Instrument Variable Name: MCNAME
QuestionText:

? [F1]
What is the name of the HMO?
*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

UniverseText: All persons with Medicare who signed up for part B coverage or for whom it is unknown if they signed up for part
B coverage, and are enrolled under a Medicare managed care arrangement
SkipInstructions:

goto MCREF

Instrument Variable Name: MCNAME
QuestionText:

? [F1]
What is the name of the HMO?
*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

UniverseText: All persons with Medicare who signed up for part B coverage or for whom it is unknown if they signed up for part
B coverage, and are enrolled under a Medicare managed care arrangement
SkipInstructions:

goto MCREF

Instrument Variable Name: MCNAME
QuestionText:

? [F1]
What is the name of the HMO?
*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

UniverseText: All persons with Medicare who signed up for part B coverage or for whom it is unknown if they signed up for part
B coverage, and are enrolled under a Medicare managed care arrangement
SkipInstructions:

goto MCREF

Instrument Variable Name: MCNAME
QuestionText:

? [F1]
What is the name of the HMO?
*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

UniverseText: All persons with Medicare who signed up for part B coverage or for whom it is unknown if they signed up for part
B coverage, and are enrolled under a Medicare managed care arrangement
SkipInstructions:

goto MCREF

Instrument Variable Name: MCNAME
QuestionText:

? [F1]
What is the name of the HMO?
*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

UniverseText: All persons with Medicare who signed up for part B coverage or for whom it is unknown if they signed up for part
B coverage, and are enrolled under a Medicare managed care arrangement
SkipInstructions:

goto MCREF

Instrument Variable Name: MCNAME
QuestionText:

? [F1]
What is the name of the HMO?
*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

UniverseText: All persons with Medicare who signed up for part B coverage or for whom it is unknown if they signed up for part
B coverage, and are enrolled under a Medicare managed care arrangement
SkipInstructions:

goto MCREF

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

{Are/Is} {you/subject name} under a Medicare managed care arrangement, such as an HMO, that is, a Health Maintenance Organization? (With an HMO, you must generally receive care from HMO doctors, otherwise the expense is not covered unless you were referred by the HMO or there was a medical emergency).

(1) Yes (FHI.110)
(2) No (FHI.114)
(7) Refused (FHI.114)
(9) Don't know (FHI.114)

[If MCHMO = 1]
What is the name of the HMO?

MCHMO_NA Name:

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

{Are/Is} {you/subject name} under a Medicare managed care arrangement, such as an HMO, that is, a Health Maintenance Organization? (With an HMO, you must generally receive care from HMO doctors, otherwise the expense is not covered unless you were referred by the HMO or there was a medical emergency).

(1) Yes (FHI.110)
(2) No (FHI.114)
(7) Refused (FHI.114)
(9) Don't know (FHI.114)

[If MCHMO = 1]
What is the name of the HMO?

MCHMO_NA Name:

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

{Are/Is} {you/subject name} under a Medicare managed care arrangement, such as an HMO, that is, a Health Maintenance Organization? (With an HMO, you must generally receive care from HMO doctors, otherwise the expense is not covered unless you were referred by the HMO or there was a medical emergency).

(1) Yes (FHI.110)
(2) No (FHI.114)
(7) Refused (FHI.114)
(9) Don't know (FHI.114)

[If MCHMO = 1]
What is the name of the HMO?

MCHMO_NA Name: