Survey Text

2022
2021
2020
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2022
Survey form view entire document:  text  image
Question ID: INS.0500.00.1
Variable: PRVSCOV_A
Interview Module: Adult
Content Type: Annual Core

Question text:

Does ^FIRSTPLANA pay for any of the costs for routine vision care, such as glasses and contact
lenses?
* Read if necessary: Even if you have not used this benefit, please answer if this plan would
cover at least some of the costs if you did have vision care.
Fills:
^FIRSTPLANA
Description: this plan/this first plan/this ^HIPNAM1_A plan/this second plan/this ^HIPNAM2_A plan

Instruction:
if PlanNum=1 then if HIPNAM1_A IN (RF,DK) and HIPNAM2_A= empty fill:
"this plan"
elseif HIPNAM1_A IN (RF,DK) fill: "this first plan"
else fill: "this ^HIPNAM1_A plan"
if PlanNum=2 then
if HIPNAM2_A IN (RF,DK) fill: "this second plan"
else fill: "this ^HIPNAM2_A plan"
^HIPNAM1_A
Description: {Value of HIPNAM1_A}
Instruction:
Fill value from Adult.INS.HIPNAM1_A
^HIPNAM2_A
Description: {Value of HIPNAM2_A}
Instruction:
Fill value from Adult.INS.HIPNAM2_A
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ with private health insurance coverage where a plan name was given or refused or don't know.
Skip Instructions:
1,2,RF,DK If there is another plan [goto bPlan for next plan]
elseif 05 in HIKIND_A [goto CHNAME_A]
elseif 08 in HIKIND_A [goto OPNAME_A]
elseif 09 in HIKIND_A [goto OGNAME_A]
elseif 06 in HIKIND_A [goto MILSPC_A]
else [goto HINOTYR_A]

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2021
Survey form view entire document:  text  image
Question ID: INS.0500.00.1
Variable: PRVSCOV_A
Interview Module: Adult
Content Type: Annual Core
Question text:
Does ^FIRSTPLANA pay for any of the costs for routine vision care, such as glasses and contact lenses?
Read if necessary: Even if you have not used this benefit, please answer if this plan would cover at least some of the costs if you did have vision care.
Fills:
^FIRSTPLANA
Description: this plan/this first plan/this ^HIPNAM1_A plan/this second plan/this ^HIPNAM2_A plan
Instruction:
if PlanNum=1 then if HIPNAM1_A IN (RF,DK) and HIPNAM2_A= empty fill:
"this plan"
elseif HIPNAM1_A IN (RF,DK) fill: "this first plan"
else fill: "this ^HIPNAM1_A plan"
if PlanNum=2 then
if HIPNAM2_A IN (RF,DK) fill: "this second plan"
else fill: "this ^HIPNAM2_A plan"
^HIPNAM1_A
Description: {Value of HIPNAM1_A}
Instruction:
Fill value from Adult.INS.HIPNAM1_A
^HIPNAM2_A
Description: {Value of HIPNAM2_A}
Instruction:
Fill value from Adult.INS.HIPNAM2_A
Response:
1 - Yes
2 - No
Universe:
Sample Adults 18+ with private health insurance coverage where a plan name was given or refused or don't know.
Skip Instructions:
1,2,RF,DK If there is another plan [goto bPlan for next plan]
elseif 05 in HIKIND_A [goto CHNAME_A]
elseif 08 in HIKIND_A [goto OPNAME_A]
elseif 09 in HIKIND_A [goto OGNAME_A]
elseif 06 in HIKIND_A [goto MILSPC_A]
else [goto HINOTYR_A]
Question ID: INS.0460.00.1
Variable: PRVSCOV_C
Interview Module: Child
Content Type: Annual Core
Question text:
Does ^FIRSTPLANC pay for any of the costs for routine vision care, such as glasses and contact lenses?
Read if necessary: Even if ^SCNAME has not used this benefit, please answer if this plan would cover at least some of the costs if ^SCNAME did have vision care.
Fills:
^FIRSTPLANC
Description: this plan/this first plan/this ^HIPNAM1_C plan/this second plan/this ^HIPNAM2_C plan
Instruction:
If PlanNum = 1 then if HIPNAM1_C IN (RF,DK) AND HIPNAM2_C=empty fill: "this
plan"
elseif HIPNAM1_C IN (RF,DK) fill: "this first plan"
else fill: "this ^HIPNAM1_C plan"
if PlanNum = 2 then
if HIPNAM2_C IN (RF,DK) fill: "this second plan"
else fill: "this ^HIPNAM2_C plan"
^HIPNAM1_C
Description: {Value of HIPNAM1_C}
Instruction:
Fill value from Child.INS.HIPNAM1_C
^HIPNAM2_C
Description: {Value of HIPNAM2_C}
Instruction:
Fill value from Child.INS.HIPNAM2_C
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Yes
2 - No
Universe:
Sample Children 0-17 with private health insurance coverage where a plan name was given or refused or don't know.
Skip Instructions:
1,2,RF,DK If there is another plan [goto bPlan for next plan]
else if 5 in HIKIND_C [goto CHNAME_C]
else if 8 in HIKIND_C [goto OPNAME_C]
else if 9 in HIKIND_C [goto OGNAME_C]
else if 6 in HIKIND_C [goto MILSPC_C]
else [goto HINOTYR_C]

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2020
Survey form view entire document:  text  image
Question ID: INS.0500.00.1
Variable: PRVSCOV_A
Interview Module: Adult
Content Type: Annual Core
Question text:
Does ^FIRSTPLANA pay for any of the costs for routine vision care, such as glasses and contact
lenses?
* Read if necessary: Even if you have not used this benefit, please answer if this plan would
cover at least some of the costs if you did have vision care.
Fills:
^FIRSTPLANA
Description: this plan/this first plan/this ^HIPNAM1_A plan/this second plan/this ^HIPNAM2_A plan
Instruction:
if PlanNum=1 then if HIPNAM1_A IN (RF,DK) and HIPNAM2_A= empty fill:
"this plan"
elseif HIPNAM1_A IN (RF,DK) fill: "this first plan"
else fill: "this ^HIPNAM1_A plan"
if PlanNum=2 then
if HIPNAM2_A IN (RF,DK) fill: "this second plan"
else fill: "this ^HIPNAM2_A plan"
^HIPNAM1_A
Description: {Value of HIPNAM1_A}
Instruction:
Fill value from Adult.INS.HIPNAM1_A
^HIPNAM2_A
Description: {Value of HIPNAM2_A}
Instruction:
Fill value from Adult.INS.HIPNAM2_A
Response:
1 - Yes
2 - No
Universe:
Sample Adults 18+ with private health insurance coverage where a plan name was given or refused or don't know.
Skip Instructions:
1,2,RF,DK If there is another plan [goto bPlan for next plan]
elseif 05 in HIKIND_A [goto CHNAME_A]
elseif 08 in HIKIND_A [goto OPNAME_A]
elseif 09 in HIKIND_A [goto OGNAME_A]
elseif 06 in HIKIND_A [goto MILSPC_A]
else [goto HINOTYR_A]
Question ID: INS.0460.00.1
Variable: PRVSCOV_C
Interview Module: Child
Content Type: Annual Core
Question text:
Does ^FIRSTPLANC pay for any of the costs for routine vision care, such as glasses and contact
lenses?
* Read if necessary: Even if ^SCNAME has not used this benefit, please answer if this plan would
cover at least some of the costs if ^SCNAME did have vision care.
Fills:
^FIRSTPLANC
Description: this plan/this first plan/this ^HIPNAM1_C plan/this second plan/this ^HIPNAM2_C plan
Instruction:
If PlanNum = 1 then if HIPNAM1_C IN (RF,DK) AND HIPNAM2_C=empty fill: "this
plan"
elseif HIPNAM1_C IN (RF,DK) fill: "this first plan"
else fill: "this ^HIPNAM1_C plan"
if PlanNum = 2 then
if HIPNAM2_C IN (RF,DK) fill: "this second plan"
else fill: "this ^HIPNAM2_C plan"
^HIPNAM1_C
Description: {Value of HIPNAM1_C}
Instruction:
Fill value from Child.INS.HIPNAM1_C
^HIPNAM2_C
Description: {Value of HIPNAM2_C}
Instruction:
Fill value from Child.INS.HIPNAM2_C
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Yes
2 - No
Universe:
Sample Children 0-17 with private health insurance coverage where a plan name was given or refused or don't know.
Skip Instructions:
1,2,RF,DK If there is another plan [goto bPlan for next plan]
else if 5 in HIKIND_C [goto CHNAME_C]
else if 8 in HIKIND_C [goto OPNAME_C]
else if 9 in HIKIND_C [goto OGNAME_C]
else if 6 in HIKIND_C [goto MILSPC_C]
else [goto HINOTYR_C]

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2019
Survey form view entire document:  text  image
Question ID: INS.0500.00.1
Variable: PRVSCOV_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

Does ^FIRSTPLANA pay for any of the costs for routine vision care, such as glasses and contact lenses?
Fills:
^FIRSTPLANA

Description: this plan/this first plan/this ^HIPNAM1_A plan/this second plan/this ^HIPNAM2_A plan
Instruction:
if PlanNum=1 then
if HIPNAM1_A IN (RF,DK) and HIPNAM2_A= empty fill: "this plan"
elseif HIPNAM1_A IN (RF,DK) fill: "this first plan" else fill: "this ^HIPNAM1_A plan"
if PlanNum=2 then
if HIPNAM2_A IN (RF,DK) fill: "this second plan" else fill: "this ^HIPNAM2_A plan"

^HIPNAM1_A

Description: {Value of HIPNAM1_A}
Instruction:

Fill value from Adult.INS.HIPNAM1_A.
Response:
1 Yes
2 No
Universe:
Sample Adults 18+ with private health insurance coverage where a plan name was given or refused or do not know.
Skip Instructions:
1,2,RF,DK= If there is another plan [goto bPlan for next plan]
elseif 05 in HIKIND_A [goto CHNAME_A]
elseif 08 in HIKIND_A [goto OPNAME_A]
elseif 09 in HIKIND_A [goto OGNAME_A]
elseif 06 in HIKIND_A [goto MILSPC_A]
else [goto HINOTYR_A]
Question ID: INS.0460.00.1
Variable: PRVSCOV_C
Interview Module: Child
Content Type: Annual Core


Question Text:

Does ^FIRSTPLANC pay for any of the costs for routine vision care, such as glasses and contact lenses?
Fills:
^FIRSTPLANC

Description this plan/this first plan/this ^HIPNAM1_C plan/this second plan/this ^HIPNAM2_C plan
Instruction If PlanNum = 1 then
if HIPNAM1_C IN (RF,DK) AND HIPNAM2_C=empty fill: "this plan"
elseif HIPNAM1_C IN (RF,DK) fill: "this first plan" else fill: "this ^HIPNAM1_C plan"
if PlanNum = 2 then
if HIPNAM2_C IN (RF,DK) fill: "this second plan" else fill: "this ^HIPNAM2_C plan"

^HIPNAM1_C

Description {Value of HIPNAM1_C}
Instruction fill value from Child.INS.HIPNAM1_C
Response:
1 Yes
2 No
Universe:
Sample Children 0-17 with private health insurance coverage where a plan name was given or refused or do not know.
Skip Instructions:
1,2,RF,DK = If there is another plan [goto bPlan for next plan] else if 5 in HIKIND_C [goto CHNAME_C]
else if 8 in HIKIND_C [goto OPNAME_C] else if 9 in HIKIND_C [goto OGNAME_C] else if 6 in HIKIND_C [goto MILSPC_C] else [goto HINOTYR_C]