Survey Text

2003 2000 1997 1994
2002 1999 1996 1993
2001 1998 1995 1992
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2003
Survey form view entire document:  text  image

FHI.174

FR: ASK IF NECESSARY:

Are there any more health insurance plans in addition to those already mentioned?
[fill HIPNAM_N]
[fill NEXTPNM_N]
MORPLAN2
(1) Yes (FHI.175)
(2) No (Check Item FHCCI7)

FHI.175

FR: READ IF NECESSARY: DO YOU HAVE A HEALTH PLAN CARD OR SOMETHING WITH THE PLAN NAME ON IT?

What is the name of the next plan?
NEXTPNM2 Name: ____________________________

FHI.175.1

FR: DO NOT READ TO RESPONDENT: WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?
PCARD3
(1) Yes
(2) No

FHI.176

Which family members are covered by this plan?

FR: MARK "X" ALL THAT APPLY.
NEXTPNM2_B
[Enter person #s]

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[ ]

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2002
Survey form view entire document:  text  image

FHI.174

FR: ASK IF NECESSARY:

Are there any more health insurance plans in addition to those already mentioned?
[fill HIPNAM_N]
[fill NEXTPNM_N]
MORPLAN2
(1) Yes (FHI.175)
(2) No (Check Item FHCCI7)

FHI.175

FR: READ IF NECESSARY: DO YOU HAVE A HEALTH PLAN CARD OR SOMETHING WITH THE PLAN NAME ON IT?

What is the name of the next plan?
NEXTPNM2 Name: ____________________________

FHI.175.1

FR: DO NOT READ TO RESPONDENT: WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?
PCARD3
(1) Yes
(2) No

FHI.176

Which family members are covered by this plan?

FR: MARK "X" ALL THAT APPLY.
NEXTPNM2_B
[Enter person #s]

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

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2001
Survey form view entire document:  text  image

FHI.174

FR: ASK IF NECESSARY:

Are there any more health insurance plans in addition to those already mentioned?
[fill HIPNAM_N]
[fill NEXTPNM_N]
MORPLAN2
(1) Yes (FHI.175)
(2) No (Check Item FHCCI7)

FHI.175

FR: READ IF NECESSARY: DO YOU HAVE A HEALTH PLAN CARD OR SOMETHING WITH THE PLAN NAME ON IT?

What is the name of the next plan?
NEXTPNM2 Name: ____________________________

FHI.175.1

FR: DO NOT READ TO RESPONDENT: WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?
PCARD3
(1) Yes
(2) No

FHI.176

Which family members are covered by this plan?

FR: MARK "X" ALL THAT APPLY.
NEXTPNM2_B
[Enter person #s]

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

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2000
Survey form view entire document:  text  image

FHI.174

FR: ASK IF NECESSARY:

Are there any more health insurance plans in addition to those already mentioned?
[fill HIPNAM_N]
[fill NEXTPNM_N]
MORPLAN2
(1) Yes (FHI.175)
(2) No (Check Item FHCCI7)

FHI.175

FR: READ IF NECESSARY: DO YOU HAVE A HEALTH PLAN CARD OR SOMETHING WITH THE PLAN NAME ON IT?

What is the name of the next plan?
NEXTPNM2 Name: ____________________________

FHI.175.1

FR: DO NOT READ TO RESPONDENT: WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?
PCARD3
(1) Yes
(2) No

FHI.176

Which family members are covered by this plan?

FR: MARK "X" ALL THAT APPLY.
NEXTPNM2_B
[Enter person #s]

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

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1999
Survey form view entire document:  text  image

FHI.174

FR: ASK IF NECESSARY:

Are there any more health insurance plans in addition to those already mentioned?
[fill HIPNAM_N]
[fill NEXTPNM_N]
MORPLAN2
(1) Yes (FHI.175)
(2) No (Check Item FHCCI7)

FHI.175

FR: READ IF NECESSARY: DO YOU HAVE A HEALTH PLAN CARD OR SOMETHING WITH THE PLAN NAME ON IT?

What is the name of the next plan?
NEXTPNM2 Name: ____________________________

FHI.175.1

FR: DO NOT READ TO RESPONDENT: WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?
PCARD3
(1) Yes
(2) No

FHI.176

Which family members are covered by this plan?

FR: MARK "X" ALL THAT APPLY.
NEXTPNM2_B
[Enter person #s]

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

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1998
Survey form view entire document:  text  image

FHI.174

FR: ASK IF NECESSARY:

Are there any more health insurance plans in addition to those already mentioned?
[fill HIPNAM_N]
[fill NEXTPNM_N]
MORPLAN2
(1) Yes (FHI.175)
(2) No (Check Item FHCCI7)

FHI.175

FR: READ IF NECESSARY: DO YOU HAVE A HEALTH PLAN CARD OR SOMETHING WITH THE PLAN NAME ON IT?

What is the name of the next plan?
NEXTPNM2 Name: ____________________________

FHI.175.1

FR: DO NOT READ TO RESPONDENT: WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?
PCARD3
(1) Yes
(2) No

FHI.176

Which family members are covered by this plan?

FR: MARK "X" ALL THAT APPLY.
NEXTPNM2_B
[Enter person #s]

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

top
1997
Survey form view entire document:  text  image

FHI.174

FR: ASK IF NECESSARY:

Are there any more health insurance plans in addition to those already mentioned?
[fill HIPNAM_N]
[fill NEXTPNM_N]
MORPLAN2
(1) Yes (FHI.175)
(2) No (Check Item FHCCI7)

FHI.175

FR: READ IF NECESSARY: DO YOU HAVE A HEALTH PLAN CARD OR SOMETHING WITH THE PLAN NAME ON IT?

What is the name of the next plan?
NEXTPNM2 Name: ____________________________

FHI.175.1

FR: DO NOT READ TO RESPONDENT: WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?
PCARD3
(1) Yes
(2) No

FHI.176

Which family members are covered by this plan?

FR: MARK "X" ALL THAT APPLY.
NEXTPNM2_B
[Enter person #s]

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

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1996

No questionnaire text is available for this sample.


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1995

No questionnaire text is available for this sample.


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1994

No questionnaire text is available for this sample.


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1993
Survey form view entire document:  text  image

8a. (Not counting the government health programs we just mentioned), In (month) was anyone in the family covered by a private health insurance plan?
Read if necessary: Besides government programs, people also get health insurance through their job or union, through other private groups, or directly from an insurance company. A variety of types of plans are available, including health maintenance organizations (HMOs).

1 [] Yes (8b)
2 [] No (8 on page 34)
9 [] DK (8 on page 34)

b. It's important that we have the complete and accurate name of each health insurance plan. What is the COMPLETE name of the plan? If "DK", probe: Do you have something with the plan name on it?
Record up to 4 plan names in Sec. FB, Table H.I. Then ask 8c.

c. In (month), was anyone in the family covered by any OTHER private health insurance plan?

1 [] Yes (Reask 8b and c)
2 [] No (Section FB)

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1992
Survey form view entire document:  text  image

5a. (Not counting Medicare) In (month) was anyone in the family covered by a health insurance plan that pays any part of hospital or doctor bills? Do NOT include plans that pay for ONLY ONE type of service, such as nursing home care or accidents.

1[] Yes (5b)
2[] No (8)
7[] Ref. (8)
9[] DK (8)

b. It's important that we have the complete and accurate name of your health insurance plan. What is the COMPLETE name of the plan?
Record in Table H.I. If "DK", probe: Do you have something with the plan name on it?

c. Is anyone in the family now covered by any other health insurance plan? Again, do not include plans that pay for only one service.

[] Yes (Reask 5b and c)
[] No (HI)
[] DK (HI)