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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