); [Q5340:R9a] IS (1) Or Partial Interview
N5362M2 R11d.HOW OBTAIN OTHER HMO-1 Section: R Level: Respondent CAI Reference: Q5362 Type: Numeric Width: 1 Decimals: 0 R11d. Thinking about (his/her) other health insurance plans, how did (he/she) obtain this type of health insurance coverage? Was it through (his/her) (or his/her husband's/or his/her wife's/or his/her partner's/...) employer or union, or through an organization or what? CHOOSE ALL THAT APPLY User Note: Up to three mentions were allowed, maximum used was two. ................................................................................ 1. R EMPLOYER/FORMER EMPLOYER 2. R UNION 3. SPOUSE/PARTNER EMPLOYER/FORMER EMPLOYER 4. SPOUSE/PARTNER UNION 5. OTHER ORGANIZATION 1 7. OTHER 8. DK 774 Blank. INAP(inapplicable): [Q5339:R9] IS (5 OR DK OR RF); [Q5340:R9a] IS (1) Or Partial Interview
N5362M3 R11d.HOW OBTAIN OTHER HMO-1 Section: R Level: Respondent CAI Reference: Q5362 Type: Numeric Width: 1 Decimals: 0 R11d. Thinking about (his/her) other health insurance plans, how did (he/she) obtain this type of health insurance coverage? Was it through (his/her) (or his/her husband's/or his/her wife's/or his/her partner's/...) employer or union, or through an organization or what? CHOOSE ALL THAT APPLY User Note: Up to three mentions were allowed, maximum used was two. ................................................................................ 1. R EMPLOYER/FORMER EMPLOYER 2. R UNION 3. SPOUSE/PARTNER EMPLOYER/FORMER EMPLOYER 4. SPOUSE/PARTNER UNION 5. OTHER ORGANIZATION 7. OTHER 8. DK 775 Blank. INAP(inapplicable): [Q5339:R9] IS (5 OR DK OR RF); [Q5340:R9a] IS (1) Or Partial Interview
N5363 R11e.HOW PAY FOR HMO-1 Section: R Level: Respondent CAI Reference: Q5363 Type: Numeric Width: 1 Decimals: 0 R11e. How was this coverage paid for--entirely by (him/her) (or his/her husband/or his/her wife/or his/her partner/...), entirely by (his/her) (husband's/wife's/partner's/...) (former) employer or union, or partly by a (former) employer or union, or what? ................................................................................ 26 1. ENTIRELY BY R OR SP/PARTNER 4 2. ENTIRELY BY (FORMER) EMPLOYER OR UNION 3 3. PARTLY BY (FORMER) EMPLOYER OR UNION 10 7. OTHER 2 8. DK 730 Blank. INAP(inapplicable): [Q5339:R9] IS (5 OR DK OR RF); [Q5340:R9a] IS (1) Or Partial Interview
N5364 R11f. HOW MUCH R PAY HMO-1 Section: R Level: Respondent CAI Reference: Q5364 Type: Numeric Width: 5 Decimals: 0 R11f. Thinking about [Q371-R FIRST NAME]'s other health insurance plan(s), about how much were (his/her) premiums for (that plan/those plans)? AMOUNT: PER: ................................................................................ 25 0-99996. Range of Values 1 99997. Other 15 99998. DK 99999. RF 734 Blank. INAP(inapplicable): [Q5339:R9] IS (5 OR DK OR RF); [Q5340:R9a] IS (1); [Q5363:R11e] IS (2) Or Partial Interview
N5365 R11g. PER R11f. Section: R Level: Respondent CAI Reference: Q5365 Type: Numeric Width: 1 Decimals: 0 ................................................................................ 17 1. MONTH 2 2. QUARTER (3 MONTHS) 5 3. YEAR 1 7. OTHER 8. DK 9. RF 750 Blank. INAP(inapplicable): [Q5339:R9] IS (5 OR DK OR RF); [Q5340:R9a] IS (1); [Q5363:R11e] IS (2); [Q5364:R11f] IS (DK OR RF) Or Partial Interview
N5371 R13.SPECIAL COSTS-MED Section: R Level: Respondent CAI Reference: Q5371 Type: Numeric Width: 1 Decimals: 0 R13. Did any of [Q371-R FIRST NAME]'s health insurance plan(s) in effect at the time (he/she) died pay any part of the cost of (his/her) prescription medications? ................................................................................ 382 1. YES 361 5. NO 29 8. DK 9. RF 3 Blank. INAP
N5373 R13c.WITHDRAWN HMO Section: R Level: Respondent CAI Reference: Q5373 Type: Numeric Width: 1 Decimals: 0 R13c. (Since last interview month/year/In the last two years) had [Q371-R FIRST NAME] withdrawn from an HMO? ................................................................................ 4 1. YES 749 5. NO 19 8. DK 9. RF 3 Blank. INAP
N5374 R13d.WITHDRAW VOL HMO Section: R Level: Respondent CAI Reference: Q5374 Type: Numeric Width: 1 Decimals: 0 R13d. Did (he/she) voluntarily leave that HMO? ................................................................................ 4 1. YES 5. NO 8. DK 9. RF 771 Blank. INAP(inapplicable): [Q5373:R13c] IS (NE 1) Or Partial Interview
N5375M1 R13e.WITHDRAW WHY LEAVE HMO Section: R Level: Respondent CAI Reference: Q5375 Type: Numeric Width: 1 Decimals: 0 R13e. Why did (he/she) leave that HMO? CHOOSE ALL THAT APPLY User Note: Up to five mentions were allowed, maximum used was one. ................................................................................ 1. his/her OWN PHYSICIAN LEFT PLAN 2 2. HMO DIDN`T PROVIDE NEEDED SERVICES 3. HMO COSTS INCREASED 4. HMO ENCOURAGED him/her TO LEAVE 1 5. MOVED OUT OF HMO SERVICE AREA 7. OTHER (SPECIFY) 1 8. DK 9. RF 771 Blank. INAP(inapplicable): [Q5373:R13c] IS (NE 1) Or Partial Interview
N5375M2 R13e.WITHDRAW WHY LEAVE HMO Section: R Level: Respondent CAI Reference: Q5375 Type: Numeric Width: 1 Decimals: 0 R13e. Why did (he/she) leave that HMO? CHOOSE ALL THAT APPLY User Note: Up to five mentions were allowed, maximum used was one. ................................................................................ 1. his/her OWN PHYSICIAN LEFT PLAN 2. HMO DIDN`T PROVIDE NEEDED SERVICES 3. HMO COSTS INCREASED 4. HMO ENCOURAGED him/her TO LEAVE 5. MOVED OUT OF HMO SERVICE AREA 7. OTHER (SPECIFY) 8. DK 9. RF 775 Blank. INAP(inapplicable): [Q5373:R13c] IS (NE 1) Or Partial Interview
N5376 R13f.WITHDRAW HMO NEW PLAN Section: R Level: Respondent CAI Reference: Q5376 Type: Numeric Width: 2 Decimals: 0 R13f. About how long was it before (he/she) was fully covered by (his/her) new health insurance plan? USE 96 FOR NEVER WITHOUT COVERAGE MONTHS: ................................................................................ 0-24. Range of Values 4 96. NEVER WITHOUT COVERAGE 98. DK 99. RF 771 Blank. INAP(inapplicable): [Q5373:R13c] IS (NE 1) Or Partial Interview
N5386 R14.HEALTH CARE CHANGED Section: R Level: Respondent CAI Reference: Q5386 Type: Numeric Width: 1 Decimals: 0 R14. (Since last interview month/year/In the last two years), did the type, cost, or coverage of [Q371-R FIRST NAME]'s health insurance change? ................................................................................ 111 1. YES 605 5. NO 56 8. DK 9. RF 3 Blank. INAP
N5387 R14a.R CHOICE CHANGE Section: R Level: Respondent CAI Reference: Q5387 Type: Numeric Width: 1 Decimals: 0 R14a. Did [Q371-R FIRST NAME] choose to change (his/her) health insurance or did (he/she) have no choice? ................................................................................ 11 1. R MADE CHANGE 100 2. R HAD NO CHOICE 8. DK 9. RF 664 Blank. INAP(inapplicable): [Q5386:R14] IS (5 OR DK OR RF) Or Partial Interview
N5388M1 R14b.HOW INSURANCE CHANGED Section: R Level: Respondent CAI Reference: Q5388 Type: Numeric Width: 2 Decimals: 0 R14b. What changed about (his/her) health insurance? CHOOSE ALL THAT APPLY User Note: Up to twelve mentions were allowed, maximum used was two. ................................................................................ 84 1. COST BECAME HIGHER 6 2. COST BECAME LOWER 1 3. FEWER SERVICES COVERED 4 4. MORE SERVICES COVERED 1 5. LESS CHOICE OF PHYSICIANS 6. MORE CHOICE OF PHYSICIANS 7. MORE CONVENIENT 3 8. LOST PLAN 4 9. CHANGED TO A COMPLETELY DIFFERENT PLAN; provider 5 97. OTHER 3 98. DK 99. RF 664 Blank. INAP(inapplicable): [Q5386:R14] IS (5 OR DK OR RF) Or Partial Interview
N5388M2 R14b.HOW INSURANCE CHANGED Section: R Level: Respondent CAI Reference: Q5388 Type: Numeric Width: 2 Decimals: 0 R14b. What changed about (his/her) health insurance? CHOOSE ALL THAT APPLY User Note: Up to twelve mentions were allowed, maximum used was two. ................................................................................ 1. COST BECAME HIGHER 1 2. COST BECAME LOWER 3 3. FEWER SERVICES COVERED 1 4. MORE SERVICES COVERED 5. LESS CHOICE OF PHYSICIANS 6. MORE CHOICE OF PHYSICIANS 1 7. MORE CONVENIENT 8. LOST PLAN 1 9. CHANGED TO A COMPLETELY DIFFERENT PLAN; provider 97. OTHER 98. DK 99. RF 768 Blank. INAP(inapplicable): [Q5386:R14] IS (5 OR DK OR RF) Or Partial Interview
N5388M3 R14b.HOW INSURANCE CHANGED Section: R Level: Respondent CAI Reference: Q5388 Type: Numeric Width: 2 Decimals: 0 R14b. What changed about (his/her) health insurance? CHOOSE ALL THAT APPLY User Note: Up to twelve mentions were allowed, maximum used was two. ................................................................................ 1. COST BECAME HIGHER 2. COST BECAME LOWER 3. FEWER SERVICES COVERED 4. MORE SERVICES COVERED 5. LESS CHOICE OF PHYSICIANS 6. MORE CHOICE OF PHYSICIANS 7. MORE CONVENIENT 8. LOST PLAN 9. CHANGED TO A COMPLETELY DIFFERENT PLAN; provider 97. OTHER 98. DK 99. RF 775 Blank. INAP(inapplicable): [Q5386:R14] IS (5 OR DK OR RF) Or Partial Interview
N5389 R14cx.WHEN LEAVE HMO Section: R Level: Respondent CAI Reference: Q5389 Type: Numeric Width: 2 Decimals: 0 R14cx. About when did [Q371-R FIRST NAME] make this change? # MONTHS BEFORE DEATH: OR MONTH: YEAR: ................................................................................ 75 0-96. Range of Values 98. DK 99. RF 700 Blank. INAP(inapplicable): [Q5386:R14] IS (5 OR DK OR RF) Or Partial Interview
N5390 R14cax.WHEN LEAVE MONTH Section: R Level: Respondent CAI Reference: Q5390 Type: Numeric Width: 2 Decimals: 0 ................................................................................ 25 1. JAN 2. FEB 3. MAR 1 4. APR 1 5. MAY 1 6. JUN 1 7. JUL 8. AUG 2 9. SEP 10. OCT 11. NOV 5 12. DEC 2 98. DK 99. RF 737 Blank. INAP(inapplicable): [Q5386:R14] IS (5 OR DK OR RF); [Q5389:R14cx] IS (1-96 OR DK OR RF OR Over Limit) Or Partial Interview
N5391 R14cbx.WHEN LEAVE YEAR Section: R Level: Respondent CAI Reference: Q5391 Type: Numeric Width: 4 Decimals: 0 ................................................................................ 35 1900-1996. Range of Values 1 9997. Other 2 9998. DK 9999. RF 737 Blank. INAP(inapplicable): [Q5386:R14] IS (5 OR DK OR RF); [Q5389:R14cx] IS (1-96 OR DK OR RF OR Over Limit) Or Partial Interview
N5394 R15.R LONG-TERM CARE Section: R Level: Respondent CAI Reference: Q5394 Type: Numeric Width: 1 Decimals: 0 R15. Aside from the government programs, did [Q371-R FIRST NAME] have any insurance which specifically paid any part of long-term care, such as, personal or medical care in the home or in a nursing home? ................................................................................ 58 1. YES 691 5. NO 23 8. DK 9. RF 3 Blank. INAP
N5395 R15a.L-T-C COVER Section: R Level: Respondent CAI Reference: Q5395 Type: Numeric Width: 1 Decimals: 0 R15a. Did this plan cover care in a nursing home facility only, personal or long-term care at home, or both in-home and nursing home care? ................................................................................ 17 1. NURSING HOME CARE ONLY 6 2. IN-HOME CARE ONLY 23 3. BOTH NURSING HOME AND IN-HOME CARE 1 7. OTHER 11 8. DK 9. RF 717 Blank. INAP(inapplicable): [Q5394:R15] IS (5 OR DK OR RF) Or Partial Interview
N5396 R15b.R L-T CARE RECEIVE Section: R Level: Respondent CAI Reference: Q5396 Type: Numeric Width: 1 Decimals: 0 R15b. Did [Q371-R FIRST NAME] ever receive benefits under this long-term care policy (since last interview month/year/in the last two years)? ................................................................................ 23 1. YES 34 5. NO 1 8. DK 9. RF 717 Blank. INAP(inapplicable): [Q5394:R15] IS (5 OR DK OR RF) Or Partial Interview
N5398 R15dx.L-T CARE PAY Section: R Level: Respondent CAI Reference: Q5398 Type: Numeric Width: 5 Decimals: 0 R15dx. Altogether how much did [Q371-R FIRST NAME] receive in benefits under this plan? AMOUNT: PER: FOR: ................................................................................ 5 0-99996. Range of Values 17 99998. DK 1 99999. RF 752 Blank. INAP(inapplicable): [Q5394:R15] IS (5 OR DK OR RF); [Q5396:R15b] IS (NE 1) Or Partial Interview
N5399 R15ex. PER R15dx. Section: R Level: Respondent CAI Reference: Q5399 Type: Numeric Width: 1 Decimals: 0 ................................................................................ 2 1. MONTH 2. QUARTER (3 MONTHS) 1 3. YEAR 2 7. OTHER 8. DK 9. RF 770 Blank. INAP(inapplicable): [Q5394:R15] IS (5 OR DK OR RF); [Q5396:R15b] IS (NE 1); [Q5398:R15dx] IS (DK OR RF) Or Partial Interview
N5400 R15fx.FOR UNIT AMOUNT Section: R Level: Respondent CAI Reference: Q5400 Type: Numeric Width: 2 Decimals: 0 ................................................................................ 5 0-96. Range of Values 98. DK 99. RF 770 Blank. INAP(inapplicable): [Q5394:R15] IS (5 OR DK OR RF); [Q5396:R15b] IS (NE 1); [Q5398:R15dx] IS (DK OR RF) Or Partial Interview
N5401 R15fx.FOR UNIT R15dx Section: R Level: Respondent CAI Reference: Q5401 Type: Numeric Width: 1 Decimals: 0 ................................................................................ 19 1. MONTHS 2 2. YEARS 3. QUARTERS 7. OTHER (SPECIFY) 2 8. DK 9. RF 752 Blank. INAP(inapplicable): [Q5394:R15] IS (5 OR DK OR RF); [Q5396:R15b] IS (NE 1) Or Partial Interview
N5404 R15g.L-T-CARE LAPSE Section: R Level: Respondent CAI Reference: Q5404 Type: Numeric Width: 1 Decimals: 0 R15g. Had [Q371-R FIRST NAME] ever been covered by any long-term care insurance that (he/she) canceled or let lapse? ................................................................................ 3 1. YES 52 5. NO 3 8. DK 9. RF 717 Blank. INAP(inapplicable): [Q5394:R15] IS (5 OR DK OR RF) Or Partial Interview
N5405M1 R15h.L-T-CARE WHY LAPSE Section: R Level: Respondent CAI Reference: Q5405 Type: Numeric Width: 1 Decimals: 0 R15h. Did (his/her) coverage lapse because the premiums were too high, because (he/she) didn't think (he/she) needed to carry it any longer, or what? User Note: Up to six mentions were allowed, maximum used was one. ................................................................................ 1 1. PREMIUMS TOO HIGH 1 2. DIDN`T NEED IT 7. OTHER 1 8. DK 9. RF 772 Blank. INAP(inapplicable): [Q5394:R15] IS (5 OR DK OR RF); [Q5404:R15g] IS (5 OR DK OR RF) Or Partial Interview
N5405M2 R15h.L-T-CARE WHY LAPSE Section: R Level: Respondent CAI Reference: Q5405 Type: Numeric Width: 1 Decimals: 0 R15h. Did (his/her) coverage lapse because the premiums were too high, because (he/she) didn't think (he/she) needed to carry it any longer, or what? User Note: Up to six mentions were allowed, maximum used was one. ................................................................................ 1. PREMIUMS TOO HIGH 2. DIDN`T NEED IT 7. OTHER 8. DK 9. RF 775 Blank. INAP(inapplicable): [Q5394:R15] IS (5 OR DK OR RF); [Q5404:R15g] IS (5 OR DK OR RF) Or Partial Interview
NQNR SURVEYCRAFT CASE NUMBER Section: R Level: Respondent CAI Reference: Q9008 Type: Numeric Width: 4 Decimals: 0 User Note: NQNR is not an analysis variable. It is intended for internal use by the HRS staff. The range is not continuous. ................................................................................ 775 5057-7800. SURVEYCRAFT CASE NUMBER
NVERSION 1995 EXIT RELEASE VERSION NUMBER Section: R Level: Respondent CAI Reference: Q9012 Type: Numeric Width: 1 Decimals: 0 ................................................................................ 775 2. Release 2 - June 2003
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