| H001 | Are you currently covered by any kind of health insurance or some other kind of healthcare plan? | CURRENTLY COVERED BY HEALTHCARE PLAN |
| H002 | Which of the following best describes your current health insurance or healthcare coverage? Please check all that apply. | INSURANCE TYPE |
| H002_other | | COVERAGE TYPE--OTHER |
| H003 | Are you currently enrolled in a Medicare Advantage plan? | MEDICARE ADVANTAGE PLAN |
| H004 | Are you currently enrolled in Medicare prescription drug coverage (Part D)? | MEDICARE PRESCRIPTION COVERAGE |
| H005 | | AGE EXPECT TO RECEIVE MEDICARE |
| H005_options | | AGE EXPECT TO RECEIVE MEDICARE |
| H006 | When you do start receiving Medicare benefits, do you think that you will also enroll in Medicare prescription drug coverage (Part D)? | WILL ENROLL IN MEDICARE DRUG COVERAGE |
| H007 | In the past twelve months, have you been prescribed any medicine by a healthcare provider? | PRESCRIBED MEDICINE BY PROVIDER |
| H008 | In the past twelve months, have you had difficulty paying a bill for prescription medicine? | DIFFICULTY PAYING FOR PRESCRIPTION |
| H009 | In the past twelve months, has the cost of a prescription medicine caused you to not take that medicine, take less than you were supposed to, or stop taking it earlier than you should have? | COST OF PRESCRIPTION CAUSED STOP TAKING MEDICINE |
| H010_skip | | SKIP H010 LIST |
| H011 | ^H010[cnt1] | RELATIONSHIP TO PERSON |
| H012 | ^H010[cnt2] | PERSONS APPROXIMATE AGE |
| H013 | ^H010[cnt3] | TALKED TO PERSONS ABOUT COVERAGE |
| H014 | ^H010[cnt4] | PERSONS ENROLLED IN MEDICARE DRUG COVERAGE |
| H015 | ^H010[cnt5] | PERSONS HAD DIFFICULTY PAYING FOR PRESCRIPTION |
| H016 | ^H010[cnt6] | PRESCRIPTION COST CAUSED PERSONS TO STOP TAKING MEDICINE |