6a. Does this (name) plan pay any part of hospital expenses?

b. Does this plan pay any part of doctor's or surgeon's bills for operations?

We are interested in all kinds of health insurance plans except those which pay only for accidents.
4a. (Not counting Medicare) Is anyone in the family covered by a health insurance plan which pays any part of a hospital, doctor's or surgeon's bill?

b. What is the name of the plan? (Record in Table H.I.)

c. Is anyone in the family now covered by any other health insurance plan which pays any part of a hospital, doctor's, surgeon's or dentist's bill?

6a. Does this (name) plan pay any part of hospital expenses?

b. Does this plan pay any part of doctor's or surgeon's bills for operations?

We are interested in all kinds of health insurance plans except those which pay only for accidents.
4a. (Not counting Medicare) Is anyone in the family covered by a health insurance plan which pays any part of a hospital, doctor's or surgeon's bill?

b. What is the name of the plan? (Record in Table H.I.)

c. Is anyone in the family now covered by any other health insurance plan which pays any part of a hospital, doctor's or surgeon's bill?

6a. Does this plan pay any part of hospital expenses?

b. Does this plan pay any part of doctor's or surgeon's bills for operations?

We are interested in all kinds of health insurance plans except those which pay only for accidents.
4a. (Not counting Medicare) Is anyone in the family covered by a health insurance plan which pays any part of a hospital, doctor's or surgeon's bill?

b. What is the name of the plan? (Record in Table H.I.)

If more than three plans, go to page 12.

c. Is anyone in the family now covered by any other health insurance plan which pays any part of a hospital, doctor's or surgeon's bill?

6a. Does this plan pay any part of hospital expenses?

b. Does this plan pay any part of doctor's or surgeon's bills for operations?

Ask for each person with "Covered" in 1b.
2a. Is -- covered by the part of Social Security Medicare which pays for hospital bills? Mark box in person's column.

b. Is -- now covered by that part of Medicare which pays for doctor's bills? This is the Medicare plan for which -- or some agency must pay a certain amount each month? Mark box in person's column.

Ask for each person with "DK" in 2a and/or b:
3. May I please see the Social Security Medicare card(s) for -- (and --) to determine the (type/dates) of coverage?
Transcribe the information from the card or mark the "Card N.A." box.

We are interested in all kinds of health insurance plans except those which pay only for accidents.
4a. (Not counting Medicare) Is anyone in the family covered by a health insurance plan which pays any part of a hospital, doctor's or surgeon's bill?

b. What is the name of the plan? (Record in Table H.I.)

c. Is anyone in the family now covered by any other health insurance plan which pays any part of a hospital, doctor's or surgeon's bill?

6a. Does this plan pay any part of hospital expenses?

b. Does this plan pay any part of doctor's or surgeon's bills for operations?

Ask for each person with "Covered" in 1b.
2a. Is -- covered by that part of Social Security Medicare which pays for hospital bills? Mark box in person's colum.

b. Is -- covered by that part of Medicare which pays for doctor's bills, that is, the Medicare plan for which he or some agency must pay a certain amount each month? Mark box in person's column.

4a. We are interested in all kinds of health insurance plans except those which pay only for accidents. (Not counting Medicare) Is anyone in the family covered by hospital insurance, that is, a health insurance plan which pays any part of a hospital bill?

b. What is the name of the plan? (Record in Table H.I.) ________

c. Is anyone in the family covered by any other hospital insurance plan?

d. Is anyone in the family covered by any (other) health insurance plan which pays any part of a doctor's or surgeon's bill?

e. What is the name of the plan? (Record in Table H.I., reask 4d.)