N. Health Services And Insurance

N. Health Services And Insurance of HRS 2010

Start of N. Health Services And Insurance
 
MN001

MEDICARE COVERAGE

THE NEXT QUESTIONS ARE ABOUT HEALTH INSURANCE, BOTH PUBLIC AND PRIVATE. MEDICARE
IS A PUBLIC HEALTH INSURANCE PROGRAM FOR PEOPLE 65 OR OLDER AND FOR DISABLED PERSONS.
(MEDICAID/STATE NAME FOR MEDICAID) IS A PUBLIC HEALTH INSURANCE PROGRAM FOR PEOPLE WITH
LOW INCOMES.

ARE YOU CURRENTLY COVERED BY MEDICARE HEALTH INSURANCE?
expand
 
If (MEDICARE COVERAGE = 5 No and R CURRENT AGE CALCULATION > 65 YEARS) or (MEDICARE COVERAGE = 1 Yes and R CURRENT AGE CALCULATION < 65 YEARS) »
 
   
 
MN002

WHY NOT MEDICARE COVERED

WHY IS THAT?
» R IS AGE ^PISECACONTINUINTERVIEWA019_RAGE, SO PROBE WHY R IS ^FLN002 COVERED BY MEDICARE
   
If MEDICARE COVERAGE = 1 Yes »
 
   
 
MN004

MEDICARE PART B COVERAGE

PART A OF MEDICARE COVERS MOST HOSPITAL EXPENSES.
PART B COVERS MANY DOCTORS EXPENSES INCLUDING DOCTOR VISITS, AND THE PREMIUM
IS USUALLY DEDUCTED FROM YOUR SOCIAL SECURITY.
ARE YOU COVERED UNDER PART B OF MEDICARE?
expand
   
 
MN352

SIGNED UP MEDICARE PRESCRIPTION COVERAGE

PART D OF MEDICARE PROVIDES COVERAGE FOR PRESCRIPTION DRUGS, USUALLY THROUGH A PRIVATE INSURANCE
PROVIDER. ARE YOU ENROLLED IN MEDICARE PART D, ALSO KNOWN AS THE MEDICARE PRESCRIPTION DRUG PLAN?
expand
   
 
If SIGNED UP MEDICARE PRESCRIPTION COVERAGE = 3 [Vol] Enrolled in it Automatically »
 
     
   
ASSIGN 3 TO MN394
     
 
Else If SIGNED UP MEDICARE PRESCRIPTION COVERAGE = 1 Yes »
 
     
   
MN394

Chose own plan?

DID YOU CHOOSE YOUR OWN PLAN, DID SOMEONE YOU KNOW CHOOSE FOR YOU, OR WERE YOU
ENROLLED IN IT AUTOMATICALLY?
expand
     
 
If SIGNED UP MEDICARE PRESCRIPTION COVERAGE = 5 No »
 
     
   
MN356M

REASON NOT SIGN UP

WHAT IS THE REASON THAT YOU DID NOT SIGN UP FOR PART D COVERAGE?
» CHOOSE ALL THAT APPLY
» PROBE RESPONSES OF
expand
     
 
If SIGNED UP MEDICARE PRESCRIPTION COVERAGE was answered »
 
     
   
If MANGUAGE = SPANISH or ENGLISH »
 
       
     
If SIGNED UP MEDICARE PRESCRIPTION COVERAGE != 5 No »
 
         
       
MN404

Monthly premiums

HOW MUCH DO YOU, YOURSELF, PAY PER MONTH IN PREMIUMS FOR THIS PLAN?
» DO NOT PROBE DK/RF
expand
         
       
If Monthly premiums = 9998 or Monthly premiums = 9999 »
 
           
         
MN405

Monthly premiums - MIN

*
expand
           
 
MN358

LIKLEY SIGN UP NEXT YEAR

HOW LIKELY IS IT THAT YOU WILL SIGN UP FOR MEDICARE PRESCRIPTION DRUG COVERAGE NEXT YEAR?
WOULD YOU SAY VERY LIKELY, SOMEWHAT LIKELY, NOT TOO LIKELY, OR NOT AT ALL LIKELY?
expand
   
MN005

MEDICAID COVERAGE SINCE PREV WAVE


HAVE YOU BEEN COVERED BY HEALTH INSURANCE THROUGH (MEDICAID/STATE NAME FOR MEDICAID
OR ANY OTHER MEDICAID PROGRAM) AT ANY TIME ^FLINLST2YRS?
expand
 
If MEDICAID COVERAGE SINCE PREV WAVE = 1 Yes »
 
   
 
MN006

CURRENTLY COVERED BY MEDICAID

ARE YOU CURRENTLY COVERED BY (MEDICAID/STATE NAME FOR MEDICAID)?
expand
   
MN007

CHAMPUS/CHAMPVA COVERAGE

ARE YOU CURRENTLY COVERED BY TRI-CARE, CHAMPUS, CHAMP-VA, OR ANY OTHER MILITARY
HEALTH CARE PLAN?

DEF: TRI-CARE IS THE NEW NAME FOR THE MILITARY'S HEALTH INSURANCE PROGRAMS.
IT INCLUDES WHAT USED TO BE KNOWN AS CHAMPUS AND CHAMP-VA.
CHAMPUS WAS A HEALTH CARE PROGRAM FOR ACTIVE OR RETIRED MILITARY
PERSONNEL AND THEIR DEPENDENTS OR SURVIVORS. CHAMP-VA PROVIDED MEDICAL
CARE FOR VETERANS AND THEIR DEPENDENTS OR SURVIVORS OF
VETERANS WHO HAD A SERVICE-CONNECTED DISABILITY. VA IS NOT A HEALTH INSURANCE PROGRAM.
expand
 
If MEDICARE COVERAGE = 1 Yes or CURRENTLY COVERED BY MEDICAID = 1 Yes »
 
   
 
MN009

MEDICARE/MEDICAID HMO

WE ARE INTERESTED IN HOW YOUR ^FLMCAREMCAID HEALTH
INSURANCE WORKS FOR ROUTINE CARE.
DO YOU RECEIVE YOUR ^FLMCAREMCAID BENEFITS THROUGH
^FLMCAREMCAID2 (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.)
expand
   
 
If MEDICARE/MEDICAID HMO = 1 Yes »
 
     
   
MN010

MEDICARE/MEDICAID HMO- HOW LONG - YRS

ABOUT HOW LONG HAVE YOU BEEN RECEIVING YOUR ^FLMCAREMCAID BENEFITS THROUGH THIS PLAN?
YEARS:
OR
MONTHS:
expand
     
   
If MEDICARE/MEDICAID HMO- HOW LONG - YRS = 0 or MEDICARE/MEDICAID HMO- HOW LONG - YRS was assigned an EMPTY value »
 
       
     
MN011

MEDICARE/MEDICAID HMO- HOW LONG - MOS

(ABOUT HOW LONG HAVE YOU BEEN RECEIVING YOUR ^FLMCAREMCAID BENEFITS THROUGH THIS PLAN?)
YEARS: ^N010_
OR
MONTHS:
expand
       
   
MN351

HMO PAY FOR REGULAR RX DRUGS

DOES THIS PLAN COVER OR PROVIDE HELP WITH PAYING FOR REGULAR PRESCRIPTION DRUGS?
expand
     
   
MN014

MEDICARE/MEDICAID HMO-AMT PAY

^FLN014 MUCH DO YOU,
YOURSELF, PAY IN PREMIUMS FOR THIS PLAN?
» DO NOT PROBE DK/RF
AMOUNT:
PER:
expand
     
   
If MEDICARE/MEDICAID HMO-AMT PAY > 0 and MEDICARE/MEDICAID HMO-AMT PAY != 998 and MEDICARE/MEDICAID HMO-AMT PAY != 999 »
 
       
     
MN018

MEDICARE/MEDICAID HMO-AMT PAY - PER

(NOT INCLUDING CO-PAYS OR DEDUCTIONS FROM YOUR SOCIAL SECURITY, HOW MUCH DO YOU, YOURSELF, PAY IN PREMIUMS FOR THIS PLAN?)
AMOUNT: ^N014_
PER:
expand
       
   
If MEDICARE/MEDICAID HMO-AMT PAY = 998 or MEDICARE/MEDICAID HMO-AMT PAY = 999 »
 
       
     
MN015

MEDICARE/MEDICAID HMO-AMT PAY - MIN

*
expand
       
 
If MEDICARE COVERAGE = 1 Yes »
 
     
   
MN020

LEFT MEDICARE HMO LAST TWO YRS

AT ANY TIME ^FLINLST2YRS, HAVE YOU LEFT AN HMO OR MEDICARE ADVANTAGE PLAN THAT DELIVERED MEDICARE SERVICES?
expand
     
   
If LEFT MEDICARE HMO LAST TWO YRS = 1 Yes »
 
       
     
MN021M

WHY LEAVE MEDICARE HMO

WHY DID YOU LEAVE THAT PLAN?
» CHOOSE ALL THAT APPLY
expand
       
MN023

NUM PRIVATE HEALTH INS PLANS

NOW, WE'D LIKE TO ASK ABOUT ALL THE OTHER TYPES OF HEALTH INSURANCE PLANS YOU MIGHT HAVE,
SUCH AS INSURANCE THROUGH AN EMPLOYER OR A BUSINESS, COVERAGE FOR RETIREES, OR HEALTH INSURANCE
YOU BUY FOR YOURSELF, INCLUDING ANY ^FLN023_2 OTHER SUPPLEMENTAL COVERAGE.

DO NOT INCLUDE LONG-TERM CARE INSURANCE^FLN023 MANY
OTHER PLANS DO YOU HAVE?
» ENTER ZERO FOR NONE
NUMBER OF PLANS:
expand
 
If NUM PRIVATE HEALTH INS PLANS != 0 and NUM PRIVATE HEALTH INS PLANS was answered »
 
   
 
As CNT goes from 1 to NUM PRIVATE HEALTH INS PLANS  »
 
     
   
If MEDICARE COVERAGE = 1 Yes »
 
       
     
MN025

WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE

WHICH IS YOUR PRIMARY PLAN, MEDICARE OR ^N024_ ?
expand
       
   
MN032

PRIVATE PLAN 1-3 HELP PAY REGULAR RX

DOES ^N024_ PROVIDE HELP WITH PAYING FOR REGULAR PRESCRIPTION DRUGS?
» THE FOLLOW-UP QUESTIONS REFER TO THE PRIVATE PLAN, NOT TO MEDICARE.
expand
     
   
MN033

OBTAIN HI THRU CURRENT EMP/OWN BUSINESS

DO YOU OBTAIN THIS HEALTH INSURANCE THROUGH ^FLN033
expand
     
   
If OBTAIN HI THRU CURRENT EMP/OWN BUSINESS != 1 Yes »
 
       
     
MN034

OBTAIN INS THRU FORMER EMPLOYER

DO YOU OBTAIN THIS HEALTH INSURANCE THROUGH A FORMER EMPLOYER OF YOURS?
expand
       
     
If OBTAIN INS THRU FORMER EMPLOYER != 1 Yes »
 
         
       
If MX065_R = MARRIED/PARTNERED or MARITAL STATUS ASSIGNED = ANULLED SEPARATED DIVORCED »
 
           
         
MN035

OBTAIN INS THRU HWP CURRENT EMPLOYER

DO YOU OBTAIN THIS HEALTH INSURANCE THROUGH YOUR ^FLN035 (SPOUSE`S/PARTNER`S) CURRENT EMPLOYER?
expand
           
       
If (OBTAIN INS THRU HWP CURRENT EMPLOYER != 1 Yes and OBTAIN INS THRU HWP CURRENT EMPLOYER !was assigned an EMPTY value) or MARITAL STATUS ASSIGNED = WIDOWED »
 
           
         
MN036

OBTAIN INS THRU HWP FORMER EMPLOYER

DO YOU OBTAIN THIS HEALTH INSURANCE THROUGH YOUR ^FLN035 (SPOUSE`S/PARTNER`S) FORMER EMPLOYER?
expand
           
       
If OBTAIN INS THRU HWP FORMER EMPLOYER != 1 Yes and OBTAIN INS THRU HWP CURRENT EMPLOYER != 1 Yes »
 
           
         
MN037

WHERE PURCHASE PRIVATE PLAN INSURANCE

DID YOU PURCHASE THIS PLAN DIRECTLY FROM AN INSURANCE COMPANY, THROUGH YOUR
^FLORYOURHWPS UNION, THROUGH A GROUP SUCH AS AARP, A CHURCH, OR OTHER
ORGANIZATION, OR WHAT?
expand
           
   
MN039

PAY ALL/SOME/NONE PRIV PLAN HI COSTS

INCLUDING ANY HELP FROM YOUR FAMILY, DO YOU ^FLORYOURHWP PAY ALL OF THE COSTS,
SOME OF THE COSTS, OR NONE OF THE COSTS OF THE PREMIUM FOR THIS HEALTH INSURANCE
COVERAGE?
expand
     
   
If PAY ALL/SOME/NONE PRIV PLAN HI COSTS != 3 None »
 
       
     
MN040

PRIV PLAN HI PAY PER/MONTH- AMT

HOW MUCH DO YOU ^FLUORYOUR ^FLHWP PAY PER MONTH IN PREMIUMS FOR THIS PLAN
(FOR YOU AND ANY MEMBERS OF YOUR HOUSEHOLD THAT ARE ALSO COVERED)?
^FLN040
» DO NOT PROBE DK/RF
AMOUNT PER MONTH:
expand
       
     
If PRIV PLAN HI PAY PER/MONTH- AMT = 9998 or PRIV PLAN HI PAY PER/MONTH- AMT = 9999 »
 
         
       
MN041

PRIV PLAN HI PAY PER/MONTH- MIN

*
expand
         
     
If WORK FOR SOMEONE Else/SLF-EMPLOYED = SELF EMPLOYED »
 
         
       
ASSIGN 2 TO MN044
         
     
Else
 
         
       
ASSIGN 1 TO MN044
         
     
If MX065_R = MARRIED_PARTNERED and (OBTAIN INS THRU HWP CURRENT EMPLOYER = 1 Yes or OBTAIN INS THRU HWP FORMER EMPLOYER = 1 Yes) »
 
         
       
ASSIGN 1 TO MN046
         
     
If MX065_R = MARRIED_PARTNERED and (OBTAIN INS THRU HWP CURRENT EMPLOYER = 1 Yes or OBTAIN INS THRU HWP FORMER EMPLOYER = 1 Yes) »
 
         
       
ASSIGN 1 TO MN046
         
     
ElseIf WHERE PURCHASE PRIVATE PLAN INSURANCE = 7 Other (specify) »
 
         
       
ASSIGN 2 TO MN046
         
     
Else
 
         
       
ASSIGN 3 TO MN046
         
     
If MEDICARE COVERAGE = 1 Yes »
 
         
       
ASSIGN 1 TO MN047
         
     
Else
 
         
       
ASSIGN 2 TO MN047
         
   
MN048

PRIV PLAN HI- ANYONE Else COVERED

BESIDES YOU, IS ANYONE ELSE COVERED ON THIS HEALTH INSURANCE POLICY?
expand
     
   
If PRIV PLAN HI- ANYONE Else COVERED = 1 Yes »
 
       
     
MN049AWHOCOV

PRIV PLAN HI- WHO COVERED

WHO BESIDES YOURSELF IS COVERED?
» CHOOSE ALL THAT APPLY
       
     
If (PRIV PLAN HI- WHO COVERED = 5 or PRIV PLAN HI- WHO COVERED != 991) and MX065_R = MARRIED and OBTAIN INS THRU HWP CURRENT EMPLOYER != 1 Yes and OBTAIN INS THRU HWP FORMER EMPLOYER != 1 Yes and WHERE PURCHASE PRIVATE PLAN INSURANCE != 3 Spouse`s union »
 
         
       
MN051

PRIV HI- COULD SPOUSE BE COVERED

COULD YOU HAVE OBTAINED COVERAGE FOR YOUR SPOUSE THROUGH THIS HEALTH INSURANCE PLAN?
expand
         
   
MN052

PRIVATE PLAN INSURANCE AN HMO

IS THIS PLAN AN HMO, THAT IS A HEALTH MAINTENANCE ORGANIZATION?
DEF: (WITH AN HMO, THE COST OF THE PHYSICIAN VISIT IS TYPICALLY
COVERED IN FULL OR YOU PAY ONLY A SMALL AMOUNT. ALL OF YOUR ROUTINE CARE
MUST BE PROVIDED BY AN HMO PHYSICIAN.)
expand
     
   
MN053

NUMBER YEARS IN PLAN

HOW LONG HAVE YOU BEEN WITH THIS PLAN?
»IF LESS THAN 1 YEAR, ENTER NUMBER OF MONTHS;
IF 1 YEAR OR MORE, ENTER IN YEARS. FOR PERIODS OF TIME
BETWEEN 1-2 YEARS, ROUND TO THE NEAREST YEAR.

YEARS:
OR
MONTHS:
expand
     
   
If NUMBER YEARS IN PLAN = 0 or NUMBER YEARS IN PLAN was assigned an EMPTY value »
 
       
     
MN054

NUMBER MONTHS IN PLAN

(HOW LONG HAVE YOU BEEN WITH THIS PLAN?)
YEARS:
OR
MONTHS:
expand
       
   
If PRIVATE PLAN INSURANCE AN HMO != 1 Yes »
 
       
     
MN055

PRIV PLAN HI- HAS LIST OF DRS

DOES THIS HEALTH INSURANCE PLAN HAVE A LIST OR BOOK OF DOCTORS THAT YOU ARE ENCOURAGED OR REQUIRED TO USE?
expand
       
   
If PRIV PLAN HI- HAS LIST OF DRS = 1 Yes or PRIVATE PLAN INSURANCE AN HMO = 1 Yes »
 
       
     
MN056

PLAN PAY FOR DOCTORS NOT ON LIST

DOES ^FLN056 PAY ANY OF THE COSTS FOR ROUTINE CARE IF YOU SEE A DOCTOR WHO IS
NOT ^FLN056_2?
expand
       
   
If R CURRENT AGE CALCULATION < 65 and OBTAIN HI THRU CURRENT EMP/OWN BUSINESS = 1 Yes »
 
       
     
ASSIGN 1 TO MN058
       
   
ElseIf R CURRENT AGE CALCULATION < 65 and OBTAIN INS THRU FORMER EMPLOYER = 1 Yes »
 
       
     
ASSIGN 2 TO MN058
       
   
Else
 
       
     
ASSIGN 3 TO MN058
       
   
If R CURRENT AGE CALCULATION < 65 »
 
       
     
MN059

EMPLOYER RETIREE COVERAGE UP TO 65

^FLN059 YOU CONTINUE THIS INSURANCE COVERAGE FOR YOURSELF UP TO THE AGE OF 65?
expand
       
     
If EMPLOYER RETIREE COVERAGE UP TO 65 = 1 Yes »
 
         
       
MN060

EMPLOYER RETIREE HI COVERAGE AFTER 65

^FLN063 EMPLOYER OFFER SOME TYPE OF HEALTH INSURANCE COVERAGE FOR
YOU AFTER THE AGE OF 65?
expand
         
   
If SP/P CURRENT AGE CALCULATION < 65 and MX065_R != OTHER and EMPLOYER RETIREE COVERAGE UP TO 65 != 5 No and PRIV HI- COULD SPOUSE BE COVERED = 1 Yes »
 
       
     
MN062

EMP RETIREE HI COVERAGE FOR SP UP TO 65

^FLN062 UNTIL ^FLSPPHESHE IS AGE 65?
expand
       
     
If EMP RETIREE HI COVERAGE FOR SP UP TO 65 = 1 Yes »
 
         
       
MN063

EMP RETIREE HI COVERAGE FOR SP AFTER 65

^FLN063 EMPLOYER OFFER SOME TYPE OF HEALTH INSURANCE COVERAGE
FOR YOUR SPOUSE AFTER THE AGE OF 65?
expand
         
   
MN066

LIMITS ON HI DUE TO PREEXISTING COND

ARE THERE ANY LIMITS OR RESTRICTIONS ON THIS HEALTH INSURANCE PLAN DUE TO A PREEXISTING CONDITION?
expand
     
MN071

LTC INSURANCE

^FLN071 YOU NOW HAVE ANY LONG-TERM CARE INSURANCE WHICH
SPECIFICALLY COVERS NURSING HOME CARE FOR A YEAR OR MORE OR ANY PART OF PERSONAL OR
MEDICAL CARE IN YOUR HOME?
expand
 
If LTC INSURANCE = 1 Yes »
 
   
 
If NUMBER OF PUBLIC/PRIVATE HI PLANS = 0 »
 
     
   
ASSIGN 2 TO MN072
     
 
Else
 
     
   
MN072

LTC COV- NEW OR PRE MENTION PLAN

IS THAT ONE OF THE PLANS YOU HAVE ALREADY DESCRIBED, OR A DIFFERENT PLAN?
expand
     
 
If (LTC INSURANCE = 1 Yes and NUMBER OF PUBLIC/PRIVATE HI PLANS = 0) or LTC COV- NEW OR PRE MENTION PLAN = 2 Different plan »
 
     
   
ASSIGN 27 TO MN073
     
 
ElseIf LTC COV- NEW OR PRE MENTION PLAN = 1 Previously described plan »
 
     
   
MN073

LTC COV- WHICH PREV MENTION PLAN

WHICH PLAN IS THAT?
expand
     
 
MN075

COVER NURSING HOME/IN-HOME CARE

DOES THIS PLAN COVER CARE IN A NURSING HOME FACILITY ONLY, PERSONAL OR LONG-TERM
CARE AT HOME, OR BOTH IN-HOME AND NURSING HOME CARE?
expand
   
 
MN238

SPOUSE COVER NURSING HOME/IN-HOME CARE

DOES THIS PLAN PROVIDE LONG-TERM CARE COVERAGE FOR YOUR ^FLHWP AS WELL AS FOR YOURSELF?
expand
   
 
MN077

RECD BENEFITS UNDER LTC

HAVE YOU ^FLN077 EVER RECEIVED BENEFITS UNDER YOUR LONG-TERM CARE POLICY?
expand
   
 
MN078

PAYMENTS INCREASE W/ INFLATION

DOES THIS PLAN INCREASE PAYMENTS WITH INFLATION?
expand
   
 
If LTC COV- NEW OR PRE MENTION PLAN != 1 Previously described plan or LTC COV- WHICH PREV MENTION PLAN != 27 Private plan »
 
     
   
MN079

AMT PAY FOR LTC

^FLN079
» ENTER 0 IF NO PAYMENTS ARE MADE
» DO NOT PROBE DK/RF
AMOUNT:
PER:
expand
     
   
If AMT PAY FOR LTC > 0 »
 
       
     
MN083

AMT PAY FOR LTC PER

^FLN079
» ENTER 0 IF NO PAYMENTS ARE MADE
» DO NOT PROBE DK/RF
AMOUNT: ^N079_AMTPAYLTC
PER:
expand
       
     
If AMT PAY FOR LTC PER = 8 or AMT PAY FOR LTC PER = 9 »
 
         
       
MN080

AMT PAY FOR LTC - MIN

*
expand
         
If (NUMBER OF PUBLIC/PRIVATE HI PLANS > 0 and MZ201 != YES) or R age prev interview < 65 »
 
   
 
MN091

EVER WITHOUT HI AMONG CURRENTLY INSURED

WERE YOU EVER WITHOUT HEALTH INSURANCE COVERAGE AT ANY TIME ^FLINLST2YRS?
expand
   
If NUMBER OF PUBLIC/PRIVATE HI PLANS = 0 »
 
   
 
MN342

Confirm No Medical insurance

ACCORDING TO MY INFORMATION, YOU ARE NOT CURRENTLY COVERED BY
ANY GOVERNMENT OR PRIVATE HEALTH INSURANCE PLANS THAT COVER
MEDICAL CARE.
IS THAT CORRECT?
expand
   
 
If Confirm No Medical insurance = 5 No »
 
     
   
MN343

WHICH PLANS COVERED UNDER

UNDER WHICH OF THE FOLLOWING PLANS ARE YOU COVERED?
» 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
» CHOOSE ALL THAT APPLY.
IF R REPORTS STATE NAME FOR MEDICAID, CODE AS 2. MEDICAID.

expand
     
If WORK FOR SOMEONE Else/SLF-EMPLOYED = SOMEONE_Else and OBTAIN HI THRU CURRENT EMP/OWN BUSINESS != YES »
 
   
 
MN092

EMP/UNION OFFER HI - WRKG R W/O EMP INS

DOES YOUR EMPLOYER OR UNION OFFER A HEALTH INSURANCE PLAN TO ANY OF ITS EMPLOYEES?
expand
   
 
If EMP/UNION OFFER HI - WRKG R W/O EMP INS = 1 Yes »
 
     
   
MN093

OFFERED HI THRU JOB- WRKNG R W/O EMP INS

WERE YOU OFFERED HEALTH INSURANCE THROUGH YOUR JOB?
expand
     
 
MN094

CHOICE IN PLANS- WRKNG R W/ EMP INS

IN THE LAST TWO YEARS, HAS YOUR EMPLOYER OFFERED A CHOICE OF DIFFERENT HEALTH
INSURANCE PLANS THAT PROVIDED HOSPITAL AND PHYSICIAN BENEFITS OR WAS ONLY
ONE HEALTH INSURANCE PLAN OFFERED TO YOU?
expand
   
 
If CHOICE IN PLANS- WRKNG R W/ EMP INS = 1 Yes, more than one plan »
 
     
   
MN095

EMP OFFERED BETTER COVERAGE

COMPARED TO YOUR CURRENT COVERAGE THROUGH YOUR EMPLOYER, DID ANY OF THESE OTHER
PLANS... PROVIDE BETTER COVERAGE?
expand
     
   
MN096

EMP OFFERED GREATER PHYSICIAN CHOICE

(COMPARED TO YOUR CURRENT COVERAGE THROUGH YOUR EMPLOYER, DID ANY OF THESE OTHER PLANS...)
PROVIDE GREATER CHOICE OF PHYSICIANS?
expand
     
   
MN097

EMP OFFERED MORE COSTLY HI PLANS

(COMPARED TO YOUR CURRENT COVERAGE THROUGH YOUR EMPLOYER, DID ANY OF THESE OTHER PLANS...)
COST MORE THAN YOUR PLAN?
expand
     
MN099

OVERNIGHT STAY IN HOSP-SINCE PREV IW/2YR

THE NEXT QUESTIONS ARE ABOUT HEALTH CARE YOU HAVE RECEIVED. ^FLINLST2YRS_CAP ,
HAVE YOU BEEN A PATIENT IN A HOSPITAL OVERNIGHT?
expand
 
If OVERNIGHT STAY IN HOSP-SINCE PREV IW/2YR = 1 Yes »
 
   
 
MN100

NUM TIMES R STAYED OVERNIGHT IN HOSP

HOW MANY DIFFERENT TIMES WERE YOU A PATIENT IN A HOSPITAL OVERNIGHT ^FLINLST2YRS?
» IF R ASKS, INCLUDE MENTAL HOSPITALS AND SANITARIUMS
expand
   
 
MN101

NUM NIGHTS R SPENT OVERNIGHT IN HOSPITAL

^FLN101 MANY NIGHTS WERE YOU A PATIENT IN THE HOSPITAL ^FLINLST2YRS?
expand
   
 
MN102

HOSPITAL STAYS COVERED BY INS

WERE THE COSTS FOR YOUR HOSPITAL STAY(S) COMPLETELY COVERED BY HEALTH INSURANCE,
MOSTLY COVERED, ONLY PARTIALLY COVERED, OR NOT COVERED AT ALL BY INSURANCE?
expand
   
 
If MEDICARE COVERAGE != 1 Yes or ((MN006 = 1 or MN007 = 1 and MN023 != 0) and MN025 != 1) and (MN102 = 1 or MN102 = 2 or MN102 = 3) »
 
     
   
MN104

WHICH PLAN COV LGST SHARE HOSPITAL COST

WHAT IS THE NAME OF THE HEALTH INSURANCE PLAN THAT COVERED THE LARGEST SHARE OF THE COSTS?
expand
     
   
If WHICH PLAN COV LGST SHARE HOSPITAL COST = 27 Private plan »
 
       
     
MN359

LGST SHARE HOSPITAL COST- STILL COVERED

ARE YOU STILL COVERED UNDER THIS PLAN?
expand
       
 
If HOSPITAL STAYS COVERED BY INS != 1 Completely covered »
 
     
   
MN106

AMT PAID O-O-P HOSPITAL COSTS

ABOUT HOW MUCH DID YOU PAY OUT-OF-POCKET FOR HOSPITAL BILLS ^FLINLST2YRS?
» DO NOT PROBE DK/RF
AMOUNT:
expand
     
   
If AMT PAID O-O-P HOSPITAL COSTS = 9999998 or AMT PAID O-O-P HOSPITAL COSTS = 9999999 »
 
       
     
MN107

AMT PAID O-O-P HOSPITAL COSTS - MIN

*
expand
       
ElseIf OVERNIGHT STAY IN HOSP-SINCE PREV IW/2YR = 5 No or OVERNIGHT STAY IN HOSP-SINCE PREV IW/2YR = 8 or OVERNIGHT STAY IN HOSP-SINCE PREV IW/2YR = 9 »
 
   
 
MN110

EXPECT INS TO COVER HOSPITAL COSTS

IF YOU DID NEED TO STAY IN A HOSPITAL OVERNIGHT, WOULD YOU EXPECT ANY OF THE COSTS TO BE COVERED BY INSURANCE?
expand
   
 
If EXPECT INS TO COVER HOSPITAL COSTS = 1 Yes »
 
     
   
MN112

WHICH PLAN COVER LGST SHARE HOSP COST

WHAT IS THE NAME OF THE HEALTH INSURANCE PLAN THAT WOULD COVER THE LARGEST SHARE OF THE COSTS?
expand
     
If MA167 = 1 or R IN NURSING HOME = 1 or MA124 = 2 »
 
   
 
ASSIGN 1 TO MN114
   
 
ASSIGN 1 TO MN115
   
Else
 
   
 
MN114

EVER PATIENT OVERNIGHT IN NURSING HOME

^FLINLST2YRS_CAP, HAVE YOU BEEN A PATIENT OVERNIGHT IN A NURSING HOME,
CONVALESCENT HOME, OR OTHER LONG-TERM HEALTH CARE FACILITY?
expand
   
 
If EVER PATIENT OVERNIGHT IN NURSING HOME = 1 Yes »
 
     
   
MN115

# TIMES SPENT OVERNIGHT IN NURSING HOME

HOW MANY ^FLN115 OR OTHER LONG-TERM CARE FACILITY ^FLINLST2YRS?
expand
     
   
MN116

NUM NIGHTS R SPENT OVERNIGHT IN NH

^FLN116 MANY NIGHTS OR MONTHS HAVE YOU BEEN A PATIENT IN A NURSING HOME ^FLINLST2YRS?
» ENTER 996 FOR CONTINUOUS SINCE ENTERED OR ^FLINLST2YRS
» IF R ANSWERS IN MONTHS RATHER THAN NIGHTS, PRESS ENTER AND ANSWER IN MONTH FIELD

NIGHTS:
OR
MONTHS:
expand
     
   
If NUM NIGHTS R SPENT OVERNIGHT IN NH was assigned an EMPTY value »
 
       
     
MN117

NUM MOS R SPENT OVERNIGHT IN NH

^FLN116 MANY NIGHTS OR MONTHS HAVE YOU BEEN A PATIENT IN A NURSING HOME ^FLINLST2YRS?
NIGHTS:
OR
MONTHS:
expand
       
If EVER PATIENT OVERNIGHT IN NURSING HOME = 1 Yes or MA124 = INNURSINGHOME or MA167 = 1 or R IN NURSING HOME = 1 »
 
   
 
MN118

NH COSTS COVERED BY INSURANCE

^FLN118 INSURANCE, MOSTLY COVERED, ONLY PARTIALLY COVERED, OR NOT COVERED AT ALL BY INSURANCE?
expand
   
 
If NH COSTS COVERED BY INSURANCE != 1 Completely covered »
 
     
   
MN119

AMT PAID O-O-P NURSING HOME

ABOUT HOW MUCH DID YOU PAY OUT-OF-POCKET FOR NURSING HOME BILLS ^FLINLST2YRS?
» DO NOT PROBE DK/RF
INCLUDE ANY AMOUNT PAID BY OTHERS

AMOUNT:
expand
     
   
If AMT PAID O-O-P NURSING HOME = 9999998 or AMT PAID O-O-P NURSING HOME = 9999999 »
 
       
     
MN120

AMT PAID O-O-P NURSING HOME- MIN

*
expand
       
If # TIMES SPENT OVERNIGHT IN NURSING HOME was answered »
 
   
 
As CNT goes from 1 to # TIMES SPENT OVERNIGHT IN NURSING HOME  »
 
     
   
MN124

YEAR R MOVED TO NURSING HOME

^FLN123
IN WHAT YEAR DID YOU GO INTO THE NURSING HOME OR HEALTH CARE FACILITY?
YEAR:
expand
     
   
If YEAR R MOVED TO NURSING HOME < 2 YEARS AGO »
 
       
     
MN123

MONTH R MOVED TO NURSING HOME

(WHAT MONTH WAS THAT?)
MONTH:
expand
       
   
MN126

YEAR R MOVED OUT OF NURSING HOME

IN WHAT YEAR DID YOU MOVE OUT OF THE NURSING HOME OR HEALTH CARE FACILITY?
YEAR:
expand
     
   
If YEAR R MOVED OUT OF NURSING HOME < 2 YEARS AGO »
 
       
     
MN125

MONTH R MOVED OUT OF NURSING HOME

(WHAT MONTH WAS THAT?)
MONTH:
expand
       
   
If MEDICAID COVERAGE SINCE PREV WAVE = 1 Yes »
 
       
     
MN127

ELIGIBLE FOR MEDICAID START NH STAY

WERE YOU ELIGIBLE FOR (MEDICAID/STATE NAME FOR MEDICAID) AT
THE TIME YOUR ^FLN127_1 NURSING HOME STAY STARTED?
expand
       
     
If ELIGIBLE FOR MEDICAID START NH STAY = 5 No »
 
         
       
MN128

ELIGIBLE FOR MEDICAID DURNG NH STAY

DID YOU BECOME ELIGIBLE FOR (MEDICAID/STATE NAME FOR MEDICAID) DURING THAT NURSING HOME
STAY?
expand
         
     
If (ELIGIBLE FOR MEDICAID START NH STAY = 1 Yes or ELIGIBLE FOR MEDICAID DURNG NH STAY = 1 Yes) and R IN NURSING HOME = NO and MA124 != INNURSINGHOME »
 
         
       
MN130

LOSE ELIGIBILITY WHEN LEFT-LAST NH STAY

DID YOU LOSE YOUR ELIGIBILITY FOR (MEDICAID/STATE NAME FOR MEDICAID) WHEN YOU WERE
DISCHARGED FROM YOUR (LAST) NURSING HOME STAY?
expand
         
   
MN131

WHERE R LIVE AFTER NURSING HOME STAY

WHERE DID YOU LIVE AFTER LEAVING THE NURSING HOME OR HEALTH CARE FACILITY?
(DID YOU LIVE ALONE, ^FLN131 WITH ONE OF YOUR CHILDREN AND HIS OR HER OWN FAMILY,
WITH OTHER RELATIVES, IN A RETIREMENT CENTER, OR WHAT?)
expand
     
   
If WHERE R LIVE AFTER NURSING HOME STAY = 3 R lived with child and child's family »
 
       
     
MN133

LIVE WITH WHICH CHILD AFTER NH STAY

(WHICH CHILD IS THAT?)
IF GRANDCHILD: (WHICH OF YOUR CHILDREN IS THE PARENT OF THAT GRANDCHILD?)
expand
       
MN134

OUTPATIENT SURGERY- PREV IW/2 YRS

^FLN134 HAVE YOU HAD OUTPATIENT SURGERY?
expand
 
If OUTPATIENT SURGERY- PREV IW/2 YRS = 1 Yes »
 
   
 
MN135

OUTPATIENT SURG COSTS COVERED BY HI

WERE THE EXPENSES FOR YOUR OUTPATIENT SURGERY COMPLETELY COVERED BY HEALTH INSURANCE,
MOSTLY COVERED, ONLY PARTIALLY COVERED, OR NOT COVERED AT ALL BY INSURANCE?
expand
   
 
If OUTPATIENT SURG COSTS COVERED BY HI != 1 Completely covered »
 
     
   
MN139

AMT PAID O-O-P OUTPAT SURGERY

ABOUT HOW MUCH DID YOU PAY OUT-OF-POCKET FOR OUTPATIENT SURGERY ^FLINLST2YRS?
» DO NOT PROBE DK/RF
AMOUNT:
expand
     
   
If AMT PAID O-O-P OUTPAT SURGERY = 9999998 or AMT PAID O-O-P OUTPAT SURGERY = 9999999 »
 
       
     
MN140_B
       
Else
 
   
 
MN143

EXPECT INS TO COVER OUTPAT SURGERY COSTS

IF YOU DID NEED TO HAVE OUTPATIENT SURGERY, WOULD YOU EXPECT ANY OF THE COSTS TO BE COVERED BY INSURANCE?
expand
   
MN147

# TIMES SEEN DR- PREV IW/2 YRS

^FLN147
MANY TIMES HAVE YOU SEEN OR TALKED TO A MEDICAL DOCTOR
ABOUT YOUR HEALTH, INCLUDING EMERGENCY ROOM, CLINIC VISITS,
OR HOUSE CALLS ^FLINLST2YRS?
» USE ZERO FOR NONE
» 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.
expand
 
If # TIMES SEEN DR- PREV IW/2 YRS was not answered »
 
   
 
MN148

NUMBER TIMES SEEN DOCTOR 20X

DID IT AMOUNT TO LESS THAN 20 TIMES, MORE THAN 20 TIMES, OR WHAT?
expand
   
 
If NUMBER TIMES SEEN DOCTOR 20X = 1 Less than 20 times or NUMBER TIMES SEEN DOCTOR 20X = 8 or NUMBER TIMES SEEN DOCTOR 20X = 9 »
 
     
   
MN149

NUMBER TIMES SEEN DOCTOR 5X

DID IT AMOUNT TO LESS THAN 5 TIMES, MORE THAN 5 TIMES, OR WHAT?
expand
     
   
If NUMBER TIMES SEEN DOCTOR 5X = 1 Less than 5 times or NUMBER TIMES SEEN DOCTOR 5X = 8 or NUMBER TIMES SEEN DOCTOR 5X = 9 »
 
       
     
MN150

HAS R SOUGHT DOC ADVICE IN PAST 2 YRS

DO YOU THINK YOU HAVE SEEN A MEDICAL DOCTOR ABOUT YOUR HEALTH AT LEAST ONCE
^FLINLST2YRS?
expand
       
 
If NUMBER TIMES SEEN DOCTOR 20X = 5 More than 20 times »
 
     
   
MN151

R SEEK DOC ADVICE 50X

DID IT AMOUNT TO LESS THAN 50 TIMES, MORE THAN 50 TIMES, OR WHAT?
expand
     
If (HAS R SOUGHT DOC ADVICE IN PAST 2 YRS = 1 Yes or ((((MN147 != 0 and MN147 was answered) or MN148 = 3) or MN149= 3) or NUMBER TIMES SEEN DOCTOR 5X = 5 More than 5 times)) or R SEEK DOC ADVICE 50X !was assigned an EMPTY value »
 
   
 
MN152

DOCTOR VISITS COVERED BY INSURANCE

WERE THE COSTS FOR YOUR DOCTOR OR CLINIC VISIT(S) COMPLETELY COVERED BY HEALTH INSURANCE,
MOSTLY COVERED, ONLY PARTIALLY COVERED, OR NOT COVERED AT ALL BY INSURANCE?
expand
   
 
If DOCTOR VISITS COVERED BY INSURANCE != 1 Completely covered »
 
     
   
MN156

AMT PAY O-O-P FOR DOC VISITS

ABOUT HOW MUCH DID YOU PAY OUT-OF-POCKET FOR DOCTOR OR CLINIC VISITS ^FLINLST2YRS?
» DO NOT PROBE DK/RF
AMOUNT:
expand
     
   
If AMT PAY O-O-P FOR DOC VISITS = 9999998 or AMT PAY O-O-P FOR DOC VISITS = 9999999 »
 
       
     
MN157

AMT PAY O-O-P FOR DOC VISITS - MIN

*
expand
       
Else
 
   
 
MN160

EXPECT HI TO COVER DR VISIT COSTS

IF YOU DID NEED TO SEE A MEDICAL DOCTOR, WOULD YOU EXPECT ANY OF THE COSTS TO BE
COVERED BY INSURANCE?
expand
   
MN164

SEEN DENTIST SINCE PREV IW/2YRS

^FLINLST2YRS_CAP HAVE YOU SEEN A DENTIST FOR DENTAL CARE, INCLUDING DENTURES?
expand
 
If SEEN DENTIST SINCE PREV IW/2YRS = 1 Yes »
 
   
 
MN165

DENTAL COSTS COVERED BY INSURANCE

WERE YOUR DENTAL EXPENSES COMPLETELY COVERED BY
INSURANCE, MOSTLY COVERED, ONLY PARTIALLY COVERED,
OR NOT COVERED AT ALL BY INSURANCE?
expand
   
 
If DENTAL COSTS COVERED BY INSURANCE != 1 Completely covered »
 
     
   
MN168

AMT PAY O-O-P DENTAL

ABOUT HOW MUCH DID YOU PAY OUT-OF-POCKET FOR DENTAL BILLS ^FLINLST2YRS?
» DO NOT PROBE DK/RF
AMOUNT:
expand
     
   
If AMT PAY O-O-P DENTAL = 9999998 or AMT PAY O-O-P DENTAL = 9999999 »
 
       
     
MN169

AMT PAY O-O-P DENTAL - MIN

*
expand
       
If BLOOD PRESSURE MEDICATION = YES or SWALLOWED MEDICATION FOR DIABETES = YES or TAKING INSULIN - DIABETES = YES or ANGINA MEDICATION = YES or CONGESTIVE HEART FAILURE MEDICATION = YES or STROKE MEDICATION = YES or PSYCHIATRIC MEDICATION = YES »
 
   
 
ASSIGN 7 TO MN175
   
Else
 
   
 
MN175

TAKE RX DRUGS REGULARLY

DO YOU REGULARLY TAKE PRESCRIPTION MEDICATIONS?
expand
   
If TAKE RX DRUGS REGULARLY = 1 Yes or TAKE RX DRUGS REGULARLY = 7 or TAKE RX DRUGS REGULARLY was assigned an EMPTY value »
 
   
 
MN360

RX DRUGS REGULARLY CHOLESTEROL

DO YOU REGULARLY TAKE PRESCRIPTION MEDICATIONS FOR ANY OF THE FOLLOWING
COMMON HEALTH PROBLEMS:
TO HELP LOWER YOUR CHOLESTEROL?
expand
   
 
MN361

RX DRUGS REGULARLY PAIN

(DO YOU REGULARLY TAKE PRESCRIPTION MEDICATIONS FOR ANY OF THE FOLLOWING
COMMON HEALTH PROBLEMS:)
FOR PAIN IN YOUR JOINTS OR MUSCLES?
expand
   
 
MN362

PRESC DRUGS REGULARLY BREATHING PROBLEMS

(DO YOU REGULARLY TAKE PRESCRIPTION MEDICATIONS FOR ANY OF THE FOLLOWING
COMMON HEALTH PROBLEMS:)
FOR ASTHMA OR ALLERGIES OR OTHER BREATHING PROBLEMS?
expand
   
 
MN363

PRESC DRUGS REGULARLY STOMACH PROBLEMS

(DO YOU REGULARLY TAKE PRESCRIPTION MEDICATIONS FOR ANY OF THE FOLLOWING
COMMON HEALTH PROBLEMS:)
FOR STOMACH PROBLEMS?
expand
   
 
MN364

PRESC DRUGS REGULARLY HELP SLEEP

(DO YOU REGULARLY TAKE PRESCRIPTION MEDICATIONS FOR ANY OF THE FOLLOWING
COMMON HEALTH PROBLEMS:)
TO HELP YOU SLEEP?
expand
   
 
MN365

RX DRUGS REGULARLY-ANXIETY OR DEPRESSION

(DO YOU REGULARLY TAKE PRESCRIPTION MEDICATIONS FOR ANY OF THE FOLLOWING
COMMON HEALTH PROBLEMS:)
TO HELP RELIEVE ANXIETY OR DEPRESSION?
expand
   
If TAKE RX DRUGS REGULARLY != 5 No and TAKE RX DRUGS REGULARLY was answered »
 
   
 
MN176

DRUG COSTS COVERED BY INSURANCE

^FLN176
HAVE THE COSTS OF YOUR PRESCRIPTION MEDICATIONS BEEN COMPLETELY COVERED BY HEALTH
INSURANCE, MOSTLY COVERED, ONLY PARTIALLY COVERED, OR NOT COVERED AT ALL BY
INSURANCE?
expand
   
 
MN178

WHICH PLAN COVERED DRUG COSTS

WHAT IS THE NAME OF THE HEALTH INSURANCE PLAN THAT COVERED THE LARGEST SHARE OF THE COSTS?
expand
   
 
If DRUG COSTS COVERED BY INSURANCE != 1 Completely covered »
 
     
   
MN180

AMT PAY O-O-P RX DRUGS PER MONTH

ON AVERAGE, ABOUT HOW MUCH HAVE YOU PAID OUT-OF-POCKET PER MONTH FOR THESE PRESCRIPTIONS
^FLINLST2YRS?
» DO NOT PROBE DK/RF
AMOUNT PER MONTH:
expand
     
   
If AMT PAY O-O-P RX DRUGS PER MONTH = 99998 or AMT PAY O-O-P RX DRUGS PER MONTH = 99999 »
 
       
     
MN181

AMT PAY O-O-P RX DRUGS PER MONTH- MIN

*
expand
       
   
If (AMT PAY O-O-P RX DRUGS PER MONTH !was assigned an EMPTY value and AMT PAY O-O-P RX DRUGS PER MONTH was answered) or AMT PAY O-O-P RX DRUGS PER MONTH- MIN !was assigned an EMPTY value »
 
       
     
MN368

out-of-pocket payments were much higher

YOU SAID YOUR AVERAGE PAYMENT FOR PRESCRIPTION DRUGS HAS BEEN ^FLN368 PER MONTH
^FLINLST2YRS.
HAVE THERE BEEN SOME MONTHS WHEN YOUR OUT-OF-POCKET PAYMENTS WERE MUCH HIGHER THAN THIS?
» IF R WISHES TO CORRECT THE REPORT OF MONTHLY SPENDING, OR THE BRACKET ANSWER, ENTER AN F2 COMMENT HERE
expand
       
     
If out-of-pocket payments were much higher = 1 Yes »
 
         
       
MN369

caused payments to be higher

WHAT CAUSED YOUR PAYMENTS TO BE HIGHER IN THOSE MONTHS?
» CHOOSE ALL THAT APPLY.
expand
         
If TAKE RX DRUGS REGULARLY != 1 Yes and TAKE RX DRUGS REGULARLY != 7  »
 
   
 
If HMO PAY FOR REGULAR RX DRUGS = 1 Yes or SIGNED UP MEDICARE PRESCRIPTION COVERAGE = 1 Yes or PRIVATE PLAN 1-3 HELP PAY REGULAR RX = 1 Yes »
 
     
   
ASSIGN 2 TO MN184
     
 
Else
 
     
   
MN184

EXPECT INS TO COVER DRUG COSTS

IF YOUR DOCTOR DID PRESCRIBE MEDICATION, WOULD YOU EXPECT ANY OF THE COSTS TO BE COVERED BY INSURANCE?
expand
     
   
If EXPECT INS TO COVER DRUG COSTS = 1 Yes »
 
       
     
MN186

WHICH PLAN WOULD COVER DRUG COSTS

WHAT IS THE NAME OF THE HEALTH INSURANCE PLAN THAT WOULD COVER THE LARGEST SHARE OF THE COSTS?
expand
       
MN188

EVER TAKE LESS MEDS BECAUSE OF COST

SOMETIMES PEOPLE DELAY TAKING MEDICATION OR FILLING PRESCRIPTIONS BECAUSE OF THE
COST. AT ANY TIME ^FLINLST2YRS HAVE YOU ENDED UP TAKING LESS MEDICATION THAN WAS
PRESCRIBED FOR YOU BECAUSE OF THE COST?
expand
 
If NUM NIGHTS R SPENT OVERNIGHT IN NH != 996 or (MX008 != INNURSINGHOME and NUM NIGHTS R SPENT OVERNIGHT IN NH = 996) »
 
   
 
MN189

USED HOME HEALTH SVC- PREV IW/2 YRS

^FLINLST2YRS_CAP, HAS ANY MEDICALLY-TRAINED PERSON COME TO YOUR HOME TO HELP YOU,
YOURSELF?
» WE ONLY WANT TO INCLUDE HELP GIVEN TO R, NOT HELP FOR R WHEN R IS A
CAREGIVER FOR SOMEONE ELSE

» INCLUDE HOSPICE CARE RECEIVED AT HOME.
DEF: (MEDICALLY-TRAINED PERSONS INCLUDE PROFESSIONAL NURSES, VISITING NURSE'S
AIDES, PHYSICAL OR OCCUPATIONAL THERAPISTS, CHEMOTHERAPISTS,
RESPIRATORY OXYGEN THERAPISTS, AND HOSPICE CAREGIVERS.)
expand
   
 
If USED HOME HEALTH SVC- PREV IW/2 YRS = 1 Yes »
 
     
   
MN190

HOME HEALTH SERVICE COST COVERED BY INS

WERE THE COSTS OF YOUR HOME MEDICAL CARE COMPLETELY COVERED BY HEALTH INSURANCE,
MOSTLY COVERED, ONLY PARTIALLY COVERED, OR NOT COVERED AT ALL BY INSURANCE?
expand
     
   
If HOME HEALTH SERVICE COST COVERED BY INS != 1 Completely covered »
 
       
     
MN194

AMT PAY O-O-P HOME HEALTH SVC

ABOUT HOW MUCH DID YOU PAY OUT-OF-POCKET FOR IN-HOME MEDICAL CARE ^FLINLST2YRS?
» DO NOT PROBE DK/RF
AMOUNT:
expand
       
     
If AMT PAY O-O-P HOME HEALTH SVC = 999998 or AMT PAY O-O-P HOME HEALTH SVC = 999999 »
 
         
       
MN195

AMT PAY O-O-P HOME HEALTH SVC - MIN

*
expand
         
 
Else
 
     
   
MN198

EXPECT HI COVER HOME HEALTH SVC COSTS

IF YOU WERE TO NEED MEDICAL CARE IN YOUR HOME, WOULD YOU EXPECT ANY OF THE COSTS TO
BE COVERED BY INSURANCE?
expand
     
MN202

USED OTHER HEALTH SVC- PREV IW/2 YRS

» READ SLOWLY
^FLINLST2YRS_CAP, DID YOU USE ANY SPECIAL FACILITY OR SERVICE WHICH WE HAVEN'T TALKED
ABOUT, SUCH AS: AN ADULT CARE CENTER, A SOCIAL WORKER, AN OUTPATIENT REHABILITATION
PROGRAM, PHYSICAL THERAPY, OR TRANSPORTATION FOR THE ELDERLY OR DISABLED?
expand
 
If USED OTHER HEALTH SVC- PREV IW/2 YRS = 1 Yes »
 
   
 
MN203

OTHER HEALTH SVC PAID BY R/SP/P

DID YOU ^FLUORYOUR ^FLHWP HAVE TO PAY FOR ANY OF THESE SERVICES?
expand
   
 
If OTHER HEALTH SVC PAID BY R/SP/P = 1 Yes »
 
     
   
MN239

AMT PAY O-O-P OTHER HEALTH SERVICE

ALTOGETHER, ABOUT HOW MUCH DID YOU HAVE TO PAY?
» DO NOT PROBE DK/RF
AMOUNT:
expand
     
   
If AMT PAY O-O-P OTHER HEALTH SERVICE = 9999998 or AMT PAY O-O-P OTHER HEALTH SERVICE = 9999999 »
 
       
     
MN246

AMT PAY O-O-P OTHER HEALTH SERVICE- MIN

*
expand
       
MN212

HELP PAY HEALTH CARE COSTS

BESIDES ANY COSTS COVERED BY INSURANCE, HAS ANYONE HELPED YOU ^FLUANDYOUR ^FLHWP PAY FOR
YOUR HEALTH CARE COSTS ^FLINLST2YRS, OR HELPED YOU PAY THE COST OF HEALTH INSURANCE
OR FOR LONG-TERM CARE INSURANCE?
expand
 
If HELP PAY HEALTH CARE COSTS = 1 Yes »
 
   
 
MN213

WHO HELP PAY HEALTH CARE COSTS

IS THAT A ^FLN213 RELATIVE OF YOURS ^FLANDYOURHWPS, OR IS THAT SOMEONE ELSE?
expand
   
 
If WHO HELP PAY HEALTH CARE COSTS = 1 Child/child-in-law/grandchild »
 
     
   
MN214AWHICHLDPAYHC

WHICH CHILD PAY HEALTH CARE COSTS

(WHICH CHILD IS THAT?)
» CHOOSE ALL THAT APPLY
» ACCEPT MORE THAN 1 CHILD ONLY AFTER PROBE:
WHICH CHILD HELPS THE MOST?
IF GRANDCHILD: (WHICH OF YOUR CHILDREN IS THE PARENT OF THAT GRANDCHILD?)
     
 
MN215

AMT OF OTHER HELP

ALTOGETHER, ABOUT HOW MUCH MONEY DID THAT HELP AMOUNT TO?
» DO NOT PROBE DK/RF
AMOUNT:
expand
   
 
If AMT OF OTHER HELP = 999998 or AMT OF OTHER HELP = 999999 »
 
     
   
MN216

AMT OF OTHER HELP - MIN

*
expand
     
If MN211 >= 10000 »
 
   
 
MN219

HOW FINANCE LARGE MEDICAL EXPENSES

^FLN219 DID YOU FINANCE THESE -- DID YOU PAY DIRECTLY FROM YOUR SAVINGS OR EARNINGS,
DID YOU TAKE OUT A LOAN, HAVE YOU NOT YET PAID THESE BILLS, OR WHAT?

» CHOOSE ALL THAT APPLY
» IF PAYMENTS ARE STILL BEING MADE, ENTER BOTH CODE 3 AND CODE 4

expand
   
If (PROXY/SELF INTERVIEW = SLF or MANGUAGE = ENGLISH_SPANISH) »
 
   
 
If MZ113 != YES and MEDICARE COVERAGE = YES »
 
     
   
MN226

MEDICARE NUMBER RECORDED

WE WOULD LIKE TO UNDERSTAND HOW PEOPLE'S MEDICAL HISTORY
AFFECTS THEIR FINANCIAL STATUS, AND HOW USE OF HEALTH CARE
MAY CHANGE AS PEOPLE AGE. TO DO THAT, WE NEED TO OBTAIN
INFORMATION ABOUT HEALTH CARE COSTS AND DIAGNOSES FOR STATISTICAL
PURPOSES. THE BEST PLACE TO GET THIS INFORMATION WITHOUT TAKING
UP A LOT MORE OF YOUR TIME IS IN THE MEDICARE FILES.

COULD YOU GIVE ME YOUR MEDICARE NUMBER FOR THIS PURPOSE?

(UNDER THE PRIVACY ACT OF 1974, PROVIDING YOUR NUMBER IS A
VOLUNTARY DECISION. THE BENEFITS YOU MAY BE RECEIVING UNDER
THIS PROGRAM WILL NOT BE AFFECTED IN ANY WAY BY YOUR DECISION.
ANY REMAINING BENEFITS UNDER THIS PROGRAM WILL NOT BE AFFECTED
IN ANY WAY BY YOUR DECISION)
expand
     
 
If CURRENTLY COVERED BY MEDICAID = 1 Yes and MEDICARE NUMBER RECORDED != 4 R refused number »
 
     
   
MN231

MEDICAID NUMBER RECORDED

(WE WOULD LIKE TO UNDERSTAND HOW PEOPLE'S MEDICAL HISTORY AFFECTS THEIR FINANCIAL
STATUS, AND HOW USE OF HEALTH CARE MAY CHANGE AS PEOPLE AGE. TO DO THAT, WE NEED
TO OBTAIN INFORMATION ABOUT HEALTH CARE COSTS AND DIAGNOSES FOR STATISTICAL PURPOSES.
THE BEST PLACE TO GET THIS INFORMATION
WITHOUT TAKING UP A LOT MORE OF YOUR TIME IS IN THE (MEDICAID/STATE NAME FOR
MEDICAID) FILES.)

COULD YOU GIVE ME YOUR MEDICAID NUMBER FOR THIS PURPOSE?

(UNDER THE PRIVACY ACT OF 1974, PROVIDING YOUR NUMBER IS (ALSO) A VOLUNTARY
DECISION. THE BENEFITS YOU MAY BE RECEIVING UNDER THIS PROGRAM WILL NOT BE
AFFECTED IN ANY WAY BY YOUR DECISION.)
expand
     
MN235

HOW SATISFIED W/ HEALTH CARE

NOW, THINKING ABOUT THE QUALITY, COST, AND CONVENIENCE OF YOUR HEALTH CARE,
ALTOGETHER WOULD YOU SAY THAT YOU ARE VERY SATISFIED, SOMEWHAT SATISFIED,
OR NOT SATISFIED AT ALL WITH YOUR HEALTH CARE?
expand
 
MN236

ASSIST SECTION N

» HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION N - HEALTH SERVICES AND
INSURANCE?

expand
 
End of N. Health Services And Insurance