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hi

HEALTH INSURANCE PAGE


These next questions are about health insurance.
If 65+, ask: otherwise go to 2a,
1. Does -- have Medicare from Social Security?

[] Under 65 (NP)
1[] Covered (NP)
[] Not covered (NP)


2a. (In addition to Medicare) There is a public program called Medicaid which provides medical assistance to persons in need. During the past 12 months, has anyone in the family received medical care which has been or will be paid for by Medicaid?

[]Y
[]N (3)

b. Who was this? Mark "Covered" box in person's column.

1[] Covered

c. Anyone else?

[]Y (Reask 2b and c)
[]N


We are interested in all kinds of health insurance plans except those which pay for accidents.
3a. (Not counting Medicare) Is anyone in the family covered by hospital insurance, that is, a health insurance plan which pays any part of a hospital bill?

[] Y
[] N (3d)

b. What is the name of the plan? (Record in Table H.I.)

c. Is anyone in the family covered by any other hospital insurance plan?

[] Y (Reask 3b and c)
[] N


d. Is anyone in the family covered by any (other) health insurance plan which pays any part of a DOCTOR'S or SURGEON'S bill?

[] Y
[] N (4)

e. What is the name of the plan? (Record in Table H.I., reask 3d)


Table H.I.
[Plans 1-3]

4a. Was this (name) plan obtained through an employer or union?

1 [] Y (c)
2 [] N
9 [] DK

b. Was it obtained through some other group?

1 [] Y
2 [] N
9 [] DK

c. Does this plan pay any part of hospital expenses?

1 [] Y
2 [] N
9 [] DK

d. Does this plan pay any part of doctor's or surgeon's bills for operations?

1 [] Y
2 [] N
9 [] DK


5a. Is -- covered under this plan?

1 [] Covered
2 [] Not covered (NP)

b. During the past 12 months did -- receive medical care which has been or will be paid for by this plan?

1 [] Y
2 [] N
9 [] DK

I


For each person review 1, 2, and 5 for each plan and determine if "Covered" by either Medicare, Medicaid, or insurance, or "Not covered."

1 [] Covered (NP)
2 [] Not covered (NP)

Ask for each person "Not covered."

Many people do not carry health insurance for various reasons (Hand Card N)

CARD N
1. Care received through Social Security Medicare
2. Care received through Medicaid or Welfare
3. Unemployed, or reasons related to unemployment
4. Can't obtain insurance because of poor health, illness, or age
5. Too expensive, can't afford health insurance
6. Dissatisfied with previous insurance
7. Don't believe in insurance
8. Have been healthy, not much sickness in the family, haven't needed health insurance
9. Military dependent, (CHAMPUS), veteran's benefits
10. Some other reason

6a. Which of those statements describes why -- is not covered by any health insurance plan? Any other reason?

[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
[] 9
[] Other (Specify) ____


Mark box or ask:
b. What is the MAIN reason -- is not covered by any health insurance plan?

00 [] Only one reason
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
[] 9
[] Other (Specify) ____