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