HHID Household Identifier
Section: R Level: Respondent CAI Reference: Q9001
Type: Character Width: 6 Decimals: 0
................................................................................
234 000000-099000. Household Identification Number
PN Person Number
Section: R Level: Respondent CAI Reference: Q9002
Type: Character Width: 3 Decimals: 0
................................................................................
124 010. Respondent Person Identification Number
1 011. Respondent Person Identification Number
51 020. Respondent Person Identification Number
26 030. Respondent Person Identification Number
32 040. Respondent Person Identification Number
CSUBHH 1994 Sub-household Identifier
Section: R Level: Respondent CAI Reference: Q9003
Type: Character Width: 1 Decimals: 0
................................................................................
231 0. 1994 Sub-Household Identification Number
1 1. 1994 Sub-Household Identification Number
2 2. 1994 Sub-Household Identification Number
PSUBHH 1996 Sub-household Identifier
Section: R Level: Respondent CAI Reference: Q9004
Type: Character Width: 1 Decimals: 0
................................................................................
232 3. 1996 Sub-Household Identification Number
2 4. 1996 Sub-Household Identification Number
PPN_SP 1996 Spouse / Partner Person Number
Section: R Level: Respondent CAI Reference: Q9005
Type: Character Width: 3 Decimals: 0
................................................................................
65 010. Spouse Person Identification Number
10 011. Spouse Person Identification Number
67 020. Spouse Person Identification Number
15 030. Spouse Person Identification Number
17 040. Spouse Person Identification Number
60 Blank. No Spouse
P2165 R0.INSURANCE INTRO
Section: R Level: Respondent CAI Reference: Q2165
Type: Character Width: 1 Decimals: 0
R0.
The next questions are about health insurance, both public
and private.
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.
................................................................................
234 Blank. INAP (Inapplicable); [Q1178:D72] IS (4)
P2166 R1. MEDICARE COVER
Section: R Level: Respondent CAI Reference: Q2166
Type: Numeric Width: 1 Decimals: 0
R1.
Medicare is a public health insurance program for people
65 or older and for disabled persons.
Was
[Q371-R FIRST NAME] covered by Medicare at any time (since Q95-PREV
WAVE IW MONTH / Q96-PREV WAVE IW YEAR/in the last two years)?
................................................................................
42 1. YES
128 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
62 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q126:PREV WAVE
MEDICARE COVER] IS (1)
P2167 R1a.R MEDICARE
Section: R Level: Respondent CAI Reference: Q2167
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 Part B (since Q95-PREV WAVE
IW MONTH / Q96-PREV WAVE IW YEAR/in the last two years)?
................................................................................
32 1. YES
4 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
192 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q126:PREV WAVE
MEDICARE COVER] IS (1); [Q2166:R1] IS (5 OR DK OR RF)
P2168 R1b.INTRO MEDICARE CARD
Section: R Level: Respondent CAI Reference: Q2168
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.
................................................................................
234 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q126:PREV WAVE
MEDICARE COVER] IS (1); [Q2166:R1] IS (5 OR DK OR RF)
P2169 R1c/f.MEDICARE NUMBER
Section: R Level: Respondent CAI Reference: Q2169
Type: Numeric Width: 1 Decimals: 0
R1c/f.
NUMBER AVAILABLE:
COPY MEDICARE NUMBER:
Thank you.
................................................................................
10 1. GOT NUMBER
32 5. NOT GET NUMBER
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
192 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q126:PREV WAVE
MEDICARE COVER] IS (1); [Q2166:R1] IS (5 OR DK OR RF)
P2177 R2.MEDICAID
Section: R Level: Respondent CAI Reference: Q2177
Type: Numeric Width: 1 Decimals: 0
R2.
(Medicaid/STATE NAME FOR MEDICAID) is a state program for people
with
low incomes.
Was [Q371-R FIRST NAME]'s health care covered by "Medicaid" anytime
(since Q95-PREV WAVE IW MONTH / Q96-PREV WAVE IW YEAR/in the last
two years)?
................................................................................
41 1. YES
188 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable); [Q1178:D72] IS (4)
P2178 R3.MEDICAID CARD
Section: R Level: Respondent CAI Reference: Q2178
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.
................................................................................
6 1. R GAVE NUMBER
34 5. NOT GIVE NUMBER
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
194 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2177:R2] IS (NE 1)
P2180 R4. CURRENTLY ON MEDICAID
Section: R Level: Respondent CAI Reference: Q2180
Type: Numeric Width: 1 Decimals: 0
R4.
Was
[Q371-R FIRST NAME] covered by "Medicaid" at the time of (his/her)
death?
................................................................................
35 1. YES
3 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
194 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2177:R2] IS (NE 1)
P2181 R4a. MEDICAID START OF NURSING HOME-1
Section: R Level: Respondent CAI Reference: Q2181
Type: Numeric Width: 1 Decimals: 0
R4a.
NUMBER OF STAYS:
[Q1263-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?
................................................................................
5 1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
228 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2177:R2] IS (NE 1);
[Q1262:E5] IS (5) OR [Q2180:R4] IS (DK OR RF)
P2182 R4b MEDICAID DURING-1
Section: R Level: Respondent CAI Reference: Q2182
Type: Numeric Width: 1 Decimals: 0
................................................................................
1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
233 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2177:R2] IS (NE 1);
[Q1262:E5] IS (5) OR [Q2180:R4] IS (DK OR RF); [Q2181:R4a] IS
(1)
P2183 R4c. MEDICAID AFTER-1
Section: R Level: Respondent CAI Reference: Q2183
Type: Numeric Width: 1 Decimals: 0
................................................................................
1. YES
2 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
232 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2177:R2] IS (NE 1);
[Q1262:E5] IS (5) OR [Q2180:R4] IS (DK OR RF); [Q2181:R4a] IS
(NE 1) AND [Q2182:R4b MEDICAID DURING-1] IS (NE 1); [Q249:CS11]
IS (1) AND [Q1263:E6] IS (1)
P2185 R4d. MEDICAID START OF NURSING HOME-2
Section: R Level: Respondent CAI Reference: Q2185
Type: Numeric Width: 1 Decimals: 0
R4d.
NUMBER OF STAYS:
[Q1263-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?
Was
[Q371-R FIRST NAME] covered by (MEDICAID/STATE NAME FOR MEDICAID)
at
the time of (his/her) death?
................................................................................
2 1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
232 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2177:R2] IS (NE 1);
[Q1262:E5] IS (5) OR [Q2180:R4] IS (DK OR RF); [Q1263:E6] IS
(LT 2)
P2186 R4e. MEDICAID DURING-1
Section: R Level: Respondent CAI Reference: Q2186
Type: Numeric Width: 1 Decimals: 0
................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
234 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2177:R2] IS (NE 1);
[Q1262:E5] IS (5) OR [Q2180:R4] IS (DK OR RF); [Q1263:E6] IS
(LT 2); [Q2185:R4d] IS (1)
P2187 R4f. MEDICAID AFTER-1
Section: R Level: Respondent CAI Reference: Q2187
Type: Numeric Width: 1 Decimals: 0
................................................................................
1. YES
2 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
232 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2177:R2] IS (NE 1);
[Q1262:E5] IS (5) OR [Q2180:R4] IS (DK OR RF); [Q1263:E6] IS
(LT 2)
P2188 R4g. MEDICAID AT DEATH
Section: R Level: Respondent CAI Reference: Q2188
Type: Numeric Width: 1 Decimals: 0
................................................................................
2 1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
232 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2177:R2] IS (NE 1);
[Q1262:E5] IS (5) OR [Q2180:R4] IS (DK OR RF); [Q1263:E6] IS
(LT 2)
P2198 R5.OTHER GOVT INS
Section: R Level: Respondent CAI Reference: Q2198
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?
................................................................................
18 1. YES
214 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable); [Q1178:D72] IS (4)
P2199 R5a.TYPE OTH GVT INS
Section: R Level: Respondent CAI Reference: Q2199
Type: Numeric Width: 1 Decimals: 0
R5a.
Which program was that?
................................................................................
15 3. CHAMPVA/CHAMPUS
4. RAILROAD RETIREMENT
2 7. OTHER, SPECIFY
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
216 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2198:R5] IS (5 OR DK
OR RF)
P2205 R6. INSURANCE PREAMBLE
Section: R Level: Respondent CAI Reference: Q2205
Type: Character 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.
................................................................................
234 Blank. INAP (Inapplicable); [Q1178:D72] IS (4)
P2206 R7. MEDICARE/RR HMO
Section: R Level: Respondent CAI Reference: Q2206
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.
................................................................................
12 1. YES
79 5. NO
12 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
131 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2166:R1] IS (NE 1)
AND [Q126:PREV WAVE MEDICARE COVER] IS (NE 1) AND [Q2199:R5a]
IS (NE 4)
P2207 R7a. HOW LONG MEDICARE HMO?
Section: R Level: Respondent CAI Reference: Q2207
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:
................................................................................
7 1-15. Range of Values
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
225 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2166:R1]
IS (NE 1) AND [Q126:PREV WAVE MEDICARE COVER] IS (NE
1) AND [Q2199:R5a] IS (NE 4); [Q2206:R7] IS (NE 1)
P2208 R7b. MONTHS MEDICARE HMO
Section: R Level: Respondent CAI Reference: Q2208
Type: Numeric Width: 2 Decimals: 0
................................................................................
3 1-25. Range of Values
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
231 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2166:R1]
IS (NE 1) AND [Q126:PREV WAVE MEDICARE COVER] IS (NE
1) AND [Q2199:R5a] IS (NE 4); [Q2206:R7] IS (NE 1)
P2216 R7e. HOW MUCH R PAY MEDICARE HMO
Section: R Level: Respondent CAI Reference: Q2216
Type: Numeric Width: 5 Decimals: 0
R7e.
About how much were [Q371-R FIRST NAME]'s premiums for
this plan?
AMOUNT:
PER:
................................................................................
8 0-99996. Range of Values
4 99998. DK (Don't Know); NA (Not Ascertained)
99999. RF (Refused)
222 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2166:R1]
IS (NE 1) AND [Q126:PREV WAVE MEDICARE COVER] IS (NE
1) AND [Q2199:R5a] IS (NE 4); [Q2206:R7] IS (NE 1)
P2217 R7f. PER R7e.
Section: R Level: Respondent CAI Reference: Q2217
Type: Numeric Width: 1 Decimals: 0
................................................................................
8 1. MONTH
2. QUARTER (3 MONTHS)
3. YEAR
4. NO PREMIUM
7. OTHER
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
226 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2166:R1] IS (NE 1)
AND [Q126:PREV WAVE MEDICARE COVER] IS (NE 1) AND [Q2199:R5a]
IS (NE 4); [Q2206:R7] IS (NE 1); [Q2216:R7e] IS (DK OR RF)
P2225 R8. MEDICAID IS HMO
Section: R Level: Respondent CAI Reference: Q2225
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.
................................................................................
1 1. YES
27 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
202 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2180:R4] IS (NE 1);
[Q2180:R4] IS (1) AND [Q2206:R7] IS (1)
P2226 R8a. HOW LONG MEDICAID HMO?
Section: R Level: Respondent CAI Reference: Q2226
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
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
234 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2180:R4]
IS (NE 1); [Q2180:R4] IS (1) AND [Q2206:R7] IS (1);
[Q2225:R8] IS (NE 1)
P2227 R8b. YEARS MEDICAID HMO
Section: R Level: Respondent CAI Reference: Q2227
Type: Numeric Width: 2 Decimals: 0
................................................................................
1 1-20. Range of Values
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
233 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2180:R4]
IS (NE 1); [Q2180:R4] IS (1) AND [Q2206:R7] IS (1);
[Q2225:R8] IS (NE 1)
P2231 R9. OTHER HEALTH INSURANCE
Section: R Level: Respondent CAI Reference: Q2231
Type: Numeric Width: 1 Decimals: 0
R9.
Not counting long-term care insurance
IF Q126 IS (1) OR Q2166 IS (1) OR Q2179 IS (1)
or Medicare,
END
IF Q2180 IS (1)
or "Medicaid",
END
IF Q2199 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?
................................................................................
130 1. YES
99 5. NO
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable); [Q1178:D72] IS (4)
P2232 R9a.# OTHER HEALTH INS
Section: R Level: Respondent CAI Reference: Q2232
Type: Numeric Width: 2 Decimals: 0
R9a.
How many other health plans did
[Q371-R FIRST NAME] have
at the time (he/she) died?
................................................................................
129 0-10. Range of Values
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
104 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2231:R9]
IS (5 OR DK OR RF)
P2233M1 R10d. HOW OBTAIN OTHER HMO-1
Section: R Level: Respondent CAI Reference: Q2233
Type: Numeric Width: 1 Decimals: 0
R10d.
IF Q2232 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: There are three mentions allowed, maximum used was one.
................................................................................
71 1. R EMPLOYER/FORMER EMPLOYER
4 2. R UNION
34 3. SPOUSE/PARTNER EMPLOYER/FORMER EMPLOYER
2 4. SPOUSE/PARTNER UNION
17 5. OTHER ORGANIZATION
7. OTHER; someplace else; self; not through any organization
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
104 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2231:R9] IS (5 OR DK
OR RF)
P2233M2 R10d. HOW OBTAIN OTHER HMO-1
Section: R Level: Respondent CAI Reference: Q2233
Type: Numeric Width: 1 Decimals: 0
R10d.
IF Q2232 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: There are three mentions allowed, maximum used was one.
................................................................................
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 (Don't Know); NA (Not Ascertained)
9. RF (Refused)
234 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2231:R9] IS (5 OR DK
OR RF)
P2234 R10e. HOW PAY FOR HMO-1
Section: R Level: Respondent CAI Reference: Q2234
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?
................................................................................
51 1. ENTIRELY BY R OR SP/PARTNER
35 2. ENTIRELY BY (FORMER) EMPLOYER OR UNION
37 3. PARTLY BY (FORMER) EMPLOYER OR UNION
1 7. OTHER
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
104 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2231:R9] IS (5 OR DK
OR RF)
P2244 R10f. HOW MUCH R PAY HMO-1
Section: R Level: Respondent CAI Reference: Q2244
Type: Numeric Width: 5 Decimals: 0
R10f.
About how much were (his/her) premiums for this plan?
AMOUNT:
PER:
................................................................................
75 0-99996. Range of Values
22 99998. DK (Don't Know); NA (Not Ascertained)
2 99999. RF (Refused)
135 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2231:R9]
IS (5 OR DK OR RF); [Q2234:R10e] IS (2)
P2245 R10g. PER R10f.
Section: R Level: Respondent CAI Reference: Q2245
Type: Numeric Width: 1 Decimals: 0
................................................................................
65 1. MONTH
3 2. QUARTER (3 MONTHS)
6 3. YEAR
1 5. NO PREMIUMS
7. OTHER
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
159 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2231:R9] IS (5 OR DK
OR RF); [Q2234:R10e] IS (2); [Q2244:R10f] IS (DK OR RF)
P2254M1 R11d. HOW OBTAIN OTHER HMO-1
Section: R Level: Respondent CAI Reference: Q2254
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: There are three mentions allowed, maximum used was one.
................................................................................
4 1. R EMPLOYER/FORMER EMPLOYER
2. R UNION
5 3. SPOUSE/PARTNER EMPLOYER/FORMER EMPLOYER
4. SPOUSE/PARTNER UNION
3 5. OTHER ORGANIZATION
7. OTHER
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
221 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2231:R9] IS (5 OR DK
OR RF); [Q2232:R9a] IS (1)
P2254M2 R11d. HOW OBTAIN OTHER HMO-1
Section: R Level: Respondent CAI Reference: Q2254
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: There are three mentions allowed, maximum used was one.
................................................................................
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 (Don't Know); NA (Not Ascertained)
9. RF (Refused)
234 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2231:R9] IS (5 OR DK
OR RF); [Q2232:R9a] IS (1)
P2255 R11e. HOW PAY FOR HMO-1
Section: R Level: Respondent CAI Reference: Q2255
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?
................................................................................
4 1. ENTIRELY BY R OR SP/PARTNER
3 2. ENTIRELY BY (FORMER) EMPLOYER OR UNION
5 3. PARTLY BY (FORMER) EMPLOYER OR UNION
7. OTHER
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
221 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2231:R9] IS (5 OR DK
OR RF); [Q2232:R9a] IS (1)
P2256 R11f. HOW MUCH R PAY HMO-1
Section: R Level: Respondent CAI Reference: Q2256
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:
................................................................................
8 0-99996. Range of Values
2 99998. DK (Don't Know); NA (Not Ascertained)
99999. RF (Refused)
224 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2231:R9]
IS (5 OR DK OR RF); [Q2232:R9a] IS (1); [Q2255:R11e]
IS (2)
P2257 R11g. PER R11f.
Section: R Level: Respondent CAI Reference: Q2257
Type: Numeric Width: 1 Decimals: 0
................................................................................
8 1. MONTH
2. QUARTER (3 MONTHS)
3. YEAR
7. OTHER
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
226 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2231:R9] IS (5 OR DK
OR RF); [Q2232:R9a] IS (1); [Q2255:R11e] IS (2); [Q2256:R11f]
IS (DK OR RF)
P2263 R13.SPECIAL COSTS-MED
Section: R Level: Respondent CAI Reference: Q2263
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?
................................................................................
149 1. YES
79 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable); [Q1178:D72] IS (4)
P2265 R13c.WITHDRAWN HMO
Section: R Level: Respondent CAI Reference: Q2265
Type: Numeric Width: 1 Decimals: 0
R13c.
(Since Q95-PREV WAVE IW MONTH / Q96-PREV WAVE IW YEAR/In the last
two years) had
[Q371-R FIRST NAME] withdrawn from an HMO?
................................................................................
1. YES
223 5. NO
10 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable); [Q1178:D72] IS (4)
P2266 R13d.WITHDRAW VOL HMO
Section: R Level: Respondent CAI Reference: Q2266
Type: Numeric Width: 1 Decimals: 0
R13d.
Did (he/she) voluntarily leave that HMO?
................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
234 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2265:R13c] IS (NE 1)
P2267M1 R13e.WITHDRAW WHY LEAVE HMO
Section: R Level: Respondent CAI Reference: Q2267
Type: Numeric Width: 1 Decimals: 0
R13e.
Why did (he/she) leave that HMO?
CHOOSE ALL THAT APPLY
User Note: There were five mentions allowed, maximum used was zero.
................................................................................
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 (Don't Know); NA (Not Ascertained)
9. RF (Refused)
234 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2265:R13c] IS (NE 1)
P2278 R14. HEALTH CARE CHANGED
Section: R Level: Respondent CAI Reference: Q2278
Type: Numeric Width: 1 Decimals: 0
R14.
(Since Q95-PREV WAVE IW MONTH / Q96-PREV WAVE IW YEAR/In the last
two years), did the type, cost, or coverage of
[Q371-R FIRST NAME]'s health insurance change?
................................................................................
32 1. YES
185 5. NO
16 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable); [Q1178:D72] IS (4)
P2279 R14a. R CHOICE CHANGE
Section: R Level: Respondent CAI Reference: Q2279
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?
................................................................................
6 1. R MADE CHANGE
26 2. R HAD NO CHOICE
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
202 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2278:R14] IS (5 OR
DK OR RF)
P2280M1 R14b. HOW INSURANCE CHANGED
Section: R Level: Respondent CAI Reference: Q2280
Type: Numeric Width: 2 Decimals: 0
R14b.
What changed about (his/her) health insurance?
CHOOSE ALL THAT APPLY
User Note: There were nine mentions allowed, maximum used was three.
................................................................................
20 1. COST BECAME HIGHER
2 2. COST BECAME LOWER
1 3. FEWER SERVICES COVERED
4. MORE SERVICES COVERED
5. LESS CHOICE OF PHYSICIANS
6. MORE CHOICE OF PHYSICIANS
7. MORE CONVENIENT
2 8. LOST PLAN
3 9. Changed to a completely different plan/provider
2 97. OTHER
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
202 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2278:R14] IS (5 OR
DK OR RF)
P2280M2 R14b. HOW INSURANCE CHANGED
Section: R Level: Respondent CAI Reference: Q2280
Type: Numeric Width: 2 Decimals: 0
R14b.
What changed about (his/her) health insurance?
CHOOSE ALL THAT APPLY
User Note: There were nine mentions allowed, maximum used was three.
................................................................................
1. COST BECAME HIGHER
1 2. COST BECAME LOWER
1 3. FEWER SERVICES COVERED
4. MORE SERVICES COVERED
5. LESS CHOICE OF PHYSICIANS
6. MORE CHOICE OF PHYSICIANS
7. MORE CONVENIENT
8. LOST PLAN
1 9. Changed to a completely different plan/provider
97. OTHER
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
231 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2278:R14] IS (5 OR
DK OR RF)
P2280M3 R14b. HOW INSURANCE CHANGED
Section: R Level: Respondent CAI Reference: Q2280
Type: Numeric Width: 2 Decimals: 0
R14b.
What changed about (his/her) health insurance?
CHOOSE ALL THAT APPLY
User Note: There were nine mentions allowed, maximum used was three.
................................................................................
1. COST BECAME HIGHER
1 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
1 9. Changed to a completely different plan/provider
97. OTHER
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
232 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2278:R14] IS (5 OR
DK OR RF)
P2280M4 R14b. HOW INSURANCE CHANGED
Section: R Level: Respondent CAI Reference: Q2280
Type: Numeric Width: 2 Decimals: 0
R14b.
What changed about (his/her) health insurance?
CHOOSE ALL THAT APPLY
User Note: There were nine mentions allowed, maximum used was three.
................................................................................
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 (Don't Know); NA (Not Ascertained)
99. RF (Refused)
234 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2278:R14] IS (5 OR
DK OR RF)
P2281 R14cx.WHEN LEAVE HMO
Section: R Level: Respondent CAI Reference: Q2281
Type: Numeric Width: 2 Decimals: 0
R14cx.
About when did
[Q371-R FIRST NAME] make this change?
# MONTHS BEFORE DEATH:
OR
MONTH:
YEAR:
................................................................................
14 0-96. Range of Values
6 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
214 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2278:R14]
IS (5 OR DK OR RF)
P2282 R14cax.WHEN LEAVE MONTH
Section: R Level: Respondent CAI Reference: Q2282
Type: Numeric Width: 2 Decimals: 0
................................................................................
4 1. JAN
1 2. FEB
3. MAR
1 4. APR
5. MAY
1 6. JUN
7. JUL
2 8. AUG
1 9. SEP
1 10. OCT
11. NOV
1 12. DEC
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
221 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2278:R14] IS (5 OR
DK OR RF); [Q2281:R14cx] IS (1-96 OR DK OR RF OR Over Limit)
P2283 R14cbx.WHEN LEAVE YEAR
Section: R Level: Respondent CAI Reference: Q2283
Type: Numeric Width: 4 Decimals: 0
................................................................................
12 1900-1996. Range of Values
1 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
221 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2278:R14]
IS (5 OR DK OR RF); [Q2281:R14cx] IS (1-96 OR DK OR
RF OR Over Limit)
P2286 R15.R LONG-TERM CARE
Section: R Level: Respondent CAI Reference: Q2286
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?
................................................................................
16 1. YES
206 5. NO
11 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1 Blank. INAP (Inapplicable); [Q1178:D72] IS (4)
P2287 R15a. L-T-C COVER
Section: R Level: Respondent CAI Reference: Q2287
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?
................................................................................
2 1. NURSING HOME CARE ONLY
6 2. IN-HOME CARE ONLY
4 3. BOTH NURSING HOME AND IN-HOME CARE
7. OTHER
4 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
218 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2286:R15] IS (5 OR
DK OR RF)
P2288 R15b. R L-T CARE RECEIVE
Section: R Level: Respondent CAI Reference: Q2288
Type: Numeric Width: 1 Decimals: 0
R15b.
Did
[Q371-R FIRST NAME] ever receive benefits under this
long-term care policy (since Q95-PREV WAVE IW MONTH / Q96-PREV WAVE
IW YEAR/in the last two years)?
................................................................................
6 1. YES
10 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
218 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2286:R15] IS (5 OR
DK OR RF)
P2290 R15dx. L-T CARE PAY
Section: R Level: Respondent CAI Reference: Q2290
Type: Numeric Width: 5 Decimals: 0
R15dx.
Altogether how much did
[Q371-R FIRST NAME] receive in benefits
under this plan?
AMOUNT:
PER:
FOR:
................................................................................
2 0-99996. Range of Values
4 99998. DK (Don't Know); NA (Not Ascertained)
99999. RF (Refused)
228 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2286:R15]
IS (5 OR DK OR RF); [Q2288:R15b] IS (NE 1)
P2291 R15ex. PER R15dx.
Section: R Level: Respondent CAI Reference: Q2291
Type: Numeric Width: 1 Decimals: 0
................................................................................
1. MONTH
2. QUARTER (3 MONTHS)
3. YEAR
1 5. Total
1 7. OTHER
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
231 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2286:R15] IS (5 OR
DK OR RF); [Q2288:R15b] IS (NE 1); [Q2290:R15dx] IS (DK OR RF)
P2292 R15fx. FOR UNIT AMOUNT
Section: R Level: Respondent CAI Reference: Q2292
Type: Numeric Width: 2 Decimals: 0
................................................................................
1 0-96. Range of Values
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
231 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2286:R15]
IS (5 OR DK OR RF); [Q2288:R15b] IS (NE 1);
[Q2290:R15dx] IS (DK OR RF)
P2293 R15fx. FOR UNIT R15dx
Section: R Level: Respondent CAI Reference: Q2293
Type: Numeric Width: 1 Decimals: 0
................................................................................
5 1. MONTHS
1 2. YEARS
3. QUARTERS
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
228 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2286:R15] IS (5 OR
DK OR RF); [Q2288:R15b] IS (NE 1)
P2296 R15g. L-T-CARE LAPSE
Section: R Level: Respondent CAI Reference: Q2296
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?
................................................................................
1. YES
16 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
218 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2286:R15] IS (5 OR
DK OR RF)
P2297M1 R15h. L-T-CARE WHY LAPSE
Section: R Level: Respondent CAI Reference: Q2297
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: There were three mentions allowed, maximum used was zero.
................................................................................
1. PREMIUMS TOO HIGH
2. DIDN'T NEED IT
7. OTHER
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
234 Blank. INAP (Inapplicable); [Q1178:D72] IS (4); [Q2286:R15] IS (5 OR
DK OR RF); [Q2296:R15g] IS (5 OR DK OR RF)
PQNR Surveycraft Case Number
Section: R Level: Respondent CAI Reference: Q9012
Type: Numeric Width: 3 Decimals: 0
................................................................................
234 0-250. Surveycraft Case Number
PVERSION 1996 EXIT RELEASE VERSION NUMBER
Section: R Level: Respondent CAI Reference: Q9013
Type: Numeric Width: 1 Decimals: 0
................................................................................
234 1. Release Version 1
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