==========================================================================================
Section N: HEALTH SERVICES AND INSURANCE (Respondent)
==========================================================================================
HHID HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 6 Decimals: 0
.................................................................................
1187 010004-918761. Household Identification Number
==========================================================================================
PN RESPONDENT PERSON IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
.................................................................................
671 010. Person Identifier
25 011. Person Identifier
2 012. Person Identifier
377 020. Person Identifier
11 021. Person Identifier
42 030. Person Identifier
2 031. Person Identifier
56 040. Person Identifier
1 041. Person Identifier
==========================================================================================
XSUBHH 2012 SUB HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
.................................................................................
1139 3. 1st deceased respondent from a household
48 4. 2nd deceased respondent from a household
==========================================================================================
MSUBHH 2010 SUB HOUSEHOLD IDENTIFICATION NUMBER
Section: N Level: Respondent Type: Character Width: 1 Decimals: 0
.................................................................................
1114 0. Original sample household - no split from divorce or
separation of spouses or partners
32 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
21 2. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
15 3. 1st deceased respondent from a household
1 5. Split household - one half of couple from SUBHH 1 or 2
6. Split household - one half of couple from SUBHH 1 or 2
4 7. Reunited household - respondents from split household
reunite
==========================================================================================
XPN_SP 2012 SPOUSE/PARTNER PERSON NUMBER
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
.................................................................................
232 010. Person Identifier
43 011. Person Identifier
1 012. Person Identifier
199 020. Person Identifier
13 021. Person Identifier
27 030. Person Identifier
2 031. Person Identifier
33 040. Person Identifier
2 041. Person Identifier
635 Blank. R not coupled
==========================================================================================
XN001 MEDICARE COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N001_
The next questions are about health insurance, both public and private. Medicare
is a public health insurance program for people 65 or older and for disabled
persons. (Medicaid/State name for Medicaid) is a public health insurance program
for people with low incomes.
Was [R's FIRST NAME] covered by Medicare health insurance at the time of
[her/his] death?
.................................................................................
1026 1. YES
124 5. NO
35 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF ((N001_ = YES) AND (piSecAContinuInterviewA019_RAge < 65))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN002M1 WHY NOT MEDICARE COVERED-1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N002_
Why was that?
IWER: R was age [R's age per A019], so probe why R was [not] covered by
Medicare.
.................................................................................
39 1. R is disabled; R is on disability; Spouse on disability; R
is on Social Security disability or SSI
13 2. R has a specific medical problem. (E.g. If R says; 'Disabled
due to medical condition,' code it as 02, not 01)
3. R has Medicare-NFS
4. R mentions has Part A and Part B of Medicare
5. R mentions has Part A of Medicare; the first half of
Medicare
6. R mentions has Part B of Medicare; the second half of
Medicare
7. R mentions a Medicare card or the mechanics of using it
8. R receives Medicare through a deceased spouse
1 9. R mentions his/her age in conjunction with having Medicare;
R has had Medicare since a certain age; R got Medicare
'early'
10. R pays into Medicare, but doesn't use it; R has Medicare,
but chooses not to use it
50. R never applied for Medicare or invested in it-NFS
51. R didn't work long enough to qualify for Medicare; R didn't
work enough quarters; R's spouse didn't work enough quarters
to qualify
52. R is still working (If R mentions other insurance coverage
through his/her employment, code the appropriate insurance
code only)
53. R never qualified for Medicare in his/her employment; R was
in the military/a federal employee/a postal worker etc.; R
doesn't get Social Security or Medicaid
54. R used to have Medicare-NFS; R had Medicare, but not now; R
dropped it
55. Medicare charges too much; Medicare too expensive for what
you receive
56. R will be on Medicare in the future; R not old enough to
qualify at present; R in the process of getting Medicare
57. R had Medicare through a deceased spouse and R no longer
receives it
58. R's spouse only receives Medicare
59. R is not familiar with Medicare; confusion about eligibility
70. R has other medical insurance/coverage-NFS
71. R has veteran's coverage or insurance; 'I'm covered by the
VA'; covered under TriCare or Champus
72. R has federal employee/Postal Service insurance
73. R has private insurance; e.g. Cigna, Kaiser, Blue Cross/Blue
Shield
1 74. R is covered by Medicaid
75. R's spouse's medical insurance covers R
76. R covered under company health plan or health insurance; R
covered under former employer's health plan or health
insurance
1 90. R mentions income level/group, home ownership, an economic
factor
1 91. R mentions Social Security; e.g. 'I have Social Security,'
(Note that all mentions of SSI or disability go under codes
01 or 02)
92. R is not a U.S. citizen; R is an illegal alien; R lives
outside the USA
93. R doesn't need it - NFS
94. R "used it up"
95. R disputes age calculation
97. Other
3 98. DK (don't know); NA (not ascertained)
99. RF (refused)
1128 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF ((N001_ = YES) AND (piSecAContinuInterviewA019_RAge < 65))
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN002M2 WHY NOT MEDICARE COVERED-2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.GovCover.N002_
Why was that?
IWER: R was age [R's age per A019], so probe why R was [not] covered by
Medicare.
.................................................................................
2 1. R is disabled; R is on disability; Spouse on disability; R
is on Social Security disability or SSI
2. R has a specific medical problem. (E.g. If R says; 'Disabled
due to medical condition,' code it as 02, not 01)
3. R has Medicare-NFS
4. R mentions has Part A and Part B of Medicare
1 5. R mentions has Part A of Medicare; the first half of
Medicare
6. R mentions has Part B of Medicare; the second half of
Medicare
7. R mentions a Medicare card or the mechanics of using it
8. R receives Medicare through a deceased spouse
9. R mentions his/her age in conjunction with having Medicare;
R has had Medicare since a certain age; R got Medicare
'early'
10. R pays into Medicare, but doesn't use it; R has Medicare,
but chooses not to use it
50. R never applied for Medicare or invested in it-NFS
51. R didn't work long enough to qualify for Medicare; R didn't
work enough quarters; R's spouse didn't work enough quarters
to qualify
52. R is still working (If R mentions other insurance coverage
through his/her employment, code the appropriate insurance
code only)
53. R never qualified for Medicare in his/her employment; R was
in the military/a federal employee/a postal worker etc.; R
doesn't get Social Security or Medicaid
54. R used to have Medicare-NFS; R had Medicare, but not now; R
dropped it
55. Medicare charges too much; Medicare too expensive for what
you receive
56. R will be on Medicare in the future; R not old enough to
qualify at present; R in the process of getting Medicare
57. R had Medicare through a deceased spouse and R no longer
receives it
58. R's spouse only receives Medicare
59. R is not familiar with Medicare; confusion about eligibility
70. R has other medical insurance/coverage-NFS
71. R has veteran's coverage or insurance; 'I'm covered by the
VA'; covered under TriCare or Champus
72. R has federal employee/Postal Service insurance
73. R has private insurance; e.g. Cigna, Kaiser, Blue Cross/Blue
Shield
2 74. R is covered by Medicaid
75. R's spouse's medical insurance covers R
76. R covered under company health plan or health insurance; R
covered under former employer's health plan or health
insurance
90. R mentions income level/group, home ownership, an economic
factor
91. R mentions Social Security; e.g. 'I have Social Security,'
(Note that all mentions of SSI or disability go under codes
01 or 02)
92. R is not a U.S. citizen; R is an illegal alien; R lives
outside the USA
93. R doesn't need it - NFS
94. R "used it up"
1 95. R disputes age calculation
97. Other
98. DK (don't know); NA (not ascertained)
99. RF (refused)
1181 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N001_
IF SecN.GovCover.N001_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN004 MEDICARE PART B COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N004_
Part A of Medicare covers most hospital expenses.
Part B covers many doctors' expenses including doctor visits, and the premium is
usually deducted from [her/his] Social Security.
At the time of [R's FIRST NAME]'s death, was [he/she] covered by Medicare Part
B?
.................................................................................
885 1. YES
52 5. NO
89 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
161 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N001_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN005 MEDICAID COVERAGE SINCE PREV WAVE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N005_
Was [he/she] covered by health insurance through (Medicaid/State name for
Medicaid or any other Medicaid program) at any time [between [PREV WAVE IW
MONTH],[PREV WAVE IW YEAR] and when [she/he] died/between [PREV WAVE IW YEAR]
and when [she/he] died/in the two years before [her/his] death]?
.................................................................................
303 1. YES
800 5. NO
82 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N005_
IF SecN.GovCover.N005_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN006 CURRENTLY COVERED BY MEDICAID
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N006_
Was [he/she] covered by (Medicaid/State name for Medicaid) at the time [he/she]
died?
.................................................................................
286 1. YES
13 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
884 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N005_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN007 CHAMPUS/CHAMPVA COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N007_
At the time of [her/his] death, was [he/she] covered by TRI-CARE, CHAMPUS,
CHAMP-VA, or any other military health care plan?
Def: (TRI-CARE is the new name for the military's health insurance programs. It
includes what used to be known as CHAMPUS and CHAMP-VA. CHAMPUS was a health
care program for active or retired military personnel and their dependents or
survivors. CHAMP-VA provided medical care for veterans and their dependents or
survivors of veterans who had a service-connected disability. VA is not a health
insurance program.)
.................................................................................
81 1. YES
1075 5. NO
29 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N007_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN285 DRUGS/CARE FROM VET ADMIN
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N285_
Had [she/he] obtained medical care or prescription drugs from a Veteran's
Administration facility [since [Prev Wave Family R IW Month], [Prev Wave Family
R IW Year]/in the last two years]?
.................................................................................
108 1. YES
1062 5. NO
14 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N285_
IF SecN.GovCover.N285_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN286M1 DRUGS/CARE FROM VET ADMIN- KIND -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N286_[1]
What kind of care did [she/he] obtain? Hospital stay, doctor visit, prescription
drugs, eye care or what?
(CHECK all that apply):
.................................................................................
32 1. INPATIENT CARE (HOSPITAL STAY)
25 2. OUTPATIENT CARE (DOCTOR OR CLINIC VISIT, OUTPATIENT SURGERY)
47 3. PRESCRIPTION DRUGS
3 4. ANY OTHER SERVICES SUCH AS EMERGENCY CARE, LAB TESTS,
COUNSELING, EYE CARE, EYEGLASSES, OR PHYSICAL THERAPY
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1079 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N285_
IF SecN.GovCover.N285_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN286M2 DRUGS/CARE FROM VET ADMIN- KIND -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N286_[2]
What kind of care did [she/he] obtain? Hospital stay, doctor visit, prescription
drugs, eye care or what?
(CHECK all that apply):
.................................................................................
6 1. INPATIENT CARE (HOSPITAL STAY)
29 2. OUTPATIENT CARE (DOCTOR OR CLINIC VISIT, OUTPATIENT SURGERY)
23 3. PRESCRIPTION DRUGS
12 4. ANY OTHER SERVICES SUCH AS EMERGENCY CARE, LAB TESTS,
COUNSELING, EYE CARE, EYEGLASSES, OR PHYSICAL THERAPY
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1117 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N285_
IF SecN.GovCover.N285_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN286M3 DRUGS/CARE FROM VET ADMIN- KIND -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N286_[3]
What kind of care did [she/he] obtain? Hospital stay, doctor visit, prescription
drugs, eye care or what?
(CHECK all that apply):
.................................................................................
1. INPATIENT CARE (HOSPITAL STAY)
7 2. OUTPATIENT CARE (DOCTOR OR CLINIC VISIT, OUTPATIENT SURGERY)
24 3. PRESCRIPTION DRUGS
10 4. ANY OTHER SERVICES SUCH AS EMERGENCY CARE, LAB TESTS,
COUNSELING, EYE CARE, EYEGLASSES, OR PHYSICAL THERAPY
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1146 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.GovCover.N285_
IF SecN.GovCover.N285_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN286M4 DRUGS/CARE FROM VET ADMIN- KIND -4
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.GovCover.N286_[4]
What kind of care did [she/he] obtain? Hospital stay, doctor visit, prescription
drugs, eye care or what?
(CHECK all that apply):
.................................................................................
1 1. INPATIENT CARE (HOSPITAL STAY)
2. OUTPATIENT CARE (DOCTOR OR CLINIC VISIT, OUTPATIENT SURGERY)
3. PRESCRIPTION DRUGS
20 4. ANY OTHER SERVICES SUCH AS EMERGENCY CARE, LAB TESTS,
COUNSELING, EYE CARE, EYEGLASSES, OR PHYSICAL THERAPY
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1166 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF (piGovCoverN001_ = YES) OR (piGovCoverN006_ = YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN009 MEDICARE/MEDICAID HMO
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N009_
We are interested in how [her/his] [Medicare/Medicare or (Medicaid/State name
for Medicaid)] health insurance worked for routine care.
Did [R's FIRST NAME] receive [her/his] [Medicare/(Medicaid/State name for
MEDICAID)] benefits through [an HMO/a Medicare Advantage Plan, sometimes called
a Medicare HMO], that is a Health Maintenance Organization?
Def: (With an HMO, you must generally receive care from HMO doctors, otherwise
the expense is not covered unless you were referred by the HMO or there was a
medical emergency.)
.................................................................................
288 1. YES
583 5. NO
207 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
107 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N009_
IF SecN.MediCaidCarePlan.N009_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN351 HMO PAY FOR REGULAR PRESCRIPTION DRUGS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N351_
Did this plan cover or provide help with paying for regular prescription drugs?
.................................................................................
254 1. YES
28 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
899 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N351_
IF piGovCoverN001_ <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN014 MEDICARE/MEDICAID HMO-AMT PAY
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.MediCaidCarePlan.N014_
[Not including co-pays or deductions from [her/his] Social Security, how/How]
much did [he/she], [herself/himself], pay in premiums for this plan?
IWER: Do not probe DK/RF
Amount:
Per:
.................................................................................
6 0. Actual Value
3 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1178 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN015 MEDICARE/MEDICAID HMO-AMT PAY - MIN
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.MediCaidCarePlan.N015_
Does it amount to less than $____ per month, more than $____ per month, or what?
PROCEDURES: 2Up1Down, 1Up2Down
BREAKPOINTS: $30, $60, $100, $200
RANDOM ENTRY POINTS: $60, $100
ENTRY POINT ASSIGNMENT: 1 or {NOT 1} AT X501
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
1 0. Value of Breakpoint
1 61. Value of Breakpoint
1 100. Value of Breakpoint
1184 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN016 MEDICARE/MEDICAID HMO-AMT PAY - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.MediCaidCarePlan.N016_
*
.................................................................................
1 99. Value of Breakpoint
1 100. Value of Breakpoint
1 99999996. Greater than Maximum Breakpoint
1184 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN017 MEDICARE/MEDICAID HMO-AMT PAY - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N017_
*
.................................................................................
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1186 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N351_
IF ((SecN.MediCaidCarePlan.N014_ > 0) AND (SecN.MediCaidCarePlan.N014_ <>
REFUSAL)) AND (SecN.MediCaidCarePlan.N014_ <> DONTKNOW) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN018 MEDICARE/MEDICAID HMO-AMT PAY - PER
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N018_
([Not including co-pays or deductions from [her/his] Social Security, how/How]
much did [he/she], [herself/himself], pay in premiums for this plan?)
Amount: [MEDICARE/MEDICAID HMO-AMT PAY]
Per:
.................................................................................
1. MONTH
2. QUARTER (EVERY 3 MONTHS)
3. SEMI-ANNUALLY (EVERY 6 MONTHS/TWICE A YEAR)
4. YEAR
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1187 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N009_
IF piGovCoverN001_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN020 LEFT MEDICARE HMO LAST TWO YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCaidCarePlan.N020_
At any time [since [Prev Wave Family R IW Month], [Prev Wave Family R IW
Year]/in the last two years], did [he/she] leave an HMO that delivered Medicare
services?
.................................................................................
22 1. YES
914 5. NO
87 8. DK (Don't Know); NA (Not Ascertained)
3 9. RF (Refused)
161 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N020_
IF SecN.MediCaidCarePlan.N020_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN021M1 WHY LEAVE MEDICARE HMO-1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N021M[1]
Why did [she/he] leave that plan?
IWER: CHOOSE all that apply
.................................................................................
7 2. PLAN DIDN'T PROVIDE NEEDED SERVICES
1 3. PLAN COSTS INCREASED; found cheaper plan
2 5. PLAN NO LONGER AVAILABLE
2 10. Switched to Medicare or Medicaid
2 13. Lost coverage; NFS
1 14. Better coverage with new plan
4 97. OTHER (SPECIFY)
3 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1165 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N020_
IF SecN.MediCaidCarePlan.N020_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN021M2 WHY LEAVE MEDICARE HMO-2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N021M[2]
Why did [she/he] leave that plan?
IWER: CHOOSE all that apply
.................................................................................
2. PLAN DIDN'T PROVIDE NEEDED SERVICES
3. PLAN COSTS INCREASED; found cheaper plan
5. PLAN NO LONGER AVAILABLE
10. Switched to Medicare or Medicaid
13. Lost coverage; NFS
14. Better coverage with new plan
97. OTHER (SPECIFY)
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1186 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.MediCaidCarePlan.N020_
IF SecN.MediCaidCarePlan.N020_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN021M3 WHY LEAVE MEDICARE HMO-3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.MediCaidCarePlan.N021M[3]
Why did [she/he] leave that plan?
IWER: CHOOSE all that apply
.................................................................................
2. PLAN DIDN'T PROVIDE NEEDED SERVICES
3. PLAN COSTS INCREASED; found cheaper plan
5. PLAN NO LONGER AVAILABLE
10. Switched to Medicare or Medicaid
13. Lost coverage; NFS
14. Better coverage with new plan
97. OTHER (SPECIFY)
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1187 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
(SecA.ContinuInterview.A123_YrDeath > 2006))) AND (GovCover.N001_ = YES) THEN
IF (SecN.MediCaidCarePlan.N351_ <> YES) AND SecN.MediCaidCarePlan.N351_ <>
NONRESPONSE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN352 SIGNED UP MEDICARE PRESCRIPTION COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MedD.N352_
Part D of Medicare provides coverage for prescription drugs, usually through a
private insurance provider. Had [R's FIRST NAME] enrolled in Medicare Part D,
also known as the Medicare Prescription Drug Plan?
.................................................................................
345 1. YES
3 3. [VOL] ENROLLED IN IT AUTOMATICALLY
312 5. NO
103 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
423 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN023 NUM PRIVATE HEALTH INS PLANS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.N023_
Now, we'd like to ask about all the other types of health insurance plans
[she/he] might have had, such as insurance through an employer or a business,
coverage for retirees, or health insurance [she/he] might have bought for
[herself/himself], including any [Medigap or] other supplemental coverage.
Do NOT include long-term care insurance. [Other than [his/her] Medicare HMO or
Medicare Advantage Plan you've just told me about, how/How] many other plans did
[he/she] have at the time of [his/her] death?
IWER: ENTER zero for none
Number of plans:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1127 0 23 0.50 0.87 2
-----------------------------------------------------------------
56 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN280_1 NAME PRIVATE HEALTH INSURANCE PLAN -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[1].N280_
Let's talk about [that plan/the most important of those plans/ the
[second/third] most important of those plans]. What is the name of this plan?
Name of insurance plan:
IWER: If the respondent selects a plan already on the list, be sure to confirm
the entire plan name has remained the same. If not, add as a new plan
.................................................................................
256 1. PW_PLAN1
2 2. PW_PLAN2
3. PW_PLAN3
234 27. NOT ON LIST
22 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
672 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N280_
IF piGovCoverN001_ = YES THEN
IF SecN.PlanDetails[CNT].Counter = 1 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN025_1 WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N025_
Which was [her/his] primary plan, Medicare or [Name of Plan (per N024)]?
.................................................................................
352 1. MEDICARE
73 2. [Name of Plan (per N024)]
31 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
731 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N280_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN032_1 PRIVATE PLAN 1-3 HELP PAY REGULAR RX- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N032_
Did [Name of Plan (per N024)] provide help with paying for regular prescription
drugs?
IWER: The follow-up questions refer to the private plan, not to Medicare.
.................................................................................
339 1. YES
148 5. NO
28 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
672 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF ((piSecJWORKSTATUSJ020_WorkforPay = YES) ) OR ((RVARS.Z123_CurWorkng_V =
YES) AND ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN))) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN033_1 OBTAIN HI THRU CURRNT EMP/OWN BUSINESS-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N033_HowObtIns
Did [she/he] obtain this health insurance through [her/his] own business or an
employer?
IWER: ASK 'Whose employer?' if not clear
.................................................................................
31 1. YES
19 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1137 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF SecN.PlanDetails[CNT].N033_HowObtIns <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN034_1 OBTAIN INS THRU FORMER EMPLOYER -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N034_
Did [he/she] obtain this health insurance through a former employer of
[his/hers]?
.................................................................................
152 1. YES
319 5. NO
13 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
703 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N034_
IF SecN.PlanDetails[CNT].N034_ <> YES THEN
IF ((((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL)) OR (piSecBB063_MarStatAssign = ANULLED)) OR
(piSecBB063_MarStatAssign = SEPARATED)) OR (piSecBB063_MarStatAssign =
DIVORCED) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN035_1 OBTAIN INS THRU HWP CURRENT EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N035_
Did [he/she] obtain this health insurance through [his/her] [ex/former]
[husband's/wife's/partner's] current employer?
.................................................................................
23 1. YES
152 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1010 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N034_
IF SecN.PlanDetails[CNT].N034_ <> YES THEN
IF ((SecN.PlanDetails[CNT].N035_ <> YES) AND SecN.PlanDetails[CNT].N035_ <>
EMPTY) OR (piSecBB063_MarStatAssign = WIDOWED) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN036_1 OBTAIN INS THRU HWP FORMER EMPLOYER- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N036_
Did [he/she] obtain this health insurance through [his/her] [ex/former]
husband's/wife's/partner's] former employer?
.................................................................................
79 1. YES
218 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
881 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N034_
IF SecN.PlanDetails[CNT].N034_ <> YES THEN
IF (SecN.PlanDetails[CNT].N035_ <> YES) AND (SecN.PlanDetails[CNT].N036_ <>
YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN037_1 WHERE PURCHASE PRIVATE PLAN INSURANCE- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N037_
Did [he/she] purchase this plan directly from an insurance company, through
[his/her] [[or][husband's/wife's/partner's]] union, through a group such as
AARP, a church, or other organization, or what?
.................................................................................
125 1. INSURANCE COMPANY
1 2. R'S UNION
1 3. SPOUSE'S UNION
63 4. GROUP
10 6. Includes federal, state or military programs
9 7. OTHER (SPECIFY)
20 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
957 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN281_1 PRIV PLAN HI- START MONTH -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[1].N281_MonthStart
When did this coverage start?
Month:
.................................................................................
42 1. JAN
5 2. FEB
10 3. MAR
7 4. APR
11 5. MAY
21 6. JUN
16 7. JUL
12 8. AUG
17 9. SEP
9 10. OCT
12 11. NOV
3 12. DEC
2 13. WINTER
10 14. SPRING
14 15. SUMMER
5 16. FALL
317 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
672 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N281_MonthStart
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN282_1 PRIV PLAN HI- START YEAR -1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.PlanDetails[1].N282_YearStart
When did this coverage start?
Year:
.................................................................................
324 1940-2012. Actual Value
190 9998. DK (Don't Know); NA (Not Ascertained)
1 9999. RF (Refused)
672 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N282_YearStart
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN039_1 PAY ALL/SOME/NONE PRIV PLAN HI COSTS-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N039_PayHlthInsCost
Including any help from [her/his] family, did [she/he] [or your]
[husband/wife/partner] pay all of the costs, some of the costs, or none of the
costs of the premium for this health insurance coverage?
.................................................................................
347 1. ALL
80 2. SOME
67 3. NONE
20 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
672 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
IF SecN.PlanDetails[CNT].N039_PayHlthInsCost <> NONE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN040_1 PRIV PLAN HI PAY PER/MONTH- AMT- 1
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.PlanDetails[1].N040_
How much did [he/she] [or your] [husband/wife/partner] pay per month in premiums
for this plan for [himself/herself] and any members of [his/her] household that
were also covered?
[IWER: PROBE if necessary. Count any payroll deductions, but do not include any
amount paid by the employer]
IWER: Do not probe DK/RF
Amount per Month:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
260 0 2100 246.94 256.38 739
-----------------------------------------------------------------
184 99998. DK (Don't Know); NA (Not Ascertained)
4 99999. RF (Refused)
==========================================================================================
XN041_1 PRIV PLAN HI PAY PER/MONTH- MIN- 1
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.PlanDetails[1].N041_
Did it amount to less than $____ per month, more than $____ per month, or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $50, $100, $150, $300, $500
RANDOM ENTRY POINTS: $100, $150, $300
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X515
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
69 0. Value of Breakpoint
8 51. Value of Breakpoint
8 100. Value of Breakpoint
21 101. Value of Breakpoint
10 150. Value of Breakpoint
58 151. Value of Breakpoint
2 300. Value of Breakpoint
8 301. Value of Breakpoint
4 501. Value of Breakpoint
999 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN042_1 PRIV PLAN HI PAY PER/MONTH- MAX- 1
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.PlanDetails[1].N042_
*
.................................................................................
5 49. Value of Breakpoint
11 99. Value of Breakpoint
8 100. Value of Breakpoint
20 149. Value of Breakpoint
10 150. Value of Breakpoint
31 299. Value of Breakpoint
2 300. Value of Breakpoint
7 499. Value of Breakpoint
94 99999996. Greater than Maximum Breakpoint
999 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN043_1 PRIV PLAN HI PAY PER/MONTH- RESULT- 1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[1].N043_
*
.................................................................................
94 98. DK (Don't Know); NA (Not Ascertained)
6 99. RF (Refused)
1087 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN044_1 BRANCHPNT-SELF EMPLOYED/ALL OTH-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N044_
*
.................................................................................
1. R IS CURRENTLY SELF-EMPLOYED
515 2. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
672 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN046_1 BRANCHPNT-SOURCE OF HEALTH INSURANCE -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N046_
*
.................................................................................
51 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
49 2. INS THRU SOMEPLACE ELSE
415 3. INS THRU CURRENT/FORMER EMPLOYER
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
672 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN047_1 BRANCHPNT-COVERD BY MEDICARE/ALL OTH -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N047_
*
.................................................................................
456 1. R IS COVERED BY MEDICARE
59 2. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
672 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN058_1 PRIV HI FROM CUR/FOR EMP AND LESS 65 -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N058_
*
.................................................................................
20 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
12 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
483 3. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
672 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN284_1 HEALTH INSURANCE PLAN SATISFACTION -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[1].N284_
Overall, how satisfied was [he/she] with this health plan? Was [he/she] very
satisfied, somewhat satisfied, neutral, somewhat dissatisfied, or very
dissatisfied?
.................................................................................
353 1. VERY SATISFIED
90 2. SOMEWHAT SATISFIED
42 3. NEUTRAL
12 4. SOMEWHAT DISSATISFIED
5 5. VERY DISSATISFIED
12 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
672 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN280_2 NAME PRIVATE HEALTH INSURANCE PLAN -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[2].N280_
Let's talk about [that plan/the most important of those plans/ the
[second/third] most important of those plans]. What is the name of this plan?
Name of insurance plan:
IWER: If the respondent selects a plan already on the list, be sure to confirm
the entire plan name has remained the same. If not, add as a new plan
.................................................................................
1 1. PW_PLAN1
2 2. PW_PLAN2
3. PW_PLAN3
24 27. NOT ON LIST
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1160 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N280_
IF piGovCoverN001_ = YES THEN
IF SecN.PlanDetails[CNT].Counter = 1 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN025_2 WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N025_
Which was [her/his] primary plan, Medicare or [Name of Plan (per N024)]?
.................................................................................
1. MEDICARE
2. [Name of Plan (per N024)]
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1187 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N280_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN032_2 PRIVATE PLAN 1-3 HELP PAY REGULAR RX- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N032_
Did [Name of Plan (per N024)] provide help with paying for regular prescription
drugs?
IWER: The follow-up questions refer to the private plan, not to Medicare.
.................................................................................
16 1. YES
9 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1160 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF ((piSecJWORKSTATUSJ020_WorkforPay = YES) ) OR ((RVARS.Z123_CurWorkng_V =
YES) AND ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN))) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN033_2 OBTAIN HI THRU CURRNT EMP/OWN BUSINESS-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N033_HowObtIns
Did [she/he] obtain this health insurance through [her/his] own business or an
employer?
IWER: ASK 'Whose employer?' if not clear
.................................................................................
2 1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1185 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF SecN.PlanDetails[CNT].N033_HowObtIns <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN034_2 OBTAIN INS THRU FORMER EMPLOYER -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N034_
Did [he/she] obtain this health insurance through a former employer of
[his/hers]?
.................................................................................
8 1. YES
16 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1162 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N034_
IF SecN.PlanDetails[CNT].N034_ <> YES THEN
IF ((((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL)) OR (piSecBB063_MarStatAssign = ANULLED)) OR
(piSecBB063_MarStatAssign = SEPARATED)) OR (piSecBB063_MarStatAssign =
DIVORCED) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN035_2 OBTAIN INS THRU HWP CURRENT EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N035_
Did [he/she] obtain this health insurance through [his/her] [ex/former]
[husband's/wife's/partner's] current employer?
.................................................................................
2 1. YES
6 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1178 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N034_
IF SecN.PlanDetails[CNT].N034_ <> YES THEN
IF ((SecN.PlanDetails[CNT].N035_ <> YES) AND SecN.PlanDetails[CNT].N035_ <>
EMPTY) OR (piSecBB063_MarStatAssign = WIDOWED) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN036_2 OBTAIN INS THRU HWP FORMER EMPLOYER- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N036_
Did [he/she] obtain this health insurance through [his/her] [ex/former]
husband's/wife's/partner's] former employer?
.................................................................................
3 1. YES
11 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1172 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N034_
IF SecN.PlanDetails[CNT].N034_ <> YES THEN
IF (SecN.PlanDetails[CNT].N035_ <> YES) AND (SecN.PlanDetails[CNT].N036_ <>
YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN037_2 WHERE PURCHASE PRIVATE PLAN INSURANCE- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N037_
Did [he/she] purchase this plan directly from an insurance company, through
[his/her] [[or][husband's/wife's/partner's]] union, through a group such as
AARP, a church, or other organization, or what?
.................................................................................
3 1. INSURANCE COMPANY
2. R'S UNION
3. SPOUSE'S UNION
3 4. GROUP
3 6. Includes federal, state or military programs
1 7. OTHER (SPECIFY)
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1175 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN281_2 PRIV PLAN HI- START MONTH -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[2].N281_MonthStart
When did this coverage start?
Month:
.................................................................................
2 1. JAN
2. FEB
3. MAR
4. APR
5. MAY
6. JUN
1 7. JUL
2 8. AUG
3 9. SEP
10. OCT
11. NOV
12. DEC
13. WINTER
2 14. SPRING
15. SUMMER
16. FALL
17 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1160 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N281_MonthStart
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN282_2 PRIV PLAN HI- START YEAR -2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.PlanDetails[2].N282_YearStart
When did this coverage start?
Year:
.................................................................................
18 1954-2010. Actual Value
9 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1160 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N282_YearStart
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN039_2 PAY ALL/SOME/NONE PRIV PLAN HI COSTS-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N039_PayHlthInsCost
Including any help from [her/his] family, did [she/he] [or your]
[husband/wife/partner] pay all of the costs, some of the costs, or none of the
costs of the premium for this health insurance coverage?
.................................................................................
13 1. ALL
4 2. SOME
9 3. NONE
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1160 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
IF SecN.PlanDetails[CNT].N039_PayHlthInsCost <> NONE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN040_2 PRIV PLAN HI PAY PER/MONTH- AMT- 2
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.PlanDetails[2].N040_
How much did [he/she] [or your] [husband/wife/partner] pay per month in premiums
for this plan for [himself/herself] and any members of [his/her] household that
were also covered?
[IWER: PROBE if necessary. Count any payroll deductions, but do not include any
amount paid by the employer]
IWER: Do not probe DK/RF
Amount per Month:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
14 0 52 31.07 16.82 1169
-----------------------------------------------------------------
4 99998. DK (Don't Know); NA (Not Ascertained)
99999. RF (Refused)
==========================================================================================
XN041_2 PRIV PLAN HI PAY PER/MONTH- MIN- 2
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.PlanDetails[2].N041_
Did it amount to less than $____ per month, more than $____ per month, or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $50, $100, $150, $300, $500
RANDOM ENTRY POINTS: $100, $150, $300
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X515
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
1 51. Value of Breakpoint
1 101. Value of Breakpoint
2 151. Value of Breakpoint
1183 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN042_2 PRIV PLAN HI PAY PER/MONTH- MAX- 2
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.PlanDetails[2].N042_
*
.................................................................................
1 99. Value of Breakpoint
1 149. Value of Breakpoint
1 299. Value of Breakpoint
1 99999996. Greater than Maximum Breakpoint
1183 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN043_2 PRIV PLAN HI PAY PER/MONTH- RESULT- 2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[2].N043_
*
.................................................................................
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1186 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN044_2 BRANCHPNT-SELF EMPLOYED/ALL OTH-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N044_
*
.................................................................................
1. R IS CURRENTLY SELF-EMPLOYED
27 2. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1160 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN046_2 BRANCHPNT-SOURCE OF HEALTH INSURANCE -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N046_
*
.................................................................................
4 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
5 2. INS THRU SOMEPLACE ELSE
18 3. INS THRU CURRENT/FORMER EMPLOYER
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1160 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN047_2 BRANCHPNT-COVERD BY MEDICARE/ALL OTH -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N047_
*
.................................................................................
25 1. R IS COVERED BY MEDICARE
2 2. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1160 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN058_2 PRIV HI FROM CUR/FOR EMP AND LESS 65 -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N058_
*
.................................................................................
1 1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
1 2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
25 3. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1160 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN284_2 HEALTH INSURANCE PLAN SATISFACTION -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[2].N284_
Overall, how satisfied was [he/she] with this health plan? Was [he/she] very
satisfied, somewhat satisfied, neutral, somewhat dissatisfied, or very
dissatisfied?
.................................................................................
15 1. VERY SATISFIED
6 2. SOMEWHAT SATISFIED
5 3. NEUTRAL
4. SOMEWHAT DISSATISFIED
5. VERY DISSATISFIED
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1160 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (SecN.N023_ <> 0) AND SecN.N023_ <> NONRESPONSE THEN
IF SecN.CNT <= SecN.N023_ THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN280_3 NAME PRIVATE HEALTH INSURANCE PLAN -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[3].N280_
Let's talk about [that plan/the most important of those plans/ the
[second/third] most important of those plans]. What is the name of this plan?
Name of insurance plan:
IWER: If the respondent selects a plan already on the list, be sure to confirm
the entire plan name has remained the same. If not, add as a new plan
.................................................................................
1. PW_PLAN1
2. PW_PLAN2
1 3. PW_PLAN3
1 27. NOT ON LIST
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1185 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N280_
IF piGovCoverN001_ = YES THEN
IF SecN.PlanDetails[CNT].Counter = 1 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN025_3 WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N025_
Which was [her/his] primary plan, Medicare or [Name of Plan (per N024)]?
.................................................................................
1. MEDICARE
2. [Name of Plan (per N024)]
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1187 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N280_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN032_3 PRIVATE PLAN 1-3 HELP PAY REGULAR RX- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N032_
Did [Name of Plan (per N024)] provide help with paying for regular prescription
drugs?
IWER: The follow-up questions refer to the private plan, not to Medicare.
.................................................................................
1 1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1185 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF ((piSecJWORKSTATUSJ020_WorkforPay = YES) ) OR ((RVARS.Z123_CurWorkng_V =
YES) AND ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN))) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN033_3 OBTAIN HI THRU CURRNT EMP/OWN BUSINESS-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N033_HowObtIns
Did [she/he] obtain this health insurance through [her/his] own business or an
employer?
IWER: ASK 'Whose employer?' if not clear
.................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1187 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
IF SecN.PlanDetails[CNT].N033_HowObtIns <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN034_3 OBTAIN INS THRU FORMER EMPLOYER -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N034_
Did [he/she] obtain this health insurance through a former employer of
[his/hers]?
.................................................................................
1 1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1185 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N034_
IF SecN.PlanDetails[CNT].N034_ <> YES THEN
IF ((((piRespondents1X065ACouplenss = MARRIED) OR (piRespondents1X065ACouplenss
= PARTNERED_VOL)) OR (piSecBB063_MarStatAssign = ANULLED)) OR
(piSecBB063_MarStatAssign = SEPARATED)) OR (piSecBB063_MarStatAssign =
DIVORCED) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN035_3 OBTAIN INS THRU HWP CURRENT EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N035_
Did [he/she] obtain this health insurance through [his/her] [ex/former]
[husband's/wife's/partner's] current employer?
.................................................................................
1. YES
1 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1186 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N034_
IF SecN.PlanDetails[CNT].N034_ <> YES THEN
IF ((SecN.PlanDetails[CNT].N035_ <> YES) AND SecN.PlanDetails[CNT].N035_ <>
EMPTY) OR (piSecBB063_MarStatAssign = WIDOWED) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN036_3 OBTAIN INS THRU HWP FORMER EMPLOYER- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N036_
Did [he/she] obtain this health insurance through [his/her] [ex/former]
husband's/wife's/partner's] former employer?
.................................................................................
1 1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1186 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N034_
IF SecN.PlanDetails[CNT].N034_ <> YES THEN
IF (SecN.PlanDetails[CNT].N035_ <> YES) AND (SecN.PlanDetails[CNT].N036_ <>
YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN037_3 WHERE PURCHASE PRIVATE PLAN INSURANCE- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N037_
Did [he/she] purchase this plan directly from an insurance company, through
[his/her] [[or][husband's/wife's/partner's]] union, through a group such as
AARP, a church, or other organization, or what?
.................................................................................
1. INSURANCE COMPANY
2. R'S UNION
3. SPOUSE'S UNION
4. GROUP
6. Includes federal, state or military programs
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1187 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N032_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN281_3 PRIV PLAN HI- START MONTH -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[3].N281_MonthStart
When did this coverage start?
Month:
.................................................................................
1 1. JAN
2. FEB
3. MAR
4. APR
5. MAY
6. JUN
7. JUL
8. AUG
9. SEP
10. OCT
11. NOV
12. DEC
13. WINTER
14. SPRING
15. SUMMER
16. FALL
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1185 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N281_MonthStart
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN282_3 PRIV PLAN HI- START YEAR -3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.PlanDetails[3].N281_MonthStart
When did this coverage start?
Year:
.................................................................................
1 1983. Actual Value
1 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1185 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N282_YearStart
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN039_3 PAY ALL/SOME/NONE PRIV PLAN HI COSTS-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N039_PayHlthInsCost
Including any help from [her/his] family, did [she/he] [or your]
[husband/wife/partner] pay all of the costs, some of the costs, or none of the
costs of the premium for this health insurance coverage?
.................................................................................
1. ALL
1 2. SOME
1 3. NONE
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1185 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
IF SecN.PlanDetails[CNT].N039_PayHlthInsCost <> NONE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN040_3 PRIV PLAN HI PAY PER/MONTH- AMT- 3
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.PlanDetails[3].N040_
How much did [he/she] [or your] [husband/wife/partner] pay per month in premiums
for this plan for [himself/herself] and any members of [his/her] household that
were also covered?
[IWER: PROBE if necessary. Count any payroll deductions, but do not include any
amount paid by the employer]
IWER: Do not probe DK/RF
Amount per Month:
.................................................................................
1 10. Actual Value
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1186 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN041_3 PRIV PLAN HI PAY PER/MONTH- MIN- 3
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.PlanDetails[3].N041_
Did it amount to less than $____ per month, more than $____ per month, or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $50, $100, $150, $300, $500
RANDOM ENTRY POINTS: $100, $150, $300
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X515
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
1187 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN042_3 PRIV PLAN HI PAY PER/MONTH- MAX- 3
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.PlanDetails[3].N042_
*
.................................................................................
1187 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN043_3 PRIV PLAN HI PAY PER/MONTH- RESULT- 3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PlanDetails[3].N043_
*
.................................................................................
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1187 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN044_3 BRANCHPNT-SELF EMPLOYED/ALL OTH- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N044_
*
.................................................................................
1. R IS CURRENTLY SELF-EMPLOYED
2 2. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1185 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN046_3 BRANCHPNT-SOURCE OF HEALTH INSURANCE -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N046_
*
.................................................................................
1 1. INS THRU SPOUSE AND R IS MARRIED, DIVORCED, OR SEPARATED
2. INS THRU SOMEPLACE ELSE
1 3. INS THRU CURRENT/FORMER EMPLOYER
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1185 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN047_3 BRANCHPNT-COVERD BY MEDICARE/ALL OTH -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N047_
*
.................................................................................
2 1. R IS COVERED BY MEDICARE
2. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1185 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN058_3 PRIV HI FROM CUR/FOR EMP AND LESS 65 -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N058_
*
.................................................................................
1. R HAS HEALTH INS FROM CURRENT EMPLOYER AND R IS LESS THAN 65
2. R HAS HEALTH INS FROM FORMER EMPLOYER AND R IS LESS THAN 65
2 3. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1185 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PlanDetails[CNT].N039_PayHlthInsCost
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN284_3 HEALTH INSURANCE PLAN SATISFACTION -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PlanDetails[3].N284_
Overall, how satisfied was [he/she] with this health plan? Was [he/she] very
satisfied, somewhat satisfied, neutral, somewhat dissatisfied, or very
dissatisfied?
.................................................................................
2 1. VERY SATISFIED
2. SOMEWHAT SATISFIED
3. NEUTRAL
4. SOMEWHAT DISSATISFIED
5. VERY DISSATISFIED
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1185 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF SecN.PWPlancnt > 0 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN279 PLAN INTRO
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N279_PlanIntro
Last time we talked [he/she] mentioned other health insurance plans.
.................................................................................
51 1. CONTINUE
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1136 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF SecN.PWPlancnt > 0 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN274_1 STILL COVERED -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[1].N274_StillCovered
Was [he/she] still covered by [Plan Name] at the time of [his/her] death?
.................................................................................
20 1. YES
15 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1143 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF N274_StillCovered = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN275_1 MONTH STARTED -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[1].N275_Mo_Started
When did this coverage start?
Month/Year
.................................................................................
1 1. JAN
2. FEB
3. MAR
4. APR
1 5. MAY
1 6. JUN
1 7. JUL
8. AUG
1 9. SEP
10. OCT
11. NOV
12. DEC
15 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1167 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF N274_StillCovered = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN276_1 YEAR STARTED -1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[1].N276_Yr_Started
When did this coverage start?
Month/Year
.................................................................................
9 1952-2009. Actual Value
11 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1167 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
IF N274_StillCovered <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN277_1 MONTH STOPPED -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[1].N277_Mo_Stopped
When did this coverage stop?
Month/Year
.................................................................................
3 1. JAN
1 2. FEB
3. MAR
4. APR
5. MAY
2 6. JUN
7. JUL
1 8. AUG
9. SEP
10. OCT
11. NOV
1 12. DEC
15 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1163 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF N274_StillCovered <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN278_1 YEAR STOPPED -1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[1].N278_Yr_Stopped
When did this coverage stop?
Month/Year
.................................................................................
8 2009-2012. Actual Value
15 9998. DK (Don't Know); NA (Not Ascertained)
1 9999. RF (Refused)
1163 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
IF SecN.PWPlancnt > 0 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN274_2 STILL COVERED -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[2].N274_StillCovered
Was [he/she] still covered by [Plan Name] at the time of [his/her] death?
.................................................................................
4 1. YES
2 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1179 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF N274_StillCovered = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN275_2 MONTH STARTED -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[2].N275_Mo_Started
When did this coverage start?
Month/Year
.................................................................................
1 1. JAN
2. FEB
3. MAR
4. APR
5. MAY
6. JUN
7. JUL
8. AUG
9. SEP
10. OCT
11. NOV
12. DEC
3 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1183 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF N274_StillCovered = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN276_2 YEAR STARTED -2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[2].N276_Yr_Started
When did this coverage start?
Month/Year
.................................................................................
3 1977-2009. Actual Value
1 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1183 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
IF N274_StillCovered <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN277_2 MONTH STOPPED -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[2].N277_Mo_Stopped
When did this coverage stop?
Month/Year
.................................................................................
1 1. JAN
2. FEB
3. MAR
4. APR
5. MAY
6. JUN
7. JUL
8. AUG
9. SEP
10. OCT
11. NOV
12. DEC
3 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1183 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF N274_StillCovered <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN278_2 YEAR STOPPED -2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[2].N278_Yr_Stopped
When did this coverage stop?
Month/Year
.................................................................................
1 2011. Actual Value
3 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1183 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF SecN.PWPlancnt > 0 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN274_3 STILL COVERED -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[3].N274_StillCovered
Was [he/she] still covered by [Plan Name] at the time of [his/her] death?
.................................................................................
1 1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1186 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF N274_StillCovered = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN275_3 MONTH STARTED -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[3].N275_Mo_Started
When did this coverage start?
Month/Year
.................................................................................
1. JAN
2. FEB
3. MAR
4. APR
5. MAY
6. JUN
7. JUL
8. AUG
9. SEP
10. OCT
11. NOV
12. DEC
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1186 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF N274_StillCovered = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN276_3 YEAR STARTED -3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[3].N276_Yr_Started
When did this coverage start?
Month/Year
.................................................................................
1 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1186 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF N274_StillCovered <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN277_3 MONTH STOPPED -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[3].N277_Mo_Stopped
When did this coverage stop?
Month/Year
.................................................................................
1. JAN
2. FEB
3. MAR
4. APR
5. MAY
6. JUN
7. JUL
8. AUG
9. SEP
10. OCT
11. NOV
12. DEC
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1187 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF N274_StillCovered <> YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN278_3 YEAR STOPPED -3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.AskPlanGrid.PlanRow[3].N278_Yr_Stopped
When did this coverage stop?
Month/Year
.................................................................................
9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1187 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF SecN.N090_NumOfPlans = 0 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN342 CONFIRM NO MEDICAL INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N342_AnyInsurance
According to my information, [R's FIRST NAME] was not covered by any government
or private health insurance plans that provide medical care at the time of
[her/his] death.
Is that correct?
.................................................................................
29 1. YES
8 5. NO
12 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1138 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N342_AnyInsurance
IF SecN.N342_AnyInsurance = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN260 LAST HAD HEALTH CARE COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N260_
About how long has it been since [he/she] last had health care coverage?
.................................................................................
3 1. 6 MONTHS OR LESS
2. MORE THAN 6 MONTHS, BUT NOT MORE THAN 1 YEAR AGO
4 3. MORE THAN 1 YEAR, BUT NOT MORE THAN 3 YEARS AGO
9 4. MORE THAN 3 YEARS
3 5. NEVER
10 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1158 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N260_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN261M1 REASON NOT HAVE HEALTH CARE COVERAGE -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.N261_[1]
What is the main reason [he/she] didn't have health care coverage?
.................................................................................
4 1. PERSON IN FAMILY WITH HEALTH INSURANCE LOST JOB OR CHANGED
EMPLOYERS; unemployed
3 4. EMPLOYER DOES NOT OFFER COVERAGE/OR NOT ELIGIBLE FOR
COVERAGE
10 5. COST IS TOO HIGH
1 9. Disputes coverage/is covered by insurance (including VA
coverage)
4 10. Not eligible (includes "don't qualify", "pre-existing
conditions", "don't have documents/illegal"
1 11. Don't need it (includes "don't want it", "don't have health
problems/ not sick")
1 12. Didn't apply; NFS
3 97. OTHER (SPECIFY)
2 98. DK (Don't Know)
99. RF (Refused)
1158 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N260_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN261M2 REASON NOT HAVE HEALTH CARE COVERAGE -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.N261_[2]
What is the main reason [he/she] didn't have health care coverage?
.................................................................................
1. PERSON IN FAMILY WITH HEALTH INSURANCE LOST JOB OR CHANGED
EMPLOYERS; unemployed
4. EMPLOYER DOES NOT OFFER COVERAGE/OR NOT ELIGIBLE FOR
COVERAGE
5. COST IS TOO HIGH
9. Disputes coverage/is covered by insurance (including VA
coverage)
10. Not eligible (includes "don't qualify", "pre-existing
conditions", "don't have documents/illegal"
1 11. Don't need it (includes "don't want it", "don't have health
problems/ not sick")
12. Didn't apply; NFS
97. OTHER (SPECIFY)
98. DK (Don't Know)
99. RF (Refused)
1186 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N260_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN261M3 REASON NOT HAVE HEALTH CARE COVERAGE -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.N261_[3]
What is the main reason [he/she] didn't have health care coverage?
.................................................................................
1. PERSON IN FAMILY WITH HEALTH INSURANCE LOST JOB OR CHANGED
EMPLOYERS; unemployed
4. EMPLOYER DOES NOT OFFER COVERAGE/OR NOT ELIGIBLE FOR
COVERAGE
5. COST IS TOO HIGH
9. Disputes coverage/is covered by insurance (including VA
coverage)
10. Not eligible (includes "don't qualify", "pre-existing
conditions", "don't have documents/illegal"
11. Don't need it (includes "don't want it", "don't have health
problems/ not sick")
12. Didn't apply; NFS
97. OTHER (SPECIFY)
98. DK (Don't Know)
99. RF (Refused)
1187 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N342_AnyInsurance
IF SecN.N342_AnyInsurance = NO THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN343M1 WHICH PLAN-1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N343_WhatInsurance[1]
Under which of the following plans was [she/he] covered?
IWER: READ list:
Medicare
Medicaid
TRI-CARE/Champus/Champ-VA
A private plan from an employer
A private plan purchased directly
Some other type of plan
IWER: CHOOSE all that apply.
IF reported State name for Medicaid, Code as 2. Medicaid.
.................................................................................
1 1. MEDICARE
2. MEDICAID
3. TRI-CARE/CHAMPUS/CHAMPVA
4. A PRIVATE PLAN FROM AN EMPLOYER
5. A PRIVATE PLAN PURCHASED DIRECTLY
2 6. OTHER PLAN
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1179 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N342_AnyInsurance
IF SecN.N342_AnyInsurance = NO THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN343M2 WHICH PLAN-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N343_WhatInsurance[2]
Under which of the following plans was [she/he] covered?
IWER: READ list:
Medicare
Medicaid
TRI-CARE/Champus/Champ-VA
A private plan from an employer
A private plan purchased directly
Some other type of plan
IWER: CHOOSE all that apply.
IF reported State name for Medicaid, Code as 2. Medicaid.
.................................................................................
1. MEDICARE
2. MEDICAID
3. TRI-CARE/CHAMPUS/CHAMPVA
4. A PRIVATE PLAN FROM AN EMPLOYER
5. A PRIVATE PLAN PURCHASED DIRECTLY
6. OTHER PLAN
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1187 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (((SecN.MedD.N417_ = YES) AND (PlanDetails[1].N032_ <> YES)) AND
(PlanDetails[2].N032_ <> YES)) AND (PlanDetails[3].N032_ <> YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN431 PRESCRIPTION DRUG COVERAGE, WHICH PLAN
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.N431_DrugPlan
Earlier you told us that [she/he] had prescription drug coverage. Which plan is
that?
.................................................................................
1. FIRST PLAN MENTIONED AT XN024
2. SECOND PLAN MENTIONED AT XN024
4. PLAN MENTIONED AT XN070
5. PLAN MENTIONED AT XN074
6. PLAN MENTIONED AT XN105
19. MEDICARE HMO
20. MEDICARE
21. MEDICAID
22. CHAMPUS
27. NOT ON LIST
97. GET MEDS THROUGH THE VA
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1187 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN067 DENTAL COVERAGE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.DentalPlans.N067_
Did [he/she] have any insurance that covers dental bills?
.................................................................................
223 1. YES
880 5. NO
81 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.DentalPlans.N067_
IF SecN.NHomeINs.DentalPlans.N067_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN068 DENTAL COV - NEW OR PREV MENTION PLAN
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.DentalPlans.N068_DenCovNewPrev
Is that one of the plans you have already described, or a different plan?
.................................................................................
154 1. PREVIOUSLY DESCRIBED PLAN
54 2. DIFFERENT PLAN
15 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
964 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.DentalPlans.N068_DenCovNewPrev
IF SecN.NHomeINs.DentalPlans.N068_DenCovNewPrev = PREVDESCRPLAN THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN069 DENTAL COV - WHICH PREV MENTION PLAN
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeINs.DentalPlans.N069_DenCovWhi
Which plan is that?
.................................................................................
66 1. PLAN 1
3 2. PLAN 2
3. PLAN 3
2 4. PLAN 4
1 5. PLAN 5
6. PLAN 6
7. PLAN 7
8. PLAN 8
9. PLAN 9
10. PLAN 10
11. PLAN 11
12. PLAN 12
13. PLAN 13
14. PLAN 14
15. PLAN 15
16. PLAN 16
17. PLAN 17
18. PLAN 18
22 19. PLAN 19
11 20. PLAN 20
23 21. PLAN 21
6 22. PLAN 22
23. PLAN 23
24. PLAN 24
25. PLAN 25
26. PLAN 26
13 27. PLAN 27
7 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1033 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN071 LTC INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N071_LTCIns
[Not including government programs did] [R's FIRST NAME] have any long-term care
insurance which specifically covered nursing home care for a year or more or any
part of personal or medical care in [her/his] home?
.................................................................................
121 1. YES
1010 5. NO
52 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN: N072_LTCCovNHNewPrev := DIFFERENTPLAN:{PREVIOUS ASK}
SecN.NHomeINs.N071_LTCIns
IF SecN.NHomeINs.N071_LTCIns = YES THEN
IF SecN.N090_NumOfPlans = 0 THEN
{PREVIOUS ASK} SecN.NHomeINs.N071_LTCIns
IF SecN.NHomeINs.N071_LTCIns = YES THEN
IF NOT(SecN.N090_NumOfPlans = 0) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN072 LTC COV- NEW OR PRE MENTION PLAN
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N072_LTCCovNHNewPrev
Is that one of the plans you have already described, or a different plan?
.................................................................................
44 1. PREVIOUSLY DESCRIBED PLAN
69 2. DIFFERENT PLAN
8 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1066 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN: N073_LTCCovNHWhi := Plan27:{PREVIOUS ASK} SecN.NHomeINs.N071_LTCIns
IF SecN.NHomeINs.N071_LTCIns = YES THEN
IF SecN.N090_NumOfPlans = 0 THEN
OR{PREVIOUS ASK} SecN.NHomeINs.N073_LTCCovNHWhi
IF SecN.NHomeINs.N072_LTCCovNHNewPrev = DIFFERENTPLAN THEN
{PREVIOUS ASK} SecN.NHomeINs.N072_LTCCovNHNewPrev
IF SecN.NHomeINs.N072_LTCCovNHNewPrev = PREVDESCRPLAN THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN073 LTC COV- WHICH PREV MENTION PLAN
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeINs.N073_LTCCovNHWhi
Which plan is that?
.................................................................................
13 1. FIRST PLAN MENTIONED AT XN024
2. SECOND PLAN MENTIONED AT XN024
3. THIRD PLAN MENTIONED AT XN024
1 4. PLAN MENTIONED AT XN070
1 8. PLAN MENTIONED AT XN242
5 19. Medicare HMO
11 20. MEDICARE
2 21. MEDICAID
2 22. CHAMPUS
75 27. NOT ON LIST
3 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1074 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.N071_LTCIns
IF SecN.NHomeINs.N071_LTCIns = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN075 COVER NURSING HOME/IN-HOME CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N075_CovNHInHome
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?
.................................................................................
27 1. NURSING HOME CARE ONLY
9 2. IN-HOME CARE ONLY
79 3. BOTH
1 7. OTHER (SPECIFY)
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1066 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.N075_CovNHInHome
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN077 RECD BENEFITS UNDER LTC
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N077_RcvBenefLTC
Did [R's FIRST NAME] ever receive benefits under [her/his] long-term care
policy?
.................................................................................
53 1. YES
61 5. NO
7 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1066 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.N077_RcvBenefLTC
IF (SecN.NHomeINs.N072_LTCCovNHNewPrev <> PREVDESCRPLAN) OR
(SecN.NHomeINs.N073_LTCCovNHWhi = Plan27) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN079 AMT PAY FOR LTC
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.NHomeINs.N079_AmtPayLTC
[How much did [he/she][or your][husband/wife/partner][pay for this plan?/pay for
this long-term care coverage?]]
IWER: ENTER 0 if no payments are made
IWER: Do not probe DK/RF
Amount:
Per:
.................................................................................
50 0-50000. Actual Value
33 999998. DK (Don't Know); NA (Not Ascertained)
999999. RF (Refused)
1104 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
XN080 AMT PAY FOR LTC - MIN
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.NHomeINs.N080_
Did it amount to less than $____ per month, more than $____ per month, or what?
PROCEDURES: 2Up1Down, 1Up2Down
BREAKPOINTS: $50, $100, $200, $300
RANDOM ENTRY POINTS: $100, $200
ENTRY POINT ASSIGNMENT: 1 or {NOT 1} AT X502
.................................................................................
15 0. Value of Breakpoint
4 51. Value of Breakpoint
7 101. Value of Breakpoint
1 200. Value of Breakpoint
2 201. Value of Breakpoint
1 300. Value of Breakpoint
3 301. Value of Breakpoint
1154 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN081 AMT PAY FOR LTC - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.NHomeINs.N081_
*
.................................................................................
1 49. Value of Breakpoint
4 99. Value of Breakpoint
4 199. Value of Breakpoint
1 200. Value of Breakpoint
1 299. Value of Breakpoint
1 300. Value of Breakpoint
21 99999996. Greater than Maximum Breakpoint
1154 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN082 AMT PAY FOR LTC- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeINs.N082_
*
.................................................................................
20 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1167 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeINs.N079_AmtPayLTC
IF SecN.NHomeINs.N079_AmtPayLTC > 0 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN083 AMT PAY FOR LTC PER
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeINs.N083_AmtPayLTCPer
[How much did [he/she][or your][husband/wife/partner][pay for this plan?/pay for
this long-term care coverage?]]
IWER: ENTER 0 if no payments are made
IWER: Do not probe DK/RF
Amount: [AMT PAY FOR LTC]
Per:
.................................................................................
15 1. MONTH
4 2. QUARTER (EVERY 3 MONTHS)
25 4. YEAR
2 6. Lump sum payment
7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1141 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN: N090_NumOfPlans := N090_NumOfPlans + 1:IF SecN.GovCover.N001_ = YES
THEN
ORIF SecN.GovCover.N006_ = YES THEN
ORIF SecN.GovCover.N007_ = YES THEN
OR{PREVIOUS ASK} SecN.MedD.N353_
IF SecN.MedD.N353_ <> EMPTY THEN
ORIF (SecN.MediCaidCarePlan.N351_ <> YES) AND SecN.MediCaidCarePlan.N351_ <>
NONRESPONSE THEN
IF (SecN.MedD.N352_ <> NO) AND SecN.MedD.N352_ <> NONRESPONSE THEN
IF SecN.MedD.N414_ = YES THEN
OR{PREVIOUS ASK} SecN.PlanDetails[CNT].N024_
OR{PREVIOUS ASK} SecN.PlanDetails[CNT].N024_
IF SecN.PlanDetails[CNT].N280_ = PW_Plan1 THEN
OR{PREVIOUS ASK} SecN.PlanDetails[CNT].N024_
IF NOT(SecN.PlanDetails[CNT].N280_ = PW_Plan1) THEN
IF SecN.PlanDetails[CNT].N280_ = PW_Plan2 THEN
OR{PREVIOUS ASK} SecN.PlanDetails[CNT].N024_
IF NOT(SecN.PlanDetails[CNT].N280_ = PW_Plan1) THEN
IF NOT(SecN.PlanDetails[CNT].N280_ = PW_Plan2) THEN
IF SecN.PlanDetails[CNT].N280_ = PW_Plan3 THEN
OR{PREVIOUS ASK} SecN.N279_PlanIntro
IF SecN.AskPlanGrid.PlanRow[i].N274_StillCovered = YES THEN
OR{PREVIOUS ASK} SecN.AskPlanGrid.PlanRow[1].N276_Yr_Started
OR{PREVIOUS ASK} SecN.AskPlanGrid.PlanRow[2].N276_Yr_Started
OR{PREVIOUS ASK} SecN.AskPlanGrid.PlanRow[3].N276_Yr_Started
OR{PREVIOUS ASK} SecN.N432_Drugplanname
IF SecN.N432_Drugplanname <> EMPTY THEN
OR{PREVIOUS ASK} SecN.HospitalStay.N105_NamePlanCovHosp
IF SecN.HospitalStay.N105_NamePlanCovHosp <> EMPTY THEN
OR{PREVIOUS ASK} SecN.PrescpDrug.N179_PlanNameMeds
IF SecN.PrescpDrug.N179_PlanNameMeds <> EMPTY THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN090 NUMBER OF PUBLIC/PRIVATE HI PLANS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N090_NumOfPlans
*
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1187 0 5 1.65 0.77 0
-----------------------------------------------------------------
==========================================================================================
ASSIGN: N256_RAgePREVIW := RVARS.Z093_IwYr_V -
Respondents[1].X067AYrBorn:{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN256 R AGE PREV INTERVIEW
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.N256_RAgePREVIW
*
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1187 41 109 78.56 11.49 0
-----------------------------------------------------------------
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (SecN.N090_NumOfPlans > 0) AND ((piRvarsZ201_PWMedicareCovered <> YES) OR
(SecN.N256_RAgePREVIW < 65)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN091 EVER WITHOUT HI AMONG CURRENTLY INSURED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N091_NoInsurance
Was [R's FIRST NAME] ever without health insurance coverage at any time [since
[Prev Wave Family R IW Month], [Prev Wave Family R IW Year]/in the last two
years]?
.................................................................................
12 1. YES
159 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1014 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N091_NoInsurance
IF SecN.N091_NoInsurance = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN294 MONTHS W/OUT INSUR
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.N294_MONTHSWOUTINSUR
Altogether, how many months was [she/he] without health insurance [since [Prev
Wave Family R IW Month], [Prev Wave Family R IW Year]/in the last two years]?
.................................................................................
8 1-48. Actual Value
4 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1175 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(SecA.ContinuInterview.A124_PlaceDied = INHOSPITAL) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN301 TIME IN HOSPITAL BEFORE DEATH
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.N301_
The next questions are about health care [she/he] had received. Earlier you told
me that [R's FIRST NAME] died while in a hospital. How long had [she/he] been a
patient in that hospital before [her/his] death?
IWER: ENTER '1 hour' if less than one hour
Number:
.................................................................................
352 1-90. Actual Value
14 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
821 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
{PREVIOUS ASK} SecN.N301_
IF SecN.N301_ <> NONRESPONSE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN302 TIME IN HOSPITAL BEFORE DEATH- UNIT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N302_
(The next questions are about health care [she/he] had received. Earlier you
told me that [R's FIRST NAME] died while in a hospital. How long had [she/he]
been a patient in that hospital before [her/his] death?)
IWER: ENTER '1 hour' if less than one hour
Unit:
.................................................................................
43 1. HOURS
217 2. DAYS
72 3. WEEKS
18 4. MONTHS
2 5. YEARS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
835 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N301_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN303 REASON IN HOSPITAL
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N303_
Why had [she/he] been admitted to the hospital? Was it to have surgery, receive
other treatments, relieve [her/his] symptoms, or what?
.................................................................................
33 1. SURGERY
180 2. OTHER TREATMENTS
149 3. RELIEVE SYMPTOMS
4 7. OTHER (SPECIFY)
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
821 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN099 OVERNIGHT STAY IN HOSP-SINCE PREV IW/2YR
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N099_OverniteHosp
IF R DIED IN HOSPITAL (A124=1):
In addition to that hospital stay, [since [PREV WAVE FIRST R IW MONTH], [PREV
WAVE FIRST R IW YEAR]/[Prev Wave Iw Yr]/in the two years before [her/his] death]
had [she/he] been a patient in a hospital overnight?
OTHERWISE:
The next questions are about health care [she/he] had received. [Since [PREV
WAVE FIRST R IW MONTH], [PREV WAVE FIRST R IW YEAR]/[Prev Wave Iw Yr]/In the two
years before [her/his] death]] had [she/he] been a patient in a hospital
overnight?
.................................................................................
807 1. YES
363 5. NO
14 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF (((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
(PISecAContinuInterviewA124_PlaceDied = INHOSPITAL)) AND (N099_OverniteHosp <>
YES) THEN N100_TimeOverHosp := 1
{PREVIOUS ASK} SecN.HospitalStay.N099_OverniteHosp
IF SecN.HospitalStay.N099_OverniteHosp = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN100 NUM TIMES R STAYED OVERNIGHT IN HOSP
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.HospitalStay.N100_TimeOverHosp
[Including [her/his] final hospitalization,/How] many different times was
[she/he] a patient in a hospital overnight ([since [Prev Wave Family R IW
Month], [Prev Wave Family R IW Year]/in the last two years])?
IWER: If Proxy asks, include mental hospitals and sanitariums
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
902 1 50 3.21 3.93 232
-----------------------------------------------------------------
53 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N100_TimeOverHosp
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN101 NUM NIGHTS R SPENT OVERNIGHT IN HOSPITAL
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.HospitalStay.N101_NiteOverHosp
[Altogether how/How] many nights was [she/he] a patient in a hospital ([since
[Prev Wave Family R IW Month], [Prev Wave Family R IW Year]/in the last two
years])?
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
732 1 900 20.93 51.80 380
-----------------------------------------------------------------
75 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N099_OverniteHosp
IF ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((SecN.HospitalStay.N100_TimeOverHosp* <> 0) AND
SecN.HospitalStay.N100_TimeOverHosp* <> EMPTY) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN305 SPEND TIME IN ICU
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N305_
[During any of those hospital stays/During [her/his] hospital stay] did [R's
FIRST NAME] spend any time in an intensive care unit?
.................................................................................
427 1. YES
463 5. NO
11 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
286 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N305_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN306 USED LIFE SUPPORT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N306_
([During any of those hospital stays/During [her/his] hospital stay]) did
[she/he] use life support equipment, such as a respirator?
.................................................................................
273 1. YES
616 5. NO
12 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
286 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N306_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN307 USED KIDNEY DIALYSIS SERVICES
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N307_
([During any of those hospital stays/During [her/his] hospital stay]) did
[she/he] use kidney dialysis services?
.................................................................................
75 1. YES
817 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
286 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N307_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN308 RECEIVE ANTIBIOTICS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N308_
([During any of those hospital stays/During [her/his] hospital stay]) did
[she/he] receive antibiotics to treat pneumonia or other infection?
.................................................................................
548 1. YES
293 5. NO
60 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
286 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N099_OverniteHosp
IF (SecN.HospitalStay.N099_OverniteHosp = YES) OR
(PISecAContinuInterviewA124_PlaceDied = INHOSPITAL) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN102 HOSPITAL STAYS COVERED BY INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HospitalStay.N102_HospCovIns
Were the costs for [her/his] hospital stay(s) completely covered by health
insurance, mostly covered, only partially covered, or not covered at all by
insurance?
.................................................................................
478 1. COMPLETELY COVERED
327 2. MOSTLY COVERED
74 3. PARTIALLY COVERED
24 5. NOT COVERED AT ALL
5 7. [VOL] COSTS NOT SETTLED YET
46 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
233 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.HospitalStay.N102_HospCovIns
IF SecN.HospitalStay.N102_HospCovIns <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN106 AMT PAID O-O-P HOSPITAL COSTS
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.HospitalStay.N106_AmtOOPHospCost
About how much did [she/he] pay out-of-pocket for hospital bills [since [R's
Last IW Month], [R's Last IW Year]/in the two years before [her/his] death]?
IWER: Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
271 0 220000 3105.94 14182.92 711
-----------------------------------------------------------------
203 9999998. DK (Don't Know); NA (Not Ascertained)
2 9999999. RF (Refused)
==========================================================================================
XN107 AMT PAID O-O-P HOSPITAL COSTS - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.HospitalStay.N107_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $500, $5,000, $10,000, $20,000, $50,000
RANDOM ENTRY POINTS: $5,000, $10,000, $20,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X511
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
77 0. Value of Breakpoint
4 500. Value of Breakpoint
55 501. Value of Breakpoint
5 5000. Value of Breakpoint
26 5001. Value of Breakpoint
5 10000. Value of Breakpoint
24 10001. Value of Breakpoint
3 20000. Value of Breakpoint
4 20001. Value of Breakpoint
2 50001. Value of Breakpoint
982 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN108 AMT PAID O-O-P HOSPITAL COSTS - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.HospitalStay.N108_
*
.................................................................................
13 499. Value of Breakpoint
4 500. Value of Breakpoint
66 4999. Value of Breakpoint
5 5000. Value of Breakpoint
32 9999. Value of Breakpoint
5 10000. Value of Breakpoint
6 19999. Value of Breakpoint
3 20000. Value of Breakpoint
4 49999. Value of Breakpoint
67 99999996. Greater than Maximum Breakpoint
982 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN109 AMT PAID O-O-P HOSPITAL COSTS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.HospitalStay.N109_
*
.................................................................................
83 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
1102 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((SecA.Relations.A167_A028_RInNHome* = YESNURSINGHOME) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN309 NURSING HOME B/F DEATH- DAYS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.NHomeStay.N309_
Earlier you told me that [R's FIRST NAME] [died while/was living] in a nursing
home. How long had [she/he] been a patient in that nursing home before [her/his]
death?
# days:
Or
# Months:
Or
# Years:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
102 1 90 15.04 16.15 1074
-----------------------------------------------------------------
11 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N309_
IF (SecN.NHomeStay.N309_ = DONTKNOW) OR SecN.NHomeStay.N309_ = EMPTY THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN310 NURSING HOME B/F DEATH- MONTHS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.N310_
Earlier you told me that [R's FIRST NAME] [died while/was living] in a nursing
home. How long had [she/he] been a patient in that nursing home before [her/his]
death?
# Days:
Or
# Months:
Or
# Years:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
121 1 21 6.32 5.50 1060
-----------------------------------------------------------------
6 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N310_
IF (SecN.NHomeStay.N310_ = DONTKNOW) OR SecN.NHomeStay.N310_ = EMPTY THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN257 NURSING HOME B/F DEATH- YEARS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.N257_
Earlier you told me that [R's FIRST NAME] [died while/was living] in a nursing
home. How long had [she/he] been a patient in that nursing home before [her/his]
death?
# Days:
Or
# Months:
Or
# Years:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
118 1 18 4.25 3.10 1062
-----------------------------------------------------------------
7 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N309_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN314M1M WHY ADMITTED - FINAL- 1- MASKED
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.NHomeStay.N314_
Why had [he/she] been admitted to the nursing home?
User note: See Health Conditions Master Code for detailed codes. Some
categories have been collapsed to protect respondent confidentiality:
113-117=119, 181-183=189, 190-196=997.
.................................................................................
11 101-103. Cancers and tumors; skin conditions
30 111-119. Musculoskeletal system and connective tissue
27 121-129. Heart, circulatory and blood conditions
10 131-139. Allergies; hay fever; sinusitis; tonsillitis
1 141-149. Endocrine, metabolic and nutritional conditions
7 151-159. Digestive system (stomach, liver, gallbladder,
kidney, bladder)
3 161-169. Neurological and sensory conditions
171-179. Digestive system (stomach, liver, gallbladder,
kidney, bladder)
1 181-189. Neurological and sensory conditions
191-196. Miscellaneous
1 595-597. Other symptoms
144 701. No other care arrangements available
27 702. Deteriorating health; health condition not
specified
25 703. To recover/rehab for injury/surgery
990. No text displayed
2 996. None
62 997. Other health condition
3 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
833 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N309_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN314M2M WHY ADMITTED - FINAL- 2- MASKED
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.NHomeStay.N314_
Why had [he/she] been admitted to the nursing home?
User note: See Health Conditions Master Code for detailed codes. Some
categories have been collapsed to protect respondent confidentiality:
113-117=119, 181-183=189, 190-196=997.
.................................................................................
3 101-103. Cancers and tumors; skin conditions
6 111-119. Musculoskeletal system and connective tissue
6 121-129. Heart, circulatory and blood conditions
2 131-139. Allergies; hay fever; sinusitis; tonsillitis
1 141-149. Endocrine, metabolic and nutritional conditions
7 151-159. Digestive system (stomach, liver, gallbladder,
kidney, bladder)
4 161-169. Neurological and sensory conditions
171-179. Digestive system (stomach, liver, gallbladder,
kidney, bladder)
1 181-189. Neurological and sensory conditions
191-196. Miscellaneous
1 595-597. Other symptoms
38 701. No other care arrangements available
28 702. Deteriorating health; health condition not
specified
18 703. To recover/rehab for injury/surgery
990. No text displayed
1 996. None
51 997. Other health condition
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1020 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: N114_OverniteNH := YES:{PREVIOUS ASK} SecN.N023_
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN114 EVER PATIENT OVERNIGHT IN NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.N114_OverniteNH
[Other than this nursing home stay and excluding/Excluding] any hospice stays,
([since [Prev Wave Family R IW Month], [Prev Wave Family R IW Year]/in the last
two years]), had [she/he] been a patient overnight in a nursing home,
convalescent home, or other long-term health care facility?
.................................................................................
231 1. YES
944 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF NOT((((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((PISecAContinuInterviewA124_PlaceDied = INNURSINGHOME) OR
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))) AND
(SecN.NHomeStay.N114_OverniteNH <> YES)) THEN
IF SecN.NHomeStay.N114_OverniteNH = YES THEN
IF (((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((PISecAContinuInterviewA124_PlaceDied = INNURSINGHOME) OR
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME))) AND (N114_OverniteNH <>
YES) THEN N115_TimeOverNH := 1
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN115 # TIMES SPENT OVERNIGHT IN NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.N115_TimeOverNH
[Including [her/his] final stay, how/How] many different times was [she/he] a
patient in a nursing home or other long-term care facility [since [Prev Wave
Family R IW Month], [Prev Wave Family R IW Year]/in the last two years]?
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
499 1 20 1.33 1.15 683
-----------------------------------------------------------------
5 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF SecN.NHomeStay.N114_OverniteNH = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN116 NUM NIGHTS R SPENT OVERNIGHT IN NH
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.NHomeStay.N116_NiteOverNH
[Altogether, how/How] many nights or months had [he/she] been a patient in a
nursing home [since [Prev Wave Family R IW Month], [Prev Wave Family R IW
Year]/in the last two years]?
IWER: ENTER 996 for continuous since entered or [since [Prev Wave Family R IW
Month], [Prev Wave Family R IW Year]/in the last two years]
IWER: If R answers in months rather than nights, press enter and answer in month
field
Nights:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
128 0 430 26.61 45.36 1031
-----------------------------------------------------------------
18 996. CONTINUOUS SINCE ENTERED
9 998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N116_NiteOverNH
IF SecN.NHomeStay.N116_NiteOverNH = EMPTY THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN117 NUM MOS R SPENT OVERNIGHT IN NH
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.N117_MoOverNH
[Altogether, how/How] many nights or months had [he/she] been a patient in a
nursing home [since [Prev Wave Family R IW Month], [Prev Wave Family R IW
Year]/in the last two years]?
Nights:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
71 1 78 7.21 10.67 1112
-----------------------------------------------------------------
4 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF ((SecN.NHomeStay.N114_OverniteNH = YES) OR
(SecA.ContinuInterview.A124_PlaceDied = INNURSINGHOME)) OR
(SecA.Relations.A167_A028_RInNHome = YESNURSINGHOME) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN118 NH COSTS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.N118_InsCovCost
[Were the costs for [his/her] nursing home stay(s) completely covered by]
insurance, mostly covered, only partially covered, or not covered at all by
insurance?
.................................................................................
203 1. COMPLETELY COVERED
118 2. MOSTLY COVERED
80 3. PARTIALLY COVERED
78 5. NOT COVERED AT ALL
3 7. [VOL] COSTS NOT SETTLED YET
21 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
683 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF SecN.NHomeStay.N118_InsCovCost <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN119 AMT PAID O-O-P NURSING HOME
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.NHomeStay.N119_AmtPayNHHosp
About how much did [he/she] pay out-of-pocket for nursing home bills [since
[Prev Wave Family R IW Month], [Prev Wave Family R IW Year]/in the last two
years]?
IWER: Do not probe DK/RF
INCLUDE any amount paid by others
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
212 0 250000 21054.66 36475.14 886
-----------------------------------------------------------------
88 9999998. DK (Don't Know); NA (Not Ascertained)
1 9999999. RF (Refused)
==========================================================================================
XN120 AMT PAID O-O-P NURSING HOME- MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.NHomeStay.N120_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $500, $5,000, $10,000, $20,000, $50,000
RANDOM ENTRY POINTS: $5,000, $10,000, $20,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X512
.................................................................................
30 0. Value of Breakpoint
1 500. Value of Breakpoint
19 501. Value of Breakpoint
1 5000. Value of Breakpoint
12 5001. Value of Breakpoint
14 10001. Value of Breakpoint
4 20001. Value of Breakpoint
6 50001. Value of Breakpoint
1100 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN121 AMT PAID O-O-P NURSING HOME- MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.NHomeStay.N121_
*
.................................................................................
4 499. Value of Breakpoint
1 500. Value of Breakpoint
21 4999. Value of Breakpoint
1 5000. Value of Breakpoint
13 9999. Value of Breakpoint
2 19999. Value of Breakpoint
3 49999. Value of Breakpoint
42 99999996. Greater than Maximum Breakpoint
1100 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN122 AMT PAID O-O-P NURSING HOME- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.N122_
*
.................................................................................
38 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1148 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
IF ((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <> 996)) AND
(((piLPCNTR = piN115_TimeOverNH) AND ((SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME) OR (PISecAContinuInterviewA124_PlaceDied = INNURSINGHOME))) OR
((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR ((piN115_TimeOverNH
> 1) AND piN115_TimeOverNH <> NONRESPONSE)) AND ((((piN115_TimeOverNH <= 3) AND
(piLPCNTR < piN115_TimeOverNH)) OR (((piN115_TimeOverNH > 3) AND
piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR < 3))) OR
((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))))) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN124_1 YEAR R MOVED TO NURSING HOME -1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N124_YrMovInNH1
[Think back to the [first/second] time [since [Prev Wave Family R IW Month],
[Prev Wave Family R IW Year]/in the last two years] that [he/she] was a patient
in a nursing home or other long-term care facility./Think about [his/her] last
stay at the nursing home or other long-term care facility.]
In what year did [she/he] go into the nursing home or health care facility?
Year:
.................................................................................
468 1993-2012. Actual Value
21 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
698 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1 >=
Init.A062T2YrsAgo_A THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN123_1 MONTH R MOVED TO NURSING HOME -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N123_MoMovInNH1
(What month was that?)
Month:
.................................................................................
25 1. JAN
23 2. FEB
30 3. MAR
19 4. APR
27 5. MAY
24 6. JUN
28 7. JUL
21 8. AUG
21 9. SEP
24 10. OCT
22 11. NOV
20 12. DEC
3 13. WINTER
2 14. SPRING
3 15. SUMMER
2 16. FALL
9 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
884 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1
IF ((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR (piLPCNTR <
piN115_TimeOverNH) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN126_1 YEAR R MOVED OUT OF NURSING HOME -1
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N126_YrMovOutNH1
In what year did [she/he] move out of the nursing home or health care facility?
Year:
.................................................................................
188 1994-2012. Actual Value
6 9995. Continuous since entered; R died in the nursing
home or R died while living in nursing home
4 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
989 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N126_YrMovOutNH1
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N126_YrMovOutNH1 >=
Init.A062T2YrsAgo_A THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN125_1 MONTH R MOVED OUT OF NURSING HOME -1
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N125_MoMovOutNH1
(What month was that?)
Month:
.................................................................................
17 1. JAN
7 2. FEB
13 3. MAR
16 4. APR
14 5. MAY
11 6. JUN
11 7. JUL
13 8. AUG
11 9. SEP
10 10. OCT
18 11. NOV
8 12. DEC
13. WINTER
14. SPRING
4 15. SUMMER
2 16. FALL
9 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1023 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
IF piGovCoverN005_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN127_1 ELIGIBLE FOR MEDICAID START NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N127_
Was [R's FIRST NAME] eligible for (Medicaid/State name for Medicaid) at the time
[his/her] [first/second/last] nursing home stay started?
.................................................................................
120 1. YES
41 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1018 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_ = NO THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN128_1 ELIGIBLE FOR MEDICAID DURNG NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N128_
Did [she/he] become eligible for (Medicaid/State name for Medicaid) during that
nursing home stay?
.................................................................................
36 1. YES
4 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1146 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF piLPCNTR <= piN115_TimeOverNH THEN
IF piGovCoverN005_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN129_1 BRNCHPNT-MORE THAN 1 NH STAY/ALL OTH- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N129_
*
.................................................................................
27 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE
142 2. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1018 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_
IF (((SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_ = YES) OR
(SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N128_ = YES)) AND
(((piN115_TimeOverNH <= 3) AND (piLPCNTR = piN115_TimeOverNH)) OR
(((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR =
3)))) AND ((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN130_1 LOSE ELIGIBILITY-LAST NH STAY- 1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N130_
Did [she/he] lose [her/his] eligibility for (Medicaid/State name for Medicaid)
when [she/he] was discharged from [her/his] (last) nursing home stay?
.................................................................................
1 1. YES
13 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1173 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
IF ((((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND
(piLPCNTR < 3)) OR ((piLPCNTR < piN115_TimeOverNH) AND (piLPCNTR <> 3))) OR
((((piLPCNTR = piN115_TimeOverNH) OR (piLPCNTR = 3)) AND
(SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME)) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN131_1 WHERE R LIVE AFTER NURSING HOME STAY -1
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N131_LiveAftNH1
Where did [she/he] live after leaving the nursing home or health care facility?
(Did [she/he] live alone, [with you only,/with [her/his] [you/husband/wife/
partner] only,] with one of [her/his] children and his or her own family, with
other relatives, in a retirement center, or what?)
.................................................................................
34 1. R LIVED BY HIM/HER SELF, ALONE
44 2. R LIVED WITH SPOUSE/PARTNER ONLY
29 3. R LIVED WITH CHILD AND CHILD'S FAMILY
2 4. R LIVED WITH OTHER RELATIVE(S)
1 5. R LIVED IN RETIREMENT CENTER
78 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
9 7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
989 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF N131_LiveAftNH1 = RLIVEDWITHCHILDCHILDSFAM THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN133_1 LIVE WITH WHICH CHILD AFTER NH STAY -1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[1].N133_WhiChldNH1
(Which child is that?)
If grandchild: (which of [her/his] children is the parent of that grandchild?)
.................................................................................
29 041-990. Other Person Number
992. DECEASED CHILD
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1158 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
IF ((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <> 996)) AND
(((piLPCNTR = piN115_TimeOverNH) AND ((SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME) OR (PISecAContinuInterviewA124_PlaceDied = INNURSINGHOME))) OR
((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR ((piN115_TimeOverNH
> 1) AND piN115_TimeOverNH <> NONRESPONSE)) AND ((((piN115_TimeOverNH <= 3) AND
(piLPCNTR < piN115_TimeOverNH)) OR (((piN115_TimeOverNH > 3) AND
piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR < 3))) OR
((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))))) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN124_2 YEAR R MOVED TO NURSING HOME -2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N124_YrMovInNH1
[Think back to the [first/second] time [since [Prev Wave Family R IW Month],
[Prev Wave Family R IW Year]/in the last two years] that [he/she] was a patient
in a nursing home or other long-term care facility./Think about [his/her] last
stay at the nursing home or other long-term care facility.]
In what year did [she/he] go into the nursing home or health care facility?
Year:
.................................................................................
89 2002-2012. Actual Value
2 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1096 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1 >=
Init.A062T2YrsAgo_A THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN123_2 MONTH R MOVED TO NURSING HOME -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N123_MoMovInNH1
(What month was that?)
Month:
.................................................................................
5 1. JAN
6 2. FEB
4 3. MAR
3 4. APR
7 5. MAY
9 6. JUN
6 7. JUL
8 8. AUG
5 9. SEP
5 10. OCT
6 11. NOV
5 12. DEC
13. WINTER
1 14. SPRING
3 15. SUMMER
16. FALL
4 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1110 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1
IF ((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR (piLPCNTR <
piN115_TimeOverNH) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN126_2 YEAR R MOVED OUT OF NURSING HOME -2
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N126_YrMovOutNH1
In what year did [she/he] move out of the nursing home or health care facility?
Year:
.................................................................................
49 2002-2012. Actual Value
4 9995. Continuous since entered; R died in the nursing
home or R died while living in nursing home
1 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1133 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N126_YrMovOutNH1
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N126_YrMovOutNH1 >=
Init.A062T2YrsAgo_A THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN125_2 MONTH R MOVED OUT OF NURSING HOME -2
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N125_MoMovOutNH1
(What month was that?)
Month:
.................................................................................
4 1. JAN
4 2. FEB
3 3. MAR
1 4. APR
1 5. MAY
5 6. JUN
3 7. JUL
3 8. AUG
3 9. SEP
6 10. OCT
2 11. NOV
12. DEC
13. WINTER
1 14. SPRING
3 15. SUMMER
16. FALL
3 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1145 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
IF piGovCoverN005_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN127_2 ELIGIBLE FOR MEDICAID START NH STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N127_
Was [R's FIRST NAME] eligible for (Medicaid/State name for Medicaid) at the time
[his/her] [first/second/last] nursing home stay started?
.................................................................................
26 1. YES
5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1160 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_ = NO THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN128_2 ELIGIBLE FOR MEDICAID DURNG NH STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N128_
Did [she/he] become eligible for (Medicaid/State name for Medicaid) during that
nursing home stay?
.................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1187 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF piLPCNTR <= piN115_TimeOverNH THEN
IF piGovCoverN005_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN129_2 BRNCHPNT-MORE THAN 1 NH STAY/ALL OTH-2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N129_
*
.................................................................................
27 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE
2. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1160 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_
IF (((SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_ = YES) OR
(SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N128_ = YES)) AND
(((piN115_TimeOverNH <= 3) AND (piLPCNTR = piN115_TimeOverNH)) OR
(((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR =
3)))) AND ((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN130_2 LOSE ELIGIBILITY-LAST NH STAY- 2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N130_
Did [she/he] lose [her/his] eligibility for (Medicaid/State name for Medicaid)
when [she/he] was discharged from [her/his] (last) nursing home stay?
.................................................................................
1 1. YES
3 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1183 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
IF ((((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND
(piLPCNTR < 3)) OR ((piLPCNTR < piN115_TimeOverNH) AND (piLPCNTR <> 3))) OR
((((piLPCNTR = piN115_TimeOverNH) OR (piLPCNTR = 3)) AND
(SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME)) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN131_2 WHERE R LIVE AFTER NURSING HOME STAY -2
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N131_LiveAftNH1
Where did [she/he] live after leaving the nursing home or health care facility?
(Did [she/he] live alone, [with you only,/with [her/his] [you/husband/wife/
partner] only,] with one of [her/his] children and his or her own family, with
other relatives, in a retirement center, or what?)
.................................................................................
13 1. R LIVED BY HIM/HER SELF, ALONE
8 2. R LIVED WITH SPOUSE/PARTNER ONLY
10 3. R LIVED WITH CHILD AND CHILD'S FAMILY
4. R LIVED WITH OTHER RELATIVE(S)
5. R LIVED IN RETIREMENT CENTER
17 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
2 7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1136 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF N131_LiveAftNH1 = RLIVEDWITHCHILDCHILDSFAM THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN133_2 LIVE WITH WHICH CHILD AFTER NH STAY -2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[2].N133_WhiChldNH1
(Which child is that?)
If grandchild: (which of [her/his] children is the parent of that grandchild?)
.................................................................................
9 041-990. Other Person Number
992. DECEASED CHILD
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1178 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
IF ((piX008AInNHome_V <> INNURSINGHOME) OR (piN116_NiteOverNH <> 996)) AND
(((piLPCNTR = piN115_TimeOverNH) AND ((SecA.Relations.A167_A028_RInNHome =
YESNURSINGHOME) OR (PISecAContinuInterviewA124_PlaceDied = INNURSINGHOME))) OR
((((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR ((piN115_TimeOverNH
> 1) AND piN115_TimeOverNH <> NONRESPONSE)) AND ((((piN115_TimeOverNH <= 3) AND
(piLPCNTR < piN115_TimeOverNH)) OR (((piN115_TimeOverNH > 3) AND
piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR < 3))) OR
((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME))))) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN124_3 YEAR R MOVED TO NURSING HOME -3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N124_YrMovInNH1
[Think back to the [first/second] time [since [Prev Wave Family R IW Month],
[Prev Wave Family R IW Year]/in the last two years] that [he/she] was a patient
in a nursing home or other long-term care facility./Think about [his/her] last
stay at the nursing home or other long-term care facility.]
In what year did [she/he] go into the nursing home or health care facility?
Year:
.................................................................................
26 2005-2012. Actual Value
9998. DK (Don't Know); NA (Not Ascertained)
1 9999. RF (Refused)
1160 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1 >=
Init.A062T2YrsAgo_A THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN123_3 MONTH R MOVED TO NURSING HOME -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N123_MoMovInNH1
(What month was that?)
Month:
.................................................................................
3 1. JAN
2 2. FEB
3 3. MAR
4. APR
1 5. MAY
6. JUN
4 7. JUL
3 8. AUG
9. SEP
2 10. OCT
1 11. NOV
2 12. DEC
13. WINTER
14. SPRING
15. SUMMER
16. FALL
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1164 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N124_YrMovInNH1
IF ((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) OR (piLPCNTR <
piN115_TimeOverNH) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN126_3 YEAR R MOVED OUT OF NURSING HOME -3
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N126_YrMovOutNH1
In what year did [she/he] move out of the nursing home or health care facility?
Year:
.................................................................................
13 2005-2012. Actual Value
1 9995. Continuous since entered; R died in the nursing
home or R died while living in nursing home
9998. DK (Don't Know); NA (Not Ascertained)
1 9999. RF (Refused)
1172 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N126_YrMovOutNH1
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N126_YrMovOutNH1 >=
Init.A062T2YrsAgo_A THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN125_3 MONTH R MOVED OUT OF NURSING HOME -3
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N125_MoMovOutNH1
(What month was that?)
Month:
.................................................................................
1 1. JAN
2. FEB
1 3. MAR
4. APR
5. MAY
1 6. JUN
1 7. JUL
8. AUG
1 9. SEP
1 10. OCT
1 11. NOV
12. DEC
13. WINTER
14. SPRING
15. SUMMER
16. FALL
3 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1177 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
IF piGovCoverN005_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN127_3 ELIGIBLE FOR MEDICAID START NH STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N127_
Was [R's FIRST NAME] eligible for (Medicaid/State name for Medicaid) at the time
[his/her] [first/second/last] nursing home stay started?
.................................................................................
9 1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1178 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_
IF SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_ = NO THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN128_3 ELIGIBLE FOR MEDICAID DURNG NH STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N128_
Did [she/he] become eligible for (Medicaid/State name for Medicaid) during that
nursing home stay?
.................................................................................
1. YES
5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1187 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF piLPCNTR <= piN115_TimeOverNH THEN
IF piGovCoverN005_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN129_3 BRNCHPNT-MORE THAN 1 NH STAY/ALL OTH-3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N129_
*
.................................................................................
9 1. R HAD MORE THAN 1 STAY IN NURSING HOME SINCE LAST WAVE
2. ALL OTHERS
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1178 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_
IF (((SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N127_ = YES) OR
(SecN.NHomeStay.MedicaidNHomeStay[LPCntr].N128_ = YES)) AND
(((piN115_TimeOverNH <= 3) AND (piLPCNTR = piN115_TimeOverNH)) OR
(((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND (piLPCNTR =
3)))) AND ((SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN130_3 LOSE ELIGIBILITY-LAST NH STAY- 3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N130_
Did [she/he] lose [her/his] eligibility for (Medicaid/State name for Medicaid)
when [she/he] was discharged from [her/his] (last) nursing home stay?
.................................................................................
1. YES
3 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1184 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.NHomeStay.N118_InsCovCost
IF piLPCNTR <= piN115_TimeOverNH THEN
IF ((((piN115_TimeOverNH > 3) AND piN115_TimeOverNH <> NONRESPONSE) AND
(piLPCNTR < 3)) OR ((piLPCNTR < piN115_TimeOverNH) AND (piLPCNTR <> 3))) OR
((((piLPCNTR = piN115_TimeOverNH) OR (piLPCNTR = 3)) AND
(SecA.Relations.A167_A028_RInNHome <> YESNURSINGHOME)) AND
(PISecAContinuInterviewA124_PlaceDied <> INNURSINGHOME)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN131_3 WHERE R LIVE AFTER NURSING HOME STAY -3
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N131_LiveAftNH1
Where did [she/he] live after leaving the nursing home or health care facility?
(Did [she/he] live alone, [with you only,/with [her/his] [you/husband/wife/
partner] only,] with one of [her/his] children and his or her own family, with
other relatives, in a retirement center, or what?)
.................................................................................
1 1. R LIVED BY HIM/HER SELF, ALONE
3 2. R LIVED WITH SPOUSE/PARTNER ONLY
2 3. R LIVED WITH CHILD AND CHILD'S FAMILY
4. R LIVED WITH OTHER RELATIVE(S)
1 5. R LIVED IN RETIREMENT CENTER
5 6. ANOTHER NURSING HOME, HOSPITAL,ASSISTED LIVING, REHAB CENTER
7. OTHER (SPECIFY)
1 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1173 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF N131_LiveAftNH1 = RLIVEDWITHCHILDCHILDSFAM THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN133_3 LIVE WITH WHICH CHILD AFTER NH STAY -3
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.NHomeStay.MedicaidNHomeStay[3].N133_WhiChldNH1
(Which child is that?)
If grandchild: (which of [her/his] children is the parent of that grandchild?)
.................................................................................
1 041-990. Other Person Number
992. DECEASED CHILD
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1186 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN) THEN
IF SecA.ContinuInterview.A124_PlaceDied = INHOSPICE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN315 HOSPICE- DAYS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.Hospice.N315_
[Earlier you told me that [Rs First Name] died while in a hospice.]
How long had [she/he] been a patient in that hospice before [her/his] death?
# Days:
Or
# Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
112 1 98 8.05 11.97 1071
-----------------------------------------------------------------
3 998. DK (Don't Know); NA (Not Ascertained)
1 999. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.Hospice.N315_
IF SecN.Hospice.N315_ = EMPTY OR (SecN.Hospice.N315_ = DONTKNOW) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN316 HOSPICE- NUMBER MONTHS
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.Hospice.N316_
[Earlier you told me that [R's FIRST NAME] died while in a hospice.] How long
had [she/he] been a patient in that hospice before [her/his] death?
# Days:
Or
#Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
13 1 14 4.85 3.72 1172
-----------------------------------------------------------------
2 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN320 SINCE LAST IW- HOSPICE PATIENT
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.Hospice.N320_
[In addition to that hospice stay, [since [Prev Wave Family R IW Month], [Prev
Wave Family R IW Year]/in the last two years] had [she/he] been a patient
overnight in a hospice?
.................................................................................
92 1. YES
1078 5. NO
14 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.Hospice.N320_
IF (SecA.ContinuInterview.A124_PlaceDied = INHOSPICE) OR (SecN.Hospice.N320_ =
YES) THEN
IF SecN.Hospice.N320_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN321 HOSPICE PATIENT # TIMES
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.Hospice.N321_
[Including [her/his] final stay, how/How] many different times was [she/he] a
patient in a hospice [since [Prev Wave Family R IW Month], [Prev Wave Family R
IW Year]/in the last two years]?
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
88 1 5 1.38 0.86 1095
-----------------------------------------------------------------
4 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.Hospice.N321_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN322 SINCE LAST IW- HOSPICE # NIGHTS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.Hospice.N322_
[Altogether, how/How] many nights was [she/he] a patient in a hospice [since
[Prev Wave Family R IW Month], [Prev Wave Family R IW Year]/in the last two
years]?
USE 996 for continuous since entered or [since [Prev Wave Family R IW Month],
[Prev Wave Family R IW Year]/in the last two years]
Nights:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
70 0 100 16.40 22.58 1107
-----------------------------------------------------------------
2 996. CONTINUOUS SINCE ENTERED
8 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.Hospice.N322_
IF SecN.Hospice.N322_ = EMPTY THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN323 SINCE LAST IW- HOSPICE # MONTHS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.Hospice.N323_
[Altogether, how/How] many nights was [she/he] a patient in a hospice [since
[Prev Wave Family R IW Month], [Prev Wave Family R IW Year]/in the last two
years]?
IWER: USE 996 for continuous since entered or [since [Prev Wave Family R IW
Month], [Prev Wave Family R IW Year]/in the last two years]
Nights:
Or
Months:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
11 1 6 3.00 1.55 1176
-----------------------------------------------------------------
996. CONTINUOUS SINCE ENTERED
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.Hospice.N320_
IF (SecA.ContinuInterview.A124_PlaceDied = INHOSPICE) OR (SecN.Hospice.N320_ =
YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN324 HOSPICE STAY COV BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.Hospice.N324_
Were the costs for [her/his] hospice stay(s) completely covered by health
insurance, mostly covered, only partially covered, or not covered at all by
insurance?
.................................................................................
148 1. COMPLETELY COVERED
28 2. MOSTLY COVERED
8 3. PARTIALLY COVERED
12 5. NOT COVERED AT ALL
3 7. [VOL] COSTS NOT SETTLED YET
10 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
977 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.Hospice.N324_
IF SecN.Hospice.N324_ <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN328 OOP COSTS- HOSPICE- AMT
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.Hospice.N328_
About how much did [she/he] pay out-of-pocket for [her/his] hospice stay(s)
[since [Prev Wave Family R IW Month], [Prev Wave Family R IW Year]/in the last
two years]?
IWER: Do not probe DK/RF
IWER: Include any amounts paid by others
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
39 0 20000 2051.92 4165.77 1125
-----------------------------------------------------------------
22 9999998. DK (Don't Know); NA (Not Ascertained)
1 9999999. RF (Refused)
==========================================================================================
XN329 OOP COSTS- HOSPICE- MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.Hospice.N329_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $500, $5,000, $10,000, $20,000, $50,000
RANDOM ENTRY POINTS: $5,000, $10,000, $20,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X511
.................................................................................
12 0. Value of Breakpoint
1 500. Value of Breakpoint
7 501. Value of Breakpoint
3 10001. Value of Breakpoint
1164 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN330 OOP COSTS- HOSPICE- MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.Hospice.N330_
*
.................................................................................
1 499. Value of Breakpoint
1 500. Value of Breakpoint
7 4999. Value of Breakpoint
14 99999996. Greater than Maximum Breakpoint
1164 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN331 OOP COSTS- HOSPICE- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.Hospice.N331_
*
.................................................................................
12 98. DK (Don't Know); NA (Not Ascertained)
2 99. RF (Refused)
1173 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN134 OUTPATIENT SURGERY- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.OutPatSurgery.N134_OutSurgLst2Yrs
[(Not counting overnight hospital stays,) in the last two years/since [PREV WAVE
FAM IW MONTH],[PREV WAVE FAM IW YEAR]/In the last two years/Since [PREV WAVE FAM
IW MONTH],[PREV WAVE FAM IW YEAR]], had [he/she] had outpatient surgery?
.................................................................................
143 1. YES
1023 5. NO
18 8. DK (Don't Know)
1 9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.OutPatSurgery.N134_OutSurgLst2Yrs
IF SecN.OutPatSurgery.N134_OutSurgLst2Yrs = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN135 OUTPATIENT SURG COSTS COVERED BY HI
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.OutPatSurgery.N135_SurgCov
Were the expenses for [his/her] outpatient surgery completely covered by health
insurance, mostly covered, only partially covered, or not covered at all by
insurance?
.................................................................................
85 1. COMPLETELY COVERED
41 2. MOSTLY COVERED
8 3. PARTIALLY COVERED
3 5. NOT COVERED AT ALL
7. [VOL] COSTS NOT SETTLED YET
5 8. DK (Don't Know)
1 9. RF (Refused)
1044 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.OutPatSurgery.N135_SurgCov
IF SecN.OutPatSurgery.N135_SurgCov <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN139 AMT PAID O-O-P OUTPAT SURGERY
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.OutPatSurgery.N139_AmtOOPOutSurg
About how much did [he/she] pay out-of-pocket for outpatient surgery [since
[Prev Wave Family R IW Month], [Prev Wave Family R IW Year]/in the last two
years]?
IWER: Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
29 0 5000 694.83 1368.71 1129
-----------------------------------------------------------------
28 9999998. DK (Don't Know)
1 9999999. RF (Refused)
==========================================================================================
XN140 AMT PAID O-O-P OUTPAT SURGERY - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.OutPatSurgery.N140_
Did it amount to less than $____ per month, more than $____ per month, or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $500, $2,000, $5,000, $10,000, $20,000
RANDOM ENTRY POINTS: $2,000, $5,000, $10,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X514
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
15 0. Value of Breakpoint
6 501. Value of Breakpoint
1 2000. Value of Breakpoint
2 2001. Value of Breakpoint
1 5000. Value of Breakpoint
4 5001. Value of Breakpoint
1158 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
XN141 AMT PAID O-O-P OUTPAT SURGERY - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.OutPatSurgery.N141_
*
.................................................................................
7 499. Value of Breakpoint
9 1999. Value of Breakpoint
1 2000. Value of Breakpoint
2 4999. Value of Breakpoint
1 5000. Value of Breakpoint
1 9999. Value of Breakpoint
8 99999996. Greater than Maximum Breakpoint
1158 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
XN142 AMT PAID O-O-P OUTPAT SURGERY - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.OutPatSurgery.N142_
*
.................................................................................
11 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1176 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN147 # TIMES SEEN DR- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.DocVisit.N147_TimeSeeDoc
[Aside from any hospital stays, how/Aside from any outpatient surgery, how/Aside
from any hospital stays and outpatient surgery, how/How] many times did [he/she]
see or talk to a medical doctor about [his/her] health, including emergency room
or clinic visits [since [Prev Wave Family R IW Month], [Prev Wave Family R IW
Year]/in the last two years]?
IWER: USE zero for none
IWER: Include visits with nurse practitioners and medical tests or procedures
performed by anyone practicing under a doctor's supervision such as mammograms
or x-rays. Do not include physical therapy or rehabilitation services.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
892 0 700 20.45 44.83 2
-----------------------------------------------------------------
289 998. DK (Don't Know); NA (Not Ascertained)
4 999. RF (Refused)
==========================================================================================
{PREVIOUS ASK} SecN.DocVisit.N147_TimeSeeDoc
IF SecN.DocVisit.N147_TimeSeeDoc = NONRESPONSE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN148 NUMBER TIMES SEEN DOCTOR 20X
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DocVisit.N148_TimeSeeDoc20
Did it amount to less than 20 times, more than 20 times, or what?
.................................................................................
78 1. LESS THAN 20 TIMES
18 3. ABOUT 20 TIMES
145 5. MORE THAN 20 TIMES
50 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
894 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.DocVisit.N148_TimeSeeDoc20
IF SecN.DocVisit.N148_TimeSeeDoc20 <> ABT20TIMES THEN
IF SecN.DocVisit.N148_TimeSeeDoc20 <> MORETHAN20TIMES THEN
IF SecN.DocVisit.N148_TimeSeeDoc20 <> NONRESPONSE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN149 NUMBER TIMES SEEN DOCTOR 5X
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DocVisit.N149_TimeSeeDoc5
Did it amount to less than 5 times, more than 5 times, or what?
.................................................................................
20 1. LESS THAN 5 TIMES
7 3. ABOUT 5 TIMES
45 5. MORE THAN 5 TIMES
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1109 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.DocVisit.N148_TimeSeeDoc20
IF SecN.DocVisit.N148_TimeSeeDoc20 <> ABT20TIMES THEN
IF SecN.DocVisit.N148_TimeSeeDoc20 <> MORETHAN20TIMES THEN
IF (SecN.DocVisit.N149_TimeSeeDoc5 <> ABT5TIMES) AND
(SecN.DocVisit.N149_TimeSeeDoc5 <> MORETHAN5TIMES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN150 HAS R SOUGHT DOC ADVICE IN PAST 2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DocVisit.N150_DocAdvPast2Yrs
Do you think [she/he] saw a medical doctor about [her/his] health at least once
[since [Prev Wave Family R IW Month], [Prev Wave Family R IW Year]/in the last
two years]?
.................................................................................
68 1. YES
3 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1109 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.DocVisit.N148_TimeSeeDoc20
IF SecN.DocVisit.N148_TimeSeeDoc20 <> ABT20TIMES THEN
IF SecN.DocVisit.N148_TimeSeeDoc20 = MORETHAN20TIMES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN151 R SEEK DOC ADVICE 50X
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DocVisit.N151_SkDocAdv50
Did it amount to less than 50 times, more than 50 times, or what?
.................................................................................
62 1. LESS THAN 50 TIMES
9 3. ABOUT 50 TIMES
57 5. MORE THAN 50 TIMES
16 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
1042 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.DocVisit.N147_TimeSeeDoc
IF ((SecN.DocVisit.N150_DocAdvPast2Yrs = YES) OR
(((((SecN.DocVisit.N147_TimeSeeDoc <> 0) AND (SecN.DocVisit.N147_TimeSeeDoc =
RESPONSE)) OR (SecN.DocVisit.N148_TimeSeeDoc20 = ABT20TIMES)) OR
(SecN.DocVisit.N149_TimeSeeDoc5 = ABT5TIMES)) OR
(SecN.DocVisit.N149_TimeSeeDoc5 = MORETHAN5TIMES))) OR
SecN.DocVisit.N151_SkDocAdv50 <> EMPTY THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN152 DOCTOR VISITS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DocVisit.N152_VisitCovIns
Were the costs for [his/her] doctor or clinic visit(s) completely covered by
health insurance, mostly covered, only partially covered, or not covered at all
by insurance?
.................................................................................
554 1. COMPLETELY COVERED
386 2. MOSTLY COVERED
91 3. PARTIALLY COVERED
26 5. NOT COVERED AT ALL
7. [VOL] COSTS NOT SETTLED YET
50 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
80 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.DocVisit.N152_VisitCovIns
IF SecN.DocVisit.N152_VisitCovIns <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN156 AMT PAY O-O-P FOR DOC VISITS
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.DocVisit.N156_AmtOOPVisit
About how much did [he/she] pay out-of-pocket for doctor or clinic visits [since
[Prev Wave Family R IW Month], [Prev Wave Family R IW Year]/in the last two
years]?
IWER: Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
309 0 30000 996.42 2369.58 634
-----------------------------------------------------------------
243 9999998. DK (Don't Know); NA (Not Ascertained)
1 9999999. RF (Refused)
==========================================================================================
XN157 AMT PAY O-O-P FOR DOC VISITS - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.DocVisit.N157_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $500, $2,000, $5,000, $10,000, $20,000
RANDOM ENTRY POINTS: $2,000, $5,000, $10,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X515
.................................................................................
108 0. Value of Breakpoint
8 500. Value of Breakpoint
43 501. Value of Breakpoint
7 2000. Value of Breakpoint
30 2001. Value of Breakpoint
7 5000. Value of Breakpoint
36 5001. Value of Breakpoint
1 10000. Value of Breakpoint
2 10001. Value of Breakpoint
2 20001. Value of Breakpoint
943 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN158 AMT PAY O-O-P FOR DOC VISITS - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.DocVisit.N158_
*
.................................................................................
30 499. Value of Breakpoint
8 500. Value of Breakpoint
51 1999. Value of Breakpoint
7 2000. Value of Breakpoint
36 4999. Value of Breakpoint
7 5000. Value of Breakpoint
16 9999. Value of Breakpoint
1 10000. Value of Breakpoint
2 19999. Value of Breakpoint
86 99999996. Greater than Maximum Breakpoint
943 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN159 AMT PAY O-O-P FOR DOC VISITS - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.DocVisit.N159_
*
.................................................................................
105 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1082 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN164 SEEN DENTIST SINCE PREV IW/2YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DentalCare.N164_SeeDentPW
[Since [Prev Wave Family R IW Month], [Prev Wave Family R IW Year]/In the last
two years] had [he/she] seen a dentist for dental care, including dentures?
.................................................................................
380 1. YES
750 5. NO
54 8. DK (Don't Know)
1 9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.DentalCare.N164_SeeDentPW
IF SecN.DentalCare.N164_SeeDentPW = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN165 DENTAL COSTS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.DentalCare.N165_DentCovIns
Were [his/her] dental expenses completely covered by insurance, mostly covered,
only partially covered, or not covered at all by insurance?
.................................................................................
66 1. COMPLETELY COVERED
46 2. MOSTLY COVERED
44 3. PARTIALLY COVERED
207 5. NOT COVERED AT ALL
7. [VOL] COSTS NOT SETTLED YET
17 8. DK (Don't Know)
9. RF (Refused)
807 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
{PREVIOUS ASK} SecN.DentalCare.N165_DentCovIns
IF SecN.DentalCare.N165_DentCovIns <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN168 AMT PAY O-O-P DENTAL
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.DentalCare.N168_AmtPayOOPDental
About how much did [she/he] pay out-of-pocket for dental bills [since [Prev Wave
Family R IW Month], [Prev Wave Family R IW Year]/in the last two years]?
IWER: Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
231 0 11000 1082.35 1645.32 873
-----------------------------------------------------------------
81 9999998. DK (Don't Know)
2 9999999. RF (Refused)
==========================================================================================
XN169 AMT PAY O-O-P DENTAL - MIN
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.DentalCare.N169_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $100, $200, $400, $1,000, $3,000
RANDOM ENTRY POINTS: $200, $400, $1,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X516
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
31 0. Value of Breakpoint
4 101. Value of Breakpoint
3 200. Value of Breakpoint
16 201. Value of Breakpoint
4 400. Value of Breakpoint
15 401. Value of Breakpoint
3 1000. Value of Breakpoint
5 1001. Value of Breakpoint
1 3000. Value of Breakpoint
1 3001. Value of Breakpoint
1104 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
XN170 AMT PAY O-O-P DENTAL - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.DentalCare.N170_
*
.................................................................................
5 99. Value of Breakpoint
5 199. Value of Breakpoint
3 200. Value of Breakpoint
14 399. Value of Breakpoint
4 400. Value of Breakpoint
7 999. Value of Breakpoint
3 1000. Value of Breakpoint
5 2999. Value of Breakpoint
1 3000. Value of Breakpoint
36 99999996. Greater than Maximum Breakpoint
1104 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
XN171 AMT PAY O-O-P DENTAL - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.DentalCare.N171_
*
.................................................................................
38 98. DK (Don't Know)
2 99. RF (Refused)
1147 Blank. INAP (Inapplicable); Partial Interview
==========================================================================================
ASSIGN: N175_TkMedsReg := MEDICATIONSKNOWN:{PREVIOUS ASK} SecN.N023_
IF ((((((piSecCBloodpressureC006_HBPMeds = YES) OR
(piSecCDiabetesC011_DiabetesMeds = YES)) OR (piSecCDiabetesC012_DiabetesInsulin
= YES)) OR (piSecCHeartAttackC046_AnginaMeds = YES)) OR
(piSecCHeartAttackC050_HeartFailMeds = YES)) OR (piSecCStrokeC060_StrokeMeds =
YES)) OR (piSecCPsychiatricC068_PsychMeds = YES) THEN
{PREVIOUS ASK} SecN.N023_
IF NOT(((((((piSecCBloodpressureC006_HBPMeds = YES) OR
(piSecCDiabetesC011_DiabetesMeds = YES)) OR (piSecCDiabetesC012_DiabetesInsulin
= YES)) OR (piSecCHeartAttackC046_AnginaMeds = YES)) OR
(piSecCHeartAttackC050_HeartFailMeds = YES)) OR (piSecCStrokeC060_StrokeMeds =
YES)) OR (piSecCPsychiatricC068_PsychMeds = YES)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN175 TAKE PRESCRIPTION DRUGS REGULARLY
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N175_TkMedsReg
Was [he/she] regularly taking any prescription medications before [his/her]
death?
.................................................................................
1095 1. YES
79 5. NO
7. MEDICATIONS KNOWN
11 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (SecN.PrescpDrug.N175_TkMedsReg <> NO) AND SecN.PrescpDrug.N175_TkMedsReg <>
NONRESPONSE THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN176 DRUG COSTS COVERED BY INSURANCE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.PrescpDrug.N176_MedsCovIns
[Earlier you said [she/he] was taking prescription medications./] Were the costs
of [her/his] prescription medications completely covered by health insurance,
mostly covered, only partially covered, or not covered at all by insurance?
.................................................................................
293 1. COMPLETELY COVERED
453 2. MOSTLY COVERED
257 3. PARTIALLY COVERED
45 5. NOT COVERED AT ALL
7. [VOL] COSTS NOT SETTLED YET
47 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
92 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.PrescpDrug.N176_MedsCovIns
IF SecN.PrescpDrug.N176_MedsCovIns <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN180 AMT PAY O-O-P RX DRUGS PER MONTH
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.PrescpDrug.N180_AmtOOPMeds
On average, about how much did [she/he] pay out-of-pocket per month for these
prescriptions [since [Prev Wave Family R IW Month], [Prev Wave Family R IW
Year]/in the last two years]?
IWER: Do not probe DK/RF
Amount per month:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
587 0 8000 130.18 361.39 385
-----------------------------------------------------------------
213 99998. DK (Don't Know); NA (Not Ascertained)
2 99999. RF (Refused)
==========================================================================================
XN181 AMT PAY O-O-P RX DRUGS PER MONTH- MIN
Section: N Level: Respondent Type: Numeric Width: 3 Decimals: 0
Ref: SecN.PrescpDrug.N181_
Did it amount to less than $____ per month, more than $____ per month, or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $20, $40, $100, $200, $500
RANDOM ENTRY POINTS: $40, $100, $200
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X517
.................................................................................
85 0. Value of Breakpoint
2 20. Value of Breakpoint
8 21. Value of Breakpoint
8 40. Value of Breakpoint
29 41. Value of Breakpoint
7 100. Value of Breakpoint
50 101. Value of Breakpoint
7 200. Value of Breakpoint
12 201. Value of Breakpoint
1 500. Value of Breakpoint
6 501. Value of Breakpoint
972 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN182 AMT PAY O-O-P RX DRUGS PER MONTH- MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.PrescpDrug.N182_
*
.................................................................................
4 19. Value of Breakpoint
2 20. Value of Breakpoint
9 39. Value of Breakpoint
8 40. Value of Breakpoint
31 99. Value of Breakpoint
7 100. Value of Breakpoint
20 199. Value of Breakpoint
7 200. Value of Breakpoint
9 499. Value of Breakpoint
1 500. Value of Breakpoint
117 99999996. Greater than Maximum Breakpoint
972 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN183 AMT PAY O-O-P RX DRUGS PER MONTH- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.PrescpDrug.N183_
*
.................................................................................
118 98. DK (Don't Know); NA (Not Ascertained)
3 99. RF (Refused)
1066 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF (piN116_NiteOverNH <> 996) OR ((piX008AInNHome_V <> INNURSINGHOME) AND
(piN116_NiteOverNH = 996)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN189 USED HOME HEALTH SVC- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.InHomeCare.N189_HomeHlthSvc
[Since [Prev Wave Family R IW Month], [Prev Wave Family R IW Year]/In the last
two years], did any medically-trained person come to [her/his] home to help
[her/him]?
IWER: We only want to include help given to R, not help for R when R is a
caregiver for someone else.
IWER: Include hospice care received at home.
Def: (Medically-trained persons include professional nurses, visiting nurse's
aides, physical or occupational therapists, chemotherapists, and respiratory
oxygen therapists.)
.................................................................................
574 1. YES
586 5. NO
14 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
13 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.InHomeCare.N189_HomeHlthSvc
IF SecN.InHomeCare.N189_HomeHlthSvc = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN190 HOME HEALTH SERVICE COST COVERED BY INS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.InHomeCare.N190_HHSvcCovIns
Were the costs of [her/his] home medical care completely covered by health
insurance, mostly covered, only partially covered, or not covered at all by
insurance?
.................................................................................
402 1. COMPLETELY COVERED
83 2. MOSTLY COVERED
26 3. PARTIALLY COVERED
35 5. NOT COVERED AT ALL
1 7. [VOL] COSTS NOT SETTLED YET
27 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
613 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.InHomeCare.N190_HHSvcCovIns
IF SecN.InHomeCare.N190_HHSvcCovIns <> COMPLETELYCOVRD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN194 AMT PAY O-O-P HOME HEALTH SVC
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.InHomeCare.N194_AmtPayOOPHHS
About how much did [he/she] pay out-of-pocket for in-home medical care [since
[Prev Wave Family R IW Month], [Prev Wave Family R IW Year]/in the last two
years]?
IWER: Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
104 0 60000 2645.48 8481.11 1015
-----------------------------------------------------------------
68 999998. DK (Don't Know); NA (Not Ascertained)
999999. RF (Refused)
==========================================================================================
XN195 AMT PAY O-O-P HOME HEALTH SVC - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.InHomeCare.N195_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $500, $2,000, $5,000, $10,000, $20,000
RANDOM ENTRY POINTS: $2,000, $5,000, $10,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X518
.................................................................................
38 0. Value of Breakpoint
1 500. Value of Breakpoint
7 501. Value of Breakpoint
4 2000. Value of Breakpoint
1 2001. Value of Breakpoint
1 5000. Value of Breakpoint
11 5001. Value of Breakpoint
2 20001. Value of Breakpoint
1122 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN196 AMT PAY O-O-P HOME HEALTH SVC - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.InHomeCare.N196_
*
.................................................................................
9 499. Value of Breakpoint
1 500. Value of Breakpoint
10 1999. Value of Breakpoint
4 2000. Value of Breakpoint
1 4999. Value of Breakpoint
1 5000. Value of Breakpoint
5 9999. Value of Breakpoint
34 99999996. Greater than Maximum Breakpoint
1122 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN197 AMT PAY O-O-P HOME HEALTH SVC - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.InHomeCare.N197_
*
.................................................................................
3 97. Data Not Available
37 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1147 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN202 USED OTHER HEALTH SVC- PREV IW/2 YRS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.OthHealthCare.N202_UseOthSvc
IWER: READ SLOWLY
[Since [Prev Wave Family R IW Month], [Prev Wave Family R IW Year]/In the last
two years], did [he/she] use any special facility or service which we haven't
talked about, such as: an adult care center, a social worker, an outpatient
rehabilitation program, or transportation or meals for the elderly or disabled?
.................................................................................
362 1. YES
802 5. NO
20 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.OthHealthCare.N202_UseOthSvc
IF SecN.OthHealthCare.N202_UseOthSvc = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN203 OTHER HEALTH SVC PAID BY R/SP/P
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.OthHealthCare.N203_OthSvcCovIns
Did [he/she] [or [his/her]][husband/wife/partner] have to pay for any of these
services?
.................................................................................
82 1. YES
265 5. NO
15 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
825 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.OthHealthCare.N203_OthSvcCovIns
IF SecN.OthHealthCare.N203_OthSvcCovIns = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN239 AMT PAY O-O-P OTHER HEALTH SERVICE
Section: N Level: Respondent Type: Numeric Width: 7 Decimals: 0
Ref: SecN.OthHealthCare.N239_OthSvcCost
Altogether, about how much did [he/she] have to pay?
IWER: Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
57 0 73000 2914.91 11560.57 1105
-----------------------------------------------------------------
25 9999998. DK (Don't Know); NA (Not Ascertained)
9999999. RF (Refused)
==========================================================================================
XN246 AMT PAY O-O-P OTHER HEALTH SERVICE- MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.OthHealthCare.N246_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $500, $1,000, $5,000, $10,000, $20,000
RANDOM ENTRY POINTS: $1,000, $5,000, $10,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X519
.................................................................................
12 0. Value of Breakpoint
3 501. Value of Breakpoint
2 1000. Value of Breakpoint
5 1001. Value of Breakpoint
1 5001. Value of Breakpoint
1 10001. Value of Breakpoint
1163 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN247 AMT PAY O-O-P OTHER HEALTH SERVICE- MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.OthHealthCare.N247_
*
.................................................................................
8 499. Value of Breakpoint
3 999. Value of Breakpoint
2 1000. Value of Breakpoint
5 4999. Value of Breakpoint
6 99999996. Greater than Maximum Breakpoint
1163 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN248 AMT PAY O-O-P OTHER HEALTH SVC- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.OthHealthCare.N248_
*
.................................................................................
1 97. Data Not Available
7 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1179 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.OthHealthCare.N202_UseOthSvc
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN332 OTHER OOP MEDICAL EXPENSES
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.OthHealthCare.N332_
[Since [Prev Wave Family R IW Month], [Prev Wave Family R IW Year]/In the last
two years], aside from the medical expenses we already mentioned, did [R's FIRST
NAME] have any other out-of pocket expenses, that is, expenses not covered by
insurance, such as medications, special food, equipment such as a special bed or
chair, visits by health professionals, or other costs?
.................................................................................
270 1. YES
881 5. NO
34 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.OthHealthCare.N332_
IF SecN.OthHealthCare.N332_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN333 OTHER OOP COSTS- AMT
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.OthHealthCare.N333_
About how much did [she/he] pay out-of-pocket for these expenses [since [Prev
Wave Family R IW Month], [Prev Wave Family R IW Year]/in the last two years]?
IWER: Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
206 0 30000 1447.19 3509.69 917
-----------------------------------------------------------------
64 999998. DK (Don't Know); NA (Not Ascertained)
999999. RF (Refused)
==========================================================================================
XN334 OTHER OOP COSTS- MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.OthHealthCare.N334_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $500, $1,000, $5,000, $10,000, $20,000
RANDOM ENTRY POINTS: $1,000, $5,000, $10,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X520
.................................................................................
25 0. Value of Breakpoint
3 500. Value of Breakpoint
5 501. Value of Breakpoint
4 1000. Value of Breakpoint
15 1001. Value of Breakpoint
2 5000. Value of Breakpoint
7 5001. Value of Breakpoint
1 10001. Value of Breakpoint
1125 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN335 OTHER OOP COSTS- MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.OthHealthCare.N335_
*
.................................................................................
10 499. Value of Breakpoint
3 500. Value of Breakpoint
9 999. Value of Breakpoint
4 1000. Value of Breakpoint
14 4999. Value of Breakpoint
2 5000. Value of Breakpoint
6 9999. Value of Breakpoint
1 19999. Value of Breakpoint
13 99999996. Greater than Maximum Breakpoint
1125 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN336 OTHER OOP COSTS- RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.OthHealthCare.N336_
*
.................................................................................
2 97. Data Not Available
20 98. DK (Don't Know); NA (Not Ascertained)
1 99. RF (Refused)
1164 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
ASSIGN: N204_AssgnHospCost := 0:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.HospitalStay.N106_AmtOOPHospCost = RESPONSE) THEN
IF NOT(((SecN.HospitalStay.N106_AmtOOPHospCost = DONTKNOW) OR
(SecN.HospitalStay.N106_AmtOOPHospCost = REFUSAL)) AND (SecN.HospitalStay.N107_
= RESPONSE)) THEN
ASSIGN: N204_AssgnHospCost := HospitalStay.N106_AmtOOPHospCost:{PREVIOUS ASK}
SecN.N023_
IF SecN.HospitalStay.N106_AmtOOPHospCost = RESPONSE THEN
ASSIGN: N204_AssgnHospCost := HospitalStay.N107_:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.HospitalStay.N106_AmtOOPHospCost = RESPONSE) THEN
IF ((SecN.HospitalStay.N106_AmtOOPHospCost = DONTKNOW) OR
(SecN.HospitalStay.N106_AmtOOPHospCost = REFUSAL)) AND (SecN.HospitalStay.N107_
= RESPONSE) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN204 ASSIGN HOSPITAL COSTS
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.N204_AssgnHospCost
*
User Note: N106 and N107 are used to calculate N204.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1187 0 220000 1299.77 7466.20 0
-----------------------------------------------------------------
==========================================================================================
ASSIGN: N205_AssgnNHCost := 0:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.NHomeStay.N119_AmtPayNHHosp = RESPONSE) THEN
IF NOT(((SecN.NHomeStay.N119_AmtPayNHHosp = DONTKNOW) OR
(SecN.NHomeStay.N119_AmtPayNHHosp = REFUSAL)) AND (SecN.NHomeStay.N120_ =
RESPONSE)) THEN
ASSIGN: N205_AssgnNHCost := NHomeStay.N119_AmtPayNHHosp:{PREVIOUS ASK}
SecN.N023_
IF SecN.NHomeStay.N119_AmtPayNHHosp = RESPONSE THEN
ASSIGN: N205_AssgnNHCost := NHomeStay.N120_:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.NHomeStay.N119_AmtPayNHHosp = RESPONSE) THEN
IF ((SecN.NHomeStay.N119_AmtPayNHHosp = DONTKNOW) OR
(SecN.NHomeStay.N119_AmtPayNHHosp = REFUSAL)) AND (SecN.NHomeStay.N120_ =
RESPONSE) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN205 ASSIGN NURSING HOME COSTS
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.N205_AssgnNHCost
*
User Note: N119 and N120 are used to calculate N205.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1187 0 250000 3403.01 14699.81 0
-----------------------------------------------------------------
==========================================================================================
XN206 ASSIGN OUTPATIENT SURGERY COSTS
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.N205_AssgnOutSurgCost
*
User Note: N139 and N140 are used to calculate N205.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1187 0 5001 45.63 413.25 0
-----------------------------------------------------------------
==========================================================================================
ASSIGN: N207_AssgnDocVstCost := 0:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.DocVisit.N156_AmtOOPVisit = RESPONSE) THEN
IF NOT(((SecN.DocVisit.N156_AmtOOPVisit = DONTKNOW) OR
(SecN.DocVisit.N156_AmtOOPVisit = REFUSAL)) AND (SecN.DocVisit.N157_ =
RESPONSE)) THEN
ASSIGN: N207_AssgnDocVstCost := DocVisit.N156_AmtOOPVisit:{PREVIOUS ASK}
SecN.N023_
IF SecN.DocVisit.N156_AmtOOPVisit = RESPONSE THEN
ASSIGN: N207_AssgnDocVstCost := DocVisit.N157_:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.DocVisit.N156_AmtOOPVisit = RESPONSE) THEN
IF ((SecN.DocVisit.N156_AmtOOPVisit = DONTKNOW) OR
(SecN.DocVisit.N156_AmtOOPVisit = REFUSAL)) AND (SecN.DocVisit.N157_ =
RESPONSE) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN207 ASSIGN DOCTOR VISIT COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.N207_AssgnDocVstCost
*
User Note: N156 and N157 are used to calculate N207.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1187 0 30000 580.94 1828.52 0
-----------------------------------------------------------------
==========================================================================================
ASSIGN: N208_AssgnDentCost := 0:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.DentalCare.N168_AmtPayOOPDental = RESPONSE) THEN
IF NOT(((SecN.DentalCare.N168_AmtPayOOPDental = DONTKNOW) OR
(SecN.DentalCare.N168_AmtPayOOPDental = REFUSAL)) AND (SecN.DentalCare.N169_ =
RESPONSE)) THEN
ASSIGN: N208_AssgnDentCost := DentalCare.N168_AmtPayOOPDental:{PREVIOUS ASK}
SecN.N023_
IF SecN.DentalCare.N168_AmtPayOOPDental = RESPONSE THEN
ASSIGN: N208_AssgnDentCost := DentalCare.N169_:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.DentalCare.N168_AmtPayOOPDental = RESPONSE) THEN
IF ((SecN.DentalCare.N168_AmtPayOOPDental = DONTKNOW) OR
(SecN.DentalCare.N168_AmtPayOOPDental = REFUSAL)) AND (SecN.DentalCare.N169_ =
RESPONSE) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN208 ASSIGN DENTRAL COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.N208_AssgnDentCost
*
User Note: N168 and N169 are used to calculate N208.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1187 0 11000 231.96 851.03 0
-----------------------------------------------------------------
==========================================================================================
ASSIGN: N209_AssgnPresCost := 0:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.PrescpDrug.N180_AmtOOPMeds = RESPONSE) THEN
IF NOT(((SecN.PrescpDrug.N180_AmtOOPMeds = DONTKNOW) OR
(SecN.PrescpDrug.N180_AmtOOPMeds = REFUSAL)) AND (SecN.PrescpDrug.N181_ =
RESPONSE)) THEN
ASSIGN: N209_AssgnPresCost := PrescpDrug.N180_AmtOOPMeds:{PREVIOUS ASK}
SecN.N023_
IF SecN.PrescpDrug.N180_AmtOOPMeds = RESPONSE THEN
ASSIGN: N209_AssgnPresCost := PrescpDrug.N181_:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.PrescpDrug.N180_AmtOOPMeds = RESPONSE) THEN
IF ((SecN.PrescpDrug.N180_AmtOOPMeds = DONTKNOW) OR
(SecN.PrescpDrug.N180_AmtOOPMeds = REFUSAL)) AND (SecN.PrescpDrug.N181_ =
RESPONSE) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN209 ASSIGN PRESCRIPTION COSTS
Section: N Level: Respondent Type: Numeric Width: 4 Decimals: 0
Ref: SecN.N209_AssgnPresCost
*
User Note: N180 and N181 are used to calculate N209.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1187 0 8000 77.23 264.33 0
-----------------------------------------------------------------
==========================================================================================
ASSIGN: N210_AssgnHomeHCCost := 0:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.InHomeCare.N194_AmtPayOOPHHS = RESPONSE) THEN
IF NOT(((SecN.InHomeCare.N194_AmtPayOOPHHS = DONTKNOW) OR
(SecN.InHomeCare.N194_AmtPayOOPHHS = REFUSAL)) AND (SecN.InHomeCare.N195_ =
RESPONSE)) THEN
ASSIGN: N210_AssgnHomeHCCost := InHomeCare.N194_AmtPayOOPHHS:{PREVIOUS ASK}
SecN.N023_
IF SecN.InHomeCare.N194_AmtPayOOPHHS = RESPONSE THEN
ASSIGN: N210_AssgnHomeHCCost := InHomeCare.N195_:{PREVIOUS ASK} SecN.N023_
IF NOT(SecN.InHomeCare.N194_AmtPayOOPHHS = RESPONSE) THEN
IF ((SecN.InHomeCare.N194_AmtPayOOPHHS = DONTKNOW) OR
(SecN.InHomeCare.N194_AmtPayOOPHHS = REFUSAL)) AND (SecN.InHomeCare.N195_ =
RESPONSE) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN210 ASSIGN IN-HOME HEALTH CARE COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.N210_AssgnHomeHCCost
*
User Note: N194 and N195 are used to calculate N210.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1187 0 60000 330.46 2775.18 0
-----------------------------------------------------------------
==========================================================================================
XN064 ASSIGN OTHER SERVICES COSTS
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.N210_AssgnOthSvcCost
*
User Note: N239 and N246 are used to calculate N064.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1187 0 50000 93.12 1509.70 0
-----------------------------------------------------------------
==========================================================================================
XN065 ASSIGN HOSPICE COST
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.N210_AssgnHospiceCost
*
User Note: N328 and N329 are used to calculate N065.
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1187 0 20000 91.65 957.87 0
-----------------------------------------------------------------
==========================================================================================
ASSIGN: N211_TotMajMedExp := (((((((N204_AssgnHospCost + N205_AssgnNHCost) +
N206_AssgnOutSurgCost) + N207_AssgnDocVstCost) + N208_AssgnDentCost) +
N209_AssgnPresCost) + N210_AssgnHomeHCCost) + N064_AssgnOthSvcCost) +
N065_AssgnHospicecost:{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN211 TOTAL O-O-P FOR MAJOR MEDICAL COSTS
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.N211_TotMajMedExp
*
User Note: N211 = N204 + N205 + N206 + N207 + N208 + N209 + N210 + N064 + N065
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
1187 0 251650 6153.76 17755.99 0
-----------------------------------------------------------------
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF piN211_TotMajMedExp >= 10000 THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN212 HELP PAY HEALTH CARE COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HowPayMedBill.N212_HelpPayHCCost
Besides any costs covered by insurance, did anyone help [him/her] [and
[his/her]] [husband/wife/partner] pay for [his/her] health care costs [since
[Prev Wave Family R IW Month], [Prev Wave Family R IW Year]/in the last two
years], or help [him/her] pay the cost of health insurance or for long-term care
insurance?
.................................................................................
13 1. YES
170 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
998 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.HowPayMedBill.N212_HelpPayHCCost
IF SecN.HowPayMedBill.N212_HelpPayHCCost = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN213 WHO HELP PAY HEALTH CARE COSTS
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HowPayMedBill.N213_WhoHelpPayHCCost
Was that a [child or other] relative of [his/hers] [and yours/and [his/her]
[husband's/wife's/partner's]], or was that someone else?
.................................................................................
9 1. CHILD/CHILD-IN-LAW/GRANDCHILD
3 2. OTHER RELATIVE
1 3. SOMEONE ELSE
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1174 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
IF N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN214M1 WHICH CHILD PAY HEALTH CARE COSTS-1
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.HowPayMedBill.N214AWhiChldPayHC[1]
(Which child was that?)
IWER: CHOOSE all that apply
IWER: ACCEPT more than 1 child only after probe: Which child helped the most?
If grandchild: (Which of [her/his] children is the parent of that grandchild?)
.................................................................................
9 041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1178 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
IF N213_WhoHelpPayHCCost = CHILDCHILDLAWGRANDCHILD THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN214M2 WHICH CHILD PAY HEALTH CARE COSTS-2
Section: N Level: Respondent Type: Character Width: 3 Decimals: 0
Ref: SecN.HowPayMedBill.N214AWhiChldPayHC[2]
(Which child was that?)
IWER: CHOOSE all that apply
IWER: ACCEPT more than 1 child only after probe: Which child helped the most?
If grandchild: (Which of [her/his] children is the parent of that grandchild?)
.................................................................................
041-990. Other Person Number
992. DECEASED CHILD
993. ALL CHILDREN EQUALLY
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1187 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
{PREVIOUS ASK} SecN.HowPayMedBill.N213_WhoHelpPayHCCost
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN215 AMT OF OTHER HELP
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.HowPayMedBill.N215_AmtOthHelp
Altogether, about how much money did that help amount to?
IWER: Do not probe DK/RF
Amount:
.................................................................................
7 2400-40000. Actual Value
6 999998. DK (Don't Know); NA (Not Ascertained)
999999. RF (Refused)
1174 Blank. INAP (Inapplicable); Partial Interview; Data
Missing
==========================================================================================
XN216 AMT OF OTHER HELP - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.HowPayMedBill.N216_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 2Up1Down, 1Up2Down
BREAKPOINTS: $500, $1,000, $3,000, $10,000
RANDOM ENTRY POINTS: $1,000, $3,000
ENTRY POINT ASSIGNMENT: 1 or {NOT 1} AT X503
.................................................................................
1 0. Value of Breakpoint
1 501. Value of Breakpoint
2 3001. Value of Breakpoint
1 10000. Value of Breakpoint
1182 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN217 AMT OF OTHER HELP - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.HowPayMedBill.N217_
*
.................................................................................
1 999. Value of Breakpoint
2 9999. Value of Breakpoint
1 10000. Value of Breakpoint
1 99999996. Greater than Maximum Breakpoint
1182 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN218 AMT OF OTHER HELP - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.HowPayMedBill.N218_
*
.................................................................................
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1186 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF ((SecA.StartInterview.A009_SelfPrxy = SLF) OR (ACTIVELANGUAGE = EXTENG)) OR
(ACTIVELANGUAGE = EXTSPN) THEN
IF (piRvarsZ113_GaveMedcareNo_V <> YES) AND (piGovCoverN001_ = YES) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN226 MEDICARE NUMBER RECORDED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCareCaidNumber.N226_MedicareNumRec
We would like to understand how people's medical history affects their financial
status, and how use of health care may change as people age. To do that, we need
to obtain information about health care costs and diagnoses for statistical
purposes. The best place to get this information without taking up a lot more of
your time is in the Medicare files.
Could you give me [her/his] Medicare number for this purpose?
(Under the Privacy Act of 1974, providing [her/his] number is a voluntary
decision. Any remaining benefits under this program will not be affected in any
way by your decision.)
.................................................................................
25 1. NUMBER RECORDED
31 4. R REFUSED NUMBER
67 5. NUMBER NOT RECORDED (NOT REFUSED)
6 8. DK (Don't Know); NA (Not Ascertained)
2 9. RF (Refused)
1056 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF ((SecA.StartInterview.A009_SelfPrxy = SLF) OR (ACTIVELANGUAGE = EXTENG)) OR
(ACTIVELANGUAGE = EXTSPN) THEN
IF (piGovCoverN006_ = YES) AND (SecN.MediCareCaidNumber.N226_MedicareNumRec <>
RREFUSEDNUMBER) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN231 MEDICAID NUMBER RECORDED
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.MediCareCaidNumber.N231_MedicaidNumRec
(We would like to understand how people's medical history affects their
financial status, and how use of health care may change as people age. To do
that, we need to obtain information about health care costs and diagnoses for
statistical purposes. The best place to get this information without taking up a
lot more of your time is in the(Medicaid/State name for Medicaid) files.)
Could you give me [her/his] Medicaid number for this purpose?
(Under the Privacy Act of 1974, providing [her/his] number is (also) a voluntary
decision. Any remaining benefits under this program will not be affected in any
way by your decision)
.................................................................................
40 1. NUMBER RECORDED
34 4. R REFUSED NUMBER
186 5. NUMBER NOT RECORDED (NOT REFUSED)
17 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
909 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
IF ((ACTIVELANGUAGE = EXTENG) OR (ACTIVELANGUAGE = EXTSPN)) AND
((RTab[iDM].X008AInNHome_V* <> INNURSINGHOME) OR
(NHomeStay.SecN.NHomeStay.N116_NiteOverNH <> 996)) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN267 EX HOME MODIF EXPENSES
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N267_
[Since [Prev Wave Family R IW Month], [Prev Wave Family R IW Year]/In the last
two years], did [FIRST NAME] have any out-of-pocket expenses for adding features
to [his/her] home to make it easier or safer for an older person or someone with
a disability to live there?
This includes changes to the home to make it easier to get around like a ramp,
railings, or modifications for a wheelchair and features that make it safer such
as grab bars, a shower seat, or a call device to get help when needed.
.................................................................................
246 1. YES
915 5. NO
13 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
13 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N267_
IF SecN.N267_ = YES THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN268 EX AMT PAY O-O-P HOME MODIF
Section: N Level: Respondent Type: Numeric Width: 6 Decimals: 0
Ref: SecN.N268_
About how much did [he/she][or you/or [his/her][partner/husband/wife]] pay
out-of-pocket for these home modifications [since [Prev Wave Family R IW Month],
[Prev Wave Family R IW Year]/in the last two years]?
IWER: Do not probe DK/RF
Amount:
.................................................................................
-----------------------------------------------------------------
N Min Max Mean SD Miss
214 0 50000 1611.03 4768.68 941
-----------------------------------------------------------------
32 999998. DK (Don't Know); NA (Not Ascertained)
999999. RF (Refused)
==========================================================================================
XN269 EX AMT PAY O-O-P HOME MODIF - MIN
Section: N Level: Respondent Type: Numeric Width: 5 Decimals: 0
Ref: SecN.N269_
Did it amount to less than $____ , more than $____ , or what?
PROCEDURES: 3Up1Down, 2Up2Down, 1Up3Down
BREAKPOINTS: $100, $500, $1,000, $5,000, $10,000
RANDOM ENTRY POINTS: $500, $1,000, $5,000
ENTRY POINT ASSIGNMENT: 1 or 2 or {NOT 1 and NOT 2} AT X513
ORDER OF ENTRY POINT ASSIGNMENTS AND PROCEDURES CORRESPOND
.................................................................................
15 0. Value of Breakpoint
3 101. Value of Breakpoint
1 500. Value of Breakpoint
2 501. Value of Breakpoint
8 1001. Value of Breakpoint
2 5000. Value of Breakpoint
1 10000. Value of Breakpoint
1155 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN270 EX AMT PAY O-O-P HOME MODIF - MAX
Section: N Level: Respondent Type: Numeric Width: 8 Decimals: 0
Ref: SecN.N270_
*
.................................................................................
3 99. Value of Breakpoint
8 499. Value of Breakpoint
1 500. Value of Breakpoint
2 999. Value of Breakpoint
5 4999. Value of Breakpoint
2 5000. Value of Breakpoint
1 10000. Value of Breakpoint
10 99999996. Greater than Maximum Breakpoint
1155 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XN271 EX AMT PAY O-O-P HOME MODIF - RESULT
Section: N Level: Respondent Type: Numeric Width: 2 Decimals: 0
Ref: SecN.N271_
*
.................................................................................
15 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1172 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N023_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN235 HOW SATISFIED W/ HEALTH CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.N235_SatisfWHlthCare
Thinking about the quality, cost, and convenience of [her/his] health care, how
satisfied was [she/he] overall, very satisfied, somewhat satisfied, neutral,
somewhat dissatisfied, or very dissatisfied?
.................................................................................
556 1. VERY SATISFIED
340 2. SOMEWHAT SATISFIED
136 3. NEUTRAL
60 4. SOMEWHAT DISSATISFIED
42 5. VERY DISSATISFIED
51 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.N235_SatisfWHlthCare
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN290 COULDNT AFFORD MEDICAL CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HealthCareAccess.N290_AffordCare
[Since [R's Last IW Month], [R's Last IW Year]/Since [R's Last IW Year]/In the
last two years before [his/her] death] was there any time when [he/she] needed
medical care, but did not get it because [he/she] couldn't afford it?
.................................................................................
44 1. YES
1131 5. NO
10 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.HealthCareAccess.N290_AffordCare
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN291 HAVE USUAL PLACE OF CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HealthCareAccess.N291_Placeofcare
Is there a place that [she/he] usually went to when [she/he] was sick or needed
advice about [her/his] health?
.................................................................................
937 1. YES
228 5. THERE IS NO PLACE
4 7. THERE IS MORE THAN ONE PLACE (VOL)
16 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.HealthCareAccess.N291_Placeofcare
IF (SecN.HealthCareAccess.N291_Placeofcare = YES) OR
(SecN.HealthCareAccess.N291_Placeofcare = Morethanone) THEN
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN292 HAVE USUAL PLACE OF CARE
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HealthCareAccess.N292_PLACEOFCARELOC
What kind of place [is it] - a clinic, doctor's office, emergency room, or some
other place?
IWER: Instruct the respondent to select the place used most often if needed.
.................................................................................
125 1. CLINIC OR HEALTH CENTER
656 2. DOCTOR'S OFFICE OR HMO
72 3. HOSPITAL EMERGENCY ROOM
11 4. (VOL) HOSPITAL OUTPATIENT DEPARTMENT
71 5. SOME OTHER PLACE
4 6. DOES NOT GO TO ONE PLACE MOST OFTEN
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
246 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
{PREVIOUS ASK} SecN.HealthCareAccess.N291_Placeofcare
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
XN293 TROUBLE FIND DR
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
Ref: SecN.HealthCareAccess.N293_TROBFINDDR
[Since [R's Last IW Month], [R's Last IW Year]/Since [R's Last IW Year]/In the
last two years before [his/her] death] did [he/she] have any trouble finding a
general doctor or provider who would see [him/her]?
.................................................................................
28 1. YES
1144 5. NO
13 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
2 Blank. INAP (Inapplicable); Partial Interview; Data Missing
==========================================================================================
XVDATE 2012 DATA MODEL VERSION
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
User Note: This variable identifies which data model was used to interview the
household. Please reference the data description for a summary of changes in
each data model.
.................................................................................
99 1. Version 1
75 2. Version 2
344 3. Version 3
669 4. Version 4
==========================================================================================
XVERSION 2012 DATA RELEASE VERSION
Section: N Level: Respondent Type: Numeric Width: 1 Decimals: 0
.................................................................................
1187 1. HRS 2012 Exit Final Release
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