Survey Text

2022
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2022
Survey form view entire document:  text  image
Question ID: INS.0160.00.1
Variable: MAPREM_A
Interview Module: Adult
Content Type: Annual Core

Question text:

?[F1]
A health insurance premium is the amount you or a family member pay each month for health care
coverage. Do you or a family member pay a premium for this Medicaid plan?
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ with Medicaid coverage
Skip Instructions:
1,2,RF,DK [goto MADEDUC_A]

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2021
Survey form view entire document:  text  image
Question ID: INS.0160.00.1
Variable: MAPREM_A
Interview Module: Adult
Content Type: Annual Core
Question text:
?[F1]
A health insurance premium is the amount you or a family member pay each month for health care coverage. Do you or a family member pay a premium for this Medicaid plan?
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ with Medicaid coverage
Skip Instructions:
1,2,RF,DK [goto MADEDUC_A]
Question ID: INS.0530.00.1
Variable: CHPREM_A
Interview Module: Adult
Content Type: Annual Core
Question text:
?[F1]
A health insurance premium is the amount you or a family member pays each month for health care coverage. Do you or a family member pay a premium for this CHIP plan?
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ with a CHIP plan
Skip Instructions:
1,2,RF,DK [goto CHDEDUC_A]
Question ID: INS.0580.00.1
Variable: OPPREM_A
Interview Module: Adult
Content Type: Annual Core
Question text:
?[F1]
A health insurance premium is the amount you or a family member pays each month for health care coverage. Do you or a family member pay a premium for this state-sponsored plan?
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ with a state-sponsored plan
Skip Instructions:
1,2,RF,DK [goto OPDEDUC_A]
Question ID: INS.0630.00.1
Variable: OGPREM_A
Interview Module: Adult
Content Type: Annual Core
Question text:
?[F1]
A health insurance premium is the amount you or a family member pays each month for health care coverage. Do you or a family member pay a premium for your other government plan?
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ who have an other government plan
Skip Instructions:
1,2,RF,DK [goto OGDEDUC_A]
Question ID: INS.0150.00.1
Variable: MAPREM_C
Interview Module: Child
Content Type: Annual Core
Question text:
?[F1]
A health insurance premium is the amount ^SCNAME or a family member pays each month for health care coverage. Does ^SCNAME or a family member pay a premium for this Medicaid plan?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Children 0-17 with Medicaid coverage
Skip Instructions:
1,2,RF,DK [goto MADEDUC_C]
Question ID: INS.0490.00.1
Variable: CHPREM_C
Interview Module: Child
Content Type: Annual Core
Question text:
?[F1]
A health insurance premium is the amount ^SCNAME or a family member pays each month for health care coverage. Does ^SCNAME or a family member pay a premium for this CHIP plan?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Children 0-17 with a CHIP plan
Skip Instructions:
1,2,RF,DK [goto CHDEDUC_C]
Question ID: INS.0540.00.1
Variable: OPPREM_C
Interview Module: Child
Content Type: Annual Core
Question text:
?[F1]
A health insurance premium is the amount ^SCNAME or a family member pays each month for health care coverage. Does ^SCNAME or a family member pay a premium for this state-sponsored plan?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Children 0-17 with a state-sponsored plan
Skip Instructions:
1,2,RF,DK [goto OPDEDUC_C]
Question ID: INS.0590.00.1
Variable: OGPREM_C
Interview Module: Child
Content Type: Annual Core
Question text:
?[F1]
A health insurance premium is the amount ^SCNAME or a family member pays each month for health care coverage. Does ^SCNAME or a family member pay a premium for this other government plan?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Children 0-17 who have an other government plan
Skip Instructions:
1,2,RF,DK [goto OGDEDUC_C]

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2020
Survey form view entire document:  text  image
Question ID: INS.0160.00.1
Variable: MAPREM_A
Interview Module: Adult
Content Type: Annual Core
Question text:
?[F1]
A health insurance premium is the amount you or a family member pay each month for health care
coverage. Do you or a family member pay a premium for this Medicaid plan?
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ with Medicaid coverage
Skip Instructions:
1,2,RF,DK [goto MADEDUC_A]
Question ID: INS.0530.00.1
Variable: CHPREM_A
Interview Module: Adult
Content Type: Annual Core
Question text:
?[F1]
A health insurance premium is the amount you or a family member pays each month for health care
coverage. Do you or a family member pay a premium for this CHIP plan?
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ with a CHIP plan
Skip Instructions:
1,2,RF,DK [goto CHDEDUC_A]
Question ID: INS.0580.00.1
Variable: OPPREM_A
Interview Module: Adult
Content Type: Annual Core
Question text:
?[F1]
A health insurance premium is the amount you or a family member pays each month for health care
coverage. Do you or a family member pay a premium for this state-sponsored plan?
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ with a state-sponsored plan
Skip Instructions:
1,2,RF,DK [goto OPDEDUC_A]
Question ID: INS.0630.00.1
Variable: OGPREM_A
Interview Module: Adult
Content Type: Annual Core
Question text:
?[F1]
A health insurance premium is the amount you or a family member pays each month for health care
coverage. Do you or a family member pay a premium for your other government plan?
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ who have an other government plan
Skip Instructions:
1,2,RF,DK [goto OGDEDUC_A]
Question ID: INS.0150.00.1
Variable: MAPREM_C
Interview Module: Child
Content Type: Annual Core
Question text:
?[F1]
A health insurance premium is the amount ^SCNAME or a family member pays each month for health
care coverage. Does ^SCNAME or a family member pay a premium for this Medicaid plan?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Children 0-17 with Medicaid coverage
Skip Instructions:
1,2,RF,DK [goto MADEDUC_C]
Question ID: INS.0490.00.1
Variable: CHPREM_C
Interview Module: Child
Content Type: Annual Core
Question text:
?[F1]
A health insurance premium is the amount ^SCNAME or a family member pays each month for health
care coverage. Does ^SCNAME or a family member pay a premium for this CHIP plan?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Children 0-17 with a CHIP plan
Skip Instructions:
1,2,RF,DK [goto CHDEDUC_C]
Question ID: INS.0540.00.1
Variable: OPPREM_C
Interview Module: Child
Content Type: Annual Core
Question text:
?[F1]
A health insurance premium is the amount ^SCNAME or a family member pays each month for health
care coverage. Does ^SCNAME or a family member pay a premium for this state-sponsored plan?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Children 0-17 with a state-sponsored plan
Skip Instructions:
1,2,RF,DK [goto OPDEDUC_C]
Question ID: INS.0590.00.1
Variable: OGPREM_C
Interview Module: Child
Content Type: Annual Core
Question text:
?[F1]
A health insurance premium is the amount ^SCNAME or a family member pays each month for health
care coverage. Does ^SCNAME or a family member pay a premium for this other government plan?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Children 0-17 who have an other government plan
Skip Instructions:
1,2,RF,DK [goto OGDEDUC_C]

top
2019
Survey form view entire document:  text  image
Question ID: INS.0160.00.1
Variable: MAPREM_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

?[F1]

A health insurance premium is the amount you or a family member pay each month for health care coverage. Do you or a family member pay a premium for this Medicaid plan?
Response:
1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Adults 18+ with Medicaid coverage
Skip Instructions:
1,2,RF,DK = [goto MADEDUC_A]
Question ID: INS.0530.00.1
Variable: CHPREM_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

?[F1]

A health insurance premium is the amount you or a family member pays each month for health care coverage. Do you or a family member pay a premium for this CHIP plan?
Response:
1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Adults 18+ with a CHIP plan
Skip Instructions:
1,2,RF,DK= [goto CHDEDUC_A]
Question ID: INS.0580.00.1
Variable: OPPREM_A
Interview Module: Adult
Content Type: Annual Core

Question Text:
?[F1]

A health insurance premium is the amount you or a family member pays each month for health care coverage. Do you or a family member pay a premium for this state-sponsored plan?
Response:
1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Adults 18+ with a state-sponsored plan
Skip Instructions:
1,2,RF,DK= [goto OPDEDUC_A]
Question ID: INS.0630.00.1
Variable: OGPREM_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

?[F1]

A health insurance premium is the amount you or a family member pays each month for health care coverage. Do you or a family member pay a premium for your other government plan?
Response:
1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Adults 18+ who have an other government plan
Skip Instructions:
1,2,RF,DK = [goto OGDEDUC_A]
Question ID: INS.0150.00.1
Variable: MAPREM_C
Interview Module: Child
Content Type: Annual Core

Question Text:
?[F1]

A health insurance premium is the amount ^SCNAME or a family member pays each month for health care coverage. Does ^SCNAME or a family member pay a premium for this Medicaid plan?
Fills:
^SCNAME

Description: Sample child's name
Instruction: Fill ALIAS of HHSTAT_C=1
Response:
1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Children 0-17 with Medicaid coverage
Skip Instructions:
1,2,RF,DK= [goto MADEDUC_C]
Question ID: INS.0490.00.1
Variable: CHPREM_C
Interview Module: Child
Content Type: Annual Core

Question Text:
?[F1]

A health insurance premium is the amount ^SCNAME or a family member pays each month for health care coverage. Does ^SCNAME or a family member pay a premium for this CHIP plan?
Fills:
^SCNAME

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1
Response:
1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Children 0-17 with a CHIP plan
Skip Instructions:
1,2,RF,DK = [goto CHDEDUC_C]
Question ID: INS.0540.00.1
Variable: OPPREM_C
Interview Module: Child
Content Type: Annual Core


Question Text:

?[F1]

A health insurance premium is the amount ^SCNAME or a family member pays each month for health care coverage. Does ^SCNAME or a family member pay a premium for this state-sponsored plan?
Fills:
^SCNAME

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1
Response:
1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Children 0-17 with a state-sponsored plan
Skip Instructions:
1,2,RF,DK = [goto OPDEDUC_C]
Question ID: INS.0590.00.1
Variable: OGPREM_C
Interview Module: Child
Content Type: Annual Core


Question Text:

?[F1]

A health insurance premium is the amount ^SCNAME or a family member pays each month for health care coverage. Does ^SCNAME or a family member pay a premium for this other government plan?
Fills:
^SCNAME

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1
Response:
1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Children 0-17 who have an other government plan
Skip Instructions:
1,2,RF,DK = [goto OGDEDUC_C]

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2018

No questionnaire text is available for this sample.


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2017

No questionnaire text is available for this sample.


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2016

No questionnaire text is available for this sample.


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2015

No questionnaire text is available for this sample.


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2014

No questionnaire text is available for this sample.