R. Health Insurance and Event History (Respondent)

This module focuses on respondent’s health insurance information. Contents include health providers (dentist, doctor), drugs, financial assistance, government health insurance, health insurance, hospitalization, in-home care/special facilities, long-term care insurance, Medicaid, Medicare, nursing home information, outpatient surgery and event history.

item label type description
R_HHID Question HOUSEHOLD IDENTIFIER
R_PN Question PERSON NUMBER
R_FSUBHH Question 1998 SUB-HOUSEHOLD IDENTIFIER
R_ESUBHH Question 1996 SUB-HOUSEHOLD IDENTIFIER
R_DSUBHH Question 1995 SUB-HOUSEHOLD IDENTIFIER
R_FPN_SP Question 1998 SPOUSE/PARTNER PERSON NUMBER
R_FCSR Question 1998 WHETHER COVERSHEET RESPONDENT
R_FFAMR Question 1998 WHETHER FAMILY RESPONDENT
R_FFINR Question 1998 WHETHER FINANCIAL RESPONDENT
R_FQNR Question 1998 QUESTIONNAIRE
F5865 Question R0.INTRO
F5866 Question R1.MEDICARE COVERAGE
F5867 Question R2.MEDICARE PART B COVERAGE
F5868 Question R4.MEDICAID SINCE PREV WAVE?
F5869 Question R5.CURRENTLY COVERED BY MEDICAID
F5870 Question R5A.CHECKPOINT
F5871 Question R6.MEDICAID AT TIME OF NURSING HOME-FIRS
F5872 Question R7.MEDICAID DURING NURSING HOME-FIRST
F5874 Question R8A.CHECKPOINT
F5875 Question R8AA.MEDICAID AT TIME OF NURSING HOME-LA
F5876 Question R8B.MEDICAID DURING NURSING HOME-LAST
F5877 Question R8C.LOSE ELIGIBILITY WHEN DISCARDED-LAST
F5878 Question R9.CHAMPUS/CHAMPVA COVERAGE
F5879 Question R9A.CHECKPOINT
F5881 Question R11.MEDICARE/MEDICAID THROUGH HMO
F5882 Question R11A.HOW LONG-YEARS
R11A_MONTHS Question R11A.HOW LONG-MONTHS
F5885 Question R11B.AMOUNT PAY FOR PLAN
R11BPER Question R11B.AMOUNT PAY FOR PLAN-PER
F5887 Question R12.MEDICAID THROUGH HMO
F5888 Question R12A.HOW LONG-YEARS
R12A_MONTHS Question R12A.HOW LONG-MONTHS
F5890 Question R12B.CHECKPOINT
F5891 Question R12X.SELF-EMP INSURANCE
F5893 Question R13.ANY INSURANCE FOR HOSP/DR BILLS
F5894 Question R14.NUMBER OF PLANS
R_F5895 Question ASSIGN # OF TIMES THROUGH R15-36 =1
F5896 Question R15.HOW OBTAIN INSURANCE
F5898 Question R15B.CHECKPOINT
F5899 Question R16.PAY COSTS FOR HEALTH INSURANCE
F5900 Question R17.AMT PAID
R17PER Question R17.AMT PAID-PER
F5902 Question R18A.CHECKPOINT
F5903 Question R19A.MEDICARE SUPP/MEDIGAP PLAN
F5904 Question R19B.PLAN LETTER
F5905 Question R19C.ANYONE ELSE COVERED
F5906M1 Question R19D.WHO COVERED?
R_F5906M2 Question R19D.WHO COVERED?
R_F5906M3 Question R19D.WHO COVERED?
R_F5906M4 Question R19D.WHO COVERED?
R_F5906M5 Question R19D.WHO COVERED?
R_F5906M6 Question R19D.WHO COVERED?
F5907 Question R20.MEDICARE SUPP/MEDIGAP AN HMO?
F5908 Question R21.IF LIST OF DOCTORS
F5909 Question R22.PLAN PAY FOR DOCTORS NOT ON LIST
F5910 Question R25.HMO: IF R PAYS FOR DR VISITS
F5911 Question R26.NON HMO:IF PLAN PAYS DR VISITS
F5912 Question R27.PLAN COVER PRESCRIPTIONS
F5914 Question R28A.CHECKPOINT
F5915 Question R29.PAY EXTRA FOR BENEFITS
F5916 Question R29A.LIMITS FOR PRE-EXISTING CONDITIONS
F5917 Question R29B.CHECKPOINT
F5918 Question R31.CHOICE IN PLANS
F5919 Question R33A.BETTER COVERAGE?
F5920 Question R33B.GREATER CHOICE DOCTORS?
F5921 Question R33C.COST MORE?
F5923 Question R33D. CHECKPOINT
F5924 Question R34.COVERAGE CONTINUE TO 65
F5925 Question R34A.CHECKPOINT
F5926 Question R34B.COVERAGE CONTINUE FOR SP TO 65
F5927 Question R35.COVERAGE TO 65 IF LEFT NOW
F5932 Question R35B.CHECKPOINT
F5933 Question R35C.COVERAGE TO 65 FOR SP IF LEFT NOW
F5937 Question R45B.CHECKPOINT
F5938 Question R46.OTHER INSURANCE
F5939 Question R46A.PLAN LETTER
F5940 Question R46B.PAY ALL/SOME/NONE OF PREMIUM
F5941 Question R46C.AMT PAY
F5942 Question R46CA.AMT PAY-PER
F5944 Question R46E.PLAN PAY PART PRESCRIPTION DRUGS
F5945 Question R46F.PLAN PAY PART DENTAL CARE
F5946 Question R46FF.CHECKPOINT
F5947 Question R46G.R PAY EXTRA FOR BENEFITS
F5948 Question R46H.LIMITS ON HEALTH INSURANCE
F5950 Question R48.ANY OTHER HEALTH INSUR
F5951 Question R50.COVER HOSPITAL/PHYSICAL VISITS
F5953 Question R52.AMT PAY FOR HEALTH INSURANCE
F5954 Question R52A.AMT PAY FOR HEALTH INSURANCE-PER
F5956 Question R54.IS ANYONE ELSE COVERED
F5957M1 Question R54A.WHO ELSE COVERED
R_F5957M2 Question R54A.WHO ELSE COVERED
R_F5957M3 Question R54A.WHO ELSE COVERED
R_F5957M4 Question R54A.WHO ELSE COVERED
R_F5957M5 Question R54A.WHO ELSE COVERED
R_F5957M6 Question R54A.WHO ELSE COVERED
F5958 Question R54B.OBTAIN COVERAGE FOR SPOUSE
F5959 Question R55.IS THIS HMO
F5960 Question R55A.IF LIST OF DOCTORS
F5961 Question R55B.PAY ROUTINE CARE
F5962 Question R55D.HMO:IF R PAYS FOR DR VISITS
F5963 Question R55E.NON HMO:IF PLAN PAYS DR VISITS
F5964 Question R55F.PAY PRESCRIPTION DRUGS
F5965 Question R56.PAY DENTAL VISIT
F5966 Question R56A.CHECKPOINT
F5967 Question R57.R PAY EXTRA
F5968 Question R57A.LIMITS ON HEALTH INSUR
F5970 Question R57B.CHECKPOINT
F5971 Question R58.WITHOUT INSUR
F5975 Question R61.EXPENSES WITHOUT COVERAGE
F5976 Question R62.FEAR LOSS IF LOOK FOR JOB
F5980 Question R67.NOT COVERED BY GOVT/PRIV HEALTH INSU
F5981M1 Question R68.WHICH PLAN
R_F5981M2 Question R68.WHICH PLAN
F5982 Question R68A.CHECKPOINT
F5983 Question R71.EMP OFFER HEALTH INSURANCE
F5984 Question R72.OFFERED INSURANCE THROUGH JOB
F5985 Question R73.ELIGIBLE IN FUTURE
F5986 Question R74. WHEN ELIGIBLE
F5988 Question R78.WITHDRAWN FROM HMO SINCE PREV WAVE
F5989 Question R79.VOLUNTARILY LEAVE
F5990M1 Question R80.WHY LEAVE HMO
R_F5990M2 Question R80.WHY LEAVE HMO
F5991 Question R81.HOW LONG BEFORE COVERED-MONTHS
R81_YEARS Question R81.HOW LONG BEFORE COVERED-YEARS
R81_NO_PLAN Question R81.NO NEW HEALTH INSURANCE PLAN
F5995 Question R82.OTHER CHANGES SINCE PREV WAVE
F5996M1 Question R83.WHAT CHANGED IN HEALTH INSU
R_F5996M2 Question R83.WHAT CHANGED IN HEALTH INSU
R_F5996M3 Question R83.WHAT CHANGED IN HEALTH INSU
R_F5996M4 Question R83.WHAT CHANGED IN HEALTH INSU
R_F5996M5 Question R83.WHAT CHANGED IN HEALTH INSU
F5997 Question R84.CHOICE IN CHANGING INSURANC
F5999 Question R85.LTC INSURANCE
F6000 Question R87.COVER NURSING HOME/IN-HOME CARE
F6001 Question R88.RECD BENEFITS UNDER LTC
F6002 Question R89.PAYMENTS INCREASE WITH INFLATION
F6003 Question R90.AMT PAY FOR LTC
R90PER Question R90.AMT PAY FOR LTC-PER
F6006 Question R91.HOW LONG HAVE LTC-MONTHS
R91_YEARS Question R91.HOW LONG HAVE LTC-YEARS
F6009 Question R92.LTC CANCELED/LAPSED
F6010 Question R93.WHY LTC COVERAGE LAPSE
F6011 Question R93A.HOW SATISFIED WITH HEALTH CARE
F6015 Question R94.HAVE ANY LIFE INSURANCE
F6016 Question R95.NUMBER LIFE INSURANCE POLICIES
F6018 Question R97.POLICIES FACE VALUE-2+ POLICIES
F6019 Question R97DX.R97 DK-2.5
F6020 Question R97A.DK-20K
F6021 Question R97B.DK-50K
F6022 Question R97C.DK-250K
F6023 Question R97AX.R97 DK-20K
F6024 Question R97D.DK-2.5K
F6025M1 Question R98.WHO BENEFICIARY
R_F6025M2 Question R98.WHO BENEFICIARY
R_F6025M3 Question R98.WHO BENEFICIARY
R_F6025M4 Question R98.WHO BENEFICIARY
R_F6025M5 Question R98.WHO BENEFICIARY
R_F6025M6 Question R98.WHO BENEFICIARY
R_F6025M7 Question R98.WHO BENEFICIARY
F6026 Question R99.POLICIES PURCHASED FROM AGENT
F6027 Question R100.OBTAINED MORE
F6028 Question R100A.FACE VALUE OF NEW LIFE INS POLICIE
F6029 Question R100B.DK-20K
F6030 Question R100C.DK-50K
F6031 Question R100D.DK-250K
F6032 Question R100E.DK-2.5K
F6033 Question R101.OBTAINED MORE
F6034 Question R102.FACE VALUE OF CANCELLED LIFE INS PO
F6035 Question R102DX.R102 DK-2.5
F6036 Question R102A.DK-20K
F6037 Question R102B.DK-50K
F6038 Question R102C.DK-250K
F6039 Question R102AX.R102 DK-20K
F6040 Question R102D.DK-2.5K
F6041 Question R103.WHO`S CHOICE
F6042 Question R104.WHY CHOSE
F6087 Question R117.MEDICARE NUMBER RECORDED?
RASSIST Question ASSIST SEC R
R_F6103M1 Question EVC1.EVENTS
R_F6103M2 Question EVC1.EVENTS
R_F6103M3 Question EVC1.EVENTS
R_F6103M4 Question EVC1.EVENTS
R_F6103M5 Question EVC1.EVENTS
R_FVERSION Question DATA RELEASE VERSION
R36 Question R36.HEALTH INSURANCE PALN
Start of R. Health Insurance and Event History (Respondent)
 
F5865

R0.INTRO

R0. 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.
 
F5866

R1.MEDICARE COVERAGE

R1. ARE YOU CURRENTLY COVERED BY MEDICARE HEALTH INSURANCE?
 
If R1.MEDICARE COVERAGE = 1 »
 
   
 
F5867

R2.MEDICARE PART B COVERAGE

R2. 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?
   
F5868

R4.MEDICAID SINCE PREV WAVE?

R4. HAVE YOU BEEN COVERED BY (MEDICAID/STATE NAME FOR MEDICAID) HEALTH INSURANCE AT ANY TIME IF Q682 IS (1) SINCE [Q218-PREV WAVE IW MONTH] [Q219-PREV WAVE IW YEAR]? ELSE IN THE LAST TWO YEARS? END
 
If R4.MEDICAID SINCE PREV WAVE? = 1 »
 
   
 
F5869

R5.CURRENTLY COVERED BY MEDICAID

R5. ARE YOU CURRENTLY COVERED BY (MEDICAID/STATE NAME FOR MEDICAID)?
   
 
If CS11.LIVING FACILITY = 1 or E5 = 1 »
 
     
   
F5871

R6.MEDICAID AT TIME OF NURSING HOME-FIRS

R6. EARLIER YOU TOLD ME THAT YOU HAD (A/SEVERAL) STAY(.../S) AT A NURSING HOME IF Q682 IS (1) SINCE [Q218-PREV WAVE IW MONTH] [Q219-PREV WAVE IW YEAR]. ELSE IN THE LAST TWO YEARS. END WERE YOU ELIGIBLE FOR MEDICAID AT THE TIME YOUR (.../FIRST) NURSING HOME STAY STARTED?
     
   
If R6.MEDICAID AT TIME OF NURSING HOME-FIRS = 5 »
 
       
     
F5872

R7.MEDICAID DURING NURSING HOME-FIRST

R7. DID YOU BECOME ELIGIBLE FOR MEDICAID DURING YOUR (.../FIRST) NURSING HOME STAY?
       
   
If E6 <= 1 »
 
       
     
F5875

R8AA.MEDICAID AT TIME OF NURSING HOME-LA

R8AA. WERE YOU ELIGIBLE FOR MEDICAID AT THE TIME YOUR (CURRENT/LAST) NURSING HOME STAY STARTED?
       
     
If R8AA.MEDICAID AT TIME OF NURSING HOME-LA != 8 and R8AA.MEDICAID AT TIME OF NURSING HOME-LA != 9 »
 
         
       
If R8AA.MEDICAID AT TIME OF NURSING HOME-LA = 1 »
 
           
         
F5877

R8C.LOSE ELIGIBILITY WHEN DISCARDED-LAST

R8C. DID YOU LOSE YOUR ELIGIBILITY FOR MEDICAID WHEN YOU WERE DISCHARGED FROM YOUR LAST NURSING HOME STAY?
           
       
Else
 
           
         
F5876

R8B.MEDICAID DURING NURSING HOME-LAST

R8B. DID YOU BECOME ELIGIBLE FOR MEDICAID DURING YOUR (CURRENT/LAST) NURSING HOME STAY?
           
         
If R8B.MEDICAID DURING NURSING HOME-LAST = 1 »
 
             
           
If CS11.LIVING FACILITY != 1 »
 
               
             
F5877

R8C.LOSE ELIGIBILITY WHEN DISCARDED-LAST

R8C. DID YOU LOSE YOUR ELIGIBILITY FOR MEDICAID WHEN YOU WERE DISCHARGED FROM YOUR LAST NURSING HOME STAY?
               
F5878

R9.CHAMPUS/CHAMPVA COVERAGE

R9. ARE YOU CURRENTLY COVERED BY CHAMPUS, CHAMP-VA, OR ANY OTHER MILITARY HEALTH CARE PLAN? PROBES: CHAMPUS IS A HEALTH CARE PROGRAM FOR ACTIVE OR RETIRED MILITARY PERSONNEL AND THEIR DEPENDENTS OR SURVIVORS. CHAMP-VA PROVIDES MEDICAL CARE FOR VETERANS AND THEIR DEPENDENTS OR SURVIVORS OF VETERANS WHO HAD A SERVICE- CONNECTED DISABILITY. "VA" IS NOT A HEALTH INSURANCE PROGRAM.
 
If R1.MEDICARE COVERAGE = 1 and R5.CURRENTLY COVERED BY MEDICAID = 1 »
 
   
 
F5881

R11.MEDICARE/MEDICAID THROUGH HMO

R11. FIRST WE ARE INTERESTED IN HOW YOUR (MEDICARE/MEDICARE OR MEDICAID) HEALTH INSURANCE WORKS FOR ROUTINE CARE. DO YOU RECEIVE YOUR MEDICARE (.../OR MEDICAID) BENEFITS THROUGH AN HMO, THAT IS A HEALTH MAINTENANCE ORGANIZATION? DEF: WITH AN HMO, THE COST OF THE PHYSICIAN VISIT IS TYPICALLY COVERED IN FULL OR YOU PAY ONLY A SMALL AMOUNT. ALL OF YOUR ROUTINE CARE MUST BE PROVIDED BY AN HMO PHYSICIAN.
   
 
If R11.MEDICARE/MEDICAID THROUGH HMO = 1 »
 
     
   
F5882

R11A.HOW LONG-YEARS

R11A. ABOUT HOW LONG HAVE YOU BEEN RECEIVING YOUR MEDICARE BENEFITS THROUGH THIS HMO? YEARS: OR MONTHS:
     
   
F5885

R11B.AMOUNT PAY FOR PLAN

R11B. NOT INCLUDING CO-PAYS OR DEDUCTIONS FROM YOUR SOCIAL SECURITY, HOW MUCH DO YOU, YOURSELF, PAY FOR THIS PLAN? AMOUNT: PER:
     
   
If R4.MEDICAID SINCE PREV WAVE? = 1 and R5.CURRENTLY COVERED BY MEDICAID = 1 »
 
       
     
F5887

R12.MEDICAID THROUGH HMO

R12. WE ARE INTERESTED IN HOW YOUR MEDICAID HEALTH INSURANCE WORKS FOR ROUTINE CARE. DO YOU RECEIVE YOUR MEDICAID BENEFITS THROUGH AN HMO, THAT IS A HEALTH MAINTENANCE ORGANIZATION? DEF: WITH AN HMO, THE COST OF THE PHYSICIAN VISIT IS TYPICALLY COVERED IN FULL OR YOU PAY ONLY A SMALL AMOUNT. ALL OF YOUR ROUTINE CARE MUST BE PROVIDED BY AN HMO PHYSICIAN.
       
     
If R12.MEDICAID THROUGH HMO = 1 »
 
         
       
F5888

R12A.HOW LONG-YEARS

R12A. ABOUT HOW LONG HAVE YOU BEEN RECEIVING YOUR MEDICAID BENEFITS THROUGH THIS HMO? YEARS: OR MONTHS:
         
If G3 = 2 and R12.MEDICAID THROUGH HMO != 1 »
 
   
 
F5891

R12X.SELF-EMP INSURANCE

R12X. YOU MENTIONED EARLIER THAT YOU WERE SELF-EMPLOYED. DO YOU HAVE HEALTH INSURANCE THROUGH THAT BUSINESS THAT PAYS HOSPITAL OR DOCTOR BILLS?
   
F5893

R13.ANY INSURANCE FOR HOSP/DR BILLS

R13. (NOT INCLUDING MEDICARE/MEDICAID/CHAMPUS/CHAMP-VA) ARE YOU COVERED BY ANY EMPLOYER-PROVIDED HEALTH INSURANCE?
 
If R13.ANY INSURANCE FOR HOSP/DR BILLS = 1 or R12X.SELF-EMP INSURANCE = 1 »
 
   
 
F5894

R14.NUMBER OF PLANS

R14. HOW MANY DIFFERENT EMPLOYER-PROVIDED HEALTH INSURANCE PLANS ARE YOU COVERED BY? ENTER NUMBER OF PLANS: IWER: ENTER 7 FOR MORE THAN 6 PLANS
   
 
If G3 != 2 »
 
     
   
F5896

R15.HOW OBTAIN INSURANCE

R15. IF Q5895 IS (1) AND Q5894 IS (GT1) FOR THIS NEXT SET OF QUESTIONS I'D LIKE YOU TO THINK ABOUT THE HEALTH INSURANCE PLAN THAT YOU CONSIDER AS YOUR PRIMARY OR MOST IMPORTANT HEALTH INSURANCE PLAN. ELSE Q5895 IS (GT1) NOW I'D LIKE TO ASK SOME QUESTIONS ABOUT YOUR OTHER HEALTH INSURANCE PLANS. THINKING ABOUT THE NEXT MOST IMPORTANT HEALTH INSURANCE YOU HAVE -- END DO YOU OBTAIN THIS HEALTH INSURANCE THROUGH YOUR (OR YOUR HUSBAND/WIFE/PARTNER'S) CURRENT EMPLOYER, FORMER EMPLOYER OR UNION, OR FROM SOMEPLACE ELSE? ASK "WHOSE EMPLOYER?" IF NOT CLEAR
     
 
If R15.HOW OBTAIN INSURANCE != 4 and R15.HOW OBTAIN INSURANCE != 5 and R15.HOW OBTAIN INSURANCE != 6 »
 
     
   
F5899

R16.PAY COSTS FOR HEALTH INSURANCE

R16. DO YOU (OR YOUR HUSBAND/OR YOUR WIFE/OR YOUR PARTNER/...) PAY ALL OF THE COSTS, SOME OF THE COSTS, OR NONE OF THE COSTS OF THE PREMIUM FOR THIS HEALTH INSURANCE COVERAGE?
     
   
If R16.PAY COSTS FOR HEALTH INSURANCE = 1 or R16.PAY COSTS FOR HEALTH INSURANCE = 2 »
 
       
     
F5900

R17.AMT PAID

R17. IF Q5895 IS (GT1) AND Q5890 IS (1) NOW I'D LIKE TO ASK SOME QUESTIONS ABOUT YOUR OTHER HEALTH INSURANCE PLANS. THINKING ABOUT THE NEXT MOST IMPORTANT HEALTH INSURANCE YOU HAVE, ... END HOW MUCH DO YOU PAY FOR THIS HEALTH INSURANCE? PROBE: INCLUDE THE AMOUNT DEDUCTED FROM YOUR PAY CHECK BUT NOT THE AMOUNT PAID BY THE EMPLOYER. AMOUNT: PER:
       
     
If R17.AMT PAID != 98 and R17.AMT PAID != 99 »
 
         
       
R17PER

R17.AMT PAID-PER

R17.AMT PAID-PER
         
   
If R DID REPORT THAT IS COVERED BY MEDICARE »
 
       
     
F5903

R19A.MEDICARE SUPP/MEDIGAP PLAN

R19A. IS THIS PLAN A MEDICARE SUPPLEMENT OR MEDIGAP PLAN?
       
     
If R19A.MEDICARE SUPP/MEDIGAP PLAN = 1 »
 
         
       
F5904

R19B.PLAN LETTER

R19B. MANY MEDICARE SUPPLEMENTAL OR MEDIGAP PLANS ARE REFERRED TO BY A PLAN LETTER. DO YOU KNOW THE PLAN LETTER FOR YOUR PLAN? PROBE: WHAT IS IT? ENTER NUMBER (A-J):
         
   
Else
 
       
     
F5905

R19C.ANYONE Else COVERED

R19C. BESIDES YOU, IS ANYONE ELSE COVERED ON THIS HEALTH INSURANCE?
       
     
If R19C.ANYONE Else COVERED = 1 »
 
         
       
F5906M1

R19D.WHO COVERED?

R19D. WHO BESIDES YOURSELF IS COVERED? CHOOSE ALL THAT APPLY
         
     
F5907

R20.MEDICARE SUPP/MEDIGAP AN HMO?

R20. I'D LIKE TO ASK YOU A FEW QUESTIONS ABOUT HOW YOUR HEALTH INSURANCE WORKS FOR NON-EMERGENCY CARE. IS YOUR 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.
       
     
If R20.MEDICARE SUPP/MEDIGAP AN HMO? != 1 »
 
         
       
F5908

R21.IF LIST OF DOCTORS

R21. DOES YOUR HEALTH INSURANCE PLAN HAVE A LIST OR BOOK OF DOCTORS THAT YOU ARE ENCOURAGED OR REQUIRED TO USE?
         
       
If R21.IF LIST OF DOCTORS = 1 »
 
           
         
F5909

R22.PLAN PAY FOR DOCTORS NOT ON LIST

R22. DOES YOUR HEALTH INSURANCE PLAN PAY ANY OF THE COSTS FOR ROUTINE CARE IF YOU SEE A DOCTOR WHO IS NOT ON THIS LIST?
           
         
F5911

R26.NON HMO:IF PLAN PAYS DR VISITS

R26. (AFTER ALL DEDUCTIBLES ARE MET,) DOES THIS PLAN PAY ANY OF THE COSTS OF ROUTINE VISITS TO THE DOCTOR?
           
     
Else
 
         
       
F5910

R25.HMO: IF R PAYS FOR DR VISITS

R25. UNDER THIS HEALTH INSURANCE PLAN, DO YOU PAY A PERCENTAGE OF THE DOCTOR'S CHARGE, THE SAME DOLLAR AMOUNT EACH TIME YOU VISIT A DOCTOR, OR DO YOU NOT PAY ANYTHING AT ALL FOR DOCTOR VISITS?
         
   
F5912

R27.PLAN COVER PRESCRIPTIONS

R27. DOES THIS HEALTH INSURANCE PAY ANY PART OF THE COST OF PRESCRIPTION MEDICINES?
     
   
If R27.PLAN COVER PRESCRIPTIONS = 1 »
 
       
     
F5915

R29.PAY EXTRA FOR BENEFITS

R29. DO YOU PAY EXTRA PREMIUMS FOR (THIS (PRESCRIPTION) BENEFIT/THIS (DENTAL) BENEFIT/THESE BENEFITS)?
       
   
F5916

R29A.LIMITS FOR PRE-EXISTING CONDITIONS

R29A. ARE THERE ANY LIMITS OR RESTRICTIONS ON THIS HEALTH INSURANCE PLAN DUE TO A PRE-EXISTING CONDITION?
     
   
If R12X.SELF-EMP INSURANCE != 1 and R15.HOW OBTAIN INSURANCE != 7 »
 
       
     
F5918

R31.CHOICE IN PLANS

R31. AT THE TIME YOU ENROLLED IN THIS PLAN, DID YOU HAVE A CHOICE OF DIFFERENT HEALTH INSURANCE PLANS THAT PROVIDED HOSPITAL AND PHYSICIAN BENEFITS OR WAS ONLY ONE HEALTH INSURANCE PLAN OFFERED TO YOU?
       
     
If R31.CHOICE IN PLANS = 1 »
 
         
       
F5919

R33A.BETTER COVERAGE?

R33. COMPARED TO YOUR HEALTH INSURANCE PLAN, DID ANY OF THESE OTHER PLANS... R33A. PROVIDE BETTER COVERAGE? R33B. PROVIDE GREATER CHOICE OF PHYSICIANS? R33C. COST MORE THAN YOUR PLAN?
         
       
F5920

R33B.GREATER CHOICE DOCTORS?

R33B.GREATER CHOICE DOCTORS?
         
       
F5921

R33C.COST MORE?

R33C.COST MORE?
         
     
If R15.HOW OBTAIN INSURANCE = 1 or R15.HOW OBTAIN INSURANCE = 2 »
 
         
       
If R15.HOW OBTAIN INSURANCE != 1 and R IS OLDER THAN 65 »
 
           
         
F5924

R34.COVERAGE CONTINUE TO 65

R34. CAN YOU CONTINUE THIS INSURANCE COVERAGE FOR YOURSELF UP TO THE AGE OF 65?
           
       
F5927

R35.COVERAGE TO 65 IF LEFT NOW

R35. IF YOU LEFT YOUR CURRENT EMPLOYER NOW, COULD YOU CONTINUE THIS HEALTH INSURANCE COVERAGE FOR YOURSELF UP TO THE AGE OF 65?
         
       
If R35.COVERAGE TO 65 IF LEFT NOW = 1 »
 
           
         
If R19D.WHO COVERED? = 36 »
 
             
           
F5933

R35C.COVERAGE TO 65 FOR SP IF LEFT NOW

R35C. IF YOU LEFT YOUR CURRENT EMPLOYER NOW COULD YOU CONTINUE THIS HEALTH INSURANCE COVERAGE FOR YOUR SPOUSE UNTIL (HE/SHE) IS AGE 65?
             
 
R36

R36.HEALTH INSURANCE PALN

WHAT IS THE NAME OF THIS HEALTH INSURANCE PLAN?
   
F5938

R46.OTHER INSURANCE

R46. NOT COUNTING LONG-TERM CARE INSURANCE OR MEDICARE, (OR MEDICAID/OR ANY OTHER INSURANCE WE'VE DISCUSSED), DO YOU HAVE ANY OTHER INSURANCE THAT PAYS ANY PART OF HOSPITAL OR DOCTOR BILLS? SOMETIMES THIS IS CALLED A MEDIGAP OR MEDICARE SUPPLEMENT POLICY.
 
If R1.MEDICARE COVERAGE = 1 and F58669A != 1 »
 
   
 
F5938

R46.OTHER INSURANCE

R46. NOT COUNTING LONG-TERM CARE INSURANCE OR MEDICARE, (OR MEDICAID/OR ANY OTHER INSURANCE WE'VE DISCUSSED), DO YOU HAVE ANY OTHER INSURANCE THAT PAYS ANY PART OF HOSPITAL OR DOCTOR BILLS? SOMETIMES THIS IS CALLED A MEDIGAP OR MEDICARE SUPPLEMENT POLICY.
   
 
If R46.OTHER INSURANCE = 1 »
 
     
   
F5939

R46A.PLAN LETTER

R46A. MANY MEDICARE SUPPLEMENTAL OR MEDIGAP PLANS ARE REFERRED TO BY A PLAN LETTER. DO YOU KNOW THE PLAN LETTER FOR YOUR PLAN? PROBE: WHAT IS IT? IWER: IF NO PLAN LETTER, ENTER 'Z' ENTER LETTER (A-J):
     
   
F5940

R46B.PAY ALL/SOME/NONE OF PREMIUM

R46B. DO YOU PAY ALL OF THE COSTS, SOME OF THE COSTS, OR NONE OF THE COSTS OF THE PREMIUM FOR THIS HEALTH INSURANCE COVERAGE?
     
   
If R46B.PAY ALL/SOME/NONE OF PREMIUM = 1 and R46B.PAY ALL/SOME/NONE OF PREMIUM = 2 »
 
       
     
F5941

R46C.AMT PAY

R46C. HOW MUCH DO YOU PAY FOR THIS HEALTH INSURANCE? PROBE: INCLUDE THE AMOUNT DEDUCTED FROM YOUR PAY CHECK BUT NOT THE AMOUNT PAID BY THE EMPLOYER. AMOUNT: PER:
       
     
F5942

R46CA.AMT PAY-PER

R46CA.AMT PAY-PER
       
   
F5944

R46E.PLAN PAY PART PRESCRIPTION DRUGS

R46E. DOES THIS HEALTH INSURANCE PLAN PAY ANY PART OF THE COST OF PRESCRIPTION MEDICINES?
     
   
F5945

R46F.PLAN PAY PART DENTAL CARE

R46F. DOES THIS HEALTH INSURANCE PLAN PAY ANY PART OF THE COST OF ROUTINE DENTAL CARE BY A DENTIST?
     
   
If R46E.PLAN PAY PART PRESCRIPTION DRUGS = 1 and R46F.PLAN PAY PART DENTAL CARE = 1 »
 
       
     
F5947

R46G.R PAY EXTRA FOR BENEFITS

R46G. DO YOU PAY EXTRA FOR (THIS (PRESCRIPTION) BENEFIT/THIS (DENTAL) BENEFIT/THESE BENEFITS)?
       
     
F5948

R46H.LIMITS ON HEALTH INSURANCE

R46H. ARE THERE ANY LIMITS OR RESTRICTIONS ON THIS HEALTH INSURANCE PLAN DUE TO A PREEXISTING CONDITION?
       
If R1.MEDICARE COVERAGE != 1 and R5.CURRENTLY COVERED BY MEDICAID != 1 and R9.CHAMPUS/CHAMPVA COVERAGE != 1 and F58663 != 1 »
 
   
 
If R48.ANY OTHER HEALTH INSUR = 1 »
 
     
   
F5951

R50.COVER HOSPITAL/PHYSICAL VISITS

R50. DOES THIS INSURANCE COVER THE COSTS FOR HOSPITAL CARE?
     
   
F5953

R52.AMT PAY FOR HEALTH INSURANCE

R52. HOW MUCH DO YOU PAY FOR THIS HEALTH INSURANCE? PROBE: INCLUDE THE AMOUNT DEDUCTED FROM YOUR PAY CHECK BUT NOT THE AMOUNT PAID BY THE EMPLOYER. AMOUNT: PER:
     
   
F5954

R52A.AMT PAY FOR HEALTH INSURANCE-PER

R52A.AMT PAY FOR HEALTH INSURANCE-PER
     
   
F5956

R54.IS ANYONE Else COVERED

R54. BESIDES YOURSELF, IS ANYONE ELSE COVERED ON THIS HEALTH INSURANCE?
     
   
If R54.IS ANYONE Else COVERED = 1 »
 
       
     
F5957M1

R54A.WHO Else COVERED

R54A. WHO BESIDES (YOURSELF/YOURSELF AND POLICYHOLDER) IS COVERED? CHOOSE ALL THAT APPLY
       
     
If R54A.WHO Else COVERED != 36 »
 
         
       
F5958

R54B.OBTAIN COVERAGE FOR SPOUSE

R54B. COULD YOU HAVE OBTAINED COVERAGE FOR YOUR SPOUSE THROUGH THIS HEALTH INSURANCE PLAN?
         
   
F5959

R55.IS THIS HMO

R55. I'D LIKE TO ASK YOU A FEW QUESTIONS ABOUT HOW THIS HEALTH INSURANCE WORKS FOR NON-EMERGENCY CARE. IS THIS INSURANCE PLAN AN HMO, THAT IS, A HEALTH MAINTENANCE ORGANIZATION? DEFINITION: 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.
     
   
If R55.IS THIS HMO != 1 »
 
       
     
F5960

R55A.IF LIST OF DOCTORS

R55A. DOES YOUR HEALTH INSURANCE PLAN HAVE A LIST OR BOOK OF DOCTORS THAT YOU ARE ENCOURAGED OR REQUIRED TO USE?
       
     
F5961

R55B.PAY ROUTINE CARE

R55B. DOES YOUR HEALTH INSURANCE PLAN PAY ANY OF THE COSTS OF ROUTINE CARE IF YOU SEE A DOCTOR WHO IS NOT ON THIS LIST?
       
   
If R55.IS THIS HMO = 1 »
 
       
     
F5962

R55D.HMO:IF R PAYS FOR DR VISITS

R55D. UNDER THIS HEALTH INSURANCE PLAN, DO YOU PAY A PERCENTAGE OF THE DOCTOR'S CHARGE, THE SAME DOLLAR AMOUNT EACH TIME YOU VISIT THE DOCTOR, OR DO YOU NOT PAY ANYTHING AT ALL FOR DOCTOR VISITS?
       
   
If R55.IS THIS HMO != 1 »
 
       
     
F5963

R55E.NON HMO:IF PLAN PAYS DR VISITS

R55E. DOES THIS PLAN PAY ANY OF THE COSTS OF ROUTINE VISITS TO THE DOCTOR?
       
   
F5964

R55F.PAY PRESCRIPTION DRUGS

R55F. DOES THIS HEALTH INSURANCE PLAN PAY ANY PART OF THE COST OF PRESCRIPTION MEDICINES?
     
   
F5965

R56.PAY DENTAL VISIT

R56. DOES THIS HEALTH INSURANCE PLAN PAY ANY PART OF THE COST OF ROUTINE DENTAL CARE BY A DENTIST?
     
   
If R55.IS THIS HMO = 1 or R56.PAY DENTAL VISIT = 1 »
 
       
     
F5967

R57.R PAY EXTRA

R57. DO YOU PAY EXTRA FOR (THIS (PRESCRIPTION) BENEFIT/THIS (DENTAL) BENEFIT/THESE BENEFITS)?
       
   
F5968

R57A.LIMITS ON HEALTH INSUR

R57A. ARE THERE ANY LIMITS OR RESTRICTIONS ON THIS HEALTH INSURANCE PLAN DUE TO A PREEXISTING CONDITION?
     
If R1.MEDICARE COVERAGE = 1 or R5.CURRENTLY COVERED BY MEDICAID = 1 or R9.CHAMPUS/CHAMPVA COVERAGE = 1 or F58662X = 1 or R48.ANY OTHER HEALTH INSUR = 1 »
 
   
 
F5971

R58.WITHOUT INSUR

R58. I HAVE RECORDED THAT YOU ARE CURRENTLY COVERED BY HEALTH INSURANCE. WERE YOU EVER WITHOUT HEALTH INSURANCE COVERAGE AT ANY TIME IF Q682 IS (1) SINCE [Q218-PREV WAVE IW MONTH] [Q219-PREV WAVE IW YEAR]? ELSE IN THE LAST TWO YEARS? END
   
 
If R58.WITHOUT INSUR = 1 »
 
     
   
F5975

R61.EXPENSES WITHOUT COVERAGE

R61. DURING THE TIME YOU WERE NOT COVERED BY HEALTH INSURANCE, DID YOU HAVE ANY MEDICAL EXPENSES FOR WHICH YOU HAD TO PAY $100 OR MORE?
     
 
If G2 = 1 or R58.WITHOUT INSUR != 1 »
 
     
   
F5976

R62.FEAR LOSS IF LOOK FOR JOB

R62. HAS THE FEAR OF LOSING YOUR HEALTH INSURANCE EVER KEPT YOU FROM LOOKING FOR ANOTHER JOB?
     
Else
 
   
 
F5980

R67.NOT COVERED BY GOVT/PRIV HEALTH INSU

R67. ACCORDING TO MY INFORMATION, YOU ARE NOT CURRENTLY COVERED BY ANY GOVERNMENT OR PRIVATE HEALTH INSURANCE PLANS THAT PROVIDE FOR MEDICAL CARE. IS THAT CORRECT?
   
 
If R67.NOT COVERED BY GOVT/PRIV HEALTH INSU = 5 »
 
     
   
F5981M1

R68.WHICH PLAN

R68. UNDER WHICH OF THE FOLLOWING PLANS ARE YOU COVERED?
     
If G2 != 1 and G3 = 1 and G3 != 2 and R67.NOT COVERED BY GOVT/PRIV HEALTH INSU != 5 »
 
   
 
F5983

R71.EMP OFFER HEALTH INSURANCE

R71. DOES YOUR EMPLOYER OR UNION OFFER A HEALTH INSURANCE PLAN TO ANY OF ITS EMPLOYEES?
   
 
If R71.EMP OFFER HEALTH INSURANCE = 1 »
 
     
   
F5984

R72.OFFERED INSURANCE THROUGH JOB

R72. WERE YOU OFFERED HEALTH INSURANCE THROUGH YOUR JOB?
     
   
If R72.OFFERED INSURANCE THROUGH JOB != 1 »
 
       
     
F5985

R73.ELIGIBLE IN FUTURE

R73. WILL YOU BE ELIGIBLE FOR HEALTH INSURANCE THROUGH YOUR JOB IN THE FUTURE?
       
     
If R73.ELIGIBLE IN FUTURE = 1 »
 
         
       
F5986

R74. WHEN ELIGIBLE

R74. WHEN WILL YOU BE ELIGIBLE FOR HEALTH INSURANCE? CODE IN MONTHS (01-50)
         
If F5980= 5 »
 
   
 
If R1.MEDICARE COVERAGE = 1 or R5.CURRENTLY COVERED BY MEDICAID != 1 and R9.CHAMPUS/CHAMPVA COVERAGE != 1 and F58663 != 1 and R48.ANY OTHER HEALTH INSUR != 1 and R68.WHICH PLAN = 1 »
 
     
   
F5988

R78.WITHDRAWN FROM HMO SINCE PREV WAVE

R78. IF Q682 IS (1) SINCE [Q218-PREV WAVE IW MONTH] [Q219-PREV WAVE IW YEAR] ELSE IN THE LAST TWO YEARS END HAVE YOU WITHDRAWN FROM AN HMO?
     
   
If R78.WITHDRAWN FROM HMO SINCE PREV WAVE = 1 »
 
       
     
F5989

R79.VOLUNTARILY LEAVE

R79. DID YOU VOLUNTARILY LEAVE THAT HMO?
       
     
If R79.VOLUNTARILY LEAVE = 1 »
 
         
       
F5990M1

R80.WHY LEAVE HMO

R80. WHY DID YOU LEAVE THAT HMO? CHOOSE ALL THAT APPLY
         
     
F5991

R81.HOW LONG BEFORE COVERED-MONTHS

R81. FROM THE TIME YOU LEFT THAT HMO, ABOUT HOW LONG WAS IT BEFORE YOU WERE FULLY COVERED BY YOUR NEW HEALTH INSURANCE PLAN? ENTER "96" MONTHS IF NO GAP. MONTHS: OR YEARS: OR
       
 
F5995

R82.OTHER CHANGES SINCE PREV WAVE

R82. IF Q5866 IS (1) (OTHER THAN THE CHANGES YOU'VE ALREADY TOLD ME ABOUT,) END IF Q682 IS (1) SINCE [Q218-PREV WAVE IW MONTH] [Q219-PREV WAVE IW YEAR] ELSE IN THE LAST TWO YEARS END HAVE THERE BEEN ANY (OTHER) CHANGES IN THE TYPE, COST, OR IN THE SERVICES OR DOCTORS COVERED BY YOUR HEALTH INSURANCE?
   
 
If R82.OTHER CHANGES SINCE PREV WAVE = 1 »
 
     
   
F5996M1

R83.WHAT CHANGED IN HEALTH INSU

R83. WHAT HAS CHANGED ABOUT YOUR HEALTH INSURANCE? CHOOSE ALL THAT APPLY
     
   
F5997

R84.CHOICE IN CHANGING INSURANC

R84. DID YOU CHOOSE TO CHANGE YOUR HEALTH INSURANCE OR PROVIDER, OR DID YOU NOT HAVE A CHOICE IN THE CHANGE?
     
F5999

R85.LTC INSURANCE

R85. NOT INCLUDING GOVERNMENT PROGRAMS, DO YOU NOW HAVE ANY INSURANCE WHICH SPECIFICALLY COVERS ANY PART OF PERSONAL OR MEDICAL CARE IN YOUR HOME OR IN A NURSING HOME FOR A YEAR OR MORE?
 
If R85.LTC INSURANCE = 1 »
 
   
 
F6000

R87.COVER NURSING HOME/IN-HOME CARE

R87. 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?
   
 
F6001

R88.RECD BENEFITS UNDER LTC

R88. HAVE YOU EVER RECEIVED BENEFITS UNDER YOUR LONG-TERM CARE POLICY?
   
 
F6002

R89.PAYMENTS INCREASE WITH INFLATION

R89. DOES THIS PLAN INCREASE PAYMENTS WITH INFLATION?
   
 
F6003

R90.AMT PAY FOR LTC

R90. ABOUT HOW MUCH DO YOU PAY FOR THIS PLAN? AMOUNT: PER: IWER: ENTER "0" IF NO PAYMENTS ARE MADE
   
 
If R90.AMT PAY FOR LTC != 0 and R90.AMT PAY FOR LTC != 98 and R90.AMT PAY FOR LTC != 99 »
 
     
   
R90PER

R90.AMT PAY FOR LTC-PER

R90.AMT PAY FOR LTC-PER
     
 
F6006

R91.HOW LONG HAVE LTC-MONTHS

R91. ABOUT HOW LONG HAVE YOU HAD THIS LONG-TERM CARE INSURANCE? MONTHS: OR YEARS:
   
F6009

R92.LTC CANCELED/LAPSED

R92. HAVE YOU EVER BEEN COVERED BY ANY LONG-TERM CARE INSURANCE THAT YOU CANCELLED OR LET LAPSE?
 
If R92.LTC CANCELED/LAPSED = 1 »
 
   
 
F6010

R93.WHY LTC COVERAGE LAPSE

R93. DID YOUR COVERAGE LAPSE BECAUSE THE PREMIUMS WERE TOO HIGH, BECAUSE YOU DIDN'T THINK YOU NEEDED TO CARRY IT ANY LONGER, OR WHAT?
   
F6011

R93A.HOW SATISFIED WITH HEALTH CARE

R93A. 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?
 
F6015

R94.HAVE ANY LIFE INSURANCE

R94. DO YOU CURRENTLY HAVE ANY LIFE INSURANCE?
 
If R94.HAVE ANY LIFE INSURANCE = 1 »
 
   
 
F6016

R95.NUMBER LIFE INSURANCE POLICIES

R95. ALTOGETHER, HOW MANY DIFFERENT LIFE INSURANCE POLICIES DO YOU HAVE? INCLUDE INDIVIDUAL POLICIES, GROUP POLICIES, OR PAID-UP POLICIES IF R ASKS.
   
 
F6018

R97.POLICIES FACE VALUE-2+ POLICIES

R97. ALTOGETHER, WHAT IS THE TOTAL FACE VALUE OF (THIS POLICY/THESE POLICIES), THAT IS, THE AMOUNT OF MONEY THE BENEFICIARIES WOULD GET IF YOU WERE TO DIE? AMOUNT: DO NOT PROBE DK
   
 
If R97.POLICIES FACE VALUE-2+ POLICIES != 98 and R97.POLICIES FACE VALUE-2+ POLICIES != 99 »
 
     
   
F6019

R97DX.R97 DK-2.5

R97DX. (DOES IT AMOUNT TO) LESS THAN $2,500, MORE THAN $2,500, OR WHAT?
     
   
If R97.POLICIES FACE VALUE-2+ POLICIES = 5 »
 
       
     
F6020

R97A.DK-20K

R97A. DOES IT AMOUNT TO LESS THAN $20,000, MORE THAN $20,000, OR WHAT?
       
     
If R97A.DK-20K = 5 »
 
         
       
F6021

R97B.DK-50K

R97B. (DOES IT AMOUNT TO) LESS THAN $50,000, MORE THAN $50,000, OR WHAT?
         
       
If R97B.DK-50K = 5 »
 
           
         
F6022

R97C.DK-250K

R97C. (DOES IT AMOUNT TO) LESS THAN $250,000, MORE THAN $250,000, OR WHAT?
           
 
F6025M1

R98.WHO BENEFICIARY

R98. WHO ARE THE BENEFICIARIES OF (THIS POLICY/ALL OF THESE POLICIES)? CHOOSE ALL THAT APPLY
   
 
F6026

R99.POLICIES PURCHASED FROM AGENT

R99. (IS THIS POLICY ONE THAT IS/ARE ANY OF THESE POLICIES ONES THAT WERE) PURCHASED DIRECTLY FROM AN AGENT? DEF: MANY LIFE INSURANCE POLICIES ARE PROVIDED BY EMPLOYERS, OFTEN AT NO COST, AND ARE NOT PURCHASED FROM AN AGENT. THESE ARE ALSO CALLED GROUP PLANS.
   
 
If REINTERVIEW HH »
 
     
   
F6027

R100.OBTAINED MORE

R100. (SINCE Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/IN THE LAST TWO YEARS) HAVE YOU OBTAINED ANY NEW LIFE INSURANCE POLICIES?
     
   
If R100.OBTAINED MORE = 5 »
 
       
     
F6028

R100A.FACE VALUE OF NEW LIFE INS POLICIE

R100A. WHAT IS THE TOTAL FACE VALUE OF (THIS POLICY/ALL OF THESE POLICIES)? AMOUNT: DO NOT PROBE DK
       
     
If R100A.FACE VALUE OF NEW LIFE INS POLICIE = 98 or R100A.FACE VALUE OF NEW LIFE INS POLICIE = 99 »
 
         
       
F6029

R100B.DK-20K

R100B. DOES IT AMOUNT TO LESS THAN $20,000, MORE THAN $20,000, OR WHAT?
         
       
If R100B.DK-20K != 3 and R100B.DK-20K != 8 and R100B.DK-20K != 9 »
 
           
         
If R100B.DK-20K = 5
 
             
           
F6030

R100C.DK-50K

R100C. (DOES IT AMOUNT TO) LESS THAN $50,000, MORE THAN $50,000, OR WHAT?
             
           
If R100C.DK-50K = 5 »
 
               
             
F6031

R100D.DK-250K

R100D. (DOES IT AMOUNT TO) LESS THAN $250,000, MORE THAN $250,000, OR WHAT?
               
         
Else
 
             
           
F6032

R100E.DK-2.5K

R100E. (DOES IT AMOUNT TO) LESS THAN $2,500, MORE THAN $2,500, OR WHAT?
             
   
F6033

R101.OBTAINED MORE

R101. (SINCE Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/IN THE LAST TWO YEARS) HAVE YOU ALLOWED ANY LIFE INSURANCE POLICIES TO LAPSE OR HAVE ANY BEEN CANCELLED?
     
   
If R101.OBTAINED MORE != 5 »
 
       
     
F6034

R102.FACE VALUE OF CANCELLED LIFE INS PO

R102. WHAT WAS THE TOTAL FACE VALUE OF (THIS POLICY/ALL OF THESE POLICIES)? DO NOT PROBE DK
       
     
If R102.FACE VALUE OF CANCELLED LIFE INS PO != 98 and R102.FACE VALUE OF CANCELLED LIFE INS PO != 99 »
 
         
       
F6035

R102DX.R102 DK-2.5

R102DX. (DOES IT AMOUNT TO) LESS THAN $2,500, MORE THAN $2,500, OR WHAT?
         
       
If R102DX.R102 DK-2.5 = 5 »
 
           
         
F6036

R102A.DK-20K

R102A. DOES IT AMOUNT TO LESS THAN $20,000, MORE THAN $20,000, OR WHAT?
           
         
If R102A.DK-20K = 5 »
 
             
           
F6037

R102B.DK-50K

R102B. (DOES IT AMOUNT TO) LESS THAN $50,000, MORE THAN $50,000, OR WHAT?
             
           
If R102B.DK-50K = 5 »
 
               
             
F6038

R102C.DK-250K

R102C. (DOES IT AMOUNT TO) LESS THAN $250,000, MORE THAN $250,000, OR WHAT?
               
   
F6041

R103.WHO`S CHOICE

R103. WAS THIS LAPSE OR CANCELLATION SOMETHING YOU CHOSE TO DO, OR WAS IT DONE BY THE PROVIDER, YOUR EMPLOYER, OR SOMEONE ELSE?
     
   
If R103.WHO`S CHOICE != 2 »
 
       
     
F6042

R104.WHY CHOSE

R104. WAS IT BECAUSE THE POLICY WAS TOO EXPENSIVE, BECAUSE YOU DID NOT NEED THE COVERAGE OR SOME OTHER REASON?
       
If DOES HAVE MEDICARE NOW »
 
   
 
F6087

R117.MEDICARE NUMBER RECORDED?

R117. 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.) NUMBER AVAILABLE: COPY MEDICARE NUMBER: --- PROBE: IS THERE A LETTER INCLUDED AS PART OF YOUR MEDICARE NUMBER?
   
RASSIST

ASSIST SEC R

RASSIST IWER: HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION R - INSURANCE?
 
End of R. Health Insurance and Event History (Respondent)
Start of R. Health Insurance and Event History (Respondent)

========================================================================
F5865
R0.INTRO

R0. 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.

========================================================================
F5866
R1.MEDICARE COVERAGE

R1. ARE YOU CURRENTLY COVERED BY MEDICARE HEALTH INSURANCE?

If R1.MEDICARE COVERAGE (F5866) = 1 »

|  ========================================================================
F5867
R2.MEDICARE PART B COVERAGE

R2. 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?

========================================================================
F5868
R4.MEDICAID SINCE PREV WAVE?

R4. HAVE YOU BEEN COVERED BY (MEDICAID/STATE NAME FOR MEDICAID) HEALTH INSURANCE AT ANY TIME IF Q682 IS (1) SINCE [Q218-PREV WAVE IW MONTH] [Q219-PREV WAVE IW YEAR]? ELSE IN THE LAST TWO YEARS? END

If R4.MEDICAID SINCE PREV WAVE? (F5868) = 1 »

|  ========================================================================
F5869
R5.CURRENTLY COVERED BY MEDICAID

R5. ARE YOU CURRENTLY COVERED BY (MEDICAID/STATE NAME FOR MEDICAID)?

If CS11.LIVING FACILITY (CS11) = 1 or E5 = 1 »

| |  ========================================================================
| | 
F5871
R6.MEDICAID AT TIME OF NURSING HOME-FIRS

R6. EARLIER YOU TOLD ME THAT YOU HAD (A/SEVERAL) STAY(.../S) AT A NURSING HOME IF Q682 IS (1) SINCE [Q218-PREV WAVE IW MONTH] [Q219-PREV WAVE IW YEAR]. ELSE IN THE LAST TWO YEARS. END WERE YOU ELIGIBLE FOR MEDICAID AT THE TIME YOUR (.../FIRST) NURSING HOME STAY STARTED?

| |  If R6.MEDICAID AT TIME OF NURSING HOME-FIRS (F5871) = 5 »

| | |  ========================================================================
| | | 
F5872
R7.MEDICAID DURING NURSING HOME-FIRST

R7. DID YOU BECOME ELIGIBLE FOR MEDICAID DURING YOUR (.../FIRST) NURSING HOME STAY?

| |  If E6 <= 1 »

| | |  ========================================================================
| | | 
F5875
R8AA.MEDICAID AT TIME OF NURSING HOME-LA

R8AA. WERE YOU ELIGIBLE FOR MEDICAID AT THE TIME YOUR (CURRENT/LAST) NURSING HOME STAY STARTED?

| | |  If R8AA.MEDICAID AT TIME OF NURSING HOME-LA (F5875) != 8 and R8AA.MEDICAID AT TIME OF NURSING HOME-LA (F5875) != 9 »

| | | |  If R8AA.MEDICAID AT TIME OF NURSING HOME-LA (F5875) = 1 »

| | | | |  ========================================================================
| | | | | 
F5877
R8C.LOSE ELIGIBILITY WHEN DISCARDED-LAST

R8C. DID YOU LOSE YOUR ELIGIBILITY FOR MEDICAID WHEN YOU WERE DISCHARGED FROM YOUR LAST NURSING HOME STAY?

| | | |  Else

| | | | |  ========================================================================
| | | | | 
F5876
R8B.MEDICAID DURING NURSING HOME-LAST

R8B. DID YOU BECOME ELIGIBLE FOR MEDICAID DURING YOUR (CURRENT/LAST) NURSING HOME STAY?

| | | | |  If R8B.MEDICAID DURING NURSING HOME-LAST (F5876) = 1 »

| | | | | |  If CS11.LIVING FACILITY (CS11) != 1 »

| | | | | | |  ========================================================================
| | | | | | | 
F5877
R8C.LOSE ELIGIBILITY WHEN DISCARDED-LAST

R8C. DID YOU LOSE YOUR ELIGIBILITY FOR MEDICAID WHEN YOU WERE DISCHARGED FROM YOUR LAST NURSING HOME STAY?

========================================================================
F5878
R9.CHAMPUS/CHAMPVA COVERAGE

R9. ARE YOU CURRENTLY COVERED BY CHAMPUS, CHAMP-VA, OR ANY OTHER MILITARY HEALTH CARE PLAN? PROBES: CHAMPUS IS A HEALTH CARE PROGRAM FOR ACTIVE OR RETIRED MILITARY PERSONNEL AND THEIR DEPENDENTS OR SURVIVORS. CHAMP-VA PROVIDES MEDICAL CARE FOR VETERANS AND THEIR DEPENDENTS OR SURVIVORS OF VETERANS WHO HAD A SERVICE- CONNECTED DISABILITY. "VA" IS NOT A HEALTH INSURANCE PROGRAM.

If R1.MEDICARE COVERAGE (F5866) = 1 and R5.CURRENTLY COVERED BY MEDICAID (F5869) = 1 »

|  ========================================================================
F5881
R11.MEDICARE/MEDICAID THROUGH HMO

R11. FIRST WE ARE INTERESTED IN HOW YOUR (MEDICARE/MEDICARE OR MEDICAID) HEALTH INSURANCE WORKS FOR ROUTINE CARE. DO YOU RECEIVE YOUR MEDICARE (.../OR MEDICAID) BENEFITS THROUGH AN HMO, THAT IS A HEALTH MAINTENANCE ORGANIZATION? DEF: WITH AN HMO, THE COST OF THE PHYSICIAN VISIT IS TYPICALLY COVERED IN FULL OR YOU PAY ONLY A SMALL AMOUNT. ALL OF YOUR ROUTINE CARE MUST BE PROVIDED BY AN HMO PHYSICIAN.

If R11.MEDICARE/MEDICAID THROUGH HMO (F5881) = 1 »

| |  ========================================================================
| | 
F5882
R11A.HOW LONG-YEARS

R11A. ABOUT HOW LONG HAVE YOU BEEN RECEIVING YOUR MEDICARE BENEFITS THROUGH THIS HMO? YEARS: OR MONTHS:

| |  ========================================================================
| | 
F5885
R11B.AMOUNT PAY FOR PLAN

R11B. NOT INCLUDING CO-PAYS OR DEDUCTIONS FROM YOUR SOCIAL SECURITY, HOW MUCH DO YOU, YOURSELF, PAY FOR THIS PLAN? AMOUNT: PER:

| |  If R4.MEDICAID SINCE PREV WAVE? (F5868) = 1 and R5.CURRENTLY COVERED BY MEDICAID (F5869) = 1 »

| | |  ========================================================================
| | | 
F5887
R12.MEDICAID THROUGH HMO

R12. WE ARE INTERESTED IN HOW YOUR MEDICAID HEALTH INSURANCE WORKS FOR ROUTINE CARE. DO YOU RECEIVE YOUR MEDICAID BENEFITS THROUGH AN HMO, THAT IS A HEALTH MAINTENANCE ORGANIZATION? DEF: WITH AN HMO, THE COST OF THE PHYSICIAN VISIT IS TYPICALLY COVERED IN FULL OR YOU PAY ONLY A SMALL AMOUNT. ALL OF YOUR ROUTINE CARE MUST BE PROVIDED BY AN HMO PHYSICIAN.

| | |  If R12.MEDICAID THROUGH HMO (F5887) = 1 »

| | | |  ========================================================================
| | | | 
F5888
R12A.HOW LONG-YEARS

R12A. ABOUT HOW LONG HAVE YOU BEEN RECEIVING YOUR MEDICAID BENEFITS THROUGH THIS HMO? YEARS: OR MONTHS:

If G3 = 2 and R12.MEDICAID THROUGH HMO (F5887) != 1 »

|  ========================================================================
F5891
R12X.SELF-EMP INSURANCE

R12X. YOU MENTIONED EARLIER THAT YOU WERE SELF-EMPLOYED. DO YOU HAVE HEALTH INSURANCE THROUGH THAT BUSINESS THAT PAYS HOSPITAL OR DOCTOR BILLS?

========================================================================
F5893
R13.ANY INSURANCE FOR HOSP/DR BILLS

R13. (NOT INCLUDING MEDICARE/MEDICAID/CHAMPUS/CHAMP-VA) ARE YOU COVERED BY ANY EMPLOYER-PROVIDED HEALTH INSURANCE?

If R13.ANY INSURANCE FOR HOSP/DR BILLS (F5893) = 1 or R12X.SELF-EMP INSURANCE (F5891) = 1 »

|  ========================================================================
F5894
R14.NUMBER OF PLANS

R14. HOW MANY DIFFERENT EMPLOYER-PROVIDED HEALTH INSURANCE PLANS ARE YOU COVERED BY? ENTER NUMBER OF PLANS: IWER: ENTER 7 FOR MORE THAN 6 PLANS

If G3 != 2 »

| |  ========================================================================
| | 
F5896
R15.HOW OBTAIN INSURANCE

R15. IF Q5895 IS (1) AND Q5894 IS (GT1) FOR THIS NEXT SET OF QUESTIONS I'D LIKE YOU TO THINK ABOUT THE HEALTH INSURANCE PLAN THAT YOU CONSIDER AS YOUR PRIMARY OR MOST IMPORTANT HEALTH INSURANCE PLAN. ELSE Q5895 IS (GT1) NOW I'D LIKE TO ASK SOME QUESTIONS ABOUT YOUR OTHER HEALTH INSURANCE PLANS. THINKING ABOUT THE NEXT MOST IMPORTANT HEALTH INSURANCE YOU HAVE -- END DO YOU OBTAIN THIS HEALTH INSURANCE THROUGH YOUR (OR YOUR HUSBAND/WIFE/PARTNER'S) CURRENT EMPLOYER, FORMER EMPLOYER OR UNION, OR FROM SOMEPLACE ELSE? ASK "WHOSE EMPLOYER?" IF NOT CLEAR

If R15.HOW OBTAIN INSURANCE (F5896) != 4 and R15.HOW OBTAIN INSURANCE (F5896) != 5 and R15.HOW OBTAIN INSURANCE (F5896) != 6 »

| |  ========================================================================
| | 
F5899
R16.PAY COSTS FOR HEALTH INSURANCE

R16. DO YOU (OR YOUR HUSBAND/OR YOUR WIFE/OR YOUR PARTNER/...) PAY ALL OF THE COSTS, SOME OF THE COSTS, OR NONE OF THE COSTS OF THE PREMIUM FOR THIS HEALTH INSURANCE COVERAGE?

| |  If R16.PAY COSTS FOR HEALTH INSURANCE (F5899) = 1 or R16.PAY COSTS FOR HEALTH INSURANCE (F5899) = 2 »

| | |  ========================================================================
| | | 
F5900
R17.AMT PAID

R17. IF Q5895 IS (GT1) AND Q5890 IS (1) NOW I'D LIKE TO ASK SOME QUESTIONS ABOUT YOUR OTHER HEALTH INSURANCE PLANS. THINKING ABOUT THE NEXT MOST IMPORTANT HEALTH INSURANCE YOU HAVE, ... END HOW MUCH DO YOU PAY FOR THIS HEALTH INSURANCE? PROBE: INCLUDE THE AMOUNT DEDUCTED FROM YOUR PAY CHECK BUT NOT THE AMOUNT PAID BY THE EMPLOYER. AMOUNT: PER:

| | |  If R17.AMT PAID (F5900) != 98 and R17.AMT PAID (F5900) != 99 »

| | | |  ========================================================================
| | | | 
R17PER
R17.AMT PAID-PER

R17.AMT PAID-PER

| |  If R DID REPORT THAT IS COVERED BY MEDICARE »

| | |  ========================================================================
| | | 
F5903
R19A.MEDICARE SUPP/MEDIGAP PLAN

R19A. IS THIS PLAN A MEDICARE SUPPLEMENT OR MEDIGAP PLAN?

| | |  If R19A.MEDICARE SUPP/MEDIGAP PLAN (F5903) = 1 »

| | | |  ========================================================================
| | | | 
F5904
R19B.PLAN LETTER

R19B. MANY MEDICARE SUPPLEMENTAL OR MEDIGAP PLANS ARE REFERRED TO BY A PLAN LETTER. DO YOU KNOW THE PLAN LETTER FOR YOUR PLAN? PROBE: WHAT IS IT? ENTER NUMBER (A-J):

| |  Else

| | |  ========================================================================
| | | 
F5905
R19C.ANYONE Else COVERED

R19C. BESIDES YOU, IS ANYONE ELSE COVERED ON THIS HEALTH INSURANCE?

| | |  If R19C.ANYONE Else COVERED (F5905) = 1 »

| | | |  ========================================================================
| | | | 
F5906M1
R19D.WHO COVERED?

R19D. WHO BESIDES YOURSELF IS COVERED? CHOOSE ALL THAT APPLY

| | |  ========================================================================
| | | 
F5907
R20.MEDICARE SUPP/MEDIGAP AN HMO?

R20. I'D LIKE TO ASK YOU A FEW QUESTIONS ABOUT HOW YOUR HEALTH INSURANCE WORKS FOR NON-EMERGENCY CARE. IS YOUR 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.

| | |  If R20.MEDICARE SUPP/MEDIGAP AN HMO? (F5907) != 1 »

| | | |  ========================================================================
| | | | 
F5908
R21.IF LIST OF DOCTORS

R21. DOES YOUR HEALTH INSURANCE PLAN HAVE A LIST OR BOOK OF DOCTORS THAT YOU ARE ENCOURAGED OR REQUIRED TO USE?

| | | |  If R21.IF LIST OF DOCTORS (F5908) = 1 »

| | | | |  ========================================================================
| | | | | 
F5909
R22.PLAN PAY FOR DOCTORS NOT ON LIST

R22. DOES YOUR HEALTH INSURANCE PLAN PAY ANY OF THE COSTS FOR ROUTINE CARE IF YOU SEE A DOCTOR WHO IS NOT ON THIS LIST?

| | | | |  ========================================================================
| | | | | 
F5911
R26.NON HMO:IF PLAN PAYS DR VISITS

R26. (AFTER ALL DEDUCTIBLES ARE MET,) DOES THIS PLAN PAY ANY OF THE COSTS OF ROUTINE VISITS TO THE DOCTOR?

| | |  Else

| | | |  ========================================================================
| | | | 
F5910
R25.HMO: IF R PAYS FOR DR VISITS

R25. UNDER THIS HEALTH INSURANCE PLAN, DO YOU PAY A PERCENTAGE OF THE DOCTOR'S CHARGE, THE SAME DOLLAR AMOUNT EACH TIME YOU VISIT A DOCTOR, OR DO YOU NOT PAY ANYTHING AT ALL FOR DOCTOR VISITS?

| |  ========================================================================
| | 
F5912
R27.PLAN COVER PRESCRIPTIONS

R27. DOES THIS HEALTH INSURANCE PAY ANY PART OF THE COST OF PRESCRIPTION MEDICINES?

| |  If R27.PLAN COVER PRESCRIPTIONS (F5912) = 1 »

| | |  ========================================================================
| | | 
F5915
R29.PAY EXTRA FOR BENEFITS

R29. DO YOU PAY EXTRA PREMIUMS FOR (THIS (PRESCRIPTION) BENEFIT/THIS (DENTAL) BENEFIT/THESE BENEFITS)?

| |  ========================================================================
| | 
F5916
R29A.LIMITS FOR PRE-EXISTING CONDITIONS

R29A. ARE THERE ANY LIMITS OR RESTRICTIONS ON THIS HEALTH INSURANCE PLAN DUE TO A PRE-EXISTING CONDITION?

| |  If R12X.SELF-EMP INSURANCE (F5891) != 1 and R15.HOW OBTAIN INSURANCE (F5896) != 7 »

| | |  ========================================================================
| | | 
F5918
R31.CHOICE IN PLANS

R31. AT THE TIME YOU ENROLLED IN THIS PLAN, DID YOU HAVE A CHOICE OF DIFFERENT HEALTH INSURANCE PLANS THAT PROVIDED HOSPITAL AND PHYSICIAN BENEFITS OR WAS ONLY ONE HEALTH INSURANCE PLAN OFFERED TO YOU?

| | |  If R31.CHOICE IN PLANS (F5918) = 1 »

| | | |  ========================================================================
| | | | 
F5919
R33A.BETTER COVERAGE?

R33. COMPARED TO YOUR HEALTH INSURANCE PLAN, DID ANY OF THESE OTHER PLANS... R33A. PROVIDE BETTER COVERAGE? R33B. PROVIDE GREATER CHOICE OF PHYSICIANS? R33C. COST MORE THAN YOUR PLAN?

| | | |  ========================================================================
| | | | 
F5920
R33B.GREATER CHOICE DOCTORS?

R33B.GREATER CHOICE DOCTORS?

| | | |  ========================================================================
| | | | 
F5921
R33C.COST MORE?

R33C.COST MORE?

| | |  If R15.HOW OBTAIN INSURANCE (F5896) = 1 or R15.HOW OBTAIN INSURANCE (F5896) = 2 »

| | | |  If R15.HOW OBTAIN INSURANCE (F5896) != 1 and R IS OLDER THAN 65 »

| | | | |  ========================================================================
| | | | | 
F5924
R34.COVERAGE CONTINUE TO 65

R34. CAN YOU CONTINUE THIS INSURANCE COVERAGE FOR YOURSELF UP TO THE AGE OF 65?

| | | |  ========================================================================
| | | | 
F5927
R35.COVERAGE TO 65 IF LEFT NOW

R35. IF YOU LEFT YOUR CURRENT EMPLOYER NOW, COULD YOU CONTINUE THIS HEALTH INSURANCE COVERAGE FOR YOURSELF UP TO THE AGE OF 65?

| | | |  If R35.COVERAGE TO 65 IF LEFT NOW (F5927) = 1 »

| | | | |  If R19D.WHO COVERED? (F5906M1) = 36 »

| | | | | |  ========================================================================
| | | | | | 
F5933
R35C.COVERAGE TO 65 FOR SP IF LEFT NOW

R35C. IF YOU LEFT YOUR CURRENT EMPLOYER NOW COULD YOU CONTINUE THIS HEALTH INSURANCE COVERAGE FOR YOUR SPOUSE UNTIL (HE/SHE) IS AGE 65?

|  ========================================================================
R36
R36.HEALTH INSURANCE PALN

WHAT IS THE NAME OF THIS HEALTH INSURANCE PLAN?

========================================================================
F5938
R46.OTHER INSURANCE

R46. NOT COUNTING LONG-TERM CARE INSURANCE OR MEDICARE, (OR MEDICAID/OR ANY OTHER INSURANCE WE'VE DISCUSSED), DO YOU HAVE ANY OTHER INSURANCE THAT PAYS ANY PART OF HOSPITAL OR DOCTOR BILLS? SOMETIMES THIS IS CALLED A MEDIGAP OR MEDICARE SUPPLEMENT POLICY.

If R1.MEDICARE COVERAGE (F5866) = 1 and F58669A != 1 »

|  ========================================================================
F5938
R46.OTHER INSURANCE

R46. NOT COUNTING LONG-TERM CARE INSURANCE OR MEDICARE, (OR MEDICAID/OR ANY OTHER INSURANCE WE'VE DISCUSSED), DO YOU HAVE ANY OTHER INSURANCE THAT PAYS ANY PART OF HOSPITAL OR DOCTOR BILLS? SOMETIMES THIS IS CALLED A MEDIGAP OR MEDICARE SUPPLEMENT POLICY.

If R46.OTHER INSURANCE (F5938) = 1 »

| |  ========================================================================
| | 
F5939
R46A.PLAN LETTER

R46A. MANY MEDICARE SUPPLEMENTAL OR MEDIGAP PLANS ARE REFERRED TO BY A PLAN LETTER. DO YOU KNOW THE PLAN LETTER FOR YOUR PLAN? PROBE: WHAT IS IT? IWER: IF NO PLAN LETTER, ENTER 'Z' ENTER LETTER (A-J):

| |  ========================================================================
| | 
F5940
R46B.PAY ALL/SOME/NONE OF PREMIUM

R46B. DO YOU PAY ALL OF THE COSTS, SOME OF THE COSTS, OR NONE OF THE COSTS OF THE PREMIUM FOR THIS HEALTH INSURANCE COVERAGE?

| |  If R46B.PAY ALL/SOME/NONE OF PREMIUM (F5940) = 1 and R46B.PAY ALL/SOME/NONE OF PREMIUM (F5940) = 2 »

| | |  ========================================================================
| | | 
F5941
R46C.AMT PAY

R46C. HOW MUCH DO YOU PAY FOR THIS HEALTH INSURANCE? PROBE: INCLUDE THE AMOUNT DEDUCTED FROM YOUR PAY CHECK BUT NOT THE AMOUNT PAID BY THE EMPLOYER. AMOUNT: PER:

| | |  ========================================================================
| | | 
F5942
R46CA.AMT PAY-PER

R46CA.AMT PAY-PER

| |  ========================================================================
| | 
F5944
R46E.PLAN PAY PART PRESCRIPTION DRUGS

R46E. DOES THIS HEALTH INSURANCE PLAN PAY ANY PART OF THE COST OF PRESCRIPTION MEDICINES?

| |  ========================================================================
| | 
F5945
R46F.PLAN PAY PART DENTAL CARE

R46F. DOES THIS HEALTH INSURANCE PLAN PAY ANY PART OF THE COST OF ROUTINE DENTAL CARE BY A DENTIST?

| |  If R46E.PLAN PAY PART PRESCRIPTION DRUGS (F5944) = 1 and R46F.PLAN PAY PART DENTAL CARE (F5945) = 1 »

| | |  ========================================================================
| | | 
F5947
R46G.R PAY EXTRA FOR BENEFITS

R46G. DO YOU PAY EXTRA FOR (THIS (PRESCRIPTION) BENEFIT/THIS (DENTAL) BENEFIT/THESE BENEFITS)?

| | |  ========================================================================
| | | 
F5948
R46H.LIMITS ON HEALTH INSURANCE

R46H. ARE THERE ANY LIMITS OR RESTRICTIONS ON THIS HEALTH INSURANCE PLAN DUE TO A PREEXISTING CONDITION?

If R1.MEDICARE COVERAGE (F5866) != 1 and R5.CURRENTLY COVERED BY MEDICAID (F5869) != 1 and R9.CHAMPUS/CHAMPVA COVERAGE (F5878) != 1 and F58663 != 1 »

If R48.ANY OTHER HEALTH INSUR (F5950) = 1 »

| |  ========================================================================
| | 
F5951
R50.COVER HOSPITAL/PHYSICAL VISITS

R50. DOES THIS INSURANCE COVER THE COSTS FOR HOSPITAL CARE?

| |  ========================================================================
| | 
F5953
R52.AMT PAY FOR HEALTH INSURANCE

R52. HOW MUCH DO YOU PAY FOR THIS HEALTH INSURANCE? PROBE: INCLUDE THE AMOUNT DEDUCTED FROM YOUR PAY CHECK BUT NOT THE AMOUNT PAID BY THE EMPLOYER. AMOUNT: PER:

| |  ========================================================================
| | 
F5954
R52A.AMT PAY FOR HEALTH INSURANCE-PER

R52A.AMT PAY FOR HEALTH INSURANCE-PER

| |  ========================================================================
| | 
F5956
R54.IS ANYONE Else COVERED

R54. BESIDES YOURSELF, IS ANYONE ELSE COVERED ON THIS HEALTH INSURANCE?

| |  If R54.IS ANYONE Else COVERED (F5956) = 1 »

| | |  ========================================================================
| | | 
F5957M1
R54A.WHO Else COVERED

R54A. WHO BESIDES (YOURSELF/YOURSELF AND POLICYHOLDER) IS COVERED? CHOOSE ALL THAT APPLY

| | |  If R54A.WHO Else COVERED (F5957M1) != 36 »

| | | |  ========================================================================
| | | | 
F5958
R54B.OBTAIN COVERAGE FOR SPOUSE

R54B. COULD YOU HAVE OBTAINED COVERAGE FOR YOUR SPOUSE THROUGH THIS HEALTH INSURANCE PLAN?

| |  ========================================================================
| | 
F5959
R55.IS THIS HMO

R55. I'D LIKE TO ASK YOU A FEW QUESTIONS ABOUT HOW THIS HEALTH INSURANCE WORKS FOR NON-EMERGENCY CARE. IS THIS INSURANCE PLAN AN HMO, THAT IS, A HEALTH MAINTENANCE ORGANIZATION? DEFINITION: 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.

| |  If R55.IS THIS HMO (F5959) != 1 »

| | |  ========================================================================
| | | 
F5960
R55A.IF LIST OF DOCTORS

R55A. DOES YOUR HEALTH INSURANCE PLAN HAVE A LIST OR BOOK OF DOCTORS THAT YOU ARE ENCOURAGED OR REQUIRED TO USE?

| | |  ========================================================================
| | | 
F5961
R55B.PAY ROUTINE CARE

R55B. DOES YOUR HEALTH INSURANCE PLAN PAY ANY OF THE COSTS OF ROUTINE CARE IF YOU SEE A DOCTOR WHO IS NOT ON THIS LIST?

| |  If R55.IS THIS HMO (F5959) = 1 »

| | |  ========================================================================
| | | 
F5962
R55D.HMO:IF R PAYS FOR DR VISITS

R55D. UNDER THIS HEALTH INSURANCE PLAN, DO YOU PAY A PERCENTAGE OF THE DOCTOR'S CHARGE, THE SAME DOLLAR AMOUNT EACH TIME YOU VISIT THE DOCTOR, OR DO YOU NOT PAY ANYTHING AT ALL FOR DOCTOR VISITS?

| |  If R55.IS THIS HMO (F5959) != 1 »

| | |  ========================================================================
| | | 
F5963
R55E.NON HMO:IF PLAN PAYS DR VISITS

R55E. DOES THIS PLAN PAY ANY OF THE COSTS OF ROUTINE VISITS TO THE DOCTOR?

| |  ========================================================================
| | 
F5964
R55F.PAY PRESCRIPTION DRUGS

R55F. DOES THIS HEALTH INSURANCE PLAN PAY ANY PART OF THE COST OF PRESCRIPTION MEDICINES?

| |  ========================================================================
| | 
F5965
R56.PAY DENTAL VISIT

R56. DOES THIS HEALTH INSURANCE PLAN PAY ANY PART OF THE COST OF ROUTINE DENTAL CARE BY A DENTIST?

| |  If R55.IS THIS HMO (F5959) = 1 or R56.PAY DENTAL VISIT (F5965) = 1 »

| | |  ========================================================================
| | | 
F5967
R57.R PAY EXTRA

R57. DO YOU PAY EXTRA FOR (THIS (PRESCRIPTION) BENEFIT/THIS (DENTAL) BENEFIT/THESE BENEFITS)?

| |  ========================================================================
| | 
F5968
R57A.LIMITS ON HEALTH INSUR

R57A. ARE THERE ANY LIMITS OR RESTRICTIONS ON THIS HEALTH INSURANCE PLAN DUE TO A PREEXISTING CONDITION?

If R1.MEDICARE COVERAGE (F5866) = 1 or R5.CURRENTLY COVERED BY MEDICAID (F5869) = 1 or R9.CHAMPUS/CHAMPVA COVERAGE (F5878) = 1 or F58662X = 1 or R48.ANY OTHER HEALTH INSUR (F5950) = 1 »

|  ========================================================================
F5971
R58.WITHOUT INSUR

R58. I HAVE RECORDED THAT YOU ARE CURRENTLY COVERED BY HEALTH INSURANCE. WERE YOU EVER WITHOUT HEALTH INSURANCE COVERAGE AT ANY TIME IF Q682 IS (1) SINCE [Q218-PREV WAVE IW MONTH] [Q219-PREV WAVE IW YEAR]? ELSE IN THE LAST TWO YEARS? END

If R58.WITHOUT INSUR (F5971) = 1 »

| |  ========================================================================
| | 
F5975
R61.EXPENSES WITHOUT COVERAGE

R61. DURING THE TIME YOU WERE NOT COVERED BY HEALTH INSURANCE, DID YOU HAVE ANY MEDICAL EXPENSES FOR WHICH YOU HAD TO PAY $100 OR MORE?

If G2 = 1 or R58.WITHOUT INSUR (F5971) != 1 »

| |  ========================================================================
| | 
F5976
R62.FEAR LOSS IF LOOK FOR JOB

R62. HAS THE FEAR OF LOSING YOUR HEALTH INSURANCE EVER KEPT YOU FROM LOOKING FOR ANOTHER JOB?

Else

|  ========================================================================
F5980
R67.NOT COVERED BY GOVT/PRIV HEALTH INSU

R67. ACCORDING TO MY INFORMATION, YOU ARE NOT CURRENTLY COVERED BY ANY GOVERNMENT OR PRIVATE HEALTH INSURANCE PLANS THAT PROVIDE FOR MEDICAL CARE. IS THAT CORRECT?

If R67.NOT COVERED BY GOVT/PRIV HEALTH INSU (F5980) = 5 »

| |  ========================================================================
| | 
F5981M1
R68.WHICH PLAN

R68. UNDER WHICH OF THE FOLLOWING PLANS ARE YOU COVERED?

If G2 != 1 and G3 = 1 and G3 != 2 and R67.NOT COVERED BY GOVT/PRIV HEALTH INSU (F5980) != 5 »

|  ========================================================================
F5983
R71.EMP OFFER HEALTH INSURANCE

R71. DOES YOUR EMPLOYER OR UNION OFFER A HEALTH INSURANCE PLAN TO ANY OF ITS EMPLOYEES?

If R71.EMP OFFER HEALTH INSURANCE (F5983) = 1 »

| |  ========================================================================
| | 
F5984
R72.OFFERED INSURANCE THROUGH JOB

R72. WERE YOU OFFERED HEALTH INSURANCE THROUGH YOUR JOB?

| |  If R72.OFFERED INSURANCE THROUGH JOB (F5984) != 1 »

| | |  ========================================================================
| | | 
F5985
R73.ELIGIBLE IN FUTURE

R73. WILL YOU BE ELIGIBLE FOR HEALTH INSURANCE THROUGH YOUR JOB IN THE FUTURE?

| | |  If R73.ELIGIBLE IN FUTURE (F5985) = 1 »

| | | |  ========================================================================
| | | | 
F5986
R74. WHEN ELIGIBLE

R74. WHEN WILL YOU BE ELIGIBLE FOR HEALTH INSURANCE? CODE IN MONTHS (01-50)

If F5980= 5 »

If R1.MEDICARE COVERAGE (F5866) = 1 or R5.CURRENTLY COVERED BY MEDICAID (F5869) != 1 and R9.CHAMPUS/CHAMPVA COVERAGE (F5878) != 1 and F58663 != 1 and R48.ANY OTHER HEALTH INSUR (F5950) != 1 and R68.WHICH PLAN (F5981M1) = 1 »

| |  ========================================================================
| | 
F5988
R78.WITHDRAWN FROM HMO SINCE PREV WAVE

R78. IF Q682 IS (1) SINCE [Q218-PREV WAVE IW MONTH] [Q219-PREV WAVE IW YEAR] ELSE IN THE LAST TWO YEARS END HAVE YOU WITHDRAWN FROM AN HMO?

| |  If R78.WITHDRAWN FROM HMO SINCE PREV WAVE (F5988) = 1 »

| | |  ========================================================================
| | | 
F5989
R79.VOLUNTARILY LEAVE

R79. DID YOU VOLUNTARILY LEAVE THAT HMO?

| | |  If R79.VOLUNTARILY LEAVE (F5989) = 1 »

| | | |  ========================================================================
| | | | 
F5990M1
R80.WHY LEAVE HMO

R80. WHY DID YOU LEAVE THAT HMO? CHOOSE ALL THAT APPLY

| | |  ========================================================================
| | | 
F5991
R81.HOW LONG BEFORE COVERED-MONTHS

R81. FROM THE TIME YOU LEFT THAT HMO, ABOUT HOW LONG WAS IT BEFORE YOU WERE FULLY COVERED BY YOUR NEW HEALTH INSURANCE PLAN? ENTER "96" MONTHS IF NO GAP. MONTHS: OR YEARS: OR

|  ========================================================================
F5995
R82.OTHER CHANGES SINCE PREV WAVE

R82. IF Q5866 IS (1) (OTHER THAN THE CHANGES YOU'VE ALREADY TOLD ME ABOUT,) END IF Q682 IS (1) SINCE [Q218-PREV WAVE IW MONTH] [Q219-PREV WAVE IW YEAR] ELSE IN THE LAST TWO YEARS END HAVE THERE BEEN ANY (OTHER) CHANGES IN THE TYPE, COST, OR IN THE SERVICES OR DOCTORS COVERED BY YOUR HEALTH INSURANCE?

If R82.OTHER CHANGES SINCE PREV WAVE (F5995) = 1 »

| |  ========================================================================
| | 
F5996M1
R83.WHAT CHANGED IN HEALTH INSU

R83. WHAT HAS CHANGED ABOUT YOUR HEALTH INSURANCE? CHOOSE ALL THAT APPLY

| |  ========================================================================
| | 
F5997
R84.CHOICE IN CHANGING INSURANC

R84. DID YOU CHOOSE TO CHANGE YOUR HEALTH INSURANCE OR PROVIDER, OR DID YOU NOT HAVE A CHOICE IN THE CHANGE?

========================================================================
F5999
R85.LTC INSURANCE

R85. NOT INCLUDING GOVERNMENT PROGRAMS, DO YOU NOW HAVE ANY INSURANCE WHICH SPECIFICALLY COVERS ANY PART OF PERSONAL OR MEDICAL CARE IN YOUR HOME OR IN A NURSING HOME FOR A YEAR OR MORE?

If R85.LTC INSURANCE (F5999) = 1 »

|  ========================================================================
F6000
R87.COVER NURSING HOME/IN-HOME CARE

R87. 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?

|  ========================================================================
F6001
R88.RECD BENEFITS UNDER LTC

R88. HAVE YOU EVER RECEIVED BENEFITS UNDER YOUR LONG-TERM CARE POLICY?

|  ========================================================================
F6002
R89.PAYMENTS INCREASE WITH INFLATION

R89. DOES THIS PLAN INCREASE PAYMENTS WITH INFLATION?

|  ========================================================================
F6003
R90.AMT PAY FOR LTC

R90. ABOUT HOW MUCH DO YOU PAY FOR THIS PLAN? AMOUNT: PER: IWER: ENTER "0" IF NO PAYMENTS ARE MADE

If R90.AMT PAY FOR LTC (F6003) != 0 and R90.AMT PAY FOR LTC (F6003) != 98 and R90.AMT PAY FOR LTC (F6003) != 99 »

| |  ========================================================================
| | 
R90PER
R90.AMT PAY FOR LTC-PER

R90.AMT PAY FOR LTC-PER

|  ========================================================================
F6006
R91.HOW LONG HAVE LTC-MONTHS

R91. ABOUT HOW LONG HAVE YOU HAD THIS LONG-TERM CARE INSURANCE? MONTHS: OR YEARS:

========================================================================
F6009
R92.LTC CANCELED/LAPSED

R92. HAVE YOU EVER BEEN COVERED BY ANY LONG-TERM CARE INSURANCE THAT YOU CANCELLED OR LET LAPSE?

If R92.LTC CANCELED/LAPSED (F6009) = 1 »

|  ========================================================================
F6010
R93.WHY LTC COVERAGE LAPSE

R93. DID YOUR COVERAGE LAPSE BECAUSE THE PREMIUMS WERE TOO HIGH, BECAUSE YOU DIDN'T THINK YOU NEEDED TO CARRY IT ANY LONGER, OR WHAT?

========================================================================
F6011
R93A.HOW SATISFIED WITH HEALTH CARE

R93A. 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?

========================================================================
F6015
R94.HAVE ANY LIFE INSURANCE

R94. DO YOU CURRENTLY HAVE ANY LIFE INSURANCE?

If R94.HAVE ANY LIFE INSURANCE (F6015) = 1 »

|  ========================================================================
F6016
R95.NUMBER LIFE INSURANCE POLICIES

R95. ALTOGETHER, HOW MANY DIFFERENT LIFE INSURANCE POLICIES DO YOU HAVE? INCLUDE INDIVIDUAL POLICIES, GROUP POLICIES, OR PAID-UP POLICIES IF R ASKS.

|  ========================================================================
F6018
R97.POLICIES FACE VALUE-2+ POLICIES

R97. ALTOGETHER, WHAT IS THE TOTAL FACE VALUE OF (THIS POLICY/THESE POLICIES), THAT IS, THE AMOUNT OF MONEY THE BENEFICIARIES WOULD GET IF YOU WERE TO DIE? AMOUNT: DO NOT PROBE DK

If R97.POLICIES FACE VALUE-2+ POLICIES (F6018) != 98 and R97.POLICIES FACE VALUE-2+ POLICIES (F6018) != 99 »

| |  ========================================================================
| | 
F6019
R97DX.R97 DK-2.5

R97DX. (DOES IT AMOUNT TO) LESS THAN $2,500, MORE THAN $2,500, OR WHAT?

| |  If R97.POLICIES FACE VALUE-2+ POLICIES (F6018) = 5 »

| | |  ========================================================================
| | | 
F6020
R97A.DK-20K

R97A. DOES IT AMOUNT TO LESS THAN $20,000, MORE THAN $20,000, OR WHAT?

| | |  If R97A.DK-20K (F6020) = 5 »

| | | |  ========================================================================
| | | | 
F6021
R97B.DK-50K

R97B. (DOES IT AMOUNT TO) LESS THAN $50,000, MORE THAN $50,000, OR WHAT?

| | | |  If R97B.DK-50K (F6021) = 5 »

| | | | |  ========================================================================
| | | | | 
F6022
R97C.DK-250K

R97C. (DOES IT AMOUNT TO) LESS THAN $250,000, MORE THAN $250,000, OR WHAT?

|  ========================================================================
F6025M1
R98.WHO BENEFICIARY

R98. WHO ARE THE BENEFICIARIES OF (THIS POLICY/ALL OF THESE POLICIES)? CHOOSE ALL THAT APPLY

|  ========================================================================
F6026
R99.POLICIES PURCHASED FROM AGENT

R99. (IS THIS POLICY ONE THAT IS/ARE ANY OF THESE POLICIES ONES THAT WERE) PURCHASED DIRECTLY FROM AN AGENT? DEF: MANY LIFE INSURANCE POLICIES ARE PROVIDED BY EMPLOYERS, OFTEN AT NO COST, AND ARE NOT PURCHASED FROM AN AGENT. THESE ARE ALSO CALLED GROUP PLANS.

If REINTERVIEW HH »

| |  ========================================================================
| | 
F6027
R100.OBTAINED MORE

R100. (SINCE Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/IN THE LAST TWO YEARS) HAVE YOU OBTAINED ANY NEW LIFE INSURANCE POLICIES?

| |  If R100.OBTAINED MORE (F6027) = 5 »

| | |  ========================================================================
| | | 
F6028
R100A.FACE VALUE OF NEW LIFE INS POLICIE

R100A. WHAT IS THE TOTAL FACE VALUE OF (THIS POLICY/ALL OF THESE POLICIES)? AMOUNT: DO NOT PROBE DK

| | |  If R100A.FACE VALUE OF NEW LIFE INS POLICIE (F6028) = 98 or R100A.FACE VALUE OF NEW LIFE INS POLICIE (F6028) = 99 »

| | | |  ========================================================================
| | | | 
F6029
R100B.DK-20K

R100B. DOES IT AMOUNT TO LESS THAN $20,000, MORE THAN $20,000, OR WHAT?

| | | |  If R100B.DK-20K (F6029) != 3 and R100B.DK-20K (F6029) != 8 and R100B.DK-20K (F6029) != 9 »

| | | | |  If R100B.DK-20K (F6029) = 5

| | | | | |  ========================================================================
| | | | | | 
F6030
R100C.DK-50K

R100C. (DOES IT AMOUNT TO) LESS THAN $50,000, MORE THAN $50,000, OR WHAT?

| | | | | |  If R100C.DK-50K (F6030) = 5 »

| | | | | | |  ========================================================================
| | | | | | | 
F6031
R100D.DK-250K

R100D. (DOES IT AMOUNT TO) LESS THAN $250,000, MORE THAN $250,000, OR WHAT?

| | | | |  Else

| | | | | |  ========================================================================
| | | | | | 
F6032
R100E.DK-2.5K

R100E. (DOES IT AMOUNT TO) LESS THAN $2,500, MORE THAN $2,500, OR WHAT?

| |  ========================================================================
| | 
F6033
R101.OBTAINED MORE

R101. (SINCE Q218-PREV WAVE IW MONTH / Q219-PREV WAVE IW YEAR/IN THE LAST TWO YEARS) HAVE YOU ALLOWED ANY LIFE INSURANCE POLICIES TO LAPSE OR HAVE ANY BEEN CANCELLED?

| |  If R101.OBTAINED MORE (F6033) != 5 »

| | |  ========================================================================
| | | 
F6034
R102.FACE VALUE OF CANCELLED LIFE INS PO

R102. WHAT WAS THE TOTAL FACE VALUE OF (THIS POLICY/ALL OF THESE POLICIES)? DO NOT PROBE DK

| | |  If R102.FACE VALUE OF CANCELLED LIFE INS PO (F6034) != 98 and R102.FACE VALUE OF CANCELLED LIFE INS PO (F6034) != 99 »

| | | |  ========================================================================
| | | | 
F6035
R102DX.R102 DK-2.5

R102DX. (DOES IT AMOUNT TO) LESS THAN $2,500, MORE THAN $2,500, OR WHAT?

| | | |  If R102DX.R102 DK-2.5 (F6035) = 5 »

| | | | |  ========================================================================
| | | | | 
F6036
R102A.DK-20K

R102A. DOES IT AMOUNT TO LESS THAN $20,000, MORE THAN $20,000, OR WHAT?

| | | | |  If R102A.DK-20K (F6036) = 5 »

| | | | | |  ========================================================================
| | | | | | 
F6037
R102B.DK-50K

R102B. (DOES IT AMOUNT TO) LESS THAN $50,000, MORE THAN $50,000, OR WHAT?

| | | | | |  If R102B.DK-50K (F6037) = 5 »

| | | | | | |  ========================================================================
| | | | | | | 
F6038
R102C.DK-250K

R102C. (DOES IT AMOUNT TO) LESS THAN $250,000, MORE THAN $250,000, OR WHAT?

| |  ========================================================================
| | 
F6041
R103.WHO`S CHOICE

R103. WAS THIS LAPSE OR CANCELLATION SOMETHING YOU CHOSE TO DO, OR WAS IT DONE BY THE PROVIDER, YOUR EMPLOYER, OR SOMEONE ELSE?

| |  If R103.WHO`S CHOICE (F6041) != 2 »

| | |  ========================================================================
| | | 
F6042
R104.WHY CHOSE

R104. WAS IT BECAUSE THE POLICY WAS TOO EXPENSIVE, BECAUSE YOU DID NOT NEED THE COVERAGE OR SOME OTHER REASON?

If DOES HAVE MEDICARE NOW »

|  ========================================================================
F6087
R117.MEDICARE NUMBER RECORDED?

R117. 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.) NUMBER AVAILABLE: COPY MEDICARE NUMBER: --- PROBE: IS THERE A LETTER INCLUDED AS PART OF YOUR MEDICARE NUMBER?

========================================================================
RASSIST
ASSIST SEC R

RASSIST IWER: HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION R - INSURANCE?

End of R. Health Insurance and Event History (Respondent)