Codes and Frequencies
An 'X' indicates the category is available for that sample
| Code | Label |
23
|
22
|
21
|
20
|
19
|
18
|
17
|
16
|
15
|
14
|
13
|
12
|
11
|
10
|
09
|
08
|
07
|
06
|
05
|
04
|
03
|
02
|
01
|
00
|
99
|
Code | Label |
98
|
97
|
96
|
95
|
94
|
93
|
89
|
86
|
84
|
83
|
82
|
80
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | NIU | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | 0 | NIU | X | X | X | X | X | X | X | X | X | X | X | X |
| 1 | Part A, Hospital only | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | 1 | Part A, Hospital only | X | X | X | X | X | X | X | X | X | X | X | X |
| 2 | Part B, Medical only | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | 2 | Part B, Medical only | X | X | X | X | X | X | X | X | X | X | X | X |
| 3 | Both Part A and Part B | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | 3 | Both Part A and Part B | X | X | X | X | X | X | X | X | X | X | X | X |
| 4 | Card not available | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | X | X | X | X | X | 4 | Card not available | X | X | X | X | X | X | X | X | X | X | X | X |
| 7 | Unknown-refused | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | 7 | Unknown-refused | X | X | · | · | · | · | · | · | · | · | · | · |
| 8 | Unknown-not ascertained | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | 8 | Unknown-not ascertained | X | X | X | X | X | X | · | · | · | · | · | · |
| 9 | Unknown-don't know | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | 9 | Unknown-don't know | X | X | X | · | X | X | X | · | · | · | · | X |
Can't find the category you are looking for? Try the Detailed codes
Description
For sample adults with Medicare coverage (HIMCAREE), MCARETYP reports the type of Medicare coverage. The universe for this variable has changed over time. Please see the Universe tab for more information.
Prior to 1993, MCARETYP is a recoded variable created by the National Center for Health Statistics (NCHS) and is included in the original NHIS public use data. MCARETYP, like other recoded health insurance variables in the NHIS data, is based on responses to a series of questions and back editing carried out by the NCHS. Beginning in 1993, MCARETYP is based on a single question in the survey.
Definitions
People were asked their type of Medicare coverage only if they had Medicare coverage (HIMCAREE). The NCHS provides the following definition of "Medicare":
[show more]Medicare: Medicare "is a nationwide health insurance program providing health insurance protection to people 65 years of age and over, people entitled to social security disability payments for 2 years or more, and people with end-stage renal disease, regardless of income. The program was enacted July 30, 1965, as Title XVIII, Health Insurance for the Aged of the Social Security Act, and became effective on July 1, 1966. From its inception, it consists of two separate but coordinated programs, hospital insurance (Part A) and supplementary medical insurance (Part B).
For persons who responded affirmatively to having Medicare, interviewers were instructed to ask for their Medicare card. If the respondent was able to provide the card, interviewers were instructed to categorize the respondent's Medicare coverage as Part A, Part B, or both Part A and Part B. The Centers for Medicare and Medicaid Services (CMS) provides succinct characterizations of both Part A Medicare coverage and Part B Medicare coverage:
[show more]- Part A Medicare Coverage: "Medicare Part A (Hospital Insurance) helps cover inpatient care in hospitals, including critical access hospitals, and skilled nursing facilities (not custodial or long-term care). It also helps cover hospice care and some home health care. Certain conditions must be met to get these benefits."
- Part B Medicare Coverage: "Medicare Part B (Medical Insurance) helps cover doctors' services and outpatient care. It also covers some other medical services that Part A doesn't cover, such as some of the services of physical and occupational therapists, and some home health care. Part B helps pay for these covered services and supplies when they are medically necessary."
In the survey for 1997 forward, interviewers first asked, "Are you covered by health insurance or some other kind of health care plan?"
[show more]Respondents were instructed to "Include health insurance obtained through employment or purchased directly as well as government programs like Medicare and Medicaid that provide medical care or help pay medical bills." In 1997-2003 the survey form instructed interviewers to only read the preceding statement "if necessary."
Individuals who had an affirmative response to the preceding question were asked, "What kind of health insurance or health care coverage do you have?" Respondents selected the appropriate response from a card listing various types of insurance coverage.
[show more]The choices included:
- Private health insurance (2004 forward)
- Private health insurance plan from employer or workplace (1997-2003)
- Private health insurance plan purchased directly (1997-2003)
- Private health insurance plan through a State or local government program or community program (1998-2003)
- Medicare (1997 forward)
- Medi-Gap (1997 forward)
- Medicaid (1997 forward)
- CHIP (Children's Health Insurance Program) (1999 forward)
- Military Health Care/VA (1997-2003)
- Military Health Care (CHAMPUS/TRICARE/CHAMP-VA) (1997-2018)
- Military related health care: TRICARE (CHAMPUS)/VA health care/CHAMP-VA) (2019 forward)
- Indian Health Service (1997 forward)
- State-sponsored health plan (1997 forward)
- Other government program (1997 forward)
- Single Service Plan (e.g., dental, vision, prescriptions) (1999-2018)
- No coverage of any type (2000 forward)
Respondents could pick more than one type of insurance and interviewers were instructed to mark all that applied.
Respondents were consistently instructed to exclude private plans that "only provide extra cash while hospitalized," and single service plans were also excluded.
[show more]In 1997-1998 respondents were also instructed to "EXCLUDE private plans that ... pay for only one type of service (nursing home care, accidents, or dental care)." Beginning in 1999, "Single Service Plan" was added as a possible response, and, consequently, the instructions were changed to read, "INCLUDE those [private plans] that pay for only one type of service (nursing home care, accidents, or dental care)."
In follow-up questions, interviewers recorded the names of up to four private health insurance plans. If the person was reported as covered by CHIP (beginning in 2000), by a state-sponsored health plan, or by another public program (other than Medicaid) that paid for health care, the interviewer recorded the name of that plan. The placement and wording of these questions about the names of specific government health care plans varied across years.
As already noted, people were asked their type of Medicare coverage only if they had already indicated that they had Medicare coverage.
Data Editing and Recoding
During the course of data editing, the NCHS discovered many errors in the responses to questions about insurance coverage. Often, respondents misclassified the type of insurance they had.
[show more]This might be shown, for example, by a mismatch between the verbatim name of an insurance plan and the type of insurance coverage the person selected from the categories on a card provided by the interviewer.
Accordingly, the NCHS created a series of recoded insurance variables. For these recoded insurance variables, the data are back edited, taking into account such factors as the proper classification of the verbatim names of insurance plans and responses to questions about why insurance coverage had stopped.
Because of the errors in the respondents' original (unedited) answers to questions about insurance coverage, the NCHS strongly advises analysts to use these recoded insurance variables as a more reliable source of information about the types of insurance coverage than is provided by respondents' original and unedited answers.
Only persons having an affirmative response to the recoded Medicare coverage variable, HIMCAREE, were included in the universe of MCARETYP.
Comparability
The basic meaning and universe for this variable are consistent over time. However, comparability may be limited by changes in the questions used to gather the information used for back editing the data, and by changes in the back-editing procedures used by the NCHS. Additionally, the NHIS questionnaire was substantially redesigned in 2019 to introduce a different data collection structure and new content. For more information on changes in terminology, universes, and data collection methods beginning in 2019, please see the user note.
Universe
- 1980; 1982; 1984; 1986; 1989: Persons are who currently covered by Medicare but didn't know which Medicare plan they were covered under.
- 1983: Persons in quarters 3 and 4 who are currently covered by Medicare but didn't know which Medicare plan they were covered under.
- 1993: Persons in quarters 3 or 4 covered by Medicare last month.
- 1994-1996: Persons covered by Medicare last month.
- 1997-2018: Persons with Medicare coverage.
- 2019-2023: Sample adults age 18+ with Medicare coverage (HIMCAREE).
Availability
- 1980, 1982-1984, 1986, 1989, 1993-2023
Survey Text
| 2023 | 2013 | 2003 | 1993 |
| 2022 | 2012 | 2002 | 1989 |
| 2021 | 2011 | 2001 | 1986 |
| 2020 | 2010 | 2000 | 1984 |
| 2019 | 2009 | 1999 | 1983 |
| 2018 | 2008 | 1998 | 1982 |
| 2017 | 2007 | 1997 | 1980 |
| 2016 | 2006 | 1996 | |
| 2015 | 2005 | 1995 | |
| 2014 | 2004 | 1994 |
2022
Survey form
view entire document:
text
image
Question ID: INS.0090.00.1
Variable: MCPART_A
Interview Module: Adult
Content Type: Annual Core
Variable: MCPART_A
Interview Module: Adult
Content Type: Annual Core
Question text:
?[F1]
What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical
insurance, or both?
Response:What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical
insurance, or both?
1 - Part A- hospital only
2 - Part B- medical only
3 - Both Part A and Part B
7 - Refused
9 - Don't Know
Universe:2 - Part B- medical only
3 - Both Part A and Part B
7 - Refused
9 - Don't Know
Sample Adults 18+ with Medicare
Skip Instructions:1 [goto MCPARTD_A]
2-3,RF,DK [goto MCCHOICE_A]
2-3,RF,DK [goto MCCHOICE_A]
2021
Survey form
view entire document:
text
image
Question ID: INS.0090.00.1
Variable: MCPART_A
Interview Module: Adult
Content Type: Annual Core
Question text:
Variable: MCPART_A
Interview Module: Adult
Content Type: Annual Core
Question text:
?[F1]
What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
Response:What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
1 - Part A- hospital only
2 - Part B- medical only
3 - Both Part A and Part B
7 - Refused
9 - Don't Know
Universe:2 - Part B- medical only
3 - Both Part A and Part B
7 - Refused
9 - Don't Know
Sample Adults 18+ with Medicare
Skip Instructions:1 [goto MCPARTD_A]
2-3,RF,DK [goto MCCHOICE_A]
2-3,RF,DK [goto MCCHOICE_A]
2020
Survey form
view entire document:
text
image
Question ID: INS.0090.00.1
Variable: MCPART_A
Interview Module: Adult
Content Type: Annual Core
Question text:
Variable: MCPART_A
Interview Module: Adult
Content Type: Annual Core
Question text:
?[F1]
What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical
insurance, or both?
Response:What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical
insurance, or both?
1 - Part A- hospital only
2 - Part B- medical only
3 - Both Part A and Part B
7 - Refused
9 - Don't Know
Universe:2 - Part B- medical only
3 - Both Part A and Part B
7 - Refused
9 - Don't Know
Sample Adults 18+ with Medicare
Skip Instructions:1 [goto MCPARTD_A]
2-3,RF,DK [goto MCCHOICE_A]
2-3,RF,DK [goto MCCHOICE_A]
2019
Survey form
view entire document:
text
image
Question ID: INS.0090.00.1
Variable: MCPART_A
Interview Module: Adult
Content Type: Annual Core
Question Text:
Variable: MCPART_A
Interview Module: Adult
Content Type: Annual Core
Question Text:
What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
Response:1 Part A- hospital only
2 Part B- medical only
3 Both Part A and Part B
7 Refused
9 Do not Know
Universe:2 Part B- medical only
3 Both Part A and Part B
7 Refused
9 Do not Know
Sample Adults 18+ with Medicare
Skip Instructions:1 = [goto MCPARTD_A]
2-3,RF,DK = [goto MCCHOICE_A]
2-3,RF,DK = [goto MCCHOICE_A]
2018
Survey form
view entire document:
text
image
Question ID:FHI.090_00.000
Instrument Variable Name: MCPART
Question Text:
Question Text:
{if subject ne respondent}: Earlier I recorded that ALIAS is covered by Medicare. May I please see ALIAS's Medicare card to determine the type of coverage?
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
1 Part A - Hospital only
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
Universe Text All persons with Medicare
Skip Instructions:
Skip Instructions:
(1-3) [go to MCCARD]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
2017
Survey form
view entire document:
text
image
Question ID:FHI.090_00.000
Instrument Variable Name: MCPART
Question Text:
Question Text:
{if subject ne respondent}: Earlier I recorded that ALIAS is covered by Medicare. May I please see ALIAS's Medicare card to determine the type of coverage?
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
1 Part A - Hospital only
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
Universe Text All persons with Medicare
Skip Instructions:
Skip Instructions:
(1-3) [go to MCCARD]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
2016
Survey form
view entire document:
text
image
Question ID:FHI.090_00.000
Instrument Variable Name: MCPART
Question Text:
Question Text:
{if subject ne respondent}: Earlier I recorded that ALIAS is covered by Medicare. May I please see ALIAS's Medicare card to determine the type of coverage?
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
1 Part A - Hospital only
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
Universe Text All persons with Medicare
Skip Instructions:
Skip Instructions:
(1-3) [go to MCCARD]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
2015
Survey form
view entire document:
text
image
Question ID:FHI.090_00.000
Instrument Variable Name: MCPART
Question Text:
Question Text:
{if subject ne respondent}: Earlier I recorded that ALIAS is covered by Medicare. May I please see ALIAS's Medicare card to determine the type of coverage?
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
1 Part A - Hospital only
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
Universe Text All persons with Medicare
Skip Instructions:
Skip Instructions:
(1-3) [go to MCCARD]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
2014
Survey form
view entire document:
text
image
Question ID:FHI.090_00.000
Instrument Variable Name: MCPART
Question Text:
Question Text:
{if subject ne respondent}: Earlier I recorded that ALIAS is covered by Medicare. May I please see ALIAS's Medicare card to determine the type of coverage?
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
1 Part A - Hospital only
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
Universe Text All persons with Medicare
Skip Instructions:
Skip Instructions:
(1-3) [go to MCCARD]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
2013
Survey form
view entire document:
text
image
Question ID:FHI.090_00.000
Instrument Variable Name: MCPART
Question Text:
Question Text:
{if subject ne respondent}: Earlier I recorded that ALIAS is covered by Medicare. May I please see ALIAS's Medicare card to determine the type of coverage?
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
1 Part A - Hospital only
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
Universe Text All persons with Medicare
Skip Instructions:
Skip Instructions:
(1-3) [go to MCCARD]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
2012
Survey form
view entire document:
text
image
Question ID:FHI.090_00.000
Instrument Variable Name: MCPART
Question Text:
Question Text:
{if subject ne respondent}: Earlier I recorded that ALIAS is covered by Medicare. May I please see ALIAS's Medicare card to determine the type of coverage?
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
1 Part A - Hospital only
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
Universe Text All persons with Medicare
Skip Instructions:
Skip Instructions:
(1-3) [go to MCCARD]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
2011
Survey form
view entire document:
text
image
Question ID:FHI.090_00.000
Instrument Variable Name: MCPART
Question Text:
Question Text:
{if subject ne respondent}: Earlier I recorded that ALIAS is covered by Medicare. May I please see ALIAS's Medicare card to determine the type of coverage?
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
1 Part A - Hospital only
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
Universe Text All persons with Medicare
Skip Instructions:
Skip Instructions:
(1-3) [go to MCCARD]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
Question ID:FHI.092_00.000
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
Instrument Variable Name: MCCARD
Question Text:
Question Text:
* Do not read. Was the type of coverage obtained from a Medicare card or some other form of documentation?
1 Yes
2 No
2 No
Universe Text All persons with Part A Medicare coverage, Part B Medicare coverage, or both
Skip Instructions:
Skip Instructions:
if MCPART = 1, go to MCPARTD; else, g oto MCCHOICE
2010
Survey form
view entire document:
text
image
Question ID:FHI.090_00.000
Instrument Variable Name: MCPART
Question Text:
Question Text:
{if subject ne respondent}: Earlier I recorded that ALIAS is covered by Medicare. May I please see ALIAS's Medicare card to determine the type of coverage?
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
1 Part A - Hospital only
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
Universe Text All persons with Medicare
Skip Instructions:
Skip Instructions:
(1-3) [go to MCCARD]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
2009
Survey form
view entire document:
text
image
Question ID:FHI.090_00.000
Instrument Variable Name: MCPART
Question Text:
Question Text:
{if subject ne respondent}: Earlier I recorded that ALIAS is covered by Medicare. May I please see ALIAS's Medicare card to determine the type of coverage?
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
1 Part A - Hospital only
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
Universe Text All persons with Medicare
Skip Instructions:
Skip Instructions:
(1-3) [go to MCCARD]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
Question ID:FHI.092_00.000
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
Instrument Variable Name: MCCARD
Question Text:
Question Text:
* Do not read. Was the type of coverage obtained from a Medicare card or some other form of documentation?
1 Yes
2 No
2 No
Universe Text All persons with Part A Medicare coverage, Part B Medicare coverage, or both
Skip Instructions:
Skip Instructions:
if MCPART = 1, go to MCPARTD; else, g oto MCCHOICE
2008
Survey form
view entire document:
text
image
Question ID:FHI.090_00.000
Instrument Variable Name: MCPART
Question Text:
Question Text:
{if subject ne respondent}: Earlier I recorded that ALIAS is covered by Medicare. May I please see ALIAS's Medicare card to determine the type of coverage?
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
1 Part A - Hospital only
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
Universe Text All persons with Medicare
Skip Instructions:
Skip Instructions:
(1-3) [go to MCCARD]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
2007
Survey form
view entire document:
text
image
Question ID:FHI.090_00.000
Instrument Variable Name: MCPART
Question Text:
Question Text:
{if subject ne respondent}: Earlier I recorded that ALIAS is covered by Medicare. May I please see ALIAS's Medicare card to determine the type of coverage?
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
1 Part A - Hospital only
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
Universe Text All persons with Medicare
Skip Instructions:
Skip Instructions:
(1-3) [go to MCCARD]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
2006
Survey form
view entire document:
text
image
Question ID:FHI.090_00.000
Instrument Variable Name: MCPART
Question Text:
Question Text:
{if subject ne respondent}: Earlier I recorded that ALIAS is covered by Medicare. May I please see ALIAS's Medicare card to determine the type of coverage?
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
{if subject eq respondent}: * Read if necessary. What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
* Fill in appropriate coverage type below.
1 Part A - Hospital only
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
Universe Text All persons with Medicare
Skip Instructions:
Skip Instructions:
(1-3) [go to MCCARD]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
(R,D) [prefill MCCARD with a "2" and go to MCCHOICE]
2005
Survey form
view entire document:
text
image
Instrument Variable Name: MCNO
Question Text:
Question Text:
1 of 2 ? [F1]
I recorded that you are covered by Medicare. May I please see your Medicare card to determine the type of coverage and to record the Health Insurance Claim Number?
*Enter the claim number from the card.
This number is needed to allow Medicare records of the Centers for Medicare and Medicaid Services to be easily and accurately located and identified for statistical or research purposes. We may also need to link it with other records in order to re-contact you. Except for these purposes, NCHS will not release your Health Insurance Claim Number to anyone, including any other government agency. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on your benefits. This number will be held in strict confidence.
*Read if necessary: The Public Health Service Act is Title 42, United States Code, Section 242K.
I recorded that you are covered by Medicare. May I please see your Medicare card to determine the type of coverage and to record the Health Insurance Claim Number?
*Enter the claim number from the card.
This number is needed to allow Medicare records of the Centers for Medicare and Medicaid Services to be easily and accurately located and identified for statistical or research purposes. We may also need to link it with other records in order to re-contact you. Except for these purposes, NCHS will not release your Health Insurance Claim Number to anyone, including any other government agency. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on your benefits. This number will be held in strict confidence.
*Read if necessary: The Public Health Service Act is Title 42, United States Code, Section 242K.
0-999999996 0-999999996
999999997 Refused
999999999 Don't know
999999997 Refused
999999999 Don't know
Universe Text: Family respondents with Medicare
Skip Instructions:
Skip Instructions:
(0-99999996) [goto MCLET]
(R,D) [goto MCPART]
(R,D) [goto MCPART]
FHI.080_02.000
Instrument Variable Name: MCLET
Question Text:
Question Text:
2 of 2
*Enter the letters that appear after the claim number.
*Enter the letters that appear after the claim number.
2 letters
97 Refused
99 Don't know
97 Refused
99 Don't know
Universe Text: Family respondents with Medicare who reported a Medicare claim number
Skip Instructions:
Skip Instructions:
goto MCPART
FHI.090_00.000
Instrument Variable Name: MCPART
Question Text:
Question Text:
{if subject ne respondent}:
Earlier I recorded that ALIAS is covered by Medicare. May I please see ALIAS's Medicare card to determine the type of coverage?
{if subject eq respondent}:
*Read if necessary.
What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
*Fill in appropriate coverage type below.
Earlier I recorded that ALIAS is covered by Medicare. May I please see ALIAS's Medicare card to determine the type of coverage?
{if subject eq respondent}:
*Read if necessary.
What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
*Fill in appropriate coverage type below.
1 Part A - Hospital only
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
Universe Text: All persons with Medicare
Skip Instructions:
Skip Instructions:
(1-3) [goto MCCARD]
(R,D) [prefill MCCARD with a "2" and goto MCCHOICE]
(R,D) [prefill MCCARD with a "2" and goto MCCHOICE]
FHI.092_00.000
Instrument Variable Name: MCCARD
Question Text:
Question Text:
*Do not read. Was the type of coverage obtained from a Medicare card or some other form of documentation?
1 Yes
2 No
2 No
Universe Text: All persons with Part A Medicare coverage, Part B Medicare coverage, or both
Skip Instructions:
Skip Instructions:
if MCPART = 1, goto MCRXCARD; else, goto MCCHOICE
2004
Survey form
view entire document:
text
image
Instrument Variable Name: MCNO
Question Text:
Question Text:
1 of 2 ? [F1]
I recorded that you are covered by Medicare. May I please see your Medicare card to determine the type of coverage and to record the Health Insurance Claim Number?
*Enter the claim number from the card.
This number is needed to allow Medicare records of the Centers for Medicare and Medicaid Services to be easily and accurately located and identified for statistical or research purposes. We may also need to link it with other records in order to re-contact you. Except for these purposes, NCHS will not release your Health Insurance Claim Number to anyone, including any other government agency. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on your benefits. This number will be held in strict confidence.
*Read if necessary: The Public Health Service Act is Title 42, United States Code, Section 242K.
I recorded that you are covered by Medicare. May I please see your Medicare card to determine the type of coverage and to record the Health Insurance Claim Number?
*Enter the claim number from the card.
This number is needed to allow Medicare records of the Centers for Medicare and Medicaid Services to be easily and accurately located and identified for statistical or research purposes. We may also need to link it with other records in order to re-contact you. Except for these purposes, NCHS will not release your Health Insurance Claim Number to anyone, including any other government agency. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on your benefits. This number will be held in strict confidence.
*Read if necessary: The Public Health Service Act is Title 42, United States Code, Section 242K.
0-999999996 0-999999996
999999997 Refused
999999999 Don't know
999999997 Refused
999999999 Don't know
Universe Text: Family respondents with Medicare
Skip Instructions:
Skip Instructions:
(0-99999996) [goto MCLET]
(R,D) [goto MCPART]
(R,D) [goto MCPART]
FHI.080_02.000
Instrument Variable Name: MCLET
Question Text:
Question Text:
2 of 2
*Enter the letters that appear after the claim number.
*Enter the letters that appear after the claim number.
2 letters
97 Refused
99 Don't know
97 Refused
99 Don't know
Universe Text: Family respondents with Medicare who reported a Medicare claim number
Skip Instructions:
Skip Instructions:
goto MCPART
FHI.090_00.000
Instrument Variable Name: MCPART
Question Text:
Question Text:
{if subject ne respondent}:
Earlier I recorded that ALIAS is covered by Medicare. May I please see ALIAS's Medicare card to determine the type of coverage?
{if subject eq respondent}:
*Read if necessary.
What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
*Fill in appropriate coverage type below.
Earlier I recorded that ALIAS is covered by Medicare. May I please see ALIAS's Medicare card to determine the type of coverage?
{if subject eq respondent}:
*Read if necessary.
What type of Medicare coverage do you have? Is it Part A - hospital insurance, Part B - medical insurance, or both?
*Fill in appropriate coverage type below.
1 Part A - Hospital only
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
2 Part B - Medical only
3 Both Part A and Part B
7 Refused
9 Don't know
Universe Text: All persons with Medicare
Skip Instructions:
Skip Instructions:
(1-3) [goto MCCARD]
(R,D) [prefill MCCARD with a "2" and goto MCCHOICE]
(R,D) [prefill MCCARD with a "2" and goto MCCHOICE]
FHI.092_00.000
Instrument Variable Name: MCCARD
Question Text:
Question Text:
*Do not read. Was the type of coverage obtained from a Medicare card or some other form of documentation?
1 Yes
2 No
2 No
Universe Text: All persons with Part A Medicare coverage, Part B Medicare coverage, or both
Skip Instructions:
Skip Instructions:
if MCPART = 1, goto MCRXCARD; else, goto MCCHOICE
2003
Survey form
view entire document:
text
image
FHI.080
Earlier I recorded that you are covered by Medicare. May I please see your Medicare card to determine the type of coverage and to record the Health Ins. Claim Number?
FR: ENTER THE NUMBERS AND LETTERS.
This number is needed to allow Medicare records of the centers for Medicare and Medicaid services to be easily and accurately located and identified for statistical or research purposes. We may also need
to link it with other records in order to re-contact you. Except for these purposes, NCHS will not release your Health Insurance Claim Number to anyone, including any other government agency. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on your benefits. This number will be held in strict confidence.
FR: IF NECESSARY: THE PUBLIC HEALTH SERVICE ACT IS TITLE 42, UNITED STATES CODE, SECTION 242K.
FR: ENTER THE NUMBERS AND LETTERS.
This number is needed to allow Medicare records of the centers for Medicare and Medicaid services to be easily and accurately located and identified for statistical or research purposes. We may also need
to link it with other records in order to re-contact you. Except for these purposes, NCHS will not release your Health Insurance Claim Number to anyone, including any other government agency. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on your benefits. This number will be held in strict confidence.
FR: IF NECESSARY: THE PUBLIC HEALTH SERVICE ACT IS TITLE 42, UNITED STATES CODE, SECTION 242K.
MCNO_1
MCNO_2
MCNO_2
Claim Number (only numbers):--
(any characters): -
(7) Refused
(9) Don't know
(any characters): -
(7) Refused
(9) Don't know
FHI.090
If person with Medicare coverage is not family respondent
Earlier I recorded that {subject name} is covered by Medicare. May I please see {subject name}'s Medicare card to determine the type of coverage?
[ELSE]
FR: FILL IN APPROPRIATE COVERAGE TYPE BELOW
Earlier I recorded that {subject name} is covered by Medicare. May I please see {subject name}'s Medicare card to determine the type of coverage?
[ELSE]
FR: FILL IN APPROPRIATE COVERAGE TYPE BELOW
MCPART
(1) Part A - Hospital Only (Check item FHICCI4)
(2) Part B - Medical Only (FHI.095)
(3) Both Part A and Part B (FHI.095)
(4) Card Not Available (FHI.095)
(7) Refused (FHI.095)
(9) Don't know (FHI.095)
(2) Part B - Medical Only (FHI.095)
(3) Both Part A and Part B (FHI.095)
(4) Card Not Available (FHI.095)
(7) Refused (FHI.095)
(9) Don't know (FHI.095)
2002
Survey form
view entire document:
text
image
FHI.080
Earlier I recorded that you are covered by Medicare. May I please see your Medicare card to determine the type of coverage and to record the Health Ins. Claim Number?
FR: ENTER THE NUMBERS AND LETTERS.
This number is needed to allow Medicare records of the centers for Medicare and Medicaid services to be easily and accurately located and identified for statistical or research purposes. We may also need
to link it with other records in order to re-contact you. Except for these purposes, NCHS will not release your Health Insurance Claim Number to anyone, including any other government agency. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on your benefits. This number will be held in strict confidence.
FR: IF NECESSARY: THE PUBLIC HEALTH SERVICE ACT IS TITLE 42, UNITED STATES CODE, SECTION 242K.
FR: ENTER THE NUMBERS AND LETTERS.
This number is needed to allow Medicare records of the centers for Medicare and Medicaid services to be easily and accurately located and identified for statistical or research purposes. We may also need
to link it with other records in order to re-contact you. Except for these purposes, NCHS will not release your Health Insurance Claim Number to anyone, including any other government agency. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on your benefits. This number will be held in strict confidence.
FR: IF NECESSARY: THE PUBLIC HEALTH SERVICE ACT IS TITLE 42, UNITED STATES CODE, SECTION 242K.
MCNO_1
MCNO_2
MCNO_2
Claim Number (only numbers):--
(any characters): -
(7) Refused
(9) Don't know
(any characters): -
(7) Refused
(9) Don't know
FHI.090
If person with Medicare coverage is not family respondent
Earlier I recorded that {subject name} is covered by Medicare. May I please see {subject name}'s Medicare card to determine the type of coverage?
[ELSE]
FR: FILL IN APPROPRIATE COVERAGE TYPE BELOW
Earlier I recorded that {subject name} is covered by Medicare. May I please see {subject name}'s Medicare card to determine the type of coverage?
[ELSE]
FR: FILL IN APPROPRIATE COVERAGE TYPE BELOW
MCPART
(1) Part A - Hospital Only (Check item FHICCI4)
(2) Part B - Medical Only (FHI.095)
(3) Both Part A and Part B (FHI.095)
(4) Card Not Available (FHI.095)
(7) Refused (FHI.095)
(9) Don't know (FHI.095)
(2) Part B - Medical Only (FHI.095)
(3) Both Part A and Part B (FHI.095)
(4) Card Not Available (FHI.095)
(7) Refused (FHI.095)
(9) Don't know (FHI.095)
2001
Survey form
view entire document:
text
image
FHI.080
Earlier I recorded that you are covered by Medicare. May I please see your Medicare card to determine the type of coverage and to record the Health Ins. Claim Number?
FR: ENTER THE NUMBERS AND LETTERS.
This number is needed to allow Medicare records of the centers for Medicare and Medicaid services to be easily and accurately located and identified for statistical or research purposes. We may also need
to link it with other records in order to re-contact you. Except for these purposes, NCHS will not release your Health Insurance Claim Number to anyone, including any other government agency. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on your benefits. This number will be held in strict confidence.
FR: IF NECESSARY: THE PUBLIC HEALTH SERVICE ACT IS TITLE 42, UNITED STATES CODE, SECTION 242K.
FR: ENTER THE NUMBERS AND LETTERS.
This number is needed to allow Medicare records of the centers for Medicare and Medicaid services to be easily and accurately located and identified for statistical or research purposes. We may also need
to link it with other records in order to re-contact you. Except for these purposes, NCHS will not release your Health Insurance Claim Number to anyone, including any other government agency. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on your benefits. This number will be held in strict confidence.
FR: IF NECESSARY: THE PUBLIC HEALTH SERVICE ACT IS TITLE 42, UNITED STATES CODE, SECTION 242K.
MCNO_1
MCNO_2
MCNO_2
Claim Number (only numbers):--
(any characters): -
(7) Refused
(9) Don't know
(any characters): -
(7) Refused
(9) Don't know
FHI.090
If person with Medicare coverage is not family respondent
Earlier I recorded that {subject name} is covered by Medicare. May I please see {subject name}'s Medicare card to determine the type of coverage?
[ELSE]
FR: FILL IN APPROPRIATE COVERAGE TYPE BELOW
Earlier I recorded that {subject name} is covered by Medicare. May I please see {subject name}'s Medicare card to determine the type of coverage?
[ELSE]
FR: FILL IN APPROPRIATE COVERAGE TYPE BELOW
MCPART
(1) Part A - Hospital Only (Check item FHICCI4)
(2) Part B - Medical Only (FHI.095)
(3) Both Part A and Part B (FHI.095)
(4) Card Not Available (FHI.095)
(7) Refused (FHI.095)
(9) Don't know (FHI.095)
(2) Part B - Medical Only (FHI.095)
(3) Both Part A and Part B (FHI.095)
(4) Card Not Available (FHI.095)
(7) Refused (FHI.095)
(9) Don't know (FHI.095)
2000
Survey form
view entire document:
text
image
FHI.080
Earlier I recorded that you are covered by Medicare. May I please see your Medicare card to determine the type of coverage and to record the Health Ins. Claim Number?
FR: ENTER THE NUMBERS AND LETTERS.
This number is needed to allow Medicare records of the centers for Medicare and Medicaid services to be easily and accurately located and identified for statistical or research purposes. We may also need
to link it with other records in order to re-contact you. Except for these purposes, NCHS will not release your Health Insurance Claim Number to anyone, including any other government agency. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on your benefits. This number will be held in strict confidence.
FR: IF NECESSARY: THE PUBLIC HEALTH SERVICE ACT IS TITLE 42, UNITED STATES CODE, SECTION 242K.
FR: ENTER THE NUMBERS AND LETTERS.
This number is needed to allow Medicare records of the centers for Medicare and Medicaid services to be easily and accurately located and identified for statistical or research purposes. We may also need
to link it with other records in order to re-contact you. Except for these purposes, NCHS will not release your Health Insurance Claim Number to anyone, including any other government agency. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on your benefits. This number will be held in strict confidence.
FR: IF NECESSARY: THE PUBLIC HEALTH SERVICE ACT IS TITLE 42, UNITED STATES CODE, SECTION 242K.
MCNO_1
MCNO_2
MCNO_2
Claim Number (only numbers):--
(any characters): -
(7) Refused
(9) Don't know
(any characters): -
(7) Refused
(9) Don't know
FHI.090
If person with Medicare coverage is not family respondent
Earlier I recorded that {subject name} is covered by Medicare. May I please see {subject name}'s Medicare card to determine the type of coverage?
[ELSE]
FR: FILL IN APPROPRIATE COVERAGE TYPE BELOW
Earlier I recorded that {subject name} is covered by Medicare. May I please see {subject name}'s Medicare card to determine the type of coverage?
[ELSE]
FR: FILL IN APPROPRIATE COVERAGE TYPE BELOW
MCPART
(1) Part A - Hospital Only (Check item FHICCI4)
(2) Part B - Medical Only (FHI.095)
(3) Both Part A and Part B (FHI.095)
(4) Card Not Available (FHI.095)
(7) Refused (FHI.095)
(9) Don't know (FHI.095)
(2) Part B - Medical Only (FHI.095)
(3) Both Part A and Part B (FHI.095)
(4) Card Not Available (FHI.095)
(7) Refused (FHI.095)
(9) Don't know (FHI.095)
1999
Survey form
view entire document:
text
image
FHI.080
Earlier I recorded that you are covered by Medicare. May I please see your Medicare card to determine the type of coverage and to record the Health Ins. Claim Number?
FR: ENTER THE NUMBERS AND LETTERS.
This number is needed to allow Medicare records of the centers for Medicare and Medicaid services to be easily and accurately located and identified for statistical or research purposes. We may also need
to link it with other records in order to re-contact you. Except for these purposes, NCHS will not release your Health Insurance Claim Number to anyone, including any other government agency. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on your benefits. This number will be held in strict confidence.
FR: IF NECESSARY: THE PUBLIC HEALTH SERVICE ACT IS TITLE 42, UNITED STATES CODE, SECTION 242K.
FR: ENTER THE NUMBERS AND LETTERS.
This number is needed to allow Medicare records of the centers for Medicare and Medicaid services to be easily and accurately located and identified for statistical or research purposes. We may also need
to link it with other records in order to re-contact you. Except for these purposes, NCHS will not release your Health Insurance Claim Number to anyone, including any other government agency. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on your benefits. This number will be held in strict confidence.
FR: IF NECESSARY: THE PUBLIC HEALTH SERVICE ACT IS TITLE 42, UNITED STATES CODE, SECTION 242K.
MCNO_1
MCNO_2
MCNO_2
Claim Number (only numbers):--
(any characters): -
(7) Refused
(9) Don't know
(any characters): -
(7) Refused
(9) Don't know
FHI.090
If person with Medicare coverage is not family respondent
Earlier I recorded that {subject name} is covered by Medicare. May I please see {subject name}'s Medicare card to determine the type of coverage?
[ELSE]
FR: FILL IN APPROPRIATE COVERAGE TYPE BELOW
Earlier I recorded that {subject name} is covered by Medicare. May I please see {subject name}'s Medicare card to determine the type of coverage?
[ELSE]
FR: FILL IN APPROPRIATE COVERAGE TYPE BELOW
MCPART
(1) Part A - Hospital Only (Check item FHICCI4)
(2) Part B - Medical Only (FHI.095)
(3) Both Part A and Part B (FHI.095)
(4) Card Not Available (FHI.095)
(7) Refused (FHI.095)
(9) Don't know (FHI.095)
(2) Part B - Medical Only (FHI.095)
(3) Both Part A and Part B (FHI.095)
(4) Card Not Available (FHI.095)
(7) Refused (FHI.095)
(9) Don't know (FHI.095)
1998
Survey form
view entire document:
text
image
FHI.080
Earlier I recorded that you are covered by Medicare. May I please see your Medicare card to determine the type of coverage and to record the Health Ins. Claim Number?
FR: ENTER THE NUMBERS AND LETTERS.
This number is needed to allow Medicare records of the centers for Medicare and Medicaid services to be easily and accurately located and identified for statistical or research purposes. We may also need
to link it with other records in order to re-contact you. Except for these purposes, NCHS will not release your Health Insurance Claim Number to anyone, including any other government agency. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on your benefits. This number will be held in strict confidence.
FR: IF NECESSARY: THE PUBLIC HEALTH SERVICE ACT IS TITLE 42, UNITED STATES CODE, SECTION 242K.
FR: ENTER THE NUMBERS AND LETTERS.
This number is needed to allow Medicare records of the centers for Medicare and Medicaid services to be easily and accurately located and identified for statistical or research purposes. We may also need
to link it with other records in order to re-contact you. Except for these purposes, NCHS will not release your Health Insurance Claim Number to anyone, including any other government agency. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on your benefits. This number will be held in strict confidence.
FR: IF NECESSARY: THE PUBLIC HEALTH SERVICE ACT IS TITLE 42, UNITED STATES CODE, SECTION 242K.
MCNO_1
MCNO_2
MCNO_2
Claim Number (only numbers):--
(any characters): -
(7) Refused
(9) Don't know
(any characters): -
(7) Refused
(9) Don't know
FHI.090
If person with Medicare coverage is not family respondent
Earlier I recorded that {subject name} is covered by Medicare. May I please see {subject name}'s Medicare card to determine the type of coverage?
[ELSE]
FR: FILL IN APPROPRIATE COVERAGE TYPE BELOW
Earlier I recorded that {subject name} is covered by Medicare. May I please see {subject name}'s Medicare card to determine the type of coverage?
[ELSE]
FR: FILL IN APPROPRIATE COVERAGE TYPE BELOW
MCPART
(1) Part A - Hospital Only (Check item FHICCI4)
(2) Part B - Medical Only (FHI.095)
(3) Both Part A and Part B (FHI.095)
(4) Card Not Available (FHI.095)
(7) Refused (FHI.095)
(9) Don't know (FHI.095)
(2) Part B - Medical Only (FHI.095)
(3) Both Part A and Part B (FHI.095)
(4) Card Not Available (FHI.095)
(7) Refused (FHI.095)
(9) Don't know (FHI.095)
1997
Survey form
view entire document:
text
image
FHI.080
Earlier I recorded that you are covered by Medicare. May I please see your Medicare card to determine the type of coverage and to record the Health Ins. Claim Number?
FR: ENTER THE NUMBERS AND LETTERS.
This number is needed to allow Medicare records of the centers for Medicare and Medicaid services to be easily and accurately located and identified for statistical or research purposes. We may also need
to link it with other records in order to re-contact you. Except for these purposes, NCHS will not release your Health Insurance Claim Number to anyone, including any other government agency. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on your benefits. This number will be held in strict confidence.
FR: IF NECESSARY: THE PUBLIC HEALTH SERVICE ACT IS TITLE 42, UNITED STATES CODE, SECTION 242K.
FR: ENTER THE NUMBERS AND LETTERS.
This number is needed to allow Medicare records of the centers for Medicare and Medicaid services to be easily and accurately located and identified for statistical or research purposes. We may also need
to link it with other records in order to re-contact you. Except for these purposes, NCHS will not release your Health Insurance Claim Number to anyone, including any other government agency. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on your benefits. This number will be held in strict confidence.
FR: IF NECESSARY: THE PUBLIC HEALTH SERVICE ACT IS TITLE 42, UNITED STATES CODE, SECTION 242K.
MCNO_1
MCNO_2
MCNO_2
Claim Number (only numbers):--
(any characters): -
(7) Refused
(9) Don't know
(any characters): -
(7) Refused
(9) Don't know
FHI.090
If person with Medicare coverage is not family respondent
Earlier I recorded that {subject name} is covered by Medicare. May I please see {subject name}'s Medicare card to determine the type of coverage?
[ELSE]
FR: FILL IN APPROPRIATE COVERAGE TYPE BELOW
Earlier I recorded that {subject name} is covered by Medicare. May I please see {subject name}'s Medicare card to determine the type of coverage?
[ELSE]
FR: FILL IN APPROPRIATE COVERAGE TYPE BELOW
MCPART
(1) Part A - Hospital Only (Check item FHICCI4)
(2) Part B - Medical Only (FHI.095)
(3) Both Part A and Part B (FHI.095)
(4) Card Not Available (FHI.095)
(7) Refused (FHI.095)
(9) Don't know (FHI.095)
(2) Part B - Medical Only (FHI.095)
(3) Both Part A and Part B (FHI.095)
(4) Card Not Available (FHI.095)
(7) Refused (FHI.095)
(9) Don't know (FHI.095)
1996
Survey form
view entire document:
text
image
Ask 1d-i as appropriate for each person with "Medicare" in 1b.
d. May I please see the Medicare card(s) for -- (and --) to determine the type of coverage and to record the Health Insurance Claim Number. This number is needed to allow Medicare records to be easily and accurately located and identified for statistical research purposes. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on benefits and no identifying information will be given to any other government or non-government agency.
Read if necessary: The Public Health Service Act is Title 42, United States Code, Section 242K.
Transcribe the number, then mark (x) the appropriate box.
d. May I please see the Medicare card(s) for -- (and --) to determine the type of coverage and to record the Health Insurance Claim Number. This number is needed to allow Medicare records to be easily and accurately located and identified for statistical research purposes. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on benefits and no identifying information will be given to any other government or non-government agency.
Read if necessary: The Public Health Service Act is Title 42, United States Code, Section 242K.
Transcribe the number, then mark (x) the appropriate box.
H.I.C. Number
___-____-______( ) ( )
___-____-______( ) ( )
1[] Part A- Hospital only (B2)
2[] Part B- Medical only (B2)
3[] Both Part A and Part B (B2)
4[] Card N.A (1e)
2[] Part B- Medical only (B2)
3[] Both Part A and Part B (B2)
4[] Card N.A (1e)
1995
Survey form
view entire document:
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Ask 1d-i as appropriate for each person with "Medicare" in 1b.
d. May I please see the Medicare card(s) for -- (and --) to determine the type of coverage and to record the Health Insurance Claim Number. This number is needed to allow Medicare records to be easily and accurately located and identified for statistical research purposes. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on benefits and no identifying information will be given to any other government or non-government agency.
Read if necessary: The Public Health Service Act is Title 42, United States Code, Section 242K.
Transcribe the number, then mark (x) the appropriate box.
d. May I please see the Medicare card(s) for -- (and --) to determine the type of coverage and to record the Health Insurance Claim Number. This number is needed to allow Medicare records to be easily and accurately located and identified for statistical research purposes. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on benefits and no identifying information will be given to any other government or non-government agency.
Read if necessary: The Public Health Service Act is Title 42, United States Code, Section 242K.
Transcribe the number, then mark (x) the appropriate box.
H.I.C. Number
___-____-______( ) ( )
___-____-______( ) ( )
1[] Part A- Hospital only (B2)
2[] Part B- Medical only (B2)
3[] Both Part A and Part B (B2)
4[] Card N.A (1e)
2[] Part B- Medical only (B2)
3[] Both Part A and Part B (B2)
4[] Card N.A (1e)
1994
Survey form
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Ask 1d-g as appropriate for each person with "Medicare" in 1b.
d. May I please see the Medicare card(s) for -- (and [other sample persons]) to determine the type of coverage and to record the health insurance Claim Number. This number is needed to allow Medicare records to be easily and accurately located and identified for statistical research purposes. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on benefits and no identifying information will be given to any other government or non-government agency.
d. May I please see the Medicare card(s) for -- (and [other sample persons]) to determine the type of coverage and to record the health insurance Claim Number. This number is needed to allow Medicare records to be easily and accurately located and identified for statistical research purposes. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on benefits and no identifying information will be given to any other government or non-government agency.
Read if necessary: The Public Health Service Act is Title 42, United States Code, Section 242K.
Transcribe the number, then mark (X) the appropriate box.
H.I.C Number __ - __- ____(__)__(__)
[] 1 Part A- Hospital only (B2)
[] 2 Part B- Medical only (B2)
[] 3 Both Part A and Part B (B2)
[] 4 Card N.A (1e)
[] 1 Part A- Hospital only (B2)
[] 2 Part B- Medical only (B2)
[] 3 Both Part A and Part B (B2)
[] 4 Card N.A (1e)
Ask 1e-g for each person with "Card N.A" in 1d.
e. Was -- covered by Part A, that part of Medicare that pays for hospital bills?
[] 1 Yes
[] 2 No
[] 9 DK
[] 2 No
[] 9 DK
f. Was -- covered by Part B, that part of Medicare that pays for doctor's bills?
Read if necessary: This is the Part B Medicare plan for which -- or some agency or program must pay a certain amount each month.
[] 1 Yes
[] 2 No
[] 9 DK
[] 2 No
[] 9 DK
1993
Survey form
view entire document:
text
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Ask 1d-g as appropriate for each person with "Medicare" in 1b.
d. May I please see the Medicare card(s) for -- (and --) to determine the type of coverage and to record the Health Insurance Claim Number. This number is needed to allow Medicare records to be easily and accurately located and identified for statistical research purposes. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on benefits and no identifying information will be given to any other government or non-government agency.
Read if necessary: The Public Health Service Act is Title 42, United States Code, Section 242K.
Transcribe the number, then mark (X) the appropriate box.
d. May I please see the Medicare card(s) for -- (and --) to determine the type of coverage and to record the Health Insurance Claim Number. This number is needed to allow Medicare records to be easily and accurately located and identified for statistical research purposes. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. Whether the number is given or not, there will be no effect on benefits and no identifying information will be given to any other government or non-government agency.
Read if necessary: The Public Health Service Act is Title 42, United States Code, Section 242K.
Transcribe the number, then mark (X) the appropriate box.
H.I.C. Number
___-____-_______( )_( )_
1 [] Part A- Hospital only
2 [] Part B- Medical only
3 [] Both Part A and Part B
4 [] Card N.A
___-____-_______( )_( )_
1 [] Part A- Hospital only
2 [] Part B- Medical only
3 [] Both Part A and Part B
4 [] Card N.A
Ask 1e-g for each person with "Card N.A" in 1d.
e. Was -- covered by Part A, that part of Medicare that pays for hospital bills?
1 [] Yes
2 [] No
9 [] DK
2 [] No
9 [] DK
f. Was -- covered by Part B, that part of Medicare that pays for doctor's bills?
Read if necessary: This is the Part B Medicare plan for which -- or some agency or program must pay a certain amount each month.
1 [] Yes
2 [] No
9 [] DK
2 [] No
9 [] DK
1989
Survey form
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Ask for each person with "Covered" or "DK" in 1b
2. May I please see the Social Security Medicare card(s) for -- (and --) to determine the type of coverage and to record the Health Insurance Claim Number. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. There will be no effect on -- benefits and no information will be given to any other government or non-government agency.
Read if necessary The Public Health Service Act is Title 42, United States Code, Section 242k.
Transcribe the number, then mark the appropriate box(es).
2. May I please see the Social Security Medicare card(s) for -- (and --) to determine the type of coverage and to record the Health Insurance Claim Number. Providing the Health Insurance Claim Number is voluntary and collected under the authority of the Public Health Service Act. There will be no effect on -- benefits and no information will be given to any other government or non-government agency.
Read if necessary The Public Health Service Act is Title 42, United States Code, Section 242k.
Transcribe the number, then mark the appropriate box(es).
H.I.C. Number _ _ _ - _ _ - _ _ _ _ (_) (_)
1[] Hospital
2[] Medical
3[] Card N A
1[] Hospital
2[] Medical
3[] Card N A
1986
Survey form
view entire document:
text
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Ask for each person with "DK" in 2a and/or b:
3. May I please see the Social Security Medicare card(s) for -- (and --) to determine the type of coverage?
Transcribe the information from the card or mark the "Card N.A." box.
3. May I please see the Social Security Medicare card(s) for -- (and --) to determine the type of coverage?
Transcribe the information from the card or mark the "Card N.A." box.
1 [] Hospital
2 [] Medical
3 [] Card N.A.
2 [] Medical
3 [] Card N.A.
1984
Survey form
view entire document:
text
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Ask for each person with "DK" in 2a and/or b:
3. May I please see the Social Security Medicare card(s) for -- (and --) to determine the type of coverage?
Transcribe the information from the card or mark the "Card N.A." box.
3. May I please see the Social Security Medicare card(s) for -- (and --) to determine the type of coverage?
Transcribe the information from the card or mark the "Card N.A." box.
1 [] Hospital
2 [] Medical
3 [] Card N.A.
2 [] Medical
3 [] Card N.A.
1982
Survey form
view entire document:
text
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Ask for each person with "DK" in 2a and/or b:
3. May I please see the Social Security Medicare card(s) for -- (and --) to determine the type of coverage?
Transcribe the information from the card or mark the "Card N.A." box.
3. May I please see the Social Security Medicare card(s) for -- (and --) to determine the type of coverage?
Transcribe the information from the card or mark the "Card N.A." box.
1 [] Hospital
2 [] Medical
3 [] Card N.A.
2 [] Medical
3 [] Card N.A.
1980
Survey form
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Ask for each person with "DK" in 2 and for each person under 65 with "Covered" in 1b.
3. May I please see the Social Security Medicare card(s) for -- (and--) to determine the (type/dates) of coverage?
Transcribe the information from the card or mark the "Card N.A." box.
3. May I please see the Social Security Medicare card(s) for -- (and--) to determine the (type/dates) of coverage?
Transcribe the information from the card or mark the "Card N.A." box.
1 [] Cov. Hosp.
2 [] Cov. Med.
3 [] Card N.A.
2 [] Cov. Med.
3 [] Card N.A.
Weights
- 1980, 1982, 1984, 1986, 1989, 1994-2018 : PERWEIGHT
- 1983, 1993, 2019-2023 : SAMPWEIGHT