Survey Text

1999
1998
1997
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1999
Survey form view entire document:  text  image
FHI.060

Who has coverage? (Anyone else?)
PHICOV
[Enter person #s]

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[For members who were not marked in FHI.060, go to FHICCI9; Those family members who were marked in FHI.060, go to FHI.070.]

top
1998
Survey form view entire document:  text  image
FHI.060

Who has coverage? (Anyone else?)
PHICOV
[Enter person #s]

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[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
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[For members who were not marked in FHI.060, go to FHICCI9; Those family members who were marked in FHI.060, go to FHI.070.]

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1997
Survey form view entire document:  text  image
FHI.050

FR: HAND CARD F9.
Card F9
1. Private health insurance plan from employer or workplace*
2. Private health insurance plan purchased directly*
3. Medicare
4. Medi-Gap
5. Medicaid
6. Military health care/VA
7. CHAMPUS/TRICARE/CHAMP-VA
8. Indian Health Service
9. State-sponsored health plan
10. Other government program

*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).
[If FAVAIL eq (1)]
The next questions are about health insurance.

[If FAVAIL ne (1)]
Since no one else is available to answer these questions, we can just continue. Just give the best answers you can.
{Are you/Is anyone} covered by health insurance or some other kind of health care plan?

FR: READ IF NECESSARY: INCLUDE HEALTH INSURANCE OBTAINED THROUGH EMPLOYMENT OR PURCHASED DIRECTLY AS WELL AS GOVERNMENT PROGRAMS LIKE MEDICARE AND MEDICAID THAT PROVIDE MEDICAL CARE OR HELP PAYMEDICAL BILLS.
FHICOV
(1) Yes (FHI.060)
(2) No (FHICCI9)
(7) Refused (FHICCI9)
(9) DK (FHICCI9)

FHI.060

Who has coverage? (Anyone else?)
PHICOV
[Enter person #s]

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

[For members who were not marked in FHI.060, go to FHICCI9; Those family members who were marked in FHI.060, go to FHI.070.]