Survey Text

1996
1995
1994
1993
top
1996
Survey form view entire document:  text  image

b. What type of service or care does the plan pay for?
Mark (x) only one type of service

01[] Accidents
02[] AIDS care
03[] Cancer treatment
04[] Catastrophic care
05[] Dental care
06[] Disability insurance (cash payments when unable to work for health reasons)
07[] Hospice care
08[] Hospitalization-only
09[] Long term care (nursing home care)
10[] Prescriptions
11[] Vision care
98[] Other-Specify ________
99[] DK
Go to 1a for next HI plan; if no other HI plan, go to 8 on page 26

top
1995
Survey form view entire document:  text  image

b. What type of service or care does the plan pay for?
Mark (x) only one type of service

01[] Accidents
02[] AIDS care
03[] Cancer treatment
04[] Catastrophic care
05[] Dental care
06[] Disability insurance (cash payments when unable to work for health reasons)
07[] Hospice care
08[] Hospitalization-only
09[] Long term care (nursing home care)
10[] Prescriptions
11[] Vision care
98[] Other-Specify ________
99[] DK
Go to 1a for next HI plan; if no other HI plan, go to 8 on page 26

top
1994
Survey form view entire document:  text  image

5a. Does this plan pay for a variety of health care services or does it pay for ONLY ONE type of services or care?

[] 1 Variety of services (6)
[] 2 Only one type of service/care (5b)
[] 9 DK (6)

b. What type of service or care does the plan pay for?
Mark (X) only one type of service.

[] 01 Accidents
[] 02 AIDS care
[] 03 Cancer treatment
[] 04 Catastrophic care
[] 05 Dental care
[] 06 Disability insurance (cash payments when unable to work for health reasons)
[] 07 Hospice care
[] 08 Hospitalization-only
[] 09 Long term care (nursing home care)
[] 10 Prescriptions
[] 11 Vision care
[] 98 Other -- Specify -- ____
[] 99 DK

top
1993
Survey form view entire document:  text  image

5a. Does this plan pay for a variety of health care services or does it pay for ONLY ONE type of services or care?

[] 1 Variety of services (6)
[] 2 Only one type of service/care (5b)
[] 9 DK (6)

b. What type of service or care does the plan pay for?
Mark (X) only one type of service.

[] 01 Accidents
[] 02 AIDS care
[] 03 Cancer treatment
[] 04 Catastrophic care
[] 05 Dental care
[] 06 Disability insurance (cash payments when unable to work for health reasons)
[] 07 Hospice care
[] 08 Hospitalization-only
[] 09 Long term care (nursing home care)
[] 10 Prescriptions
[] 11 Vision care
[] 98 Other -- Specify -- ____
[] 99 DK