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2003

Survey form view entire document: text image

FHI.177

FR: ASK IF NECESSARY:

Are there any more health insurance plans in addition to those already mentioned?
[fill HIPNAM_N]
[fill NEXTPNM_N]
[fill NEXTPNM2_N]

MORPLAN3

(1) Yes (FHI.178)
(2) No (Check Item FHICCI7)

FHI.178

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?

NEXTPNM3 Name: __________________________

FHI.178.1

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?

PCARD4

(1) Yes
(2) No

FHI.179

Which family members are covered by this plan?

FR: MARK "X" ALL THAT APPLY.

NEXTPNM3_B

[Enter person #s]

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

Check item FHICCI7:If any private insurance covered person wasn't listed on any of the above plans, go to FHI.180. If there are no such persons, go to Check item FHICCI8.

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2002

Survey form view entire document: text image

FHI.177

FR: ASK IF NECESSARY:

Are there any more health insurance plans in addition to those already mentioned?
[fill HIPNAM_N]
[fill NEXTPNM_N]
[fill NEXTPNM2_N]

MORPLAN3

(1) Yes (FHI.178)
(2) No (Check Item FHICCI7)

FHI.178

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?

NEXTPNM3 Name: __________________________

FHI.178.1

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?

PCARD4

(1) Yes
(2) No

FHI.179

Which family members are covered by this plan?

FR: MARK "X" ALL THAT APPLY.

NEXTPNM3_B

[Enter person #s]

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

Check item FHICCI7:If any private insurance covered person wasn't listed on any of the above plans, go to FHI.180. If there are no such persons, go to Check item FHICCI8.

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2001

Survey form view entire document: text image

FHI.177

FR: ASK IF NECESSARY:

Are there any more health insurance plans in addition to those already mentioned?
[fill HIPNAM_N]
[fill NEXTPNM_N]
[fill NEXTPNM2_N]

MORPLAN3

(1) Yes (FHI.178)
(2) No (Check Item FHICCI7)

FHI.178

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?

NEXTPNM3 Name: __________________________

FHI.178.1

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?

PCARD4

(1) Yes
(2) No

FHI.179

Which family members are covered by this plan?

FR: MARK "X" ALL THAT APPLY.

NEXTPNM3_B

[Enter person #s]

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

Check item FHICCI7:If any private insurance covered person wasn't listed on any of the above plans, go to FHI.180. If there are no such persons, go to Check item FHICCI8.

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2000

Survey form view entire document: text image

FHI.177

FR: ASK IF NECESSARY:

Are there any more health insurance plans in addition to those already mentioned?
[fill HIPNAM_N]
[fill NEXTPNM_N]
[fill NEXTPNM2_N]

MORPLAN3

(1) Yes (FHI.178)
(2) No (Check Item FHICCI7)

FHI.178

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?

NEXTPNM3 Name: __________________________

FHI.178.1

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?

PCARD4

(1) Yes
(2) No

FHI.179

Which family members are covered by this plan?

FR: MARK "X" ALL THAT APPLY.

NEXTPNM3_B

[Enter person #s]

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

Check item FHICCI7:If any private insurance covered person wasn't listed on any of the above plans, go to FHI.180. If there are no such persons, go to Check item FHICCI8.

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1999

Survey form view entire document: text image

FHI.177

FR: ASK IF NECESSARY:

Are there any more health insurance plans in addition to those already mentioned?
[fill HIPNAM_N]
[fill NEXTPNM_N]
[fill NEXTPNM2_N]

MORPLAN3

(1) Yes (FHI.178)
(2) No (Check Item FHICCI7)

FHI.178

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?

NEXTPNM3 Name: __________________________

FHI.178.1

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?

PCARD4

(1) Yes
(2) No

FHI.179

Which family members are covered by this plan?

FR: MARK "X" ALL THAT APPLY.

NEXTPNM3_B

[Enter person #s]

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

Check item FHICCI7:If any private insurance covered person wasn't listed on any of the above plans, go to FHI.180. If there are no such persons, go to Check item FHICCI8.

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1998

Survey form view entire document: text image

FHI.177

FR: ASK IF NECESSARY:

Are there any more health insurance plans in addition to those already mentioned?
[fill HIPNAM_N]
[fill NEXTPNM_N]
[fill NEXTPNM2_N]

MORPLAN3

(1) Yes (FHI.178)
(2) No (Check Item FHICCI7)

FHI.178

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?

NEXTPNM3 Name: __________________________

FHI.178.1

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?

PCARD4

(1) Yes
(2) No

FHI.179

Which family members are covered by this plan?

FR: MARK "X" ALL THAT APPLY.

NEXTPNM3_B

[Enter person #s]

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

Check item FHICCI7:If any private insurance covered person wasn't listed on any of the above plans, go to FHI.180. If there are no such persons, go to Check item FHICCI8.

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1997

Survey form view entire document: text image

FHI.177

FR: ASK IF NECESSARY:

Are there any more health insurance plans in addition to those already mentioned?
[fill HIPNAM_N]
[fill NEXTPNM_N]
[fill NEXTPNM2_N]

MORPLAN3

(1) Yes (FHI.178)
(2) No (Check Item FHICCI7)

FHI.178

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?

NEXTPNM3 Name: __________________________

FHI.178.1

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?

PCARD4

(1) Yes
(2) No

FHI.179

Which family members are covered by this plan?

FR: MARK "X" ALL THAT APPLY.

NEXTPNM3_B

[Enter person #s]

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

Check item FHICCI7:If any private insurance covered person wasn't listed on any of the above plans, go to FHI.180. If there are no such persons, go to Check item FHICCI8.

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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)

Survey Text