Survey Text

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2020 2013 2006 1999
2019 2012 2005 1998
2018 2011 2004 1997
2017 2010 2003
2016 2009 2002
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2022
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:

?[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:
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:
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:
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.

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2021
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:
?[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:
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:
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:
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.0040.00.1
Variable: MCAIDPRB_A
Interview Module: Adult
Content Type: Annual Core
Question text:
?[F1]
There is a program called Medicaid that pays for health care for persons in need. ^STATEMA Are you covered by Medicaid?
Fills:
^STATEMA
Description: In ^STATENAME it is also called ^STMEDICAID.
Instruction:
if STMEDICAID ne empty, fill: "In ^STATENAME it is also called ^STMEDICAID."
else fill: blank
^STATENAME
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
^STMEDICAID
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"
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18-64 who have indicated they are uninsured, refused, or don't know their type of health insurance
Skip Instructions:
1,2,RF,DK [goto SINCOVDE_A]
Question ID: INS.0020.00.1
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:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
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:
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:
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.
Question ID: INS.0030.00.1
Variable: MCAIDPRB_C
Interview Module: Child
Content Type: Annual Core
Question text:
?[F1]
There is a program called Medicaid that pays for health care for persons in need. ^STATEMA Is ^SCNAME covered by Medicaid?
Fills:
^STATEMA
Description: In ^STATENAME it is also called ^STMEDICAID.
Instruction:
if STMEDICAID ne empty, fill: "In ^STATENAME it is also called ^STMEDICAID."
else fill: blank
^STATENAME
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
^STMEDICAID
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"
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Children 0-17 who have indicated they are uninsured, refused, or don't know if they are insured
Skip Instructions:
1,2,RF,DK [goto SINCOVDE_C]

top
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:
?[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:
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:
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:
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.0040.00.1
Variable: MCAIDPRB_A
Interview Module: Adult
Content Type: Annual Core
Question text:
?[F1]
There is a program called Medicaid that pays for health care for persons in need. ^STATEMA Are
you covered by Medicaid?
Fills:
^STATEMA
Description: In ^STATENAME it is also called ^STMEDICAID.
Instruction:
if STMEDICAID ne empty, fill: "In ^STATENAME it is also called ^STMEDICAID."
else fill: blank
^STATENAME
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
^STMEDICAID
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"
If DE then fill "Diamond State Health Plan"
If FL then fill "Medically Needy Program"
If GA then fill "Georgia Families"
If HI then fill "QUEST"
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 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 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"
If RI then fill "RIte Care; Affordable Care Coverage
(ACC); Medical Assistance"
If SC then fill "Healthy Connections"
If TN then fill "TennCare"
If TX then fill "State of Texas Access Reform (STAR)"
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"
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18-64 who have indicated they are uninsured, refused, or don't know their type of health insurance
Skip Instructions:
1,2,RF,DK [goto SINCOVDE_A]
Question ID: INS.0020.00.1
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:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
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:
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:
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.
Question ID: INS.0030.00.1
Variable: MCAIDPRB_C
Interview Module: Child
Content Type: Annual Core
Question text:
?[F1]
There is a program called Medicaid that pays for health care for persons in need. ^STATEMA Is
^SCNAME covered by Medicaid?
Fills:
^STATEMA
Description: In ^STATENAME it is also called ^STMEDICAID.
Instruction:
if STMEDICAID ne empty, fill: "In ^STATENAME it is also called ^STMEDICAID."
else fill: blank
^STATENAME
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
^STMEDICAID
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"
If DE then fill "Diamond State Health Plan"
If FL then fill "Medically Needy Program"
If GA then fill "Georgia Families"
If HI then fill "QUEST"
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 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 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"
If RI then fill "RIte Care; Affordable Care Coverage
(ACC); Medical Assistance"
If SC then fill "Healthy Connections"
If TN then fill "TennCare"
If TX then fill "State of Texas Access Reform (STAR)"
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"
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Children 0-17 who have indicated they are uninsured, refused, or don't know if they are insured
Skip Instructions:
1,2,RF,DK [goto SINCOVDE_C]

top
2019
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:
?[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:
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:
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:
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.0040.00.1
Variable: MCAIDPRB_A
Interview Module: Adult
Content Type: Annual Core

Question Text:
?[F1]

There is a program called Medicaid that pays for health care for persons in need. ^STATEMA Are you covered by Medicaid?
Fills
^STATEMA
Description: In ^STATENAME it is also called ^STMEDICAID.
Instruction: if STMEDICAID ne empty, fill: "In ^STATENAME it is also called ^STMEDICAID."
else fill: blank
^STATENAME
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
^STMEDICAID
Description: State Medicaid Name.
Instruction: If AL then fill "Patient 1st, Alabama Coordinated Health Network"
If AK then fill "Alaska Medicaid; DenaliCare"
If AZ then fill "Arizona Health Care Cost Containment System (AHCCCS)"
If AR then fill "ARKids First A; Arkansas Works" If CA then fill "Medi-Cal"
If CO then fill "Health First Colorado"
If CT then fill "HUSKY A, HUSKY C, HUSKY D; Med-Connect" If DE then fill "Diamond State Health Plan; Children's Community Alternative Disabilities Program"
If DC then fill "DC Medicaid"
If FL then fill "Florida Medicaid; Medically Needy Program"
If GA then fill "Georgia Families; Health Insurance Premium Payment Program (HIPP)"
If HI then fill "Med QUEST"
If ID then fill "Idaho Medicaid Program" If IL then fill "Medical Assistance"
If IN then fill "Traditional Medicaid; 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)"
If KY then fill "Kentucky Medicaid; Kentucky HEALTH" If LA then fill "Healthy Louisiana; LaCHIP; LaMOMS" If ME then fill "MaineCare"
If MD then fill "HealthChoice; Maryland Children's Health Program (MCHP)"
If MA then fill "MassHealth"
If MI then fill "Medicaid; 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); HELP Plan"
If NE then fill "Heritage Health" If NV then fill "Nevada Medicaid"
If NH then fill "NH Medicaid; Granite Advantage Health Care Program"
If NJ then fill "NJ Medicaid; NJ Family Care" If NM then fill "Centennial Care"
If NY then fill "Medicaid; Children's Medicaid" If NC then fill "NC Medicaid; Medical Assistance" If ND then fill "North Dakota Medicaid"
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"
If RI then fill "RIte Care; Affordable Care Coverage (ACC)"
If SC then fill "Healthy Connections" If SD then fill "South Dakota Medicaid" If TN then fill "TennCare"
If TX then fill "Texas Medicaid; State of Texas Access Reform (STAR); STAR+PLUS; Children's Medicaid; STAR Kids" If UT then fill "Utah Medicaid"
If VT then fill "Green Mountain Care" If VA then fill "Medicaid; FAMIS Plus" If WA then fill "Apple Health"
If WV then fill "Mountain Health Trust (MHT)"
If WI then fill "Wisconsin Medicaid; ForwardHealth" If WY then fill "WYhealth"
Response:
1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Adults 18-64 who have indicated they are uninsured, refused, or do not know their type of health insurance
Skip Instructions:
1,2,RF,DK= goto SINCOVDE_A
Question ID: INS.0020.00.1
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:
^SCNAME

Description: Sample child's name
Instruction: Fill ALIAS of HHSTAT_C=1
Response:
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:
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:
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.
Question ID: INS.0030.00.1
Variable: MCAIDPRB_C
Interview Module: Child
Content Type: Annual Core

Question Text:
?[F1]

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

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

^STATENAME

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

^STMEDICAID

Description: State Medicaid name
Instruction: If AL then fill "Patient 1st, Alabama Coordinated Health Network"
If AK then fill "Alaska Medicaid; DenaliCare"
If AZ then fill "Arizona Health Care Cost Containment System (AHCCCS)"
If AR then fill "ARKids First A; Arkansas Works" If CA then fill "Medi-Cal"
If CO then fill "Health First Colorado"
If CT then fill "HUSKY A, HUSKY C, HUSKY D; Med-Connect" If DE then fill "Diamond State Health Plan; Children's Community Alternative Disabilities Program"
If DC then fill "DC Medicaid"
If FL then fill "Florida Medicaid; Medically Needy Program"
If GA then fill "Georgia Families; Health Insurance Premium Payment Program (HIPP)"
If HI then fill "Med QUEST"
If ID then fill "Idaho Medicaid Program" If IL then fill "Medical Assistance"
If IN then fill "Traditional Medicaid; 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)"
If KY then fill "Kentucky Medicaid; Kentucky HEALTH" If LA then fill "Healthy Louisiana; LaCHIP; LaMOMS" If ME then fill "MaineCare"
If MD then fill "HealthChoice; Maryland Children's Health Program (MCHP)"
If MA then fill "MassHealth"
If MI then fill "Medicaid; 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); HELP Plan"
If NE then fill "Heritage Health" If NV then fill "Nevada Medicaid"
If NH then fill "NH Medicaid; Granite Advantage Health Care Program"
If NJ then fill "NJ Medicaid; NJ Family Care" If NM then fill "Centennial Care"
If NY then fill "Medicaid; Children's Medicaid" If NC then fill "NC Medicaid; Medical Assistance" If ND then fill "North Dakota Medicaid"
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"
If RI then fill "RIte Care; Affordable Care Coverage (ACC)"
If SC then fill "Healthy Connections" If SD then fill "South Dakota Medicaid" If TN then fill "TennCare"
If TX then fill "Texas Medicaid; State of Texas Access Reform (STAR); STAR+PLUS; Children's Medicaid; STAR Kids" If UT then fill "Utah Medicaid"
If VT then fill "Green Mountain Care" If VA then fill "Medicaid; FAMIS Plus" If WA then fill "Apple Health"
If WV then fill "Mountain Health Trust (MHT)"
If WI then fill "Wisconsin Medicaid; ForwardHealth" If WY then fill "WYhealth"

^SCNAME

Description: Sample child's name
Instruction: Fill ALIAS of HHSTAT_C=1
Response:
1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Children 0-17 who have indicated they are uninsured, refused, or do not know if they are insured
Skip Instructions:
1,2,RF,DK= [goto SINCOVDE_C]

top
2018
Survey form view entire document:  text  image
Question ID:FHI.070_00.000

Instrument Variable Name: HIKIND
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) [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.073_00.000

Instrument Variable Name: MCAIDPRB
Question Text:
(book F14) * Refer to flashcard F14 for state Medicaid names.
There is a program called Medicaid that pays for health care for persons in need. In this State it is also called (* fill State name). [fill: Are you/Is ALIAS] covered by Medicaid?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text All persons less than 65 years of age with no insurance coverage of any type
Skip Instructions:
go to SINCOV
Question ID:FHI.120_00.000

Instrument Variable Name: MACHMD
Question Text:
(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?
1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know
Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

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2017
Survey form view entire document:  text  image
Question ID:FHI.070_00.000

Instrument Variable Name: HIKIND
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) [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.073_00.000

Instrument Variable Name: MCAIDPRB
Question Text:
(book F14) * Refer to flashcard F14 for state Medicaid names.
There is a program called Medicaid that pays for health care for persons in need. In this State it is also called (* fill State name). [fill: Are you/Is ALIAS] covered by Medicaid?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text All persons less than 65 years of age with no insurance coverage of any type
Skip Instructions:
go to SINCOV
Question ID:FHI.120_00.000

Instrument Variable Name: MACHMD
Question Text:
(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?
1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know
Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

top
2016
Survey form view entire document:  text  image
Question ID:FHI.070_00.000

Instrument Variable Name: HIKIND
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) [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.073_00.000

Instrument Variable Name: MCAIDPRB
Question Text:
(book F14) * Refer to flashcard F14 for state Medicaid names.
There is a program called Medicaid that pays for health care for persons in need. In this State it is also called (* fill State name). [fill: Are you/Is ALIAS] covered by Medicaid?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text All persons less than 65 years of age with no insurance coverage of any type
Skip Instructions:
go to SINCOV
Question ID:FHI.120_00.000

Instrument Variable Name: MACHMD
Question Text:
(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?
1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know
Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

top
2015
Survey form view entire document:  text  image
Question ID:FHI.070_00.000

Instrument Variable Name: HIKIND
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) [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.073_00.000

Instrument Variable Name: MCAIDPRB
Question Text:
(book F14) * Refer to flashcard F14 for state Medicaid names.
There is a program called Medicaid that pays for health care for persons in need. In this State it is also called (* fill State name). [fill: Are you/Is ALIAS] covered by Medicaid?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text All persons less than 65 years of age with no insurance coverage of any type
Skip Instructions:
go to SINCOV
Question ID:FHI.120_00.000

Instrument Variable Name: MACHMD
Question Text:
(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?
1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know
Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

top
2014
Survey form view entire document:  text  image
Question ID:FHI.070_00.000

Instrument Variable Name: HIKIND
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) [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.073_00.000

Instrument Variable Name: MCAIDPRB
Question Text:
(book F14) * Refer to flashcard F14 for state Medicaid names.
There is a program called Medicaid that pays for health care for persons in need. In this State it is also called (* fill State name). [fill: Are you/Is ALIAS] covered by Medicaid?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text All persons less than 65 years of age with no insurance coverage of any type
Skip Instructions:
go to SINCOV
Question ID:FHI.120_00.000

Instrument Variable Name: MACHMD
Question Text:
(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?
1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know
Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

top
2013
Survey form view entire document:  text  image
Question ID:FHI.070_00.000

Instrument Variable Name: HIKIND
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) [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.073_00.000

Instrument Variable Name: MCAIDPRB
Question Text:
(book F14) * Refer to flashcard F14 for state Medicaid names.
There is a program called Medicaid that pays for health care for persons in need. In this State it is also called (* fill State name). [fill: Are you/Is ALIAS] covered by Medicaid?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text All persons less than 65 years of age with no insurance coverage of any type
Skip Instructions:
go to SINCOV
Question ID:FHI.120_00.000

Instrument Variable Name: MACHMD
Question Text:
(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?
1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know
Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

top
2012
Survey form view entire document:  text  image
Question ID:FHI.070_00.000

Instrument Variable Name: HIKIND
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) [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.073_00.000

Instrument Variable Name: MCAIDPRB
Question Text:
(book F14) * Refer to flashcard F14 for state Medicaid names.
There is a program called Medicaid that pays for health care for persons in need. In this State it is also called (* fill State name). [fill: Are you/Is ALIAS] covered by Medicaid?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text All persons less than 65 years of age with no insurance coverage of any type
Skip Instructions:
go to SINCOV
Question ID:FHI.120_00.000

Instrument Variable Name: MACHMD
Question Text:
(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?
1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know
Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

top
2011
Survey form view entire document:  text  image
Question ID:FHI.073_00.000

Instrument Variable Name: MCAIDPRB
Question Text:
(book F14) * Refer to flashcard F14 for state Medicaid names.
There is a program called Medicaid that pays for health care for persons in need. In this State it is also called (* fill State name). [fill: Are you/Is ALIAS] covered by Medicaid?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text All persons less than 65 years of age with no insurance coverage of any type
Skip Instructions:
go to SINCOV

top
2010
Survey form view entire document:  text  image
Question ID:FHI.070_00.000

Instrument Variable Name: HIKIND
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) [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.073_00.000

Instrument Variable Name: MCAIDPRB
Question Text:
(book F14) * Refer to flashcard F14 for state Medicaid names.
There is a program called Medicaid that pays for health care for persons in need. In this State it is also called (* fill State name). [fill: Are you/Is ALIAS] covered by Medicaid?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text All persons less than 65 years of age with no insurance coverage of any type
Skip Instructions:
go to SINCOV
Question ID:FHI.130_00.000

Instrument Variable Name: MACHMD1
Question Text:
* Ask or verify. What is the name of the health plan that provided the book or list?
*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
Universe Text All persons with Medicaid who must select a doctor from a book or list of doctors
Skip Instructions:
go to MANAM
Question ID:FHI.131_00.000

Instrument Variable Name: MACHMD2
Question Text:
* Ask or verify. What is the name of the health plan that assigned the doctor?
*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
Universe Text All persons with Medicaid for whom a doctor is assigned
Skip Instructions:

go to MANAM

top
2009
Survey form view entire document:  text  image
Question ID:FHI.070_00.000

Instrument Variable Name: HIKIND
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) [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.073_00.000

Instrument Variable Name: MCAIDPRB
Question Text:
(book F14) * Refer to flashcard F14 for state Medicaid names.
There is a program called Medicaid that pays for health care for persons in need. In this State it is also called (* fill State name). [fill: Are you/Is ALIAS] covered by Medicaid?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text All persons less than 65 years of age with no insurance coverage of any type
Skip Instructions:
go to SINCOV

top
2008
Survey form view entire document:  text  image
Question ID:FHI.070_00.000

Instrument Variable Name: HIKIND
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) [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.073_00.000

Instrument Variable Name: MCAIDPRB
Question Text:
(book F14) * Refer to flashcard F14 for state Medicaid names.
There is a program called Medicaid that pays for health care for persons in need. In this State it is also called (* fill State name). [fill: Are you/Is ALIAS] covered by Medicaid?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text All persons less than 65 years of age with no insurance coverage of any type
Skip Instructions:
go to SINCOV
Question ID:FHI.120_00.000

Instrument Variable Name: MACHMD
Question Text:
(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?
1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know
Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

top
2007
Survey form view entire document:  text  image
Question ID:FHI.070_00.000

Instrument Variable Name: HIKIND
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) [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.073_00.000

Instrument Variable Name: MCAIDPRB
Question Text:
(book F14) * Refer to flashcard F14 for state Medicaid names.
There is a program called Medicaid that pays for health care for persons in need. In this State it is also called (* fill State name). [fill: Are you/Is ALIAS] covered by Medicaid?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text All persons less than 65 years of age with no insurance coverage of any type
Skip Instructions:
go to SINCOV
Question ID:FHI.130_00.000

Instrument Variable Name: MACHMD1
Question Text:
* Ask or verify. What is the name of the health plan that provided the book or list?
*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
Universe Text All persons with Medicaid who must select a doctor from a book or list of doctors
Skip Instructions:
go to MANAM
Question ID:FHI.131_00.000

Instrument Variable Name: MACHMD2
Question Text:
* Ask or verify. What is the name of the health plan that assigned the doctor?
*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
Universe Text All persons with Medicaid for whom a doctor is assigned
Skip Instructions:

go to MANAM

top
2006
Survey form view entire document:  text  image
Question ID:FHI.070_00.000

Instrument Variable Name: HIKIND
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) [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.073_00.000

Instrument Variable Name: MCAIDPRB
Question Text:
(book F14) * Refer to flashcard F14 for state Medicaid names.
There is a program called Medicaid that pays for health care for persons in need. In this State it is also called (* fill State name). [fill: Are you/Is ALIAS] covered by Medicaid?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text All persons less than 65 years of age with no insurance coverage of any type
Skip Instructions:
go to SINCOV

top
2005
Survey form view entire document:  text  image
Question ID:FHI.070_00.000

Instrument Variable Name: HIKIND
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) [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.073_00.000

Instrument Variable Name: MCAIDPRB
Question Text:
(book F14) * Refer to flashcard F14 for state Medicaid names.
There is a program called Medicaid that pays for health care for persons in need. In this State it is also called (* fill State name). [fill: Are you/Is ALIAS] covered by Medicaid?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text All persons less than 65 years of age with no insurance coverage of any type
Skip Instructions:
go to SINCOV

top
2004
Survey form view entire document:  text  image
Question ID:FHI.070_00.000

Instrument Variable Name: HIKIND
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) [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.073_00.000

Instrument Variable Name: MCAIDPRB
Question Text:
(book F14) * Refer to flashcard F14 for state Medicaid names.
There is a program called Medicaid that pays for health care for persons in need. In this State it is also called (* fill State name). [fill: Are you/Is ALIAS] covered by Medicaid?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text All persons less than 65 years of age with no insurance coverage of any type
Skip Instructions:
go to SINCOV

top
2003
Survey form view entire document:  text  image
FHI.070

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
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.
[ ] 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
(Anything else?)

top
2002
Survey form view entire document:  text  image
FHI.070

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
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.
[ ] 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
(Anything else?)

top
2001
Survey form view entire document:  text  image
FHI.070

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
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.
[ ] 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
(Anything else?)

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2000
Survey form view entire document:  text  image
FHI.070

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
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.
[ ] 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
(Anything else?)

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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 F9
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.
[ ] 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

FHI.120

FR: SHOW CARD F10 FOR STATE MEDICAID NAMES

The next questions are about Medicaid coverage. In this State it is also called (state name). {You/subject's name} {are/is} listed as having Medicaid coverage. Can {you/subject's name} go to ANY doctor who will accept Medicaid or MUST {you/he/she} choose from a book or list of doctors or is a doctor assigned?
MACHMD
(1) Any doctor (FHI.140)
(2) Select from book/list (MACHMD_1)
(3) Doctor is assigned (MACHMD_2)
(7) Refused (FHI.140)
(9) Don't know (FHI.140)

FHI.260

Just to verify, other than single service plans, {do/does} {you/he/she} have Medicare, Medicaid, CHIP (Children's Health Insurance Program), CHAMPUS, or CHAMPVA ... or any private insurance?

FR: READ STATE NAME FOR MEDICAID AND STATE SPONSORED HEALTH INSURANCE PROGRAM FROM CARDS F9 AND F10.
HICHECK
(1) Yes (FHI.060)
(2) No (FHI.270)
(7) Refused (FHI.270)
(9) Don't know (FHI.270)
Card F9
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.

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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? 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). (Anything else?)

FR: SHOW CARD F9.
MARK "X" ALL THAT APPLY.
Card F9
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. Military health care/VA
8.CHAMPUS/TRICARE/CHAMP-VA
9. Indian Health Service
10.State-sponsored health plan
11. 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).
[ ]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 (08) Military health care/VA
[ ]HIKINDH (09) CHAMPUS/TRICARE/CHAMP-VA
[ ]HIKINDI (10) Indian Health Service
[ ]HIKINDJ (11) State-sponsored health plan
[ ]HIKINDK (12) 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 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.260

Earlier I recorded that {you/subject's name} {do/does} not have health care coverage of any kind.{Do/Does} {you/he/she} have Medicare, Medicaid,

FR: READ STATE NAME FOR MEDICAID AND STATE SPONSORED HEALTH INSURANCE PROGRAM FROM CARDS F10 AND F11.

CHAMPUS or CHAMPVA... or any private insurance?
HICHECK
(1) Yes (FHI.060)
(2) No (FHI.270)
(7) Refused (FHI.270)
(9) DK (FHI.270)

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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?)
[ ] 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