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
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | No | 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 | No | X | X |
| 2 | Yes, information | 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 | Yes, information | X | X |
| 3 | Yes, but no information | 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 | Yes, but no information | 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 | 8 | Unknown-not ascertained | 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 |
Can't find the category you are looking for? Try the Detailed codes
Description
For sample adults and sample children, HIPRIVATEE indicates whether the person currently had private health insurance coverage. Prior to 2019, this variable is available for all persons. Private health care plans may be provided in part or in full by an individual's employer or union, and they may also be purchased directly by a person.
HIPRIVATEE is a recoded variable created by the National Center for Health Statistics (NCHS) and included in the original NHIS public use data. HIPRIVATEE, like other recoded health insurance variables in these data, is based on responses to a series of questions and by editing carried out by the NCHS.
Definitions
The Field Representative's Manual for 1998 defines a private health insurance plan as "any type of health insurance, including Health Maintenance Organizations (HMOs), other than the public programs in categories (4) and (6)-(11)" (of the flash card used by respondents in that year to report their type(s) of insurance coverage). In other words, private health insurance is, in the NCHS, defined as insurance other than Medicare, Medicaid, Military health care/VA, CHAMPUS/TRICARE/CHAMP-VA, Indian Health Service, State-sponsored health plans, and health insurance from other government programs (including CHIP, the Children's Health Insurance Plan, which was added to the card in 1999).
The flash card specified distinct kinds of private health insurance coverage in certain years: private health insurance plan from employer or workplace; Medi-Gap (i.e., private health insurance purchased to supplement Medicare), and private insurance plan through a state or local government program or community program.
[show more]This last category, which was first added to the card in 1998, was defined in the Manual for that year as follows:
Private Health Insurance Plan through a State or Local Government program or community Program is a type of private insurance for which state or local government or community effort pays for part or all of the cost of a private insurance plan, such as Blue Cross/Blue Shield. The individual may also contribute the cost of the health insurance and may receive a card such as a Blue Cross/Blue Shield card. A community program or effort may include a variety of mechanisms to achieve health insurance for persons who would otherwise be uninsured. An example would be a private company giving a grant to an HMO to pay health insurance coverage. (Beginning in 1999, the example changed to "a private company providing insurance for 500 uninsured children at little or no cost.")
Single service plans are another type of insurance usually classified as private health insurance, but single service plan coverage did not count as private insurance coverage in HIPRIVATEE.
[show more]Single service insurance was first defined in the 1999 Field Representative's Manual as "health insurance coverage paid for by the individual that provides for only one type of service. Examples of SSPs are dental care, vision care, prescriptions, nursing home care, hospice care, accidents, catastrophic care, cancer treatment, AIDS care, and/or hospitalization."
Initially, the NHIS specifically directed respondents to exclude such private single service plans from their reports of private insurance coverage. In 1997-1998, the flashcard listing general types of insurance coverage and handed to respondents stated, "EXCLUDE private plans that only provide extra cash while hospitalized or pay for only one type of service (nursing home care, accidents, or dental care)." From 1999-2018, this policy changed. The category "Single Service Plan (e.g., dental, vision, prescriptions)" was added to the flash card, and the card directed respondents to "INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care), exclude private plans that only provide extra cash while hospitalized." Beginning in 2019, three separate questions were asked to determine if the respondent had single service plans for dental services, vision services, and prescriptions.
While information on most kinds of single service plans was collected in the survey from 1999 forward, these privately purchased single service health insurance plans were not treated as "private insurance coverage" in HIPRIVATEE. As the Field Representative's Manual for 2001 forward explained, "In trying to determine the appropriate type of health care coverage that an individual has, it is important to remember that for purposes of this survey, Single Service Plans are not considered private health insurance and should not be recorded as such."
2001 marked the first year that the Field Representative's Manual provided guidance to interviewers on recording responses relating to two other types of private insurance coverage--COBRA and TCC--that were included in HIPRIVATEE (under the subheading, "Private Health Insurance Plan from employer or workplace").
[show more]The Manual's discussion of COBRA and TCC was as follows:
If a respondent indicates that he/she is covered by COBRA (the Consolidated Omnibus Budget Reconciliation Act of 1985) or by TTC (Temporary Consolidation of Coverage), this should be coded as a Private Health Insurance Plan from employer or workplace. COBRA provides a bridge between health plans for qualified workers, their spouses and their dependent children when their health insurance might otherwise be cut off. Under this act, if a person voluntarily resigns from a job or is terminated for any reason other than 'gross misconduct' they are guaranteed the right to continue in their former employers group health insurance plan as an individual or family health care coverage for up to 18 months at one's own expense. In some cases, a spouse and dependent children are also eligible for COBRA coverage for as long as three years.
The TCC program is similar to COBRA. This program is available to federal employees. If a person loses Federal Employees Health Benefit (FEHB) coverage because of separation from federal service, they may enroll under the TCC provision of FEHB law to continue coverage for up to 18 months at their own expense in a FEHB plan. Family members who lose coverage because they are no longer eligible may enroll under TCC to continue FEHB coverage for up to 36 months at their own expense.
The TCC program is similar to COBRA. This program is available to federal employees. If a person loses Federal Employees Health Benefit (FEHB) coverage because of separation from federal service, they may enroll under the TCC provision of FEHB law to continue coverage for up to 18 months at their own expense in a FEHB plan. Family members who lose coverage because they are no longer eligible may enroll under TCC to continue FEHB coverage for up to 36 months at their own expense.
In the survey for 1997 forward, interviewers first asked, "Are you covered by health insurance or some other kind of health care plan?" 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 categories listed were:
- 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.
Instructions regarding single service plans changed over time.
[show more]Respondents were consistently instructed to exclude private plans that "only provide extra cash while hospitalized." 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)." Between 1999 and 2018, "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)." Beginning in 2019, respondents were asked three separate questions to determine if they had single service plans for dental services, vision services, and/or prescriptions.
Follow-up questions collected information about the names of coverage plans and confirmed the lack of any type of coverage for the uninsured.
[show more]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.
For persons initially reported as not having health care coverage of any kind, interviewers asked whether the person had Medicare coverage, Medicaid coverage, coverage via a Medicaid program or non-Medicaid state-sponsored health insurance program with the appropriate name for the state, CHAMPUS or CHAMPVA coverage, or any private insurance. For those who acknowledged any such coverage, the interviewer repeated the series of questions mentioned above to determine the specific type of coverage.
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. 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 the card.
Accordingly, the NCHS created a series of recoded insurance variables. For these recoded insurance variables, such as HIPRIVATEE, 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. 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 about their insurance type.
Related Variables[show more]
In addition to HIPRIVATEE, IPUMS NHIS contains other recoded insurance variables.
These are: HIHSE (Covered by Indian Health Service: Recode); HIMILITE (Covered by military health insurance: Recode); HICHIPE (Covered by Children's Health Insurance Program: Recode); HIMCAIDE (Covered by Medicaid: Recode); HIMCAREE (Covered by Medicare: Recode); HISTATEE (Covered by other state-sponsored health plan: Recode); HIOTHGOVE (Covered by other government program: Recode); and HINOTCOVE (No coverage of any type: Recode).
Comparability
The basic meaning of this variable and its universe are consistent over time. Comparability may, however, be limited by changes in the questions used to gather the information used for back-editing the data, by changes in the back-editing procedures used by the NCHS, and by the 2019 redesign.
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
- 1997-2018: All persons.
- 2019-2023: Sample adults age 18+ and sample children age 0-17.
Availability
- 1997-2023
Survey Text
| 2023 | 2016 | 2009 | 2002 |
| 2022 | 2015 | 2008 | 2001 |
| 2021 | 2014 | 2007 | 2000 |
| 2020 | 2013 | 2006 | 1999 |
| 2019 | 2012 | 2005 | 1998 |
| 2018 | 2011 | 2004 | 1997 |
| 2017 | 2010 | 2003 |
2022
Survey form
view entire document:
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Question ID: INS.0020.00.1
Variable: HIKIND_A
Interview Module: Adult
Content Type: Annual Core
Variable: HIKIND_A
Interview Module: Adult
Content Type: Annual Core
Question text:
?[F1]
What kinds of health insurance or health care coverage do you have? Is it...Private health
insurance, Medicare, Medicare supplement, Medicaid, Children's Health Insurance Program or CHIP,
military related health care including TRICARE, CHAMPUS, VA health care and CHAMP-VA, Indian
Health Service, a state-sponsored health plan, or an other government program?
* Enter all that apply, separate with commas.
Response:What kinds of health insurance or health care coverage do you have? Is it...Private health
insurance, Medicare, Medicare supplement, Medicaid, Children's Health Insurance Program or CHIP,
military related health care including TRICARE, CHAMPUS, VA health care and CHAMP-VA, Indian
Health Service, a state-sponsored health plan, or an other government program?
* Enter all that apply, separate with commas.
01 - Private health insurance
02 - Medicare
03 - Medigap
04 - Medicaid
05 - Children's Health Insurance Program (CHIP)
06 - Military related health care: TRICARE (CHAMPUS) / VA health care / CHAMPVA
07 - Indian Health Service
08 - State-sponsored health plan
09 - Other government program
10 - No coverage of any type
97 - Refused
99 - Don't Know
Universe:02 - Medicare
03 - Medigap
04 - Medicaid
05 - Children's Health Insurance Program (CHIP)
06 - Military related health care: TRICARE (CHAMPUS) / VA health care / CHAMPVA
07 - Indian Health Service
08 - State-sponsored health plan
09 - Other government program
10 - No coverage of any type
97 - Refused
99 - Don't Know
Sample Adults 18+ covered by any kind of health insurance or health care coverage or refused/don't know if they have insurance or health care coverage.
Skip Instructions:if more than 1 answer selected and (10 IN HIKIND_A) [goto ERR1_HIKIND_A]
elseif (GEN.AGE_FINAL[PX_A] ge 65 or (GEN.AGE_FINAL[PX_A] IN (RF,DK) and
Roster.HHC.tblAGE.blkPerson[PX_A]=2) and 2 NOT IN HIKIND_A [goto MCAREPRB_A]
elseif (GEN.AGE_FINAL[PX_A] lt 65 or (GEN.AGE_FINAL[PX_A] IN (RF,DK) and
Roster.HHC.tblAGE.blkPerson[PX_A].AGE65 IN (1,RF,DK,empty)) and HIKIND_A IN (10,RF,DK) [goto
MCAIDPRB_A]
else [goto SINCOVDE_A]
Hard Edit:elseif (GEN.AGE_FINAL[PX_A] ge 65 or (GEN.AGE_FINAL[PX_A] IN (RF,DK) and
Roster.HHC.tblAGE.blkPerson[PX_A]=2) and 2 NOT IN HIKIND_A [goto MCAREPRB_A]
elseif (GEN.AGE_FINAL[PX_A] lt 65 or (GEN.AGE_FINAL[PX_A] IN (RF,DK) and
Roster.HHC.tblAGE.blkPerson[PX_A].AGE65 IN (1,RF,DK,empty)) and HIKIND_A IN (10,RF,DK) [goto
MCAIDPRB_A]
else [goto SINCOVDE_A]
Check Text: ERR1_HIKIND_A
Check Description: Selecting no coverage and other categories hard edit
Check Text: {check ERR1_HIKIND_A}
Cannot mark "no coverage of any kind" and another type. Please correct.
Check Description: Selecting no coverage and other categories hard edit
Check Text: {check ERR1_HIKIND_A}
Cannot mark "no coverage of any kind" and another type. Please correct.
2021
Survey form
view entire document:
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Question ID: INS.0020.00.1
Variable: HIKIND_A
Interview Module: Adult
Content Type: Annual Core
Question text:
Variable: HIKIND_C
Interview Module: Child
Content Type: Annual Core
Question text:
Variable: HIKIND_A
Interview Module: Adult
Content Type: Annual Core
Question text:
?[F1]
What kinds of health insurance or health care coverage do you have? Is it...Private health insurance, Medicare, Medicare supplement, Medicaid, Children's Health Insurance Program or CHIP,
military related health care including TRICARE, CHAMPUS, VA health care and CHAMP-VA, Indian Health Service, a state-sponsored health plan, or an other government program?
Enter all that apply, separate with commas.
Response:What kinds of health insurance or health care coverage do you have? Is it...Private health insurance, Medicare, Medicare supplement, Medicaid, Children's Health Insurance Program or CHIP,
military related health care including TRICARE, CHAMPUS, VA health care and CHAMP-VA, Indian Health Service, a state-sponsored health plan, or an other government program?
Enter all that apply, separate with commas.
01 - Private health insurance
02 - Medicare
03 - Medigap
04 - Medicaid
05 - Children's Health Insurance Program (CHIP)
06 - Military related health care: TRICARE (CHAMPUS) / VA health care / CHAMPVA
07 - Indian Health Service
08 - State-sponsored health plan
09 - Other government program
10 - No coverage of any type
97 - Refused
99 - Don't Know
Universe:02 - Medicare
03 - Medigap
04 - Medicaid
05 - Children's Health Insurance Program (CHIP)
06 - Military related health care: TRICARE (CHAMPUS) / VA health care / CHAMPVA
07 - Indian Health Service
08 - State-sponsored health plan
09 - Other government program
10 - No coverage of any type
97 - Refused
99 - Don't Know
Sample Adults 18+ covered by any kind of health insurance or health care coverage or refused/don't know if they have insurance or health care coverage.
Skip Instructions:if more than 1 answer selected and (10 IN HIKIND_A) [goto ERR1_HIKIND_A]
elseif (GEN.AGE_FINAL[PX_A] ge 65 or (GEN.AGE_FINAL[PX_A] IN (RF,DK) and
Roster.HHC.tblAGE.blkPerson[PX_A]=2) and 2 NOT IN HIKIND_A [goto MCAREPRB_A]
elseif (GEN.AGE_FINAL[PX_A] lt 65 or (GEN.AGE_FINAL[PX_A] IN (RF,DK) and
Roster.HHC.tblAGE.blkPerson[PX_A].AGE65 IN (1,RF,DK,empty)) and HIKIND_A IN (10,RF,DK) [goto
MCAIDPRB_A]
else [goto SINCOVDE_A]
Hard Edit:elseif (GEN.AGE_FINAL[PX_A] ge 65 or (GEN.AGE_FINAL[PX_A] IN (RF,DK) and
Roster.HHC.tblAGE.blkPerson[PX_A]=2) and 2 NOT IN HIKIND_A [goto MCAREPRB_A]
elseif (GEN.AGE_FINAL[PX_A] lt 65 or (GEN.AGE_FINAL[PX_A] IN (RF,DK) and
Roster.HHC.tblAGE.blkPerson[PX_A].AGE65 IN (1,RF,DK,empty)) and HIKIND_A IN (10,RF,DK) [goto
MCAIDPRB_A]
else [goto SINCOVDE_A]
Check Text: ERR1_HIKIND_A
Check Description: Selecting no coverage and other categories hard edit
Check Text: {check ERR1_HIKIND_A}
Cannot mark "no coverage of any kind" and another type. Please correct.
Question ID: INS.0020.00.1
Check Description: Selecting no coverage and other categories hard edit
Check Text: {check ERR1_HIKIND_A}
Cannot mark "no coverage of any kind" and another type. Please correct.
Variable: HIKIND_C
Interview Module: Child
Content Type: Annual Core
Question text:
?[F1]
What kinds of health insurance or health care coverage does ^SCNAME have? Is it...Private health insurance, Medicare, Medicare supplement, Medicaid, Children's Health Insurance Program or CHIP, military related health care including TRICARE, CHAMPUS, VA health care and CHAMP-VA, Indian Health Service, state-sponsored health plan, or an other government program?
Enter all that apply, separate with commas.
Fills:What kinds of health insurance or health care coverage does ^SCNAME have? Is it...Private health insurance, Medicare, Medicare supplement, Medicaid, Children's Health Insurance Program or CHIP, military related health care including TRICARE, CHAMPUS, VA health care and CHAMP-VA, Indian Health Service, state-sponsored health plan, or an other government program?
Enter all that apply, separate with commas.
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:Instruction:
Fill ALIAS of HHSTAT_C=1
01 - Private health insurance
02 - Medicare
03 - Medigap
04 - Medicaid
05 - Children's Health Insurance Program (CHIP)
06 - Military related health care: TRICARE (CHAMPUS) / VA health care / CHAMPVA
07 - Indian Health Service
08 - State-sponsored health plan
09 - Other government program
10 - No coverage of any type
97 - Refused
99 - Don't Know
Universe:02 - Medicare
03 - Medigap
04 - Medicaid
05 - Children's Health Insurance Program (CHIP)
06 - Military related health care: TRICARE (CHAMPUS) / VA health care / CHAMPVA
07 - Indian Health Service
08 - State-sponsored health plan
09 - Other government program
10 - No coverage of any type
97 - Refused
99 - Don't Know
Sample Children 0-17 covered by any kind of health insurance or health care coverage or refused/don't know if they have insurance or health care coverage.
Skip Instructions:if 1 answer selected and (10> in HIKIND_C) [goto ERR1_HIKIND_C]
else if HIKIND_C=RF,DK or (10 in HIKIND_C) [goto MCAIDPRB_C]
else [goto SINCOVDE_C]
Hard Edit:else if HIKIND_C=RF,DK or (10 in HIKIND_C) [goto MCAIDPRB_C]
else [goto SINCOVDE_C]
Check Text: ERR1_HIKIND_C
Check Description: Selecting no coverage and other categories hard edit
Check Text: {check ERR1_HIKIND_C}
Cannot mark "no coverage of any kind" and another type. Please correct.
Check Description: Selecting no coverage and other categories hard edit
Check Text: {check ERR1_HIKIND_C}
Cannot mark "no coverage of any kind" and another type. Please correct.
2020
Survey form
view entire document:
text
image
Question ID: INS.0020.00.1
Variable: HIKIND_A
Interview Module: Adult
Content Type: Annual Core
Question text:
Variable: HIKIND_C
Interview Module: Child
Content Type: Annual Core
Question text:
Variable: HIKIND_A
Interview Module: Adult
Content Type: Annual Core
Question text:
?[F1]
What kinds of health insurance or health care coverage do you have? Is it...Private health
insurance, Medicare, Medicare supplement, Medicaid, Children's Health Insurance Program or CHIP,
military related health care including TRICARE, CHAMPUS, VA health care and CHAMP-VA, Indian
Health Service, a state-sponsored health plan, or an other government program?
* Enter all that apply, separate with commas.
Response:What kinds of health insurance or health care coverage do you have? Is it...Private health
insurance, Medicare, Medicare supplement, Medicaid, Children's Health Insurance Program or CHIP,
military related health care including TRICARE, CHAMPUS, VA health care and CHAMP-VA, Indian
Health Service, a state-sponsored health plan, or an other government program?
* Enter all that apply, separate with commas.
01 - Private health insurance
02 - Medicare
03 - Medigap
04 - Medicaid
05 - Children's Health Insurance Program (CHIP)
06 - Military related health care: TRICARE (CHAMPUS) / VA health care / CHAMPVA
07 - Indian Health Service
08 - State-sponsored health plan
09 - Other government program
10 - No coverage of any type
97 - Refused
99 - Don't Know
Universe:02 - Medicare
03 - Medigap
04 - Medicaid
05 - Children's Health Insurance Program (CHIP)
06 - Military related health care: TRICARE (CHAMPUS) / VA health care / CHAMPVA
07 - Indian Health Service
08 - State-sponsored health plan
09 - Other government program
10 - No coverage of any type
97 - Refused
99 - Don't Know
Sample Adults 18+ covered by any kind of health insurance or health care coverage or refused/don't know if they have insurance or health care coverage.
Skip Instructions:if more than 1 answer selected and (10 IN HIKIND_A) [goto ERR1_HIKIND_A]
elseif (GEN.AGE_FINAL[PX_A] ge 65 or (GEN.AGE_FINAL[PX_A] IN (RF,DK) and
Roster.HHC.tblAGE.blkPerson[PX_A]=2) and 2 NOT IN HIKIND_A [goto MCAREPRB_A]
elseif (GEN.AGE_FINAL[PX_A] lt 65 or (GEN.AGE_FINAL[PX_A] IN (RF,DK) and
Roster.HHC.tblAGE.blkPerson[PX_A].AGE65 IN (1,RF,DK,empty)) and HIKIND_A IN (10,RF,DK) [goto
MCAIDPRB_A]
else [goto SINCOVDE_A]
Hard Edit:elseif (GEN.AGE_FINAL[PX_A] ge 65 or (GEN.AGE_FINAL[PX_A] IN (RF,DK) and
Roster.HHC.tblAGE.blkPerson[PX_A]=2) and 2 NOT IN HIKIND_A [goto MCAREPRB_A]
elseif (GEN.AGE_FINAL[PX_A] lt 65 or (GEN.AGE_FINAL[PX_A] IN (RF,DK) and
Roster.HHC.tblAGE.blkPerson[PX_A].AGE65 IN (1,RF,DK,empty)) and HIKIND_A IN (10,RF,DK) [goto
MCAIDPRB_A]
else [goto SINCOVDE_A]
Check Text: ERR1_HIKIND_A
Check Description: Selecting no coverage and other categories hard edit
Check Text: {check ERR1_HIKIND_A}
Cannot mark "no coverage of any kind" and another type. Please correct.
Question ID: INS.0020.00.1
Check Description: Selecting no coverage and other categories hard edit
Check Text: {check ERR1_HIKIND_A}
Cannot mark "no coverage of any kind" and another type. Please correct.
Variable: HIKIND_C
Interview Module: Child
Content Type: Annual Core
Question text:
?[F1]
What kinds of health insurance or health care coverage does ^SCNAME have? Is it...Private health
insurance, Medicare, Medicare supplement, Medicaid, Children's Health Insurance Program or CHIP,
military related health care including TRICARE, CHAMPUS, VA health care and CHAMP-VA, Indian
Health Service, state-sponsored health plan, or an other government program?
* Enter all that apply, separate with commas.
Fills:What kinds of health insurance or health care coverage does ^SCNAME have? Is it...Private health
insurance, Medicare, Medicare supplement, Medicaid, Children's Health Insurance Program or CHIP,
military related health care including TRICARE, CHAMPUS, VA health care and CHAMP-VA, Indian
Health Service, state-sponsored health plan, or an other government program?
* Enter all that apply, separate with commas.
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:Instruction:
Fill ALIAS of HHSTAT_C=1
01 - Private health insurance
02 - Medicare
03 - Medigap
04 - Medicaid
05 - Children's Health Insurance Program (CHIP)
06 - Military related health care: TRICARE (CHAMPUS) / VA health care / CHAMPVA
07 - Indian Health Service
08 - State-sponsored health plan
09 - Other government program
10 - No coverage of any type
97 - Refused
99 - Don't Know
Universe:02 - Medicare
03 - Medigap
04 - Medicaid
05 - Children's Health Insurance Program (CHIP)
06 - Military related health care: TRICARE (CHAMPUS) / VA health care / CHAMPVA
07 - Indian Health Service
08 - State-sponsored health plan
09 - Other government program
10 - No coverage of any type
97 - Refused
99 - Don't Know
Sample Children 0-17 covered by any kind of health insurance or health care coverage or refused/don't know if they have insurance or health care coverage.
Skip Instructions:if 1 answer selected and (10> in HIKIND_C) [goto ERR1_HIKIND_C]
else if HIKIND_C=RF,DK or (10 in HIKIND_C) [goto MCAIDPRB_C]
else [goto SINCOVDE_C]
Hard Edit:else if HIKIND_C=RF,DK or (10 in HIKIND_C) [goto MCAIDPRB_C]
else [goto SINCOVDE_C]
Check Text: ERR1_HIKIND_C
Check Description: Selecting no coverage and other categories hard edit
Check Text: {check ERR1_HIKIND_C}
Cannot mark "no coverage of any kind" and another type. Please correct.
Check Description: Selecting no coverage and other categories hard edit
Check Text: {check ERR1_HIKIND_C}
Cannot mark "no coverage of any kind" and another type. Please correct.
2019
Survey form
view entire document:
text
image
Question ID: INS.0020.00.1
Variable: HIKIND_A
Interview Module: Adult
Content Type: Annual Core
ERR1_HIKIND_A
Variable: HIKIND_C
Interview Module: Child
Content Type: Annual Core
Question Text:
?[F1]
^SCNAME
Variable: HIKIND_A
Interview Module: Adult
Content Type: Annual Core
Question Text:
?[F1]
What kinds of health insurance or health care coverage do you have? Is it...Private health insurance, Medicare, Medicare supplement, Medicaid, Children's Health Insurance Program or CHIP, military related health care including TRICARE, CHAMPUS, VA health care and CHAMP-VA, Indian Health Service, a state-sponsored health plan, or an other government program?
Enter all that apply, separate with commas.
Response:Enter all that apply, separate with commas.
1 Private health insurance
2 Medicare
3 Medigap
4 Medicaid
5 Children's Health Insurance Program (CHIP)
6 Military related health care: TRICARE (CHAMPUS) / VA health care / CHAMP- VA
7 Indian Health Service
8 State-sponsored health plan
9 Other government program
10 No coverage of any type
97 Refused
99 Do not Know
Universe:2 Medicare
3 Medigap
4 Medicaid
5 Children's Health Insurance Program (CHIP)
6 Military related health care: TRICARE (CHAMPUS) / VA health care / CHAMP- VA
7 Indian Health Service
8 State-sponsored health plan
9 Other government program
10 No coverage of any type
97 Refused
99 Do not Know
Sample Adults 18+ covered by any kind of health insurance or health care coverage or refused/do not know if they have insurance or health care coverage.
Skip Instructions:if more than 1 answer selected and (10 IN HIKIND_A) [goto ERR1_HIKIND_A] elseif (GEN.AGE_FINAL[PX_A] ge 65 or (GEN.AGE_FINAL[PX_A] IN (RF,DK) and
Roster.HHC.tblAGE.blkPerson[PX_A]=2) and 2 NOT IN HIKIND_A [goto MCAREPRB_A] elseif (GEN.AGE_FINAL[PX_A] lt 65 or (GEN.AGE_FINAL[PX_A] IN (RF,DK) and
Roster.HHC.tblAGE.blkPerson[PX_A].AGE65 IN (1,RF,DK,empty)) and HIKIND_A IN (10,RF,DK) [goto MCAIDPRB_A]
else [goto SINCOVDE_A]
Hard Edit:
Roster.HHC.tblAGE.blkPerson[PX_A]=2) and 2 NOT IN HIKIND_A [goto MCAREPRB_A] elseif (GEN.AGE_FINAL[PX_A] lt 65 or (GEN.AGE_FINAL[PX_A] IN (RF,DK) and
Roster.HHC.tblAGE.blkPerson[PX_A].AGE65 IN (1,RF,DK,empty)) and HIKIND_A IN (10,RF,DK) [goto MCAIDPRB_A]
else [goto SINCOVDE_A]
ERR1_HIKIND_A
Check Description: Selecting no coverage and other categories hard edit
Check Text: check ERR1_HIKIND_A
Cannot mark "no coverage of any kind" and another type.
Please correct.
Question ID: INS.0020.00.1
Check Text: check ERR1_HIKIND_A
Cannot mark "no coverage of any kind" and another type.
Please correct.
Variable: HIKIND_C
Interview Module: Child
Content Type: Annual Core
Question Text:
?[F1]
What kinds of health insurance or health care coverage does ^SCNAME have? Is it...Private health insurance, Medicare, Medicare supplement, Medicaid, Children's Health Insurance Program or CHIP, military related health care including TRICARE, CHAMPUS, VA health care and CHAMP-VA, Indian Health Service, state-sponsored health plan, or an other government program?
Enter all that apply, separate with commas.
Fills:
Enter all that apply, separate with commas.
^SCNAME
Description: Sample child's name
Instruction: Fill ALIAS of HHSTAT_C=1
Response:Instruction: Fill ALIAS of HHSTAT_C=1
01 Private health insurance
02 Medicare
03 Medigap
04 Medicaid
05 Children's Health Insurance Program (CHIP)
06 Military related health care: TRICARE (CHAMPUS) / VA health care / CHAMP- VA
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 No coverage of any type
97 Refused
99 Do not Know
Universe:02 Medicare
03 Medigap
04 Medicaid
05 Children's Health Insurance Program (CHIP)
06 Military related health care: TRICARE (CHAMPUS) / VA health care / CHAMP- VA
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 No coverage of any type
97 Refused
99 Do not Know
Sample Children 0-17 covered by any kind of health insurance or health care coverage or refused/do not know if they have insurance or health care coverage.
Skip Instructions:if 1 answer selected and (10 in HIKIND_C) [goto ERR1_HIKIND_C] else if HIKIND_C=RF,DK or (10 in HIKIND_C) [goto MCAIDPRB_C]
else [goto SINCOVDE_C]
Hard Edit:else [goto SINCOVDE_C]
Check Text: ERR1_HIKIND_C
Check Description: Selecting no coverage and other categories hard edit
Check Text: {check ERR1_HIKIND_C}
Cannot mark "no coverage of any kind" and another type. Please correct.
Check Description: Selecting no coverage and other categories hard edit
Check Text: {check ERR1_HIKIND_C}
Cannot mark "no coverage of any kind" and another type. Please correct.
2018
Survey form
view entire document:
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Question ID:FHI.070_00.000
Instrument Variable Name: HIKIND
Question Text:
Question Text:
(book) F12 and (book) F14 ? [F1] What kind of health insurance or health care coverage [fill: do you/does ALIAS] have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care). EXCLUDE private plans that only provide extra cash while hospitalized.
* Enter all that apply, separate with commas.
* Enter all that apply, separate with commas.
01 Private health insurance
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
Universe Text All persons in families where FHICOV= yes, don't know, or refused
Skip Instructions:
Skip Instructions:
(R,D) [go to HCSPFYR]
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Question ID:FHI.158_00.000
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Instrument Variable Name: FHICCI6
Question Text:
Question Text:
The next questions are about private health insurance plans [fill1: /including Medi-Gap]. These plans can be obtained through work, purchased directly, or through a state or local government program or community program. [fill2: We have the following persons listed as being covered by such plans:
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
1 Continue
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
go to HIPNAM1
Question ID:FHI.160_00.000
Instrument Variable Name: HIPNAM1
Question Text:
Question Text:
It is important that we record the complete and accurate name of each health insurance plan. What is the COMPLETE name of the first plan? Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
* Read if necessary: Do you have your health plan card or something with the plan name on it?
* Read if necessary: Do you have your health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD1]
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Question ID:FHI.160_01.000
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Instrument Variable Name: PCARD1
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM1
Skip Instructions:
Skip Instructions:
go to HIPNAM1B
Question ID:FHI.170_00.000
Instrument Variable Name: HIPNAM1B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by this plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a private health insurance plan and the plan name, refused, or don't know was entered at
HIPNAM1
Skip Instructions:
HIPNAM1
Skip Instructions:
(R,D) [if HIPNAM1= R or D, go to STNAME]
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHI.171_00.000
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: MORPLAN
Question Text:
Question Text:
* Ask if necessary Are there any more private health insurance plans?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families where a private health insurance plan name was entered at HIPNAM1 or a person number was entered at HIPNAM1B
Skip Instructions:
Skip Instructions:
(1) [go to HIPNAM2]
(2,R,D) [if no persons selected at HIPNAM1B, go to FHICCI8; else, if persons selected at HIPNAM1B, but not all persons with HIKIND = 1 or 3 selected at HIPNAM1B, go to HIVER1]
Question ID:FHI.172_00.000
(2,R,D) [if no persons selected at HIPNAM1B, go to FHICCI8; else, if persons selected at HIPNAM1B, but not all persons with HIKIND = 1 or 3 selected at HIPNAM1B, go to HIVER1]
Instrument Variable Name: HIPNAM2
Question Text:
Question Text:
What is the name of the next plan? *Read if necessary: Do you have a health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with a second private health insurance plan
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD2]
(R,D) [prefill PCARD2 with a "2" and go to HIPNAM2B]
Question ID:FHI.172_01.000
(R,D) [prefill PCARD2 with a "2" and go to HIPNAM2B]
Instrument Variable Name: PCARD2
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM2
Skip Instructions:
Skip Instructions:
go to HIPNAM2B
Question ID:FHI.173_00.000
Instrument Variable Name: HIPNAM2B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by that plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a second private health insurance plan and the plan name, refused, or don't know was entered at HIPNAM2
Skip Instructions:
Skip Instructions:
(R,D) [if HIPNAM2 eq R or D and persons selected at HIPNAM1B, but not all persons with HIKIND eq 1 or 3 selected at HIPNAM1B, go to HIVER1; else, if HIPNAM2 eq R or D and persons selected at HIPNAM1B, and all persons with HIKIND eq 1 or 3 selected at HIPNAM1B, go to FHICCI8; else, if HIPNAM2 eq R or D and persons not selected at HIPNAM1B, go to FHICCI8; else, if a health plan name recorded in HIPNAM2, go to MORPLAN2] go to MORPLAN2
2017
Survey form
view entire document:
text
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Question ID:FHI.070_00.000
Instrument Variable Name: HIKIND
Question Text:
Question Text:
(book) F12 and (book) F14 ? [F1] What kind of health insurance or health care coverage [fill: do you/does ALIAS] have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care). EXCLUDE private plans that only provide extra cash while hospitalized.
* Enter all that apply, separate with commas.
* Enter all that apply, separate with commas.
01 Private health insurance
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
Universe Text All persons in families where FHICOV= yes, don't know, or refused
Skip Instructions:
Skip Instructions:
(R,D) [go to HCSPFYR]
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Question ID:FHI.158_00.000
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Instrument Variable Name: FHICCI6
Question Text:
Question Text:
The next questions are about private health insurance plans [fill1: /including Medi-Gap]. These plans can be obtained through work, purchased directly, or through a state or local government program or community program. [fill2: We have the following persons listed as being covered by such plans:
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
1 Continue
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
go to HIPNAM1
Question ID:FHI.160_00.000
Instrument Variable Name: HIPNAM1
Question Text:
Question Text:
It is important that we record the complete and accurate name of each health insurance plan. What is the COMPLETE name of the first plan? Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
* Read if necessary: Do you have your health plan card or something with the plan name on it?
* Read if necessary: Do you have your health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD1]
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Question ID:FHI.160_01.000
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Instrument Variable Name: PCARD1
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM1
Skip Instructions:
Skip Instructions:
go to HIPNAM1B
Question ID:FHI.170_00.000
Instrument Variable Name: HIPNAM1B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by this plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a private health insurance plan and the plan name, refused, or don't know was entered at
HIPNAM1
Skip Instructions:
HIPNAM1
Skip Instructions:
(R,D) [if HIPNAM1= R or D, go to STNAME]
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHI.171_00.000
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: MORPLAN
Question Text:
Question Text:
* Ask if necessary Are there any more private health insurance plans?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families where a private health insurance plan name was entered at HIPNAM1 or a person number was entered at HIPNAM1B
Skip Instructions:
Skip Instructions:
(1) [go to HIPNAM2]
(2,R,D) [if no persons selected at HIPNAM1B, go to FHICCI8; else, if persons selected at HIPNAM1B, but not all persons with HIKIND = 1 or 3 selected at HIPNAM1B, go to HIVER1]
Question ID:FHI.172_00.000
(2,R,D) [if no persons selected at HIPNAM1B, go to FHICCI8; else, if persons selected at HIPNAM1B, but not all persons with HIKIND = 1 or 3 selected at HIPNAM1B, go to HIVER1]
Instrument Variable Name: HIPNAM2
Question Text:
Question Text:
What is the name of the next plan? *Read if necessary: Do you have a health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with a second private health insurance plan
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD2]
(R,D) [prefill PCARD2 with a "2" and go to HIPNAM2B]
Question ID:FHI.172_01.000
(R,D) [prefill PCARD2 with a "2" and go to HIPNAM2B]
Instrument Variable Name: PCARD2
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM2
Skip Instructions:
Skip Instructions:
go to HIPNAM2B
Question ID:FHI.173_00.000
Instrument Variable Name: HIPNAM2B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by that plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a second private health insurance plan and the plan name, refused, or don't know was entered at HIPNAM2
Skip Instructions:
Skip Instructions:
(R,D) [if HIPNAM2 eq R or D and persons selected at HIPNAM1B, but not all persons with HIKIND eq 1 or 3 selected at HIPNAM1B, go to HIVER1; else, if HIPNAM2 eq R or D and persons selected at HIPNAM1B, and all persons with HIKIND eq 1 or 3 selected at HIPNAM1B, go to FHICCI8; else, if HIPNAM2 eq R or D and persons not selected at HIPNAM1B, go to FHICCI8; else, if a health plan name recorded in HIPNAM2, go to MORPLAN2] go to MORPLAN2
2016
Survey form
view entire document:
text
image
Question ID:FHI.070_00.000
Instrument Variable Name: HIKIND
Question Text:
Question Text:
(book) F12 and (book) F14 ? [F1] What kind of health insurance or health care coverage [fill: do you/does ALIAS] have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care). EXCLUDE private plans that only provide extra cash while hospitalized.
* Enter all that apply, separate with commas.
* Enter all that apply, separate with commas.
01 Private health insurance
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
Universe Text All persons in families where FHICOV= yes, don't know, or refused
Skip Instructions:
Skip Instructions:
(R,D) [go to HCSPFYR]
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Question ID:FHI.158_00.000
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Instrument Variable Name: FHICCI6
Question Text:
Question Text:
The next questions are about private health insurance plans [fill1: /including Medi-Gap]. These plans can be obtained through work, purchased directly, or through a state or local government program or community program. [fill2: We have the following persons listed as being covered by such plans:
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
1 Continue
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
go to HIPNAM1
Question ID:FHI.160_00.000
Instrument Variable Name: HIPNAM1
Question Text:
Question Text:
It is important that we record the complete and accurate name of each health insurance plan. What is the COMPLETE name of the first plan? Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
* Read if necessary: Do you have your health plan card or something with the plan name on it?
* Read if necessary: Do you have your health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD1]
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Question ID:FHI.160_01.000
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Instrument Variable Name: PCARD1
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM1
Skip Instructions:
Skip Instructions:
go to HIPNAM1B
Question ID:FHI.170_00.000
Instrument Variable Name: HIPNAM1B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by this plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a private health insurance plan and the plan name, refused, or don't know was entered at
HIPNAM1
Skip Instructions:
HIPNAM1
Skip Instructions:
(R,D) [if HIPNAM1= R or D, go to STNAME]
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHI.171_00.000
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: MORPLAN
Question Text:
Question Text:
* Ask if necessary Are there any more private health insurance plans?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families where a private health insurance plan name was entered at HIPNAM1 or a person number was entered at HIPNAM1B
Skip Instructions:
Skip Instructions:
(1) [go to HIPNAM2]
(2,R,D) [if no persons selected at HIPNAM1B, go to FHICCI8; else, if persons selected at HIPNAM1B, but not all persons with HIKIND = 1 or 3 selected at HIPNAM1B, go to HIVER1]
Question ID:FHI.172_00.000
(2,R,D) [if no persons selected at HIPNAM1B, go to FHICCI8; else, if persons selected at HIPNAM1B, but not all persons with HIKIND = 1 or 3 selected at HIPNAM1B, go to HIVER1]
Instrument Variable Name: HIPNAM2
Question Text:
Question Text:
What is the name of the next plan? *Read if necessary: Do you have a health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with a second private health insurance plan
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD2]
(R,D) [prefill PCARD2 with a "2" and go to HIPNAM2B]
Question ID:FHI.172_01.000
(R,D) [prefill PCARD2 with a "2" and go to HIPNAM2B]
Instrument Variable Name: PCARD2
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM2
Skip Instructions:
Skip Instructions:
go to HIPNAM2B
Question ID:FHI.173_00.000
Instrument Variable Name: HIPNAM2B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by that plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a second private health insurance plan and the plan name, refused, or don't know was entered at HIPNAM2
Skip Instructions:
Skip Instructions:
(R,D) [if HIPNAM2 eq R or D and persons selected at HIPNAM1B, but not all persons with HIKIND eq 1 or 3 selected at HIPNAM1B, go to HIVER1; else, if HIPNAM2 eq R or D and persons selected at HIPNAM1B, and all persons with HIKIND eq 1 or 3 selected at HIPNAM1B, go to FHICCI8; else, if HIPNAM2 eq R or D and persons not selected at HIPNAM1B, go to FHICCI8; else, if a health plan name recorded in HIPNAM2, go to MORPLAN2] go to MORPLAN2
2015
Survey form
view entire document:
text
image
Question ID:FHI.070_00.000
Instrument Variable Name: HIKIND
Question Text:
Question Text:
(book) F12 and (book) F14 ? [F1] What kind of health insurance or health care coverage [fill: do you/does ALIAS] have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care). EXCLUDE private plans that only provide extra cash while hospitalized.
* Enter all that apply, separate with commas.
* Enter all that apply, separate with commas.
01 Private health insurance
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
Universe Text All persons in families where FHICOV= yes, don't know, or refused
Skip Instructions:
Skip Instructions:
(R,D) [go to HCSPFYR]
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Question ID:FHI.158_00.000
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Instrument Variable Name: FHICCI6
Question Text:
Question Text:
The next questions are about private health insurance plans [fill1: /including Medi-Gap]. These plans can be obtained through work, purchased directly, or through a state or local government program or community program. [fill2: We have the following persons listed as being covered by such plans:
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
1 Continue
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
go to HIPNAM1
Question ID:FHI.160_00.000
Instrument Variable Name: HIPNAM1
Question Text:
Question Text:
It is important that we record the complete and accurate name of each health insurance plan. What is the COMPLETE name of the first plan? Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
* Read if necessary: Do you have your health plan card or something with the plan name on it?
* Read if necessary: Do you have your health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD1]
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Question ID:FHI.160_01.000
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Instrument Variable Name: PCARD1
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM1
Skip Instructions:
Skip Instructions:
go to HIPNAM1B
Question ID:FHI.170_00.000
Instrument Variable Name: HIPNAM1B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by this plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a private health insurance plan and the plan name, refused, or don't know was entered at
HIPNAM1
Skip Instructions:
HIPNAM1
Skip Instructions:
(R,D) [if HIPNAM1= R or D, go to STNAME]
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHI.171_00.000
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: MORPLAN
Question Text:
Question Text:
* Ask if necessary Are there any more private health insurance plans?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families where a private health insurance plan name was entered at HIPNAM1 or a person number was entered at HIPNAM1B
Skip Instructions:
Skip Instructions:
(1) [go to HIPNAM2]
(2,R,D) [if no persons selected at HIPNAM1B, go to FHICCI8; else, if persons selected at HIPNAM1B, but not all persons with HIKIND = 1 or 3 selected at HIPNAM1B, go to HIVER1]
Question ID:FHI.172_00.000
(2,R,D) [if no persons selected at HIPNAM1B, go to FHICCI8; else, if persons selected at HIPNAM1B, but not all persons with HIKIND = 1 or 3 selected at HIPNAM1B, go to HIVER1]
Instrument Variable Name: HIPNAM2
Question Text:
Question Text:
What is the name of the next plan? *Read if necessary: Do you have a health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with a second private health insurance plan
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD2]
(R,D) [prefill PCARD2 with a "2" and go to HIPNAM2B]
Question ID:FHI.172_01.000
(R,D) [prefill PCARD2 with a "2" and go to HIPNAM2B]
Instrument Variable Name: PCARD2
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM2
Skip Instructions:
Skip Instructions:
go to HIPNAM2B
Question ID:FHI.173_00.000
Instrument Variable Name: HIPNAM2B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by that plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a second private health insurance plan and the plan name, refused, or don't know was entered at HIPNAM2
Skip Instructions:
Skip Instructions:
(R,D) [if HIPNAM2 eq R or D and persons selected at HIPNAM1B, but not all persons with HIKIND eq 1 or 3 selected at HIPNAM1B, go to HIVER1; else, if HIPNAM2 eq R or D and persons selected at HIPNAM1B, and all persons with HIKIND eq 1 or 3 selected at HIPNAM1B, go to FHICCI8; else, if HIPNAM2 eq R or D and persons not selected at HIPNAM1B, go to FHICCI8; else, if a health plan name recorded in HIPNAM2, go to MORPLAN2] go to MORPLAN2
2014
Survey form
view entire document:
text
image
Question ID:FHI.070_00.000
Instrument Variable Name: HIKIND
Question Text:
Question Text:
(book) F12 and (book) F14 ? [F1] What kind of health insurance or health care coverage [fill: do you/does ALIAS] have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care). EXCLUDE private plans that only provide extra cash while hospitalized.
* Enter all that apply, separate with commas.
* Enter all that apply, separate with commas.
01 Private health insurance
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
Universe Text All persons in families where FHICOV= yes, don't know, or refused
Skip Instructions:
Skip Instructions:
(R,D) [go to HCSPFYR]
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Question ID:FHI.158_00.000
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Instrument Variable Name: FHICCI6
Question Text:
Question Text:
The next questions are about private health insurance plans [fill1: /including Medi-Gap]. These plans can be obtained through work, purchased directly, or through a state or local government program or community program. [fill2: We have the following persons listed as being covered by such plans:
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
1 Continue
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
go to HIPNAM1
Question ID:FHI.160_00.000
Instrument Variable Name: HIPNAM1
Question Text:
Question Text:
It is important that we record the complete and accurate name of each health insurance plan. What is the COMPLETE name of the first plan? Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
* Read if necessary: Do you have your health plan card or something with the plan name on it?
* Read if necessary: Do you have your health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD1]
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Question ID:FHI.160_01.000
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Instrument Variable Name: PCARD1
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM1
Skip Instructions:
Skip Instructions:
go to HIPNAM1B
Question ID:FHI.170_00.000
Instrument Variable Name: HIPNAM1B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by this plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a private health insurance plan and the plan name, refused, or don't know was entered at
HIPNAM1
Skip Instructions:
HIPNAM1
Skip Instructions:
(R,D) [if HIPNAM1= R or D, go to STNAME]
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHI.171_00.000
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: MORPLAN
Question Text:
Question Text:
* Ask if necessary Are there any more private health insurance plans?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families where a private health insurance plan name was entered at HIPNAM1 or a person number was entered at HIPNAM1B
Skip Instructions:
Skip Instructions:
(1) [go to HIPNAM2]
(2,R,D) [if no persons selected at HIPNAM1B, go to FHICCI8; else, if persons selected at HIPNAM1B, but not all persons with HIKIND = 1 or 3 selected at HIPNAM1B, go to HIVER1]
Question ID:FHI.172_00.000
(2,R,D) [if no persons selected at HIPNAM1B, go to FHICCI8; else, if persons selected at HIPNAM1B, but not all persons with HIKIND = 1 or 3 selected at HIPNAM1B, go to HIVER1]
Instrument Variable Name: HIPNAM2
Question Text:
Question Text:
What is the name of the next plan? *Read if necessary: Do you have a health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with a second private health insurance plan
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD2]
(R,D) [prefill PCARD2 with a "2" and go to HIPNAM2B]
Question ID:FHI.172_01.000
(R,D) [prefill PCARD2 with a "2" and go to HIPNAM2B]
Instrument Variable Name: PCARD2
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM2
Skip Instructions:
Skip Instructions:
go to HIPNAM2B
Question ID:FHI.173_00.000
Instrument Variable Name: HIPNAM2B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by that plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a second private health insurance plan and the plan name, refused, or don't know was entered at HIPNAM2
Skip Instructions:
Skip Instructions:
(R,D) [if HIPNAM2 eq R or D and persons selected at HIPNAM1B, but not all persons with HIKIND eq 1 or 3 selected at HIPNAM1B, go to HIVER1; else, if HIPNAM2 eq R or D and persons selected at HIPNAM1B, and all persons with HIKIND eq 1 or 3 selected at HIPNAM1B, go to FHICCI8; else, if HIPNAM2 eq R or D and persons not selected at HIPNAM1B, go to FHICCI8; else, if a health plan name recorded in HIPNAM2, go to MORPLAN2] go to MORPLAN2
2013
Survey form
view entire document:
text
image
Question ID:FHI.070_00.000
Instrument Variable Name: HIKIND
Question Text:
Question Text:
(book) F12 and (book) F14 ? [F1] What kind of health insurance or health care coverage [fill: do you/does ALIAS] have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care). EXCLUDE private plans that only provide extra cash while hospitalized.
* Enter all that apply, separate with commas.
* Enter all that apply, separate with commas.
01 Private health insurance
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
Universe Text All persons in families where FHICOV= yes, don't know, or refused
Skip Instructions:
Skip Instructions:
(R,D) [go to HCSPFYR]
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Question ID:FHI.158_00.000
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Instrument Variable Name: FHICCI6
Question Text:
Question Text:
The next questions are about private health insurance plans [fill1: /including Medi-Gap]. These plans can be obtained through work, purchased directly, or through a state or local government program or community program. [fill2: We have the following persons listed as being covered by such plans:
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
1 Continue
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
go to HIPNAM1
Question ID:FHI.160_00.000
Instrument Variable Name: HIPNAM1
Question Text:
Question Text:
It is important that we record the complete and accurate name of each health insurance plan. What is the COMPLETE name of the first plan? Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
* Read if necessary: Do you have your health plan card or something with the plan name on it?
* Read if necessary: Do you have your health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD1]
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Question ID:FHI.160_01.000
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Instrument Variable Name: PCARD1
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM1
Skip Instructions:
Skip Instructions:
go to HIPNAM1B
Question ID:FHI.170_00.000
Instrument Variable Name: HIPNAM1B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by this plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a private health insurance plan and the plan name, refused, or don't know was entered at
HIPNAM1
Skip Instructions:
HIPNAM1
Skip Instructions:
(R,D) [if HIPNAM1= R or D, go to STNAME]
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHI.171_00.000
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: MORPLAN
Question Text:
Question Text:
* Ask if necessary Are there any more private health insurance plans?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families where a private health insurance plan name was entered at HIPNAM1 or a person number was entered at HIPNAM1B
Skip Instructions:
Skip Instructions:
(1) [go to HIPNAM2]
(2,R,D) [if no persons selected at HIPNAM1B, go to FHICCI8; else, if persons selected at HIPNAM1B, but not all persons with HIKIND = 1 or 3 selected at HIPNAM1B, go to HIVER1]
Question ID:FHI.172_00.000
(2,R,D) [if no persons selected at HIPNAM1B, go to FHICCI8; else, if persons selected at HIPNAM1B, but not all persons with HIKIND = 1 or 3 selected at HIPNAM1B, go to HIVER1]
Instrument Variable Name: HIPNAM2
Question Text:
Question Text:
What is the name of the next plan? *Read if necessary: Do you have a health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with a second private health insurance plan
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD2]
(R,D) [prefill PCARD2 with a "2" and go to HIPNAM2B]
Question ID:FHI.172_01.000
(R,D) [prefill PCARD2 with a "2" and go to HIPNAM2B]
Instrument Variable Name: PCARD2
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM2
Skip Instructions:
Skip Instructions:
go to HIPNAM2B
Question ID:FHI.173_00.000
Instrument Variable Name: HIPNAM2B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by that plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a second private health insurance plan and the plan name, refused, or don't know was entered at HIPNAM2
Skip Instructions:
Skip Instructions:
(R,D) [if HIPNAM2 eq R or D and persons selected at HIPNAM1B, but not all persons with HIKIND eq 1 or 3 selected at HIPNAM1B, go to HIVER1; else, if HIPNAM2 eq R or D and persons selected at HIPNAM1B, and all persons with HIKIND eq 1 or 3 selected at HIPNAM1B, go to FHICCI8; else, if HIPNAM2 eq R or D and persons not selected at HIPNAM1B, go to FHICCI8; else, if a health plan name recorded in HIPNAM2, go to MORPLAN2] go to MORPLAN2
2012
Survey form
view entire document:
text
image
Question ID:FHI.070_00.000
Instrument Variable Name: HIKIND
Question Text:
Question Text:
(book) F12 and (book) F14 ? [F1] What kind of health insurance or health care coverage [fill: do you/does ALIAS] have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care). EXCLUDE private plans that only provide extra cash while hospitalized.
* Enter all that apply, separate with commas.
* Enter all that apply, separate with commas.
01 Private health insurance
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
Universe Text All persons in families where FHICOV= yes, don't know, or refused
Skip Instructions:
Skip Instructions:
(R,D) [go to HCSPFYR]
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Question ID:FHI.158_00.000
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Instrument Variable Name: FHICCI6
Question Text:
Question Text:
The next questions are about private health insurance plans [fill1: /including Medi-Gap]. These plans can be obtained through work, purchased directly, or through a state or local government program or community program. [fill2: We have the following persons listed as being covered by such plans:
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
1 Continue
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
go to HIPNAM1
Question ID:FHI.160_00.000
Instrument Variable Name: HIPNAM1
Question Text:
Question Text:
It is important that we record the complete and accurate name of each health insurance plan. What is the COMPLETE name of the first plan? Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
* Read if necessary: Do you have your health plan card or something with the plan name on it?
* Read if necessary: Do you have your health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD1]
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Question ID:FHI.160_01.000
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Instrument Variable Name: PCARD1
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM1
Skip Instructions:
Skip Instructions:
go to HIPNAM1B
Question ID:FHI.170_00.000
Instrument Variable Name: HIPNAM1B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by this plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a private health insurance plan and the plan name, refused, or don't know was entered at
HIPNAM1
Skip Instructions:
HIPNAM1
Skip Instructions:
(R,D) [if HIPNAM1= R or D, go to STNAME]
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHI.171_00.000
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: MORPLAN
Question Text:
Question Text:
* Ask if necessary Are there any more private health insurance plans?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families where a private health insurance plan name was entered at HIPNAM1 or a person number was entered at HIPNAM1B
Skip Instructions:
Skip Instructions:
(1) [go to HIPNAM2]
(2,R,D) [if no persons selected at HIPNAM1B, go to FHICCI8; else, if persons selected at HIPNAM1B, but not all persons with HIKIND = 1 or 3 selected at HIPNAM1B, go to HIVER1]
Question ID:FHI.172_00.000
(2,R,D) [if no persons selected at HIPNAM1B, go to FHICCI8; else, if persons selected at HIPNAM1B, but not all persons with HIKIND = 1 or 3 selected at HIPNAM1B, go to HIVER1]
Instrument Variable Name: HIPNAM2
Question Text:
Question Text:
What is the name of the next plan? *Read if necessary: Do you have a health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with a second private health insurance plan
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD2]
(R,D) [prefill PCARD2 with a "2" and go to HIPNAM2B]
Question ID:FHI.172_01.000
(R,D) [prefill PCARD2 with a "2" and go to HIPNAM2B]
Instrument Variable Name: PCARD2
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM2
Skip Instructions:
Skip Instructions:
go to HIPNAM2B
Question ID:FHI.173_00.000
Instrument Variable Name: HIPNAM2B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by that plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a second private health insurance plan and the plan name, refused, or don't know was entered at HIPNAM2
Skip Instructions:
Skip Instructions:
(R,D) [if HIPNAM2 eq R or D and persons selected at HIPNAM1B, but not all persons with HIKIND eq 1 or 3 selected at HIPNAM1B, go to HIVER1; else, if HIPNAM2 eq R or D and persons selected at HIPNAM1B, and all persons with HIKIND eq 1 or 3 selected at HIPNAM1B, go to FHICCI8; else, if HIPNAM2 eq R or D and persons not selected at HIPNAM1B, go to FHICCI8; else, if a health plan name recorded in HIPNAM2, go to MORPLAN2] go to MORPLAN2
2011
Survey form
view entire document:
text
image
Question ID:FHI.180_00.000
Instrument Variable Name: HIVER1
Question Text:
Question Text:
? [F1] [fill1: You are/ALIAS is] listed as having private insurance but [fill2: were/was] not mentioned as being covered by any of the plans we just discussed. [fill3: Are you/Is ALIAS] covered by private insurance?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All persons who have private health insurance coverage, but were not mentioned as being covered by any of the reported plans
Skip Instructions:
Skip Instructions:
(1) [ go to HIVER2]
(2,R,D) [go to ERR_HIVER1]
Hard Edit: ERR_HIVER1
*Press ENTER to go back to HIKIND to update health insurance coverage.
Question ID:FHI.190_00.000
(2,R,D) [go to ERR_HIVER1]
Hard Edit: ERR_HIVER1
*Press ENTER to go back to HIKIND to update health insurance coverage.
Instrument Variable Name: HIVER2
Question Text:
Question Text:
? [F1] * Enter all that apply, separate with commas.
Is [fill: your/ALIAS's] health insurance plan the same as one of those already mentioned?
Is [fill: your/ALIAS's] health insurance plan the same as one of those already mentioned?
1 1st plan mentioned (^HIPNAM1)
2 2nd plan mentioned (^HIPNAM2)
3 3rd plan mentioned (^HIPNAM3)
4 4th plan mentioned (^HIPNAM4)
5 Some other plan not already mentioned
7 Refused
9 Don't know
2 2nd plan mentioned (^HIPNAM2)
3 3rd plan mentioned (^HIPNAM3)
4 4th plan mentioned (^HIPNAM4)
5 Some other plan not already mentioned
7 Refused
9 Don't know
Universe Text All persons for whom it was verified they have private health insurance coverage, but were not mentioned as being covered by any of the reported plans
Skip Instructions:
Skip Instructions:
(1-4) [update responses for HIPNAM1B/HIPNAM2B/HIPNAM3B/HIPNAM4B and go to FHICCI8]
(5) [if 4 plans were reported, ignore this 5th plan and go to FHICCI8; else, go to HIPNAM2, or HIPNAM3, or HIPNAM4 accordingly to enter information on this plan]
(R,D) [go to FHICCI8]
(5) [if 4 plans were reported, ignore this 5th plan and go to FHICCI8; else, go to HIPNAM2, or HIPNAM3, or HIPNAM4 accordingly to enter information on this plan]
(R,D) [go to FHICCI8]
2010
Survey form
view entire document:
text
image
Question ID:FHI.050_00.000
Instrument Variable Name: FHICOV
Question Text:
Question Text:
(book) F12 and (book) F14 The next questions are about health insurance. 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. [fill: Are you/Is anyone in the family] covered by any kind of health insurance or some other kind of health care plan?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families
Skip Instructions:
Skip Instructions:
(1,R,D) [go to HIKIND]
(2) [if AGE ge 65, go to MCAREPRB; else, go to MCAIDPRB]
Question ID:FHI.070_00.000
(2) [if AGE ge 65, go to MCAREPRB; else, go to MCAIDPRB]
Instrument Variable Name: HIKIND
Question Text:
Question Text:
(book) F12 and (book) F14 ? [F1] What kind of health insurance or health care coverage [fill: do you/does ALIAS] have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care). EXCLUDE private plans that only provide extra cash while hospitalized.
* Enter all that apply, separate with commas.
* Enter all that apply, separate with commas.
01 Private health insurance
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
Universe Text All persons in families where FHICOV= yes, don't know, or refused
Skip Instructions:
Skip Instructions:
(R,D) [go to HCSPFYR]
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Question ID:FHI.158_00.000
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Instrument Variable Name: FHICCI6
Question Text:
Question Text:
The next questions are about private health insurance plans [fill1: /including Medi-Gap]. These plans can be obtained through work, purchased directly, or through a state or local government program or community program. [fill2: We have the following persons listed as being covered by such plans:
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
1 Continue
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
go to HIPNAM1
Question ID:FHI.160_00.000
Instrument Variable Name: HIPNAM1
Question Text:
Question Text:
It is important that we record the complete and accurate name of each health insurance plan. What is the COMPLETE name of the first plan? Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
* Read if necessary: Do you have your health plan card or something with the plan name on it?
* Read if necessary: Do you have your health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD1]
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
2009
Survey form
view entire document:
text
image
Question ID:FHI.070_00.000
Instrument Variable Name: HIKIND
Question Text:
Question Text:
(book) F12 and (book) F14 ? [F1] What kind of health insurance or health care coverage [fill: do you/does ALIAS] have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care). EXCLUDE private plans that only provide extra cash while hospitalized.
* Enter all that apply, separate with commas.
* Enter all that apply, separate with commas.
01 Private health insurance
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
Universe Text All persons in families where FHICOV= yes, don't know, or refused
Skip Instructions:
Skip Instructions:
(R,D) [go to HCSPFYR]
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Question ID:FHI.158_00.000
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Instrument Variable Name: FHICCI6
Question Text:
Question Text:
The next questions are about private health insurance plans [fill1: /including Medi-Gap]. These plans can be obtained through work, purchased directly, or through a state or local government program or community program. [fill2: We have the following persons listed as being covered by such plans:
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
1 Continue
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
go to HIPNAM1
Question ID:FHI.160_00.000
Instrument Variable Name: HIPNAM1
Question Text:
Question Text:
It is important that we record the complete and accurate name of each health insurance plan. What is the COMPLETE name of the first plan? Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
* Read if necessary: Do you have your health plan card or something with the plan name on it?
* Read if necessary: Do you have your health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD1]
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Question ID:FHI.160_01.000
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Instrument Variable Name: PCARD1
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM1
Skip Instructions:
Skip Instructions:
go to HIPNAM1B
Question ID:FHI.170_00.000
Instrument Variable Name: HIPNAM1B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by this plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a private health insurance plan and the plan name, refused, or don't know was entered at
HIPNAM1
Skip Instructions:
HIPNAM1
Skip Instructions:
(R,D) [if HIPNAM1= R or D, go to STNAME]
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
2008
Survey form
view entire document:
text
image
Question ID:FHI.070_00.000
Instrument Variable Name: HIKIND
Question Text:
Question Text:
(book) F12 and (book) F14 ? [F1] What kind of health insurance or health care coverage [fill: do you/does ALIAS] have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care). EXCLUDE private plans that only provide extra cash while hospitalized.
* Enter all that apply, separate with commas.
* Enter all that apply, separate with commas.
01 Private health insurance
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
Universe Text All persons in families where FHICOV= yes, don't know, or refused
Skip Instructions:
Skip Instructions:
(R,D) [go to HCSPFYR]
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Question ID:FHI.158_00.000
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Instrument Variable Name: FHICCI6
Question Text:
Question Text:
The next questions are about private health insurance plans [fill1: /including Medi-Gap]. These plans can be obtained through work, purchased directly, or through a state or local government program or community program. [fill2: We have the following persons listed as being covered by such plans:
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
1 Continue
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
go to HIPNAM1
Question ID:FHI.160_00.000
Instrument Variable Name: HIPNAM1
Question Text:
Question Text:
It is important that we record the complete and accurate name of each health insurance plan. What is the COMPLETE name of the first plan? Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
* Read if necessary: Do you have your health plan card or something with the plan name on it?
* Read if necessary: Do you have your health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD1]
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Question ID:FHI.160_01.000
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Instrument Variable Name: PCARD1
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM1
Skip Instructions:
Skip Instructions:
go to HIPNAM1B
Question ID:FHI.170_00.000
Instrument Variable Name: HIPNAM1B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by this plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a private health insurance plan and the plan name, refused, or don't know was entered at
HIPNAM1
Skip Instructions:
HIPNAM1
Skip Instructions:
(R,D) [if HIPNAM1= R or D, go to STNAME]
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Question ID:FHI.171_00.000
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
Instrument Variable Name: MORPLAN
Question Text:
Question Text:
* Ask if necessary Are there any more private health insurance plans?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families where a private health insurance plan name was entered at HIPNAM1 or a person number was entered at HIPNAM1B
Skip Instructions:
Skip Instructions:
(1) [go to HIPNAM2]
(2,R,D) [if no persons selected at HIPNAM1B, go to FHICCI8; else, if persons selected at HIPNAM1B, but not all persons with HIKIND = 1 or 3 selected at HIPNAM1B, go to HIVER1]
Question ID:FHI.172_00.000
(2,R,D) [if no persons selected at HIPNAM1B, go to FHICCI8; else, if persons selected at HIPNAM1B, but not all persons with HIKIND = 1 or 3 selected at HIPNAM1B, go to HIVER1]
Instrument Variable Name: HIPNAM2
Question Text:
Question Text:
What is the name of the next plan? *Read if necessary: Do you have a health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with a second private health insurance plan
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD2]
(R,D) [prefill PCARD2 with a "2" and go to HIPNAM2B]
Question ID:FHI.172_01.000
(R,D) [prefill PCARD2 with a "2" and go to HIPNAM2B]
Instrument Variable Name: PCARD2
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM2
Skip Instructions:
Skip Instructions:
go to HIPNAM2B
Question ID:FHI.173_00.000
Instrument Variable Name: HIPNAM2B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by that plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a second private health insurance plan and the plan name, refused, or don't know was entered at HIPNAM2
Skip Instructions:
Skip Instructions:
(R,D) [if HIPNAM2 eq R or D and persons selected at HIPNAM1B, but not all persons with HIKIND eq 1 or 3 selected at HIPNAM1B, go to HIVER1; else, if HIPNAM2 eq R or D and persons selected at HIPNAM1B, and all persons with HIKIND eq 1 or 3 selected at HIPNAM1B, go to FHICCI8; else, if HIPNAM2 eq R or D and persons not selected at HIPNAM1B, go to FHICCI8; else, if a health plan name recorded in HIPNAM2, go to MORPLAN2] go to MORPLAN2
2007
Survey form
view entire document:
text
image
Question ID:FHI.050_00.000
Instrument Variable Name: FHICOV
Question Text:
Question Text:
(book) F12 and (book) F14 The next questions are about health insurance. 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. [fill: Are you/Is anyone in the family] covered by any kind of health insurance or some other kind of health care plan?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families
Skip Instructions:
Skip Instructions:
(1,R,D) [go to HIKIND]
(2) [if AGE ge 65, go to MCAREPRB; else, go to MCAIDPRB]
Question ID:FHI.070_00.000
(2) [if AGE ge 65, go to MCAREPRB; else, go to MCAIDPRB]
Instrument Variable Name: HIKIND
Question Text:
Question Text:
(book) F12 and (book) F14 ? [F1] What kind of health insurance or health care coverage [fill: do you/does ALIAS] have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care). EXCLUDE private plans that only provide extra cash while hospitalized.
* Enter all that apply, separate with commas.
* Enter all that apply, separate with commas.
01 Private health insurance
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
Universe Text All persons in families where FHICOV= yes, don't know, or refused
Skip Instructions:
Skip Instructions:
(R,D) [go to HCSPFYR]
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Question ID:FHI.158_00.000
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Instrument Variable Name: FHICCI6
Question Text:
Question Text:
The next questions are about private health insurance plans [fill1: /including Medi-Gap]. These plans can be obtained through work, purchased directly, or through a state or local government program or community program. [fill2: We have the following persons listed as being covered by such plans:
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
1 Continue
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
go to HIPNAM1
Question ID:FHI.160_00.000
Instrument Variable Name: HIPNAM1
Question Text:
Question Text:
It is important that we record the complete and accurate name of each health insurance plan. What is the COMPLETE name of the first plan? Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
* Read if necessary: Do you have your health plan card or something with the plan name on it?
* Read if necessary: Do you have your health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD1]
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
2006
Survey form
view entire document:
text
image
Question ID:FHI.070_00.000
Instrument Variable Name: HIKIND
Question Text:
Question Text:
(book) F12 and (book) F14 ? [F1] What kind of health insurance or health care coverage [fill: do you/does ALIAS] have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care). EXCLUDE private plans that only provide extra cash while hospitalized.
* Enter all that apply, separate with commas.
* Enter all that apply, separate with commas.
01 Private health insurance
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
Universe Text All persons in families where FHICOV= yes, don't know, or refused
Skip Instructions:
Skip Instructions:
(R,D) [go to HCSPFYR]
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Question ID:FHI.158_00.000
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Instrument Variable Name: FHICCI6
Question Text:
Question Text:
The next questions are about private health insurance plans [fill1: /including Medi-Gap]. These plans can be obtained through work, purchased directly, or through a state or local government program or community program. [fill2: We have the following persons listed as being covered by such plans:
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
1 Continue
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
go to HIPNAM1
Question ID:FHI.160_00.000
Instrument Variable Name: HIPNAM1
Question Text:
Question Text:
It is important that we record the complete and accurate name of each health insurance plan. What is the COMPLETE name of the first plan? Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
* Read if necessary: Do you have your health plan card or something with the plan name on it?
* Read if necessary: Do you have your health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD1]
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Question ID:FHI.160_01.000
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Instrument Variable Name: PCARD1
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM1
Skip Instructions:
Skip Instructions:
go to HIPNAM1B
Question ID:FHI.170_00.000
Instrument Variable Name: HIPNAM1B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by this plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a private health insurance plan and the plan name, refused, or don't know was entered at
HIPNAM1
Skip Instructions:
HIPNAM1
Skip Instructions:
(R,D) [if HIPNAM1= R or D, go to STNAME]
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
2005
Survey form
view entire document:
text
image
Question ID:FHI.070_00.000
Instrument Variable Name: HIKIND
Question Text:
Question Text:
(book) F12 and (book) F14 ? [F1] What kind of health insurance or health care coverage [fill: do you/does ALIAS] have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care). EXCLUDE private plans that only provide extra cash while hospitalized.
* Enter all that apply, separate with commas.
* Enter all that apply, separate with commas.
01 Private health insurance
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
Universe Text All persons in families where FHICOV= yes, don't know, or refused
Skip Instructions:
Skip Instructions:
(R,D) [go to HCSPFYR]
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Question ID:FHI.158_00.000
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Instrument Variable Name: FHICCI6
Question Text:
Question Text:
The next questions are about private health insurance plans [fill1: /including Medi-Gap]. These plans can be obtained through work, purchased directly, or through a state or local government program or community program. [fill2: We have the following persons listed as being covered by such plans:
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
1 Continue
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
go to HIPNAM1
Question ID:FHI.160_00.000
Instrument Variable Name: HIPNAM1
Question Text:
Question Text:
It is important that we record the complete and accurate name of each health insurance plan. What is the COMPLETE name of the first plan? Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
* Read if necessary: Do you have your health plan card or something with the plan name on it?
* Read if necessary: Do you have your health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD1]
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Question ID:FHI.160_01.000
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Instrument Variable Name: PCARD1
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM1
Skip Instructions:
Skip Instructions:
go to HIPNAM1B
Question ID:FHI.170_00.000
Instrument Variable Name: HIPNAM1B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by this plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a private health insurance plan and the plan name, refused, or don't know was entered at
HIPNAM1
Skip Instructions:
HIPNAM1
Skip Instructions:
(R,D) [if HIPNAM1= R or D, go to STNAME]
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
2004
Survey form
view entire document:
text
image
Question ID:FHI.070_00.000
Instrument Variable Name: HIKIND
Question Text:
Question Text:
(book) F12 and (book) F14 ? [F1] What kind of health insurance or health care coverage [fill: do you/does ALIAS] have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care). EXCLUDE private plans that only provide extra cash while hospitalized.
* Enter all that apply, separate with commas.
* Enter all that apply, separate with commas.
01 Private health insurance
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
02 Medicare
03 Medi-Gap
04 Medicaid
05 SCHIP (CHIP/Children's Health Insurance Program)
06 Military health care (TRICARE/VA/CHAMP-VA)
07 Indian Health Service
08 State-sponsored health plan
09 Other government program
10 Single service plan (e.g., dental, vision, prescriptions)
11 No coverage of any type
97 Refused
99 Don't know
Universe Text All persons in families where FHICOV= yes, don't know, or refused
Skip Instructions:
Skip Instructions:
(R,D) [go to HCSPFYR]
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Question ID:FHI.158_00.000
(1-10) [if AGE ge 65 and HIKIND ne 2, go to MCAREPRB; else, if HIKIND ne 10 go to SINCOV; else, go to HICHANGE]
(11) [if HIKIND = 1-10, go to ERR_HIKIND; else, if AGE ge 65 go to MCAREPRB; else, go to MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.
Instrument Variable Name: FHICCI6
Question Text:
Question Text:
The next questions are about private health insurance plans [fill1: /including Medi-Gap]. These plans can be obtained through work, purchased directly, or through a state or local government program or community program. [fill2: We have the following persons listed as being covered by such plans:
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
* Read names. (display roster of eligible persons)]
* Enter 1 to continue
1 Continue
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
go to HIPNAM1
Question ID:FHI.160_00.000
Instrument Variable Name: HIPNAM1
Question Text:
Question Text:
It is important that we record the complete and accurate name of each health insurance plan. What is the COMPLETE name of the first plan? Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
* Read if necessary: Do you have your health plan card or something with the plan name on it?
* Read if necessary: Do you have your health plan card or something with the plan name on it?
Verbatim Verbatim response
7 Refused
9 Don't know
7 Refused
9 Don't know
Universe Text All families with at least one person covered by private health insurance
Skip Instructions:
Skip Instructions:
(verbatim) [go to PCARD1]
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Question ID:FHI.160_01.000
(R,D) [prefill PCARD1 with a "2" and go to HIPNAM1B]
Instrument Variable Name: PCARD1
Question Text:
Question Text:
* Do not read. Was the health plan name obtained from a health plan card or something with the health plan name on it?
1 Yes
2 No
2 No
Universe Text All private health insurance plans where the plan name was entered at HIPNAM1
Skip Instructions:
Skip Instructions:
go to HIPNAM1B
Question ID:FHI.170_00.000
Instrument Variable Name: HIPNAM1B
Question Text:
Question Text:
* Ask or verify. Enter all that apply, separate with commas. Which family members are covered by this plan?
* Indicate each family member covered by this plan.
* Indicate each family member covered by this plan.
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
Universe Text All families with a private health insurance plan and the plan name, refused, or don't know was entered at
HIPNAM1
Skip Instructions:
HIPNAM1
Skip Instructions:
(R,D) [if HIPNAM1= R or D, go to STNAME]
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
go to MORPLAN
NOTE: In the instrument, interviewers enter the line numbers associated with the persons reported by the respondent. As shown above, each eligible person receives an edited response code in subsequent data processing.
2003
Survey form
view entire document:
text
image
FHI.070
You may choose more than one.
What kind of health insurance or health care coverage {do/does} {you/subject name} have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care), exclude private plans that only provide extra cash while hospitalized.
FR: ENTER (N) FOR NO MORE ENTER EACH NUMBER THAT APPLIES. PLEASE REFER TO FLASHCARDS F10, AND F11 FOR YOUR STATE.
Card F10
FR: ENTER (N) FOR NO MORE ENTER EACH NUMBER THAT APPLIES. PLEASE REFER TO FLASHCARDS F10, AND F11 FOR YOUR STATE.
You may choose more than one.
1. Private health insurance plan from employer or workplace*
2. Private health insurance plan purchased directly*
3. Private health insurance plan through a state or local government program or community program
4. Medicare
5. Medi-Gap
6. Medicaid
7. Children's Health Insurance Program (CHIP/SCHIP)
8. Military health care/VA
9. TRICARE/CHAMPUS/CHAMP-VA
10. Indian Health Service
11. State-sponsored health plan
12. Other government program
13. Single service plan (e.g., dental, vision, prescriptions)
14. No coverage of any type
*EXCLUDE private plans that only provide extra cash while hospitalized.
2. Private health insurance plan purchased directly*
3. Private health insurance plan through a state or local government program or community program
4. Medicare
5. Medi-Gap
6. Medicaid
7. Children's Health Insurance Program (CHIP/SCHIP)
8. Military health care/VA
9. TRICARE/CHAMPUS/CHAMP-VA
10. Indian Health Service
11. State-sponsored health plan
12. Other government program
13. Single service plan (e.g., dental, vision, prescriptions)
14. No coverage of any type
*EXCLUDE private plans that only provide extra cash while hospitalized.
[ ] HIKINDA (01) Private health insurance plan from employer or workplace
[ ] HIKINDB (02) Private health insurance plan purchased directly
[ ] HIKINDC (03) Private health insurance plan through a state or local government or community program
[ ] HIKINDD (04) Medicare
[ ] HIKINDE (05) Medi-Gap
[ ] HIKINDF (06) Medicaid
[ ] HIKINDG (07) CHIP (Children's Health Insurance Program)
[ ] HIKINDH (08) Military health care/VA
[ ] HIKINDI (09) TRICARE/CHAMPUS/CHAMP-VA
[ ] HIKINDJ (10) Indian Health Service
[ ] HIKINDK (11) State-sponsored health plan
[ ] HIKINDL (12) Other government program
[ ] HIKINDM (13) Single Service Plan (e.g. dental, vision, prescriptions)
[ ] HIKINDN (14) No coverage of any type
[ ] HIKINDB (02) Private health insurance plan purchased directly
[ ] HIKINDC (03) Private health insurance plan through a state or local government or community program
[ ] HIKINDD (04) Medicare
[ ] HIKINDE (05) Medi-Gap
[ ] HIKINDF (06) Medicaid
[ ] HIKINDG (07) CHIP (Children's Health Insurance Program)
[ ] HIKINDH (08) Military health care/VA
[ ] HIKINDI (09) TRICARE/CHAMPUS/CHAMP-VA
[ ] HIKINDJ (10) Indian Health Service
[ ] HIKINDK (11) State-sponsored health plan
[ ] HIKINDL (12) Other government program
[ ] HIKINDM (13) Single Service Plan (e.g. dental, vision, prescriptions)
[ ] HIKINDN (14) No coverage of any type
(Anything else?)
FHI.160
It is important that we record the complete and accurate name of each health insurance plan.
What is the COMPLETE name of the first plan?
FR: REMIND RESPONDENT IF NECESSARY:
Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
FR: READ IF NECESSARY:
DO YOU HAVE A HEALTH PLAN CARD OR SOMETHING WITH THE PLAN NAME ON IT?
What is the COMPLETE name of the first plan?
FR: REMIND RESPONDENT IF NECESSARY:
Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
FR: READ IF NECESSARY:
DO YOU HAVE A HEALTH PLAN CARD OR SOMETHING WITH THE PLAN NAME ON IT?
HIPNAM_N Name: _____________________________
FHI.160.1
FR: DO NOT READ TO RESPONDENT:
WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?
WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?
PCARD1
(1) Yes
(2) No
(2) No
FHI.170
Which family members are covered by that plan?
FR: MARK "X" ALL THAT APPLY.
FR: MARK "X" ALL THAT APPLY.
HIPNAM_B
[Enter person #s]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
2002
Survey form
view entire document:
text
image
FHI.070
You may choose more than one.
What kind of health insurance or health care coverage {do/does} {you/subject name} have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care), exclude private plans that only provide extra cash while hospitalized.
FR: ENTER (N) FOR NO MORE ENTER EACH NUMBER THAT APPLIES. PLEASE REFER TO FLASHCARDS F10, AND F11 FOR YOUR STATE.
Card F10
FR: ENTER (N) FOR NO MORE ENTER EACH NUMBER THAT APPLIES. PLEASE REFER TO FLASHCARDS F10, AND F11 FOR YOUR STATE.
You may choose more than one.
1. Private health insurance plan from employer or workplace*
2. Private health insurance plan purchased directly*
3. Private health insurance plan through a state or local government program or community program
4. Medicare
5. Medi-Gap
6. Medicaid
7. Children's Health Insurance Program (CHIP/SCHIP)
8. Military health care/VA
9. TRICARE/CHAMPUS/CHAMP-VA
10. Indian Health Service
11. State-sponsored health plan
12. Other government program
13. Single service plan (e.g., dental, vision, prescriptions)
14. No coverage of any type
*EXCLUDE private plans that only provide extra cash while hospitalized.
2. Private health insurance plan purchased directly*
3. Private health insurance plan through a state or local government program or community program
4. Medicare
5. Medi-Gap
6. Medicaid
7. Children's Health Insurance Program (CHIP/SCHIP)
8. Military health care/VA
9. TRICARE/CHAMPUS/CHAMP-VA
10. Indian Health Service
11. State-sponsored health plan
12. Other government program
13. Single service plan (e.g., dental, vision, prescriptions)
14. No coverage of any type
*EXCLUDE private plans that only provide extra cash while hospitalized.
[ ] HIKINDA (01) Private health insurance plan from employer or workplace
[ ] HIKINDB (02) Private health insurance plan purchased directly
[ ] HIKINDC (03) Private health insurance plan through a state or local government or community program
[ ] HIKINDD (04) Medicare
[ ] HIKINDE (05) Medi-Gap
[ ] HIKINDF (06) Medicaid
[ ] HIKINDG (07) CHIP (Children's Health Insurance Program)
[ ] HIKINDH (08) Military health care/VA
[ ] HIKINDI (09) TRICARE/CHAMPUS/CHAMP-VA
[ ] HIKINDJ (10) Indian Health Service
[ ] HIKINDK (11) State-sponsored health plan
[ ] HIKINDL (12) Other government program
[ ] HIKINDM (13) Single Service Plan (e.g. dental, vision, prescriptions)
[ ] HIKINDN (14) No coverage of any type
[ ] HIKINDB (02) Private health insurance plan purchased directly
[ ] HIKINDC (03) Private health insurance plan through a state or local government or community program
[ ] HIKINDD (04) Medicare
[ ] HIKINDE (05) Medi-Gap
[ ] HIKINDF (06) Medicaid
[ ] HIKINDG (07) CHIP (Children's Health Insurance Program)
[ ] HIKINDH (08) Military health care/VA
[ ] HIKINDI (09) TRICARE/CHAMPUS/CHAMP-VA
[ ] HIKINDJ (10) Indian Health Service
[ ] HIKINDK (11) State-sponsored health plan
[ ] HIKINDL (12) Other government program
[ ] HIKINDM (13) Single Service Plan (e.g. dental, vision, prescriptions)
[ ] HIKINDN (14) No coverage of any type
(Anything else?)
FHI.160
It is important that we record the complete and accurate name of each health insurance plan.
What is the COMPLETE name of the first plan?
FR: REMIND RESPONDENT IF NECESSARY:
Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
FR: READ IF NECESSARY:
DO YOU HAVE A HEALTH PLAN CARD OR SOMETHING WITH THE PLAN NAME ON IT?
What is the COMPLETE name of the first plan?
FR: REMIND RESPONDENT IF NECESSARY:
Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
FR: READ IF NECESSARY:
DO YOU HAVE A HEALTH PLAN CARD OR SOMETHING WITH THE PLAN NAME ON IT?
HIPNAM_N Name: _____________________________
FHI.160.1
FR: DO NOT READ TO RESPONDENT:
WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?
WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?
PCARD1
(1) Yes
(2) No
(2) No
FHI.170
Which family members are covered by that plan?
FR: MARK "X" ALL THAT APPLY.
FR: MARK "X" ALL THAT APPLY.
HIPNAM_B
[Enter person #s]
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2001
Survey form
view entire document:
text
image
FHI.070
You may choose more than one.
What kind of health insurance or health care coverage {do/does} {you/subject name} have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care), exclude private plans that only provide extra cash while hospitalized.
FR: ENTER (N) FOR NO MORE ENTER EACH NUMBER THAT APPLIES. PLEASE REFER TO FLASHCARDS F10, AND F11 FOR YOUR STATE.
Card F10
FR: ENTER (N) FOR NO MORE ENTER EACH NUMBER THAT APPLIES. PLEASE REFER TO FLASHCARDS F10, AND F11 FOR YOUR STATE.
You may choose more than one.
1. Private health insurance plan from employer or workplace*
2. Private health insurance plan purchased directly*
3. Private health insurance plan through a state or local government program or community program
4. Medicare
5. Medi-Gap
6. Medicaid
7. Children's Health Insurance Program (CHIP/SCHIP)
8. Military health care/VA
9. TRICARE/CHAMPUS/CHAMP-VA
10. Indian Health Service
11. State-sponsored health plan
12. Other government program
13. Single service plan (e.g., dental, vision, prescriptions)
14. No coverage of any type
*EXCLUDE private plans that only provide extra cash while hospitalized.
2. Private health insurance plan purchased directly*
3. Private health insurance plan through a state or local government program or community program
4. Medicare
5. Medi-Gap
6. Medicaid
7. Children's Health Insurance Program (CHIP/SCHIP)
8. Military health care/VA
9. TRICARE/CHAMPUS/CHAMP-VA
10. Indian Health Service
11. State-sponsored health plan
12. Other government program
13. Single service plan (e.g., dental, vision, prescriptions)
14. No coverage of any type
*EXCLUDE private plans that only provide extra cash while hospitalized.
[ ] HIKINDA (01) Private health insurance plan from employer or workplace
[ ] HIKINDB (02) Private health insurance plan purchased directly
[ ] HIKINDC (03) Private health insurance plan through a state or local government or community program
[ ] HIKINDD (04) Medicare
[ ] HIKINDE (05) Medi-Gap
[ ] HIKINDF (06) Medicaid
[ ] HIKINDG (07) CHIP (Children's Health Insurance Program)
[ ] HIKINDH (08) Military health care/VA
[ ] HIKINDI (09) TRICARE/CHAMPUS/CHAMP-VA
[ ] HIKINDJ (10) Indian Health Service
[ ] HIKINDK (11) State-sponsored health plan
[ ] HIKINDL (12) Other government program
[ ] HIKINDM (13) Single Service Plan (e.g. dental, vision, prescriptions)
[ ] HIKINDN (14) No coverage of any type
[ ] HIKINDB (02) Private health insurance plan purchased directly
[ ] HIKINDC (03) Private health insurance plan through a state or local government or community program
[ ] HIKINDD (04) Medicare
[ ] HIKINDE (05) Medi-Gap
[ ] HIKINDF (06) Medicaid
[ ] HIKINDG (07) CHIP (Children's Health Insurance Program)
[ ] HIKINDH (08) Military health care/VA
[ ] HIKINDI (09) TRICARE/CHAMPUS/CHAMP-VA
[ ] HIKINDJ (10) Indian Health Service
[ ] HIKINDK (11) State-sponsored health plan
[ ] HIKINDL (12) Other government program
[ ] HIKINDM (13) Single Service Plan (e.g. dental, vision, prescriptions)
[ ] HIKINDN (14) No coverage of any type
(Anything else?)
FHI.160
It is important that we record the complete and accurate name of each health insurance plan.
What is the COMPLETE name of the first plan?
FR: REMIND RESPONDENT IF NECESSARY:
Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
FR: READ IF NECESSARY:
DO YOU HAVE A HEALTH PLAN CARD OR SOMETHING WITH THE PLAN NAME ON IT?
What is the COMPLETE name of the first plan?
FR: REMIND RESPONDENT IF NECESSARY:
Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
FR: READ IF NECESSARY:
DO YOU HAVE A HEALTH PLAN CARD OR SOMETHING WITH THE PLAN NAME ON IT?
HIPNAM_N Name: _____________________________
FHI.160.1
FR: DO NOT READ TO RESPONDENT:
WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?
WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?
PCARD1
(1) Yes
(2) No
(2) No
FHI.170
Which family members are covered by that plan?
FR: MARK "X" ALL THAT APPLY.
FR: MARK "X" ALL THAT APPLY.
HIPNAM_B
[Enter person #s]
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2000
Survey form
view entire document:
text
image
FHI.070
You may choose more than one.
What kind of health insurance or health care coverage {do/does} {you/subject name} have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care), exclude private plans that only provide extra cash while hospitalized.
FR: ENTER (N) FOR NO MORE ENTER EACH NUMBER THAT APPLIES. PLEASE REFER TO FLASHCARDS F10, AND F11 FOR YOUR STATE.
Card F10
FR: ENTER (N) FOR NO MORE ENTER EACH NUMBER THAT APPLIES. PLEASE REFER TO FLASHCARDS F10, AND F11 FOR YOUR STATE.
You may choose more than one.
1. Private health insurance plan from employer or workplace*
2. Private health insurance plan purchased directly*
3. Private health insurance plan through a state or local government program or community program
4. Medicare
5. Medi-Gap
6. Medicaid
7. Children's Health Insurance Program (CHIP/SCHIP)
8. Military health care/VA
9. TRICARE/CHAMPUS/CHAMP-VA
10. Indian Health Service
11. State-sponsored health plan
12. Other government program
13. Single service plan (e.g., dental, vision, prescriptions)
14. No coverage of any type
*EXCLUDE private plans that only provide extra cash while hospitalized.
2. Private health insurance plan purchased directly*
3. Private health insurance plan through a state or local government program or community program
4. Medicare
5. Medi-Gap
6. Medicaid
7. Children's Health Insurance Program (CHIP/SCHIP)
8. Military health care/VA
9. TRICARE/CHAMPUS/CHAMP-VA
10. Indian Health Service
11. State-sponsored health plan
12. Other government program
13. Single service plan (e.g., dental, vision, prescriptions)
14. No coverage of any type
*EXCLUDE private plans that only provide extra cash while hospitalized.
[ ] HIKINDA (01) Private health insurance plan from employer or workplace
[ ] HIKINDB (02) Private health insurance plan purchased directly
[ ] HIKINDC (03) Private health insurance plan through a state or local government or community program
[ ] HIKINDD (04) Medicare
[ ] HIKINDE (05) Medi-Gap
[ ] HIKINDF (06) Medicaid
[ ] HIKINDG (07) CHIP (Children's Health Insurance Program)
[ ] HIKINDH (08) Military health care/VA
[ ] HIKINDI (09) TRICARE/CHAMPUS/CHAMP-VA
[ ] HIKINDJ (10) Indian Health Service
[ ] HIKINDK (11) State-sponsored health plan
[ ] HIKINDL (12) Other government program
[ ] HIKINDM (13) Single Service Plan (e.g. dental, vision, prescriptions)
[ ] HIKINDN (14) No coverage of any type
[ ] HIKINDB (02) Private health insurance plan purchased directly
[ ] HIKINDC (03) Private health insurance plan through a state or local government or community program
[ ] HIKINDD (04) Medicare
[ ] HIKINDE (05) Medi-Gap
[ ] HIKINDF (06) Medicaid
[ ] HIKINDG (07) CHIP (Children's Health Insurance Program)
[ ] HIKINDH (08) Military health care/VA
[ ] HIKINDI (09) TRICARE/CHAMPUS/CHAMP-VA
[ ] HIKINDJ (10) Indian Health Service
[ ] HIKINDK (11) State-sponsored health plan
[ ] HIKINDL (12) Other government program
[ ] HIKINDM (13) Single Service Plan (e.g. dental, vision, prescriptions)
[ ] HIKINDN (14) No coverage of any type
(Anything else?)
FHI.160
It is important that we record the complete and accurate name of each health insurance plan.
What is the COMPLETE name of the first plan?
FR: REMIND RESPONDENT IF NECESSARY:
Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
FR: READ IF NECESSARY:
DO YOU HAVE A HEALTH PLAN CARD OR SOMETHING WITH THE PLAN NAME ON IT?
What is the COMPLETE name of the first plan?
FR: REMIND RESPONDENT IF NECESSARY:
Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
FR: READ IF NECESSARY:
DO YOU HAVE A HEALTH PLAN CARD OR SOMETHING WITH THE PLAN NAME ON IT?
HIPNAM_N Name: _____________________________
FHI.160.1
FR: DO NOT READ TO RESPONDENT:
WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?
WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?
PCARD1
(1) Yes
(2) No
(2) No
FHI.170
Which family members are covered by that plan?
FR: MARK "X" ALL THAT APPLY.
FR: MARK "X" ALL THAT APPLY.
HIPNAM_B
[Enter person #s]
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1999
Survey form
view entire document:
text
image
FHI.070
What kind of health insurance or health care coverage {do/does} {you/subject's name} have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care), exclude private plans that only provide extra cash while hospitalized.
FR: SHOW CARD F9 AND CARD F10.
MARK "X" ALL THAT APPLY.
Card F9FR: SHOW CARD F9 AND CARD F10.
MARK "X" ALL THAT APPLY.
1. Private health insurance plan from employer or workplace*
2. Private health insurance plan purchased directly*
3. Private health insurance plan through a state or local government program or community
4. Medicare
5. Medi-Gap
6. Medicaid
7. CHIP (Children's Health Insurance Program)
8. Military health care/VA
9. CHAMPUS/TRICARE/CHAMP-VA
10. Indian Health Service
11. State-sponsored health plan
12. Other government program
13. Single service plan (e.g., dental, vision, prescriptions)
*EXCLUDE private plans that only provide extra cash while hospitalized.
2. Private health insurance plan purchased directly*
3. Private health insurance plan through a state or local government program or community
4. Medicare
5. Medi-Gap
6. Medicaid
7. CHIP (Children's Health Insurance Program)
8. Military health care/VA
9. CHAMPUS/TRICARE/CHAMP-VA
10. Indian Health Service
11. State-sponsored health plan
12. Other government program
13. Single service plan (e.g., dental, vision, prescriptions)
*EXCLUDE private plans that only provide extra cash while hospitalized.
[ ] HIKINDA (01) Private health insurance plan from employer or workplace
[ ] HIKINDB (02) Private health insurance plan purchased directly
[ ] HIKINDC (03) Private health insurance plan through a State or local government program or community program
[ ] HIKINDD (04) Medicare
[ ] HIKINDE (05) Medi-GAP
[ ] HIKINDF (06) Medicaid
[ ] HIKINDG (07) CHIP (Children's Health Insurance Program)
[ ] HIKINDH (08) Military health care/VA
[ ] HIKINDI (09) CHAMPUS/TRICARE/CHAMP-VA
[ ] HIKINDJ (10) Indian Health Service
[ ] HIKINDK (11) State-sponsored health plan
[ ] HIKINDL (12) Other government program
[ ] HIKINDM (13) Single Service Plan (e.g. dental, vision, prescriptions)
Check item FHICCI3: (Medicare Coverage) Loop through every non-deleted and non Armed Forces family member roster:
1. If the person in FHI.070 marked 5 and not 4, mark HIKINDD=X and go to FHI.080.
2. If the person in FHI.070 marked 4, go to FHI.080.
3. If the person in FHI.070 did not mark 4, go to Check item FHICCI4
[ ] HIKINDB (02) Private health insurance plan purchased directly
[ ] HIKINDC (03) Private health insurance plan through a State or local government program or community program
[ ] HIKINDD (04) Medicare
[ ] HIKINDE (05) Medi-GAP
[ ] HIKINDF (06) Medicaid
[ ] HIKINDG (07) CHIP (Children's Health Insurance Program)
[ ] HIKINDH (08) Military health care/VA
[ ] HIKINDI (09) CHAMPUS/TRICARE/CHAMP-VA
[ ] HIKINDJ (10) Indian Health Service
[ ] HIKINDK (11) State-sponsored health plan
[ ] HIKINDL (12) Other government program
[ ] HIKINDM (13) Single Service Plan (e.g. dental, vision, prescriptions)
Check item FHICCI3: (Medicare Coverage) Loop through every non-deleted and non Armed Forces family member roster:
1. If the person in FHI.070 marked 5 and not 4, mark HIKINDD=X and go to FHI.080.
2. If the person in FHI.070 marked 4, go to FHI.080.
3. If the person in FHI.070 did not mark 4, go to Check item FHICCI4
FHI.160
It is important that we record the complete and accurate name of each health insurance plan. What is the COMPLETE name of the first plan?
FR: REMIND RESPONDENT IF NECESSARY:
Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
FR: IF NECESSARY:
Do you have something with the plan name on it?
FR: REMIND RESPONDENT IF NECESSARY:
Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
FR: IF NECESSARY:
Do you have something with the plan name on it?
HIPNAM_N Name: _______________
FHI.170
Which family members are covered by that plan?
HIPNAM_B
[Enter person #s]
[ ]
[ ]
[ ]
[ ]
[ ]
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[ ]
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1998
Survey form
view entire document:
text
image
FHI.070
What kind of health insurance or health care coverage {do/does} {you/subject's name} have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care), exclude private plans that only provide extra cash while hospitalized.
FR: SHOW CARD F9 AND CARD F10.
MARK "X" ALL THAT APPLY.
Card F9FR: SHOW CARD F9 AND CARD F10.
MARK "X" ALL THAT APPLY.
1. Private health insurance plan from employer or workplace*
2. Private health insurance plan purchased directly*
3. Private health insurance plan through a state or local government program or community
4. Medicare
5. Medi-Gap
6. Medicaid
7. CHIP (Children's Health Insurance Program)
8. Military health care/VA
9. CHAMPUS/TRICARE/CHAMP-VA
10. Indian Health Service
11. State-sponsored health plan
12. Other government program
13. Single service plan (e.g., dental, vision, prescriptions)
*EXCLUDE private plans that only provide extra cash while hospitalized.
2. Private health insurance plan purchased directly*
3. Private health insurance plan through a state or local government program or community
4. Medicare
5. Medi-Gap
6. Medicaid
7. CHIP (Children's Health Insurance Program)
8. Military health care/VA
9. CHAMPUS/TRICARE/CHAMP-VA
10. Indian Health Service
11. State-sponsored health plan
12. Other government program
13. Single service plan (e.g., dental, vision, prescriptions)
*EXCLUDE private plans that only provide extra cash while hospitalized.
[ ] HIKINDA (01) Private health insurance plan from employer or workplace
[ ] HIKINDB (02) Private health insurance plan purchased directly
[ ] HIKINDC (03) Private health insurance plan through a State or local government program or community program
[ ] HIKINDD (04) Medicare
[ ] HIKINDE (05) Medi-GAP
[ ] HIKINDF (06) Medicaid
[ ] HIKINDG (07) CHIP (Children's Health Insurance Program)
[ ] HIKINDH (08) Military health care/VA
[ ] HIKINDI (09) CHAMPUS/TRICARE/CHAMP-VA
[ ] HIKINDJ (10) Indian Health Service
[ ] HIKINDK (11) State-sponsored health plan
[ ] HIKINDL (12) Other government program
[ ] HIKINDM (13) Single Service Plan (e.g. dental, vision, prescriptions)
Check item FHICCI3: (Medicare Coverage) Loop through every non-deleted and non Armed Forces family member roster:
1. If the person in FHI.070 marked 5 and not 4, mark HIKINDD=X and go to FHI.080.
2. If the person in FHI.070 marked 4, go to FHI.080.
3. If the person in FHI.070 did not mark 4, go to Check item FHICCI4
[ ] HIKINDB (02) Private health insurance plan purchased directly
[ ] HIKINDC (03) Private health insurance plan through a State or local government program or community program
[ ] HIKINDD (04) Medicare
[ ] HIKINDE (05) Medi-GAP
[ ] HIKINDF (06) Medicaid
[ ] HIKINDG (07) CHIP (Children's Health Insurance Program)
[ ] HIKINDH (08) Military health care/VA
[ ] HIKINDI (09) CHAMPUS/TRICARE/CHAMP-VA
[ ] HIKINDJ (10) Indian Health Service
[ ] HIKINDK (11) State-sponsored health plan
[ ] HIKINDL (12) Other government program
[ ] HIKINDM (13) Single Service Plan (e.g. dental, vision, prescriptions)
Check item FHICCI3: (Medicare Coverage) Loop through every non-deleted and non Armed Forces family member roster:
1. If the person in FHI.070 marked 5 and not 4, mark HIKINDD=X and go to FHI.080.
2. If the person in FHI.070 marked 4, go to FHI.080.
3. If the person in FHI.070 did not mark 4, go to Check item FHICCI4
FHI.160
It is important that we record the complete and accurate name of each health insurance plan. What is the COMPLETE name of the first plan?
FR: REMIND RESPONDENT IF NECESSARY:
Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
FR: IF NECESSARY:
Do you have something with the plan name on it?
FR: REMIND RESPONDENT IF NECESSARY:
Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
FR: IF NECESSARY:
Do you have something with the plan name on it?
HIPNAM_N Name: _______________
FHI.170
Which family members are covered by that plan?
HIPNAM_B
[Enter person #s]
[ ]
[ ]
[ ]
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1997
Survey form
view entire document:
text
image
FHI.070
What kind of health insurance or health care coverage {do/does} {you/subject's name} have? EXCLUDE private plans that only provide extra cash while hospitalized or pay for only one type of service (nursing home care, accidents, or dental care).
FR: ENTER EACH NUMBER THAT APPLIES. (Anything else?)
FR: ENTER EACH NUMBER THAT APPLIES. (Anything else?)
[ ] HIKINDA (01) Private health insurance plan from employer or workplace
[ ] HIKINDB (02) Private health insurance plan purchased directly
[ ] HIKINDC (03) Medicare
[ ] HIKINDD (04) Medi-Gap
[ ] HIKINDE (05) Medicaid
[ ] HIKINDF (06) Military health care/VA
[ ] HIKINDG (07) CHAMPUS/TRICARE/CHAMP-VA
[ ] HIKINDH (08) Indian Health Service
[ ] HIKINDI (09) State-sponsored health plan
[ ] HIKINDJ (10) Other government program
Check item FHICCI3: (Medicare Coverage) Loop through every non-deleted and non Armed Forces family member roster:
1. If the person in FHI.070 marked 4 and not 3, go to FHI.080.
2. If the person in FHI.070 marked 3, go to FHI.080.
3. If the person in FHI.070 did not mark 3, go to Check item FHICCI4
[ ] HIKINDB (02) Private health insurance plan purchased directly
[ ] HIKINDC (03) Medicare
[ ] HIKINDD (04) Medi-Gap
[ ] HIKINDE (05) Medicaid
[ ] HIKINDF (06) Military health care/VA
[ ] HIKINDG (07) CHAMPUS/TRICARE/CHAMP-VA
[ ] HIKINDH (08) Indian Health Service
[ ] HIKINDI (09) State-sponsored health plan
[ ] HIKINDJ (10) Other government program
Check item FHICCI3: (Medicare Coverage) Loop through every non-deleted and non Armed Forces family member roster:
1. If the person in FHI.070 marked 4 and not 3, go to FHI.080.
2. If the person in FHI.070 marked 3, go to FHI.080.
3. If the person in FHI.070 did not mark 3, go to Check item FHICCI4
FHI.160
It is important that we record the complete and accurate name of each health insurance plan. What is the COMPLETE name of the first plan?
FR: REMIND RESPONDENT IF NECESSARY: Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
FR: IF NECESSARY: DO YOU HAVE SOMETHING WITH THE PLAN NAME ON IT?
FR: REMIND RESPONDENT IF NECESSARY: Do NOT include plans that only provide extra cash while in the hospital or plans that pay for only one type of service, such as nursing home care, accidents, or dental care.
FR: IF NECESSARY: DO YOU HAVE SOMETHING WITH THE PLAN NAME ON IT?
HIPNAM_N Name: _________________________ (FHI.160)
FHI.170
Which family members are covered by that plan?
HIPNAM_B
[Enter person #s]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
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[ ]
[ ]
[ ]
Weights
- 1997-2018 : PERWEIGHT
- 2019-2023 : SAMPWEIGHT