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Start of N. Health Services And Insurance
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ON001 MEDICARE COVERAGE
[F1]--HELP
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?
1 Yes
5 No
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If ( MEDICARE COVERAGE = 5 No and R CURRENT AGE CALCULATION > 65 YEARS) or ( MEDICARE COVERAGE = 1 Yes and R CURRENT AGE CALCULATION < 65 YEARS) »
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ON002 WHY NOT MEDICARE COVERED
WHY IS THAT?
» R IS AGE ^PISECACONTINUINTERVIEWA019_RAGE, SO PROBE WHY R IS ^FLN002 COVERED BY MEDICARE
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If MEDICARE COVERAGE = 1 Yes »
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ON004 MEDICARE PART B COVERAGE
[F1]--HELP
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?
1 Yes
5 No
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ON352 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?
1 Yes
3 [Vol] Enrolled in it Automatically
5 No
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If SIGNED UP MEDICARE PRESCRIPTION COVERAGE = 3 [Vol] Enrolled in it Automatically »
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If SIGNED UP MEDICARE PRESCRIPTION COVERAGE was answered »
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If OANGUAGE = SPANISH or ENGLISH »
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If SIGNED UP MEDICARE PRESCRIPTION COVERAGE != 5 No »
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ON404 Monthly premiums
HOW MUCH DO YOU, YOURSELF, PAY PER MONTH IN PREMIUMS FOR THIS PLAN?
» DO NOT PROBE DK/RF
0..9996
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If Monthly premiums = 9998 or Monthly premiums = 9999 »
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ON405 Monthly premiums - MIN
*
0..996
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ON005 MEDICAID COVERAGE SINCE PREV WAVE
[F1]--HELP
HAVE YOU BEEN COVERED BY HEALTH INSURANCE THROUGH (MEDICAID/STATE NAME FOR MEDICAID
OR ANY OTHER MEDICAID PROGRAM) AT ANY TIME ^FLINLST2YRS?
1 Yes
5 No
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If MEDICAID COVERAGE SINCE PREV WAVE = 1 Yes »
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ON006 CURRENTLY COVERED BY MEDICAID
ARE YOU CURRENTLY COVERED BY (MEDICAID/STATE NAME FOR MEDICAID)?
1 Yes
5 No
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ON007 CHAMPUS/CHAMPVA COVERAGE
[F1]--HELP
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.
USING THE VA FOR HEALTH CARE DOES NOT NECESSARILY MEAN THE RESPONDENT IS COVERED BY A MILITARY HEALTH PLAN.)
1 Yes
5 No
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If MEDICARE COVERAGE = 1 Yes or CURRENTLY COVERED BY MEDICAID = 1 Yes »
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ON009 MEDICARE/MEDICAID HMO
[F1]--HELP
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.)
1 Yes
5 No
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If MEDICARE/MEDICAID HMO = 1 Yes »
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ON351 HMO PAY FOR REGULAR RX DRUGS
DOES THIS PLAN COVER OR PROVIDE HELP WITH PAYING FOR REGULAR PRESCRIPTION DRUGS?
1 Yes
5 No
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ON014 MEDICARE/MEDICAID HMO-AMT PAY
^FLN014 MUCH DO YOU,
YOURSELF, PAY IN PREMIUMS FOR THIS PLAN?
» DO NOT PROBE DK/RF
AMOUNT:
PER:
0..996
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If MEDICARE/MEDICAID HMO-AMT PAY > 0 and MEDICARE/MEDICAID HMO-AMT PAY != 998 and MEDICARE/MEDICAID HMO-AMT PAY != 999 »
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ON018 MEDICARE/MEDICAID HMO-AMT PAY - PER
(^FLN014 MUCH DO YOU,
YOURSELF, PAY IN PREMIUMS FOR THIS PLAN?)
AMOUNT: ^N014_
PER:
1 Month
2 Quarter (Every 3 months)
3 Semi-annually (every 6 months/twice a year)
4 Year
7 Other (specify)
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If MEDICARE/MEDICAID HMO-AMT PAY = 998 or MEDICARE/MEDICAID HMO-AMT PAY = 999 »
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ON015 MEDICARE/MEDICAID HMO-AMT PAY - MIN
*
0..996
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ON023 NUM PRIVATE HEALTH INS PLANS
[F1]--HELP
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:
0..30
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If NUM PRIVATE HEALTH INS PLANS != 0 and NUM PRIVATE HEALTH INS PLANS was answered »
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As CNT goes from 1 to NUM PRIVATE HEALTH INS PLANS »
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If MEDICARE COVERAGE = 1 Yes »
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ON025 WHICH IS PRIMARY PLAN-PRIVATE/MEDICARE
WHICH IS YOUR PRIMARY PLAN, MEDICARE OR ^N024_ ?
1 Medicare
2 MAIN PRIVATE PLAN
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ON032 PRIVATE PLAN 1-3 HELP PAY REGULAR RX
[F1]--HELP
DOES ^N024_ PROVIDE HELP WITH PAYING FOR REGULAR PRESCRIPTION DRUGS?
» THE FOLLOW-UP QUESTIONS REFER TO THE PRIVATE PLAN, NOT TO MEDICARE.
1 Yes
5 No
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ON033 OBTAIN HI THRU CURRENT EMP/OWN BUSINESS
DO YOU OBTAIN THIS HEALTH INSURANCE THROUGH ^FLN033
1 Yes
5 No
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If OBTAIN HI THRU CURRENT EMP/OWN BUSINESS != 1 Yes »
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ON034 OBTAIN INS THRU FORMER EMPLOYER
DO YOU OBTAIN THIS HEALTH INSURANCE THROUGH A FORMER EMPLOYER OF YOURS?
1 Yes
5 No
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If OBTAIN INS THRU FORMER EMPLOYER != 1 Yes »
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If MX065_R = OARRIED/PARTNERED or MB063 = ANULLED SEPARATED DIVORCED »
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ON035 OBTAIN INS THRU HWP CURRENT EMPLOYER
DO YOU OBTAIN THIS HEALTH INSURANCE THROUGH YOUR ^FLN035 (SPOUSE`S/PARTNER`S) CURRENT EMPLOYER?
1 Yes
5 No
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If ( OBTAIN INS THRU HWP CURRENT EMPLOYER != 1 Yes and OBTAIN INS THRU HWP CURRENT EMPLOYER !was assigned an EMPTY value) or MB063 = WIDOWED »
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ON036 OBTAIN INS THRU HWP FORMER EMPLOYER
DO YOU OBTAIN THIS HEALTH INSURANCE THROUGH YOUR ^FLN035 (SPOUSE`S/PARTNER`S) FORMER EMPLOYER?
1 Yes
5 No
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If OBTAIN INS THRU HWP FORMER EMPLOYER != 1 Yes and OBTAIN INS THRU HWP CURRENT EMPLOYER != 1 Yes »
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ON037 WHERE PURCHASE PRIVATE PLAN INSURANCE
DID YOU PURCHASE THIS PLAN DIRECTLY FROM AN INSURANCE COMPANY, THOUGH AN INSURANCE EXCHANGE, THROUGH YOUR
^FLORYOURHWPS 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
5 through an insurance exchange
7 Other (specify)
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ON040 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:
0..9999
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If PRIV PLAN HI PAY PER/MONTH- AMT = 9998 or PRIV PLAN HI PAY PER/MONTH- AMT = 9999 »
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ON041 PRIV PLAN HI PAY PER/MONTH- MIN
*
-999999999..999999999
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If MJ021 = SELF EMPLOYED »
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If MX065_R = OARRIED_PARTNERED and ( OBTAIN INS THRU HWP CURRENT EMPLOYER = 1 Yes or OBTAIN INS THRU HWP FORMER EMPLOYER = 1 Yes) »
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If MX065_R = OARRIED_PARTNERED and ( OBTAIN INS THRU HWP CURRENT EMPLOYER = 1 Yes or OBTAIN INS THRU HWP FORMER EMPLOYER = 1 Yes) »
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ElseIf WHERE PURCHASE PRIVATE PLAN INSURANCE = 7 Other (specify) »
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If MEDICARE COVERAGE = 1 Yes »
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ON048 PRIV PLAN HI- ANYONE Else COVERED
BESIDES YOU, IS ANYONE ELSE COVERED ON THIS HEALTH INSURANCE POLICY?
1 Yes
5 No
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If PRIV PLAN HI- ANYONE Else COVERED = 1 Yes »
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ON049AWHOCOV PRIV PLAN HI- WHO COVERED
WHO BESIDES YOURSELF IS COVERED?
» CHOOSE ALL THAT APPLY
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If ( PRIV PLAN HI- WHO COVERED = 5 or PRIV PLAN HI- WHO COVERED != 991) and MX065_R = OARRIED 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 »
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ON051 PRIV HI- COULD SPOUSE BE COVERED
COULD YOU HAVE OBTAINED COVERAGE FOR YOUR SPOUSE THROUGH THIS HEALTH INSURANCE PLAN?
1 Yes
5 No
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If R CURRENT AGE CALCULATION < 65 and OBTAIN HI THRU CURRENT EMP/OWN BUSINESS = 1 Yes »
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ElseIf R CURRENT AGE CALCULATION < 65 and OBTAIN INS THRU FORMER EMPLOYER = 1 Yes »
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If R CURRENT AGE CALCULATION < 65 »
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ON059 EMPLOYER RETIREE COVERAGE UP TO 65
^FLN059 YOU CONTINUE THIS INSURANCE COVERAGE FOR YOURSELF UP TO THE AGE OF 65?
1 Yes
5 No
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If EMPLOYER RETIREE COVERAGE UP TO 65 = 1 Yes »
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ON060 EMPLOYER RETIREE HI COVERAGE AFTER 65
^FLN063 EMPLOYER OFFER THIS TYPE OF HEALTH INSURANCE COVERAGE FOR
YOU AFTER THE AGE OF 65?
1 Yes
5 No
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If OA044 < 65 and MX065_R != OTHER and EMPLOYER RETIREE COVERAGE UP TO 65 != 5 No and PRIV HI- COULD SPOUSE BE COVERED = 1 Yes »
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ON062 EMP RETIREE HI COVERAGE FOR SP UP TO 65
^FLN062 UNTIL ^FLSPPHESHE IS AGE 65?
1 Yes
5 No
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If EMP RETIREE HI COVERAGE FOR SP UP TO 65 = 1 Yes »
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ON063 EMP RETIREE HI COVERAGE FOR SP AFTER 65
^FLN063 EMPLOYER OFFER THIS TYPE OF HEALTH INSURANCE COVERAGE
FOR YOUR SPOUSE AFTER THE AGE OF 65?
1 Yes
5 No
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ON071 LTC INSURANCE
[F1]--HELP
^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?
1 Yes
5 No
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If LTC INSURANCE = 1 Yes »
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If NUMBER OF PUBLIC/PRIVATE HI PLANS = 0 »
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ON072 LTC COV- NEW OR PRE MENTION PLAN
IS THAT ONE OF THE PLANS YOU HAVE ALREADY DESCRIBED, OR A DIFFERENT PLAN?
1 Previously described plan
2 Different plan
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If ( LTC INSURANCE = 1 Yes and NUMBER OF PUBLIC/PRIVATE HI PLANS = 0) or LTC COV- NEW OR PRE MENTION PLAN = 2 Different plan »
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ElseIf LTC COV- NEW OR PRE MENTION PLAN = 1 Previously described plan »
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ON073 LTC COV- WHICH PREV MENTION PLAN
WHICH PLAN IS THAT?
1 ^Privplan[1]
2 ^Privplan[2]
3 ^Privplan[3]
4 ^Privplan[4]
5 ^Privplan[5]
6 ^Privplan[6]
7 ^Privplan[7]
8 ^Privplan[8]
9 ^Privplan[9]
10 ^Privplan[10]
11 ^Privplan[11]
12 ^Privplan[12]
13 ^Privplan[13]
14 ^Privplan[14]
15 ^Privplan[15]
16 ^Privplan[16]
17 ^Privplan[17]
18 ^Privplan[18]
19 ^Privplan[19]
20 ^Privplan[20]
21 ^Privplan[21]
22 ^Privplan[22]
27 ^Privplan[27]
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ON075 COVER NURSING HOME/IN-HOME CARE
[F1]--HELP
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?
1 Nursing home care only
2 In-home care only
3 Both
7 Other (specify)
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ON238 SPOUSE COVER NURSING HOME/IN-HOME CARE
DOES THIS PLAN PROVIDE LONG-TERM CARE COVERAGE FOR YOUR ^FLHWP AS WELL AS FOR YOURSELF?
1 Yes
5 No
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ON077 RECD BENEFITS UNDER LTC
HAVE YOU ^FLN077 EVER RECEIVED BENEFITS UNDER YOUR LONG-TERM CARE POLICY?
1 Yes
5 No
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ON078 PAYMENTS INCREASE W/ INFLATION
DOES THIS PLAN INCREASE PAYMENTS WITH INFLATION?
1 Yes
5 No
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If LTC COV- NEW OR PRE MENTION PLAN != 1 Previously described plan or LTC COV- WHICH PREV MENTION PLAN != 27 ^Privplan[27] »
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ON079 AMT PAY FOR LTC
^FLN079
» ENTER 0 IF NO PAYMENTS ARE MADE
» DO NOT PROBE DK/RF
AMOUNT:
PER:
0..999996
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ON083 AMT PAY FOR LTC PER
^FLN079
» ENTER 0 IF NO PAYMENTS ARE MADE
» DO NOT PROBE DK/RF
AMOUNT: ^N079_AMTPAYLTC
PER:
1 Month
2 Quarter (every 3 months)
4 Year
7 Other (specify)
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If AMT PAY FOR LTC PER = 8 or AMT PAY FOR LTC PER = 9 »
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ON080 AMT PAY FOR LTC - MIN
*
0..999996
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If ( NUMBER OF PUBLIC/PRIVATE HI PLANS > 0 and MZ201 != YES) or R age prev interview < 65 »
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ON091 EVER WITHOUT HI AMONG CURRENTLY INSURED
WERE YOU EVER WITHOUT HEALTH INSURANCE COVERAGE AT ANY TIME ^FLINLST2YRS?
1 Yes
5 No
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If NUMBER OF PUBLIC/PRIVATE HI PLANS = 0 »
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ON342 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?
1 Yes
5 No
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If Confirm No Medical insurance = 5 No »
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ON343 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.
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
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If MJ021 = SOMEONE_Else and OBTAIN HI THRU CURRENT EMP/OWN BUSINESS != YES »
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ON092 EMP/UNION OFFER HI - WRKG R W/O EMP INS
[F1]--HELP
DOES YOUR EMPLOYER OR UNION OFFER A HEALTH INSURANCE PLAN TO ANY OF ITS EMPLOYEES?
1 Yes
5 No
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If EMP/UNION OFFER HI - WRKG R W/O EMP INS = 1 Yes »
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ON093 OFFERED HI THRU JOB- WRKNG R W/O EMP INS
WERE YOU OFFERED HEALTH INSURANCE THROUGH YOUR JOB?
1 Yes
5 No
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ON094 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?
1 Yes, more than one plan
5 No, Only one plan
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ON099 OVERNIGHT STAY IN HOSP-SINCE PREV IW/2YR
[F1]--HELP
THE NEXT QUESTIONS ARE ABOUT HEALTH CARE YOU HAVE RECEIVED. ^FLINLST2YRS_CAP ,
HAVE YOU BEEN A PATIENT IN A HOSPITAL OVERNIGHT?
1 Yes
5 No
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If OVERNIGHT STAY IN HOSP-SINCE PREV IW/2YR = 1 Yes »
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ON100 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
1..95
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ON101 NUM NIGHTS R SPENT OVERNIGHT IN HOSPITAL
[F1]--HELP
^FLN101 MANY NIGHTS WERE YOU A PATIENT IN THE HOSPITAL ^FLINLST2YRS?
0..996
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ON106 AMT PAID O-O-P HOSPITAL COSTS
[F1]--HELP
ABOUT HOW MUCH DID YOU PAY OUT-OF-POCKET FOR HOSPITAL BILLS ^FLINLST2YRS?
» DO NOT PROBE DK/RF
AMOUNT:
0..9999996
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If AMT PAID O-O-P HOSPITAL COSTS = 9999998 or AMT PAID O-O-P HOSPITAL COSTS = 9999999 »
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ON107 AMT PAID O-O-P HOSPITAL COSTS - MIN
*
0..9999996
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If R IN NURSING HOME = 1 or R IN NURSING HOME = 1 or EX PLACE OF DEATH = 2 »
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ON114 EVER PATIENT OVERNIGHT IN NURSING HOME
[F1]--HELP
^FLINLST2YRS_CAP, HAVE YOU BEEN A PATIENT OVERNIGHT IN A NURSING HOME,
CONVALESCENT HOME, OR OTHER LONG-TERM HEALTH CARE FACILITY?
1 Yes
5 No
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If EVER PATIENT OVERNIGHT IN NURSING HOME = 1 Yes »
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ON115 # TIMES SPENT OVERNIGHT IN NURSING HOME
HOW MANY ^FLN115 OR OTHER LONG-TERM CARE FACILITY ^FLINLST2YRS?
1..95
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ON116 NUM NIGHTS R SPENT OVERNIGHT IN NH
[F1]--HELP
^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:
0..996
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If NUM NIGHTS R SPENT OVERNIGHT IN NH was assigned an EMPTY value »
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ON117 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:
1..78
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If EVER PATIENT OVERNIGHT IN NURSING HOME = 1 Yes or EX PLACE OF DEATH = IONURSINGHOME or R IN NURSING HOME = 1 or R IN NURSING HOME = 1 »
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ON119 AMT PAID O-O-P NURSING HOME
[F1]--HELP
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:
0..9999996
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If AMT PAID O-O-P NURSING HOME = 9999998 or AMT PAID O-O-P NURSING HOME = 9999999 »
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ON120 AMT PAID O-O-P NURSING HOME- MIN
*
0..9999996
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If # TIMES SPENT OVERNIGHT IN NURSING HOME was answered »
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As CNT goes from 1 to # TIMES SPENT OVERNIGHT IN NURSING HOME »
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ON124 YEAR R MOVED TO NURSING HOME
^FLN123
IN WHAT YEAR DID YOU GO INTO THE NURSING HOME OR HEALTH CARE FACILITY?
YEAR:
1900..2014
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If YEAR R MOVED TO NURSING HOME < 2 YEARS AGO »
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ON123 MONTH R MOVED TO NURSING HOME
(WHAT MONTH WAS THAT?)
MONTH:
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
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ON126 YEAR R MOVED OUT OF NURSING HOME
IN WHAT YEAR DID YOU MOVE OUT OF THE NURSING HOME OR HEALTH CARE FACILITY?
YEAR:
1900..2014
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If YEAR R MOVED OUT OF NURSING HOME < 2 YEARS AGO »
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ON125 MONTH R MOVED OUT OF NURSING HOME
(WHAT MONTH WAS THAT?)
MONTH:
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
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If MEDICAID COVERAGE SINCE PREV WAVE = 1 Yes »
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ON127 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?
1 Yes
5 No
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If ELIGIBLE FOR MEDICAID START NH STAY = 5 No »
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ON128 ELIGIBLE FOR MEDICAID DURNG NH STAY
DID YOU BECOME ELIGIBLE FOR (MEDICAID/STATE NAME FOR MEDICAID) DURING THAT NURSING HOME
STAY?
1 Yes
5 No
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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 EX PLACE OF DEATH != IONURSINGHOME »
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ON130 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?
1 Yes
5 No
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ON131 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?)
1 R lived by him/her self, alone
2 R lived with spouse/partner only
3 R lived with child and child's family
4 R lived with other relative(s)
5 R lived in retirement center
6 Another nursing home, hospital,assisted living, rehab center
7 Other (specify)
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If WHERE R LIVE AFTER NURSING HOME STAY = 3 R lived with child and child's family »
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ON133 LIVE WITH WHICH CHILD AFTER NH STAY
(WHICH CHILD IS THAT?)
IF GRANDCHILD: (WHICH OF YOUR CHILDREN IS THE PARENT OF THAT GRANDCHILD?)
1..999
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ON134 OUTPATIENT SURGERY- PREV IW/2 YRS
[F1]--HELP
^FLN134 HAVE YOU HAD OUTPATIENT SURGERY?
1 Yes
5 No
|
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|
If OUTPATIENT SURGERY- PREV IW/2 YRS = 1 Yes »
|
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ON139 AMT PAID O-O-P OUTPAT SURGERY
[F1]--HELP
ABOUT HOW MUCH DID YOU PAY OUT-OF-POCKET FOR OUTPATIENT SURGERY ^FLINLST2YRS?
» DO NOT PROBE DK/RF
AMOUNT:
0..9999996
|
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|
|
|
|
If AMT PAID O-O-P OUTPAT SURGERY = 9999998 or AMT PAID O-O-P OUTPAT SURGERY = 9999999 »
|
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ON140 AMT PAID O-O-P OUTPAT SURGERY - MIN
*
0..9999996
|
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|
ON147 # 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?
» DO NOT PROBE DK/RF
» 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.
0..900
|
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|
If # TIMES SEEN DR- PREV IW/2 YRS was not answered »
|
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ON148 NUMBER TIMES SEEN DOCTOR 20X
DID IT AMOUNT TO LESS THAN 20 TIMES, MORE THAN 20 TIMES, OR WHAT?
1 Less than 20 times
3 About 20 times
5 More than 20 times
|
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|
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 »
|
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ON149 NUMBER TIMES SEEN DOCTOR 5X
DID IT AMOUNT TO LESS THAN 5 TIMES, MORE THAN 5 TIMES, OR WHAT?
1 Less than 5 times
3 About 5 times
5 More than 5 times
|
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|
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 »
|
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ON150 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?
1 Yes
5 No
|
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|
If NUMBER TIMES SEEN DOCTOR 20X = 5 More than 20 times »
|
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ON151 R SEEK DOC ADVICE 50X
DID IT AMOUNT TO LESS THAN 50 TIMES, MORE THAN 50 TIMES, OR WHAT?
1 Less than 50 times
3 About 50 times
5 More than 50 times
|
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|
|
If ( HAS R SOUGHT DOC ADVICE IN PAST 2 YRS = 1 Yes or ((((ON147 != 0 and ON147 was answered) or ON148 = 3) or ON149= 3) or NUMBER TIMES SEEN DOCTOR 5X = 5 More than 5 times)) or R SEEK DOC ADVICE 50X !was assigned an EMPTY value »
|
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ON156 AMT PAY O-O-P FOR DOC VISITS
[F1]--HELP
ABOUT HOW MUCH DID YOU PAY OUT-OF-POCKET FOR DOCTOR OR CLINIC VISITS ^FLINLST2YRS?
» DO NOT PROBE DK/RF
AMOUNT:
0..9999996
|
|
|
|
|
|
If AMT PAY O-O-P FOR DOC VISITS = 9999998 or AMT PAY O-O-P FOR DOC VISITS = 9999999 »
|
|
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|
ON157 AMT PAY O-O-P FOR DOC VISITS - MIN
*
0..9999996
|
|
|
|
|
|
ON164 SEEN DENTIST SINCE PREV IW/2YRS
^FLINLST2YRS_CAP HAVE YOU SEEN A DENTIST FOR DENTAL CARE, INCLUDING DENTURES?
1 Yes
5 No
|
|
|
|
If SEEN DENTIST SINCE PREV IW/2YRS = 1 Yes »
|
|
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|
ON168 AMT PAY O-O-P DENTAL
[F1]--HELP
ABOUT HOW MUCH DID YOU PAY OUT-OF-POCKET FOR DENTAL BILLS ^FLINLST2YRS?
» DO NOT PROBE DK/RF
AMOUNT:
0..9999996
|
|
|
|
|
|
If AMT PAY O-O-P DENTAL = 9999998 or AMT PAY O-O-P DENTAL = 9999999 »
|
|
|
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|
ON169 AMT PAY O-O-P DENTAL - MIN
*
0..9999996
|
|
|
|
|
|
If MC006 = YES or MC011 = YES or MC012 = YES or MC046 = YES or MC050 = YES or MC060 = YES or MC068 = YES »
|
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ON175 TAKE RX DRUGS REGULARLY
[F1]--HELP
DO YOU REGULARLY TAKE PRESCRIPTION MEDICATIONS?
1 Yes
5 No
7
|
|
|
|
|
If TAKE RX DRUGS REGULARLY = 1 Yes or TAKE RX DRUGS REGULARLY = 7 or TAKE RX DRUGS REGULARLY was assigned an EMPTY value »
|
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|
ON360 RX DRUGS REGULARLY CHOLESTEROL
DO YOU REGULARLY TAKE PRESCRIPTION MEDICATIONS FOR ANY OF THE FOLLOWING
COMMON HEALTH PROBLEMS:
TO HELP LOWER YOUR CHOLESTEROL?
1 Yes
5 No
|
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|
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|
ON361 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?
1 Yes
5 No
|
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|
ON362 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?
1 Yes
5 No
|
|
|
|
|
|
ON363 PRESC DRUGS REGULARLY STOMACH PROBLEMS
(DO YOU REGULARLY TAKE PRESCRIPTION MEDICATIONS FOR ANY OF THE FOLLOWING
COMMON HEALTH PROBLEMS:)
FOR STOMACH PROBLEMS?
1 Yes
5 No
|
|
|
|
|
|
ON364 PRESC DRUGS REGULARLY HELP SLEEP
(DO YOU REGULARLY TAKE PRESCRIPTION MEDICATIONS FOR ANY OF THE FOLLOWING
COMMON HEALTH PROBLEMS:)
TO HELP YOU SLEEP?
1 Yes
5 No
|
|
|
|
|
|
ON365 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?
1 Yes
5 No
|
|
|
|
|
If TAKE RX DRUGS REGULARLY != 5 No and TAKE RX DRUGS REGULARLY was answered »
|
|
|
|
|
|
|
ON178 WHICH PLAN COVERED DRUG COSTS
WHAT IS THE NAME OF THE HEALTH INSURANCE PLAN THAT COVERED THE LARGEST SHARE OF THE COSTS?
1 ^Privplan[1]
2 ^Privplan[2]
3 ^Privplan[3]
4 ^Privplan[4]
5 ^Privplan[5]
6 ^Privplan[6]
7 ^Privplan[7]
8 ^Privplan[8]
9 ^Privplan[9]
10 ^Privplan[10]
11 ^Privplan[11]
12 ^Privplan[12]
13 ^Privplan[13]
14 ^Privplan[14]
15 ^Privplan[15]
16 ^Privplan[16]
17 ^Privplan[17]
18 ^Privplan[18]
19 ^Privplan[19]
20 ^Privplan[20]
21 ^Privplan[21]
22 ^Privplan[22]
27 ^Privplan[27]
97 Get meds through the VA
|
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|
ON180 AMT PAY O-O-P RX DRUGS PER MONTH
[F1]--HELP
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:
0..99996
|
|
|
|
|
|
|
|
If AMT PAY O-O-P RX DRUGS PER MONTH = 99998 or AMT PAY O-O-P RX DRUGS PER MONTH = 99999 »
|
|
|
|
|
|
|
|
|
|
|
ON181 AMT PAY O-O-P RX DRUGS PER MONTH- MIN
*
0..99996
|
|
|
|
|
|
|
|
|
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 »
|
|
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|
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|
ON368 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?
1 Yes
5 No
|
|
|
|
|
|
|
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 »
|
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ON188 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?
1 Yes
5 No
|
|
|
|
If NUM NIGHTS R SPENT OVERNIGHT IN NH != 996 or (MX008 != IONURSINGHOME and NUM NIGHTS R SPENT OVERNIGHT IN NH = 996) »
|
|
|
|
|
|
|
ON189 USED HOME HEALTH SVC- PREV IW/2 YRS
[F1]--HELP
^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.)
1 Yes
5 No
|
|
|
|
|
|
If USED HOME HEALTH SVC- PREV IW/2 YRS = 1 Yes »
|
|
|
|
|
|
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|
ON194 AMT PAY O-O-P HOME HEALTH SVC
[F1]--HELP
ABOUT HOW MUCH DID YOU PAY OUT-OF-POCKET FOR IN-HOME MEDICAL CARE ^FLINLST2YRS?
» DO NOT PROBE DK/RF
AMOUNT:
0..999996
|
|
|
|
|
|
|
|
If AMT PAY O-O-P HOME HEALTH SVC = 999998 or AMT PAY O-O-P HOME HEALTH SVC = 999999 »
|
|
|
|
|
|
|
|
|
|
|
ON195 AMT PAY O-O-P HOME HEALTH SVC - MIN
*
0..999996
|
|
|
|
|
|
|
ON202 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?
1 Yes
5 No
|
|
|
|
If USED OTHER HEALTH SVC- PREV IW/2 YRS = 1 Yes »
|
|
|
|
|
|
|
ON203 OTHER HEALTH SVC PAID BY R/SP/P
DID YOU ^FLUORYOUR ^FLHWP HAVE TO PAY FOR ANY OF THESE SERVICES?
1 Yes
5 No
|
|
|
|
|
|
If OTHER HEALTH SVC PAID BY R/SP/P = 1 Yes »
|
|
|
|
|
|
|
|
|
ON239 AMT PAY O-O-P OTHER HEALTH SERVICE
ALTOGETHER, ABOUT HOW MUCH DID YOU HAVE TO PAY?
» DO NOT PROBE DK/RF
AMOUNT:
0..9999996
|
|
|
|
|
|
|
|
If AMT PAY O-O-P OTHER HEALTH SERVICE = 9999998 or AMT PAY O-O-P OTHER HEALTH SERVICE = 9999999 »
|
|
|
|
|
|
|
|
|
|
|
ON246 AMT PAY O-O-P OTHER HEALTH SERVICE- MIN
*
0..9999996
|
|
|
|
|
|
|
ON212 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?
1 Yes
5 No
|
|
|
|
If HELP PAY HEALTH CARE COSTS = 1 Yes »
|
|
|
|
|
|
|
ON213 WHO HELP PAY HEALTH CARE COSTS
IS THAT A ^FLN213 RELATIVE OF YOURS ^FLANDYOURHWPS, OR IS THAT SOMEONE ELSE?
1 Child/child-in-law/grandchild
2 Other relative
3 Someone else
|
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|
|
If WHO HELP PAY HEALTH CARE COSTS = 1 Child/child-in-law/grandchild »
|
|
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|
|
|
|
|
|
ON214AWHICHLDPAYHC 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?)
|
|
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|
|
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|
ON215 AMT OF OTHER HELP
[F1]--HELP
ALTOGETHER, ABOUT HOW MUCH MONEY DID THAT HELP AMOUNT TO?
» DO NOT PROBE DK/RF
AMOUNT:
0..999996
|
|
|
|
|
|
If AMT OF OTHER HELP = 999998 or AMT OF OTHER HELP = 999999 »
|
|
|
|
|
|
|
|
|
ON216 AMT OF OTHER HELP - MIN
*
0..999996
|
|
|
|
|
|
If ( PROXY/SELF INTERVIEW = SLF or OANGUAGE = ENGLISH_SPANISH) »
|
|
|
|
|
|
|
If MZ113 != YES and MEDICARE COVERAGE = YES »
|
|
|
|
|
|
|
|
|
ON226 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?
»THE MEDCIARE CARD IS USUALLY A RED, WHITE, AND BLUE CARD THAT SAYS 'MEDICARE HEALTH INSURANCE' ACROSS THE TOP.
(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)
1 Number recorded
4 R refused number
5 Number not recorded (not refused)
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If CURRENTLY COVERED BY MEDICAID = 1 Yes and MEDICARE NUMBER RECORDED != 4 R refused number »
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ON231 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.)
1 Number recorded
4 R refused number
5 Number not recorded (not refused)
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ON235 HOW SATISFIED W/ HEALTH CARE
THINKING ABOUT THE QUALITY, COST, AND CONVENIENCE OF YOUR HEALTH CARE, HOW SATISFIED ARE YOU
OVERALL, VERY SATISFIED, SOMEWHAT SATISFIED, NEUTRAL, SOMEWHAT DISSATISFIED, OR VERY DISSATISFIED?
1 Very satisfied
2 Somewhat satisfied
3 Neutral
4 Somewhat dissatisfied
5 Very dissatisfied
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ON236 ASSIST SECTION N
» HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION N - HEALTH SERVICES AND
INSURANCE?
1 Never
2 A few times
3 Most or all of the time
4 The section was done by a proxy reporter
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End of N. Health Services And Insurance
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