|
ON025
|
 |
WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE |
|
ON251
|
|
Plan Count 3 |
|
ON253
|
|
EMPYR BASED INS-WHO COVERED |
|
ON255
|
|
LIVE WITH WHICH CHILD AFTER 1ST NH STAY |
|
ON254
|
|
WHICH CHILD PAY HEALTH CARE COSTS |
|
ON256
|
|
R age prev interview |
|
ON195
|
|
AMT PAY O-O-P HOME HEALTH SVC - MIN |
|
ON191
|
|
HOME HEALTH SERVICE COVERED BY PLAN |
|
ON117
|
|
NUM MOS R SPENT OVERNIGHT IN NH |
|
ON071
|
|
LTC INSURANCE |
|
ON070
|
|
NAME DENTAL COVERAGE PLAN |
|
ON073
|
|
LTC COV- WHICH PREV MENTION PLAN |
|
ON072
|
|
LTC COV- NEW OR PRE MENTION PLAN |
|
ON075
|
|
COVER NURSING HOME/IN-HOME CARE |
|
ON074
|
|
NAME LTC PLAN |
|
ON077
|
|
RECD BENEFITS UNDER LTC |
|
ON079
|
|
AMT PAY FOR LTC |
|
ON078
|
|
PAYMENTS INCREASE W/ INFLATION |
|
ON115
|
|
# TIMES SPENT OVERNIGHT IN NURSING HOME |
|
ON175
|
|
TAKE RX DRUGS REGULARLY |
|
ON466
|
|
Insurance Pay Any - HOME HEALTH |
|
ON220SHOWFINLGMEDEXP
|
|
HOW FINANCE LG MEDICAL EXPENSES- SPECIFY |
|
ON467
|
|
Insurance Pay All - HOME HEALTH |
|
ON464
|
|
Insurance Pay All - DRUG COSTS |
|
ON465
|
|
Insurance Pay Half - DRUG COSTS |
|
ON462
|
|
Insurance Pay Half - DENTAL COSTS |
|
ON050SWHOCOV
|
|
PRIV PLAN HI- WHO COVERED- SPECIFY |
|
ON463
|
|
Insurance Pay Any - DRUG COSTS |
|
ON298
|
|
Index to Plan |
|
ON294
|
|
MONTHS W/OUT INSUR |
|
ON297
|
|
Index to Plan |
|
ON296
|
|
exch subsidized based on fam income |
|
ON291
|
|
Have usual place of Care |
|
ON290
|
|
Couldnt Afford Medical Care |
|
ON293
|
|
Trouble find DR |
|
ON292
|
|
Have usual place of Care |
|
ON107
|
|
AMT PAID O-O-P HOSPITAL COSTS - MIN |
|
ON106
|
|
AMT PAID O-O-P HOSPITAL COSTS |
|
ON101
|
|
NUM NIGHTS R SPENT OVERNIGHT IN HOSPITAL |
|
ON100
|
|
NUM TIMES R STAYED OVERNIGHT IN HOSP |
|
ON461
|
|
Insurance Pay All - DENTAL COSTS |
|
ON202
|
|
USED OTHER HEALTH SVC- PREV IW/2 YRS |
|
ON203
|
|
OTHER HEALTH SVC PAID BY R/SP/P |
|
ON200
|
|
WHICH PLAN COVER HOME HEALTH COST |
|
ON201
|
|
NAME PLAN COV HOME HEALTH COST |
|
ON091
|
|
EVER WITHOUT HI AMONG CURRENTLY INSURED |
|
ON196
|
|
AMT PAY O-O-P HOME HEALTH SVC - MAX |
|
ON197
|
|
AMT PAY O-O-P HOME HEALTH SVC - RESULT |
|
ON194
|
|
AMT PAY O-O-P HOME HEALTH SVC |
|
ON192
|
|
WHICH PLAN COVER HOME HEALTH SERVICE |
|
ON193
|
|
NAME PLAN COV HOME HEALTH CARE |
|
ON199
|
|
HOME HEALTH SERVICE COV BY PLAN IF NEED |
|
ON432
|
|
prescription drug coverage, which plan |
|
ON123
|
|
MONTH R MOVED TO NURSING HOME |
|
ON122
|
|
AMT PAID O-O-P NURSING HOME- RESULT |
|
ON156
|
|
AMT PAY O-O-P FOR DOC VISITS |
|
ON140
|
|
AMT PAID O-O-P OUTPAT SURGERY - MIN |
|
ON433
|
|
Insurance Pay Any - |
|
ONOFPEOPLE
|
|
# OF PEOPLE IN PEOPLE TABLE |
|
ON120
|
|
AMT PAID O-O-P NURSING HOME- MIN |
|
ON154
|
|
WHICH PLAN COVER DOCTOR VISITS |
|
ON435
|
|
Insurance Pay Half - |
|
ON229
|
|
MEDICARE NUM PART 3 |
|
ON155
|
|
NAME PLAN COV DOCTOR VISITS |
|
ON434
|
|
Insurance Pay All - |
|
ON125
|
|
MONTH R MOVED OUT OF NURSING HOME |
|
ON124
|
|
YEAR R MOVED TO NURSING HOME |
|
ON049AWHOCOV
|
|
PRIV PLAN HI- WHO COVERED |
|
ON332
|
|
EX OTHER MEDICAL EXPENSES |
|
ON333
|
|
EX PAY O-O-P OTHER MEDICAL |
|
ON336
|
|
AMT PAY O-O-P OTHER MEDICAL - RESULT |
|
ON334
|
|
AMT PAY O-O-P OTHER MEDICAL - MIN |
|
ON335
|
|
AMT PAY O-O-P OTHER MEDICAL - MAX |
|
ON019
|
|
MEDICARE/MEDICAID HMO-AMT PAY- SPECIFY |
|
ON018
|
|
MEDICARE/MEDICAID HMO-AMT PAY - PER |
|
ON417
|
|
prescription drug coverage |
|
ON416
|
|
WHY CHANGE PART D- SPECIFY |
|
ON415
|
|
Why change Part D |
|
ON414
|
|
Get Medicare drug coverage through same plan |
|
ON145
|
|
WHICH PLAN COVER LARGEST SHARE COSTS - 4 |
|
ON144
|
|
OUTPAT SURGERY COV BY PRIVATE PLAN - 3 |
|
ON147
|
|
# TIMES SEEN DR- PREV IW/2 YRS |
|
ON146
|
|
NAME PLAN COVER LGST SHARE COSTS- 4 |
|
ON149
|
|
NUMBER TIMES SEEN DOCTOR 5X |
|
ON148
|
|
NUMBER TIMES SEEN DOCTOR 20X |
|
ON024
|
|
NAME PRIVATE HEALTH INSURANCE PLAN |
|
ON023
|
|
NUM PRIVATE HEALTH INS PLANS |
|
ON280
|
|
NAME PRIVATE HEALTH INSURANCE PLAN |
|
ON248
|
|
AMT PAY O-O-P OTHER HEALTH SVC- RESULT |
|
ON245
|
|
N245 loop counter |
|
ON093
|
|
OFFERED HI THRU JOB- WRKNG R W/O EMP INS |
|
ON212
|
|
HELP PAY HEALTH CARE COSTS |
|
ON084SAMTPAYLTC
|
|
AMOUNT PAY FOR LTC - SPECIFY |
|
ON460
|
|
Insurance Pay Any - DENTAL COSTS |
|
ON082
|
|
AMT PAY FOR LTC- RESULT |
|
ON431
|
|
prescription drug coverage, which plan |
|
ON180
|
|
AMT PAY O-O-P RX DRUGS PER MONTH |
|
ON228
|
|
MEDICARE NUM PART 2 |
|
ON062
|
|
EMP RETIREE HI COVERAGE FOR SP UP TO 65 |
|
ON063
|
|
EMP RETIREE HI COVERAGE FOR SP AFTER 65 |
|
ON060
|
|
EMPLOYER RETIREE HI COVERAGE AFTER 65 |
|
ON067
|
|
DENTAL COVERAGE |
|
ON068
|
|
DENTAL COV - NEW OR PREV MENTION PLAN |
|
ON069
|
|
DENTAL COV - WHICH PREV MENTION PLAN |
|
ON343
|
|
WHICH PLANS COVERED UNDER |
|
ON342
|
|
Confirm No Medical insurance |
|
ON284
|
|
HEALTH INSURANCE PLAN SATISFACTION |
|
ON285
|
|
DRUGS/CARE FROM VET ADMIN |
|
ON282
|
|
PRIV PLAN HI- START YEAR |
|
ON076SCOVNHINHOME
|
|
COVER NURSING HOME/IN-HOME CARE - SPECIFY |
|
ON448
|
|
Insurance Pay Any – NH |
|
ON119
|
|
AMT PAID O-O-P NURSING HOME |
|
ON116
|
|
NUM NIGHTS R SPENT OVERNIGHT IN NH |
|
ON233
|
|
MEDICAID NUM PART 2 |
|
ON232
|
|
MEDICAID NUM PART 1 |
|
ON231
|
|
MEDICAID NUMBER RECORDED |
|
ON230
|
|
MEDICARE LETTER |
|
ON235
|
|
HOW SATISFIED W/ HEALTH CARE |
|
ON234
|
|
MEDICAID NUM PART 3 |
|
ON237
|
|
N END TIME STAMP |
|
ON286
|
|
DRUGS/CARE FROM VET ADMIN- KIND |
|
ON283
|
|
RX DRUGS REGULARLY-ASPIRIN OR BLOOD THINNERS |
|
ON281
|
|
PRIV PLAN HI- START MONTH |
|
ON214AWHICHLDPAYHC
|
|
WHICH CHILD PAY HEALTH CARE COSTS |
|
ON449
|
|
Insurance Pay All – NH |
|
ON141
|
|
AMT PAID O-O-P OUTPAT SURGERY - MAX |
|
ON080
|
|
AMT PAY FOR LTC - MIN |
|
ON081
|
|
AMT PAY FOR LTC - MAX |
|
ON445
|
|
Insurance Pay Any - Hospital stay |
|
ON446
|
|
Insurance Pay All - Hospital stay |
|
ON153
|
|
IF DOCTOR VISITS COVERED BY PLAN |
|
ON150
|
|
HAS R SOUGHT DOC ADVICE IN PAST 2 YRS |
|
ON151
|
|
R SEEK DOC ADVICE 50X |
|
ON404
|
|
Monthly premiums |
|
ON405
|
|
Monthly premiums - MIN |
|
ON406
|
|
Monthly premiums - MAX |
|
ON407
|
|
Monthly premiums - RESULT |
|
ON158
|
|
AMT PAY O-O-P FOR DOC VISITS - MAX |
|
ON159
|
|
AMT PAY O-O-P FOR DOC VISITS - RESULT |
|
ON017
|
|
MEDICARE/MEDICAID HMO-AMT PAY - RESULT |
|
ON016
|
|
MEDICARE/MEDICAID HMO-AMT PAY - MAX |
|
ON015
|
|
MEDICARE/MEDICAID HMO-AMT PAY - MIN |
|
ON014
|
|
MEDICARE/MEDICAID HMO-AMT PAY |
|
ON094
|
|
CHOICE IN PLANS- WRKNG R W/ EMP INS |
|
ON036
|
|
OBTAIN INS THRU HWP FORMER EMPLOYER |
|
ON157
|
|
AMT PAY O-O-P FOR DOC VISITS - MIN |
|
ON277
|
|
Month Stopped |
|
ON178
|
|
WHICH PLAN COVERED DRUG COSTS |
|
ON274
|
|
Still Covered |
|
ON273
|
|
Plan Name |
|
ON272
|
|
Plan number |
|
ON179
|
|
NAME PLAN COVERAGE MEDS |
|
ON279
|
|
Plan Intro |
|
ON278
|
|
Year Stopped |
|
ON472
|
|
prescription medications intro |
|
ON171
|
|
AMT PAY O-O-P DENTAL - RESULT |
|
ON114
|
|
EVER PATIENT OVERNIGHT IN NURSING HOME |
|
ON447
|
|
Insurance Pay Half - Hospital stay |
|
ON134
|
|
OUTPATIENT SURGERY- PREV IW/2 YRS |
|
ON032
|
|
PRIVATE PLAN 1-3 HELP PAY REGULAR RX |
|
ON040
|
|
PRIV PLAN HI PAY PER/MONTH- AMT |
|
ON357
|
|
REASON NOT SIGN UP- SPECIFY |
|
ON350
|
|
NAME OF HMO |
|
ON351
|
|
HMO PAY FOR REGULAR RX DRUGS |
|
ON352
|
|
SIGNED UP MEDICARE PRESCRIPTION COVERAGE |
|
ON353
|
|
NAME OF MEDICARE PRESCRIPTION PROVIDER |
|
ON051
|
|
PRIV HI- COULD SPOUSE BE COVERED |
|
ON240
|
|
HOSPITAL COSTS COVERED BY PRIVATE PLAN 1 |
|
ON236
|
|
ASSIST SECTION N |
|
ON128
|
|
ELIGIBLE FOR MEDICAID DURNG NH STAY |
|
ON127
|
|
ELIGIBLE FOR MEDICAID START NH STAY |
|
ON246
|
|
AMT PAY O-O-P OTHER HEALTH SERVICE- MIN |
|
ON226
|
|
MEDICARE NUMBER RECORDED |
|
ON227
|
|
MEDICARE NUM PART 1 |
|
ON083
|
|
AMT PAY FOR LTC PER |
|
ON249
|
|
Plan Count 1 |
|
ON132SLIVEAFTNH1
|
|
WHERE R LIVE AFTER NH STAY- SPECIFY |
|
ON242
|
|
NAME PLAN COV LGST SHARE HOSPITAL COST |
|
ON241
|
|
WHICH PLAN COV LGST SHARE HOSPITAL COST |
|
ON247
|
|
AMT PAY O-O-P OTHER HEALTH SERVICE- MAX |
|
ON295
|
|
HOW SATISFIED W/ HEALTH CARE |
|
ON244
|
|
WHICH PLAN COVER DENT COSTS |
|
ON121
|
|
AMT PAID O-O-P NURSING HOME- MAX |
|
ON092
|
|
EMP/UNION OFFER HI - WRKG R W/O EMP INS |
|
ON090
|
|
NUMBER OF PUBLIC/PRIVATE HI PLANS |
|
ON456
|
|
Insurance Pay Half - OUTPATIENT SURG |
|
ON457
|
|
Insurance Pay Any - DOCTOR VISITS |
|
ON450
|
|
Insurance Pay Half – NH |
|
ON109
|
|
AMT PAID O-O-P HOSPITAL COSTS - RESULT |
|
ON099
|
|
OVERNIGHT STAY IN HOSP-SINCE PREV IW/2YR |
|
ON108
|
|
AMT PAID O-O-P HOSPITAL COSTS - MAX |
|
ON004
|
|
MEDICARE PART B COVERAGE |
|
ON005
|
|
MEDICAID COVERAGE SINCE PREV WAVE |
|
ON006
|
|
CURRENTLY COVERED BY MEDICAID |
|
ON007
|
|
CHAMPUS/CHAMPVA COVERAGE |
|
ON001
|
|
MEDICARE COVERAGE |
|
ON002
|
|
WHY NOT MEDICARE COVERED |
|
ON168
|
|
AMT PAY O-O-P DENTAL |
|
ON167
|
|
NAME OF DENTAL PLAN |
|
ON166
|
|
DENTAL COSTS COV BY DENTAL PLAN- SPECIFY |
|
ON454
|
|
Insurance Pay Any - OUTPATIENT SURG |
|
ON163
|
|
NAME PLAN COV LRGST SHARE DOC COSTS |
|
ON009
|
|
MEDICARE/MEDICAID HMO |
|
ON161
|
|
DOC COSTS TO BE COVERED BY PLAN |
|
ON368
|
|
out-of-pocket payments were much higher |
|
ON126
|
|
YEAR R MOVED OUT OF NURSING HOME |
|
ON364
|
|
PRESC DRUGS REGULARLY HELP SLEEP |
|
ON361
|
|
RX DRUGS REGULARLY PAIN |
|
ON459
|
|
Insurance Pay Half - DOCTOR VISITS |
|
ON363
|
|
PRESC DRUGS REGULARLY STOMACH PROBLEMS |
|
ON362
|
|
PRESC DRUGS REGULARLY BREATHING PROBLEMS |
|
ON455
|
|
Insurance Pay All - OUTPATIENT SURG |
|
ON458
|
|
Insurance Pay All - DOCTOR VISITS |
|
ON142
|
|
AMT PAID O-O-P OUTPAT SURGERY - RESULT |
|
ON260
|
|
Last had health care coverage |
|
ON261
|
|
Reason Not have health care coverage |
|
ON262
|
|
Reason Not have health care coverage - Other Specify |
|
ON468
|
|
Insurance Pay Half - HOME HEALTH |
|
ON215
|
|
AMT OF OTHER HELP |
|
ON035
|
|
OBTAIN INS THRU HWP CURRENT EMPLOYER |
|
ON217
|
|
AMT OF OTHER HELP - MAX |
|
ON216
|
|
AMT OF OTHER HELP - MIN |
|
ON213
|
|
WHO HELP PAY HEALTH CARE COSTS |
|
ON034
|
|
OBTAIN INS THRU FORMER EMPLOYER |
|
ON218
|
|
AMT OF OTHER HELP - RESULT |
|
ON181
|
|
AMT PAY O-O-P RX DRUGS PER MONTH- MIN |
|
ON169
|
|
AMT PAY O-O-P DENTAL - MIN |
|
ON183
|
|
AMT PAY O-O-P RX DRUGS PER MONTH- RESULT |
|
ON182
|
|
AMT PAY O-O-P RX DRUGS PER MONTH- MAX |
|
ON239
|
|
AMT PAY O-O-P OTHER HEALTH SERVICE |
|
ON189
|
|
USED HOME HEALTH SVC- PREV IW/2 YRS |
|
ON188
|
|
EVER TAKE LESS MEDS BECAUSE OF COST |
|
ON033
|
|
OBTAIN HI THRU CURRENT EMP/OWN BUSINESS |
|
ON164
|
|
SEEN DENTIST SINCE PREV IW/2YRS |
|
ON162
|
|
WHICH PLAN COVER DOC COSTS |
|
ON048
|
|
PRIV PLAN HI- ANYONE ELSE COVERED |
|
ON041
|
|
PRIV PLAN HI PAY PER/MONTH- MIN |
|
ON042
|
|
PRIV PLAN HI PAY PER/MONTH- MAX |
|
ON043
|
|
PRIV PLAN HI PAY PER/MONTH- RESULT |
|
ON044
|
|
BRANCHPNT-SELF EMPLOYED/ALL OTH |
|
ON365
|
|
RX DRUGS REGULARLY-ANXIETY OR DEPRESSION |
|
ON059
|
|
EMPLOYER RETIREE COVERAGE UP TO 65 |
|
ON360
|
|
RX DRUGS REGULARLY CHOLESTEROL |
|
ON238
|
|
SPOUSE COVER NURSING HOME/IN-HOME CARE |
|
ON136
|
|
OUTPAT SURG COSTS COV BY PRIVATE PLAN |
|
ON137
|
|
WHICH PLAN COV LGST SHARE OUTPAT COSTS |
|
ON130
|
|
LOSE ELIGIBILITY WHEN LEFT-LAST NH STAY |
|
ON131
|
|
WHERE R LIVE AFTER NURSING HOME STAY |
|
ON133
|
|
LIVE WITH WHICH CHILD AFTER NH STAY |
|
ON138
|
|
NAME PLAN LRGST SHARE OUTPAT COSTS |
|
ON139
|
|
AMT PAID O-O-P OUTPAT SURGERY |
|
ON038
|
|
WHERE PURCHASE PRIV PLAN HI- SPECIFY |
|
ON037
|
|
WHERE PURCHASE PRIVATE PLAN INSURANCE |
|
ON089SWHYLTCCOVLAP
|
|
WHY LTC COVERAGE LAPSE - SPECIFY |
|
ON170
|
|
AMT PAY O-O-P DENTAL - MAX |