?[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.

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

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.

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]

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.

?[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.

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

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.

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]

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.

?[F1]
Are you covered by Medicare?

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Sample Adults 65+ who have not indicated they had Medicare in HIKIND_A

1,2,RF,DK [goto SINCOVDE_A]

?[F1]
There is a program called Medicaid that pays for health care for persons in need. ^STATEMA Are you covered by Medicaid?

Description: In ^STATENAME it is also called ^STMEDICAID.
Instruction:
if STMEDICAID ne empty, fill: "In ^STATENAME it is also called ^STMEDICAID."
else fill: blank

Description: State name
Instruction:
If ST=AL, fill: Alabama else if ST=AK, fill: Alaska
else if ST=AR, fill: Arkansas
else if ST=AZ, fill: Arizona
else if ST=CA, fill: California
else if ST=CO, fill: Colorado
else if ST=CT, fill: Connecticut
else if ST=DE, fill: Delaware
else if ST=DC, fill: District of Columbia
else if ST=FL, fill: Florida
else if ST=GA, fill: Georgia
else if ST=HI, fill: Hawaii
else if ST=ID, fill: Idaho
else if ST=IL, fill: Illinois
else if ST=IN, fill: Indiana
else if ST=IA, fill: Iowa
else if ST=KS, fill: Kansas
else if ST=KY, fill: Kentucky
else if ST=LA, fill: Louisiana
else if ST=ME, fill: Maine
else if ST=MD, fill: Maryland
else if ST=MA, fill: Massachusetts
else if ST=MI, fill: Michigan
else if ST=MN, fill: Minnesota
else if ST=MS, fill: Mississippi
else if ST=MO, fill: Missouri
else if ST=MT, fill: Montana
else if ST=NE, fill: Nebraska
else if ST=NV, fill: Nevada
else if ST=NH, fill: New Hampshire
else if ST=NJ, fill: New Jersey
else if ST=NM, fill: New Mexico
else if ST=NY, fill: New York
else if ST=NC, fill: North Carolina
else if ST=ND, fill: North Dakota
else if ST=OH, fill: Ohio
else if ST=OK, fill: Oklahoma
else if ST=OR, fill: Oregon
else if ST=PA, fill: Pennsylvania
else if ST=RI, fill: Rhode Island
else if ST=SC, fill: South Carolina
else if ST=SD, fill: South Dakota
else if ST=TN, fill: Tennessee
else if ST=TX, fill: Texas
else if ST=UT, fill: Utah
else if ST=VT, fill: Vermont
else if ST=VA, fill: Virginia
else if ST=WA, fill: Washington
else if ST=WV, fill: West Virginia
else if ST=WI, fill: Wisconsin
else if ST=WY, fill: Wyoming

Description: State Medicaid name
Instruction:
If AL then fill "Patient 1st; Alabama Coordinated Health Network"
If AK then fill "DenaliCare"
If AZ then fill "Arizona Health Care Cost Containment
System (AHCCCS)"
If AR then fill "ARKids First; Arkansas Works; PASSE"
If CA then fill "Medi-Cal"
If CO then fill "Health First Colorado"
If CT then fill "HUSKY Health"
If DC then fill "DC Medicaid"
If DE then fill "Diamond State Health Plan (DSHP)"
If FL then fill "FL Medicaid"
If GA then fill "GA Medicaid; Georgia Families"
If HI then fill "Med-QUEST"
If ID then fill "Idaho Medicaid Health Plan"
If IL then fill "Medical Assistance"
If IN then fill "Healthy Indiana Plan (HIP); Hoosier
Healthwise"
If IA then fill "IA Health Link; Iowa Health and Wellness
Plan"
If KS then fill "KanCare; Kansas Medical Assistance
Program (KMAP); OneCare Kansas"
If KY then fill "Kentucky Medicaid"
If LA then fill "Healthy Louisiana"
If ME then fill "MaineCare"
If MD then fill "HealthChoice"
If MA then fill "MassHealth"
If MI then fill "Healthy Michigan Plan (HMP)"
If MN then fill "Medical Assistance (MA)"
If MS then fill "MississippiCAN"
If MO then fill "MO Healthnet"
If MT then fill "Passport to Health; Healthy Montana Kids
Plus (HMK Plus)"
If NC then fill "NC Medicaid"
If ND then fill "North Dakota Medicaid"
If NE then fill "Heritage Health"
If NH then fill " Granite Advantage Health Care Program"
If NJ then fill "NJ Family Care"
If NM then fill "Centennial Care"
If OH then fill "Ohio Medicaid State Plan; Healthy
Families; Healthy Start; Alternative Benefit Plan"
If OK then fill "SoonerCare"
If OR then fill "Oregon Health Plan (OHP)"
If PA then fill "Medical Assistance; HealthChoices"
If RI then fill "RIte Care;
If SC then fill "Healthy Connections"
If SD then fill "South Dakota Medicaid"
If TN then fill "TennCare"
If TX then fill "State of Texas Access Reform (STAR)"
If UT then fill "Utah Medicaid"
If VT then fill "Green Mountain Care"
If VA then fill "Medallion 4.0"
If WA then fill "Apple Health"
If WV then fill "Mountain Health Trust (MHT)"
If WI then fill "ForwardHealth; BadgerCare Plus"
If WY then fill "WYhealth"

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Sample Adults 18-64 who have indicated they are uninsured, refused, or don't know their type of health insurance

1,2,RF,DK [goto SINCOVDE_A]

During the past 12 months, did you receive any care at a Veteran's Health Administration facility or receive any other health care paid for by the VA?
Read if necessary: Veteran's Health Administration facilities include VA hospitals, VA medical centers, VA outpatient clinics, and VA nursing homes.

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Sample Adults 18+ who have ever served in the armed forces

1 [goto next section]
2,RF,DK if 1 IN Adult.INS.MILSPC_A [goto next section]
else [goto VACAREEV]

Have you ever enrolled in or used VA health care?

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Sample Adults 18+ who have ever served in the armed forces and did not receive care at a VHA facility or other health care paid for by the VA in the past 12 months and did not report VA health care when asked about insurance

1,2,RF,DK [goto next section]

?[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.

Description: Sample child's name
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

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.

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]

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.

?[F1]
There is a program called Medicaid that pays for health care for persons in need. ^STATEMA Is ^SCNAME covered by Medicaid?

Description: In ^STATENAME it is also called ^STMEDICAID.
Instruction:
if STMEDICAID ne empty, fill: "In ^STATENAME it is also called ^STMEDICAID."
else fill: blank

Description: State name
Instruction:
If ST=AL, fill: Alabama else if ST=AK, fill: Alaska
else if ST=AR, fill: Arkansas
else if ST=AZ, fill: Arizona
else if ST=CA, fill: California
else if ST=CO, fill: Colorado
else if ST=CT, fill: Connecticut
else if ST=DE, fill: Delaware
else if ST=DC, fill: District of Columbia
else if ST=FL, fill: Florida
else if ST=GA, fill: Georgia
else if ST=HI, fill: Hawaii
else if ST=ID, fill: Idaho
else if ST=IL, fill: Illinois
else if ST=IN, fill: Indiana
else if ST=IA, fill: Iowa
else if ST=KS, fill: Kansas
else if ST=KY, fill: Kentucky
else if ST=LA, fill: Louisiana
else if ST=ME, fill: Maine
else if ST=MD, fill: Maryland
else if ST=MA, fill: Massachusetts
else if ST=MI, fill: Michigan
else if ST=MN, fill: Minnesota
else if ST=MS, fill: Mississippi
else if ST=MO, fill: Missouri
else if ST=MT, fill: Montana
else if ST=NE, fill: Nebraska
else if ST=NV, fill: Nevada
else if ST=NH, fill: New Hampshire
else if ST=NJ, fill: New Jersey
else if ST=NM, fill: New Mexico
else if ST=NY, fill: New York
else if ST=NC, fill: North Carolina
else if ST=ND, fill: North Dakota
else if ST=OH, fill: Ohio
else if ST=OK, fill: Oklahoma
else if ST=OR, fill: Oregon
else if ST=PA, fill: Pennsylvania
else if ST=RI, fill: Rhode Island
else if ST=SC, fill: South Carolina
else if ST=SD, fill: South Dakota
else if ST=TN, fill: Tennessee
else if ST=TX, fill: Texas
else if ST=UT, fill: Utah
else if ST=VT, fill: Vermont
else if ST=VA, fill: Virginia
else if ST=WA, fill: Washington
else if ST=WV, fill: West Virginia
else if ST=WI, fill: Wisconsin
else if ST=WY, fill: Wyoming

Description: State Medicaid name
Instruction:
If AL then fill "Patient 1st; Alabama Coordinated Health Network"
If AK then fill "DenaliCare"
If AZ then fill "Arizona Health Care Cost Containment
System (AHCCCS)"
If AR then fill "ARKids First; Arkansas Works; PASSE"
If CA then fill "Medi-Cal"
If CO then fill "Health First Colorado"
If CT then fill "HUSKY Health"
If DC then fill "DC Medicaid"
If DE then fill "Diamond State Health Plan (DSHP)"
If FL then fill "FL Medicaid"
If GA then fill "GA Medicaid; Georgia Families"
If HI then fill "Med-QUEST"
If ID then fill "Idaho Medicaid Health Plan"
If IL then fill "Medical Assistance"
If IN then fill "Healthy Indiana Plan (HIP); Hoosier
Healthwise"
If IA then fill "IA Health Link; Iowa Health and Wellness
Plan"
If KS then fill "KanCare; Kansas Medical Assistance
Program (KMAP); OneCare Kansas"
If KY then fill "Kentucky Medicaid"
If LA then fill "Healthy Louisiana"
If ME then fill "MaineCare"
If MD then fill "HealthChoice"
If MA then fill "MassHealth"
If MI then fill "Healthy Michigan Plan (HMP)"
If MN then fill "Medical Assistance (MA)"
If MS then fill "MississippiCAN"
If MO then fill "MO Healthnet"
If MT then fill "Passport to Health; Healthy Montana Kids
Plus (HMK Plus)"
If NC then fill "NC Medicaid"
If ND then fill "North Dakota Medicaid"
If NE then fill "Heritage Health"
If NH then fill " Granite Advantage Health Care Program"
If NJ then fill "NJ Family Care"
If NM then fill "Centennial Care"
If OH then fill "Ohio Medicaid State Plan; Healthy
Families; Healthy Start; Alternative Benefit Plan"
If OK then fill "SoonerCare"
If OR then fill "Oregon Health Plan (OHP)"
If PA then fill "Medical Assistance; HealthChoices"
If RI then fill "RIte Care;
If SC then fill "Healthy Connections"
If SD then fill "South Dakota Medicaid"
If TN then fill "TennCare"
If TX then fill "State of Texas Access Reform (STAR)"
If UT then fill "Utah Medicaid"
If VT then fill "Green Mountain Care"
If VA then fill "Medallion 4.0"
If WA then fill "Apple Health"
If WV then fill "Mountain Health Trust (MHT)"
If WI then fill "ForwardHealth; BadgerCare Plus"
If WY then fill "WYhealth"

Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Sample Children 0-17 who have indicated they are uninsured, refused, or don't know if they are insured

1,2,RF,DK [goto SINCOVDE_C]

?[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.

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

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.

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]

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.

?[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.

Description: Sample child's name
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

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.

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]

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.

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.

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

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.

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]

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.

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.

Description: Sample child's name
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

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.

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]

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.

Instrument Variable Name: HIKIND
Questionnaire File Name: Family
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.

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

Universe Text: All persons in families where FHICOV= yes, don't know, or refused
Skip Instructions:

(R,D) [goto HCSPFYR]
(1-10) [if AGE ge 65 and HIKIND ne 2, goto MCAREPRB; else, if HIKIND ne 10 goto SINCOV; else, goto
HICHANGE]
(11) [if HIKIND = 1-10, goto ERR_HIKIND; else, if AGE ge 65 goto MCAREPRB; else, goto MCAIDPRB]
Hard Edit: ERR_HIKIND:
* Cannot mark "No coverage of any kind" and another type.
* Please correct.