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Variable Question text Label
FLN433Btype of medical service insurance paid for in N433
FLN434type of medical service insurance paid for in N434
N001The next questions are about health insurance, both public and private. Medicare is a public health insurance program for people 65 or older and for disabled persons. ^FLMedicaid is a public health insurance program for people with low incomes.

Are you currently covered by Medicare health insurance?
COVERED BY MEDICARE
N004Part A of Medicare covers most hospital expenses.

Part B covers many doctors’ expenses including doctor visits, and the premium is usually deducted from your Social Security.

Are you covered under Part B of Medicare?
COVERED BY MEDICARE PART B
N005Have you been covered by health insurance through ^FLMedicaid or any other Medicaid program at any time ^FLTwoYears?

[DEF: By ^FLMedicaid we mean the public health insurance program for people with low incomes.]
COVERED BY MEDICAID PAST TWO YEARS
N006Are you currently covered by ^FLMedicaid?

[DEF: By ^FLMedicaid we mean the public health insurance program for people with low incomes.]
CURRENTLY COVERED BY MEDICAID
N007Are you currently covered by TRI-CARE, CHAMPUS, CHAMP-VA, or any other military health care plan?

If you use VA services, but do not have any other form of military health care coverage, please answer "No" here. We will ask about use of VA services later in the survey.
[DEF: TRI-CARE is the new name for the military's health insurance program. It includes what used to be known as CHAMPUS and CHAMP-VA.]
CURRENTLY COVERED BY MILITARY HEALTH CARE PLAN
N009^FLN009BENEFITS THROUGH HMO
N014^FLN014

Please enter zero for nothing.
PREMIUM FOR PLAN
N015_UnfThinking about your Medicare/Medicaid Managed Care Plan premiums:

Per month, is it more, about, or less than...
N015_Unf_RandomRANDOM START NUMBER FOR UNFOLDING BRACKETS
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N018Per:PREMIUM FOR PLAN - PER
N023Now, we'd like to ask about all the other types of health insurance plans you might have, such as insurance through an employer or a business, coverage for retirees, or health insurance you buy for yourself, including any ^FLN023_2 supplemental coverage.

^FLN023

Enter zero for none.
NUMBER OF PRIVATE PLANS
N025Which is your primary plan, Medicare or ^N024[1]?PRIMARY PLAN
N032Does ^N024[cnt] provide help with paying for regular prescription drugs?

Please note, the follow-up questions refer to the private plan, not to Medicare.
PLAN PROVIDES REGULAR PRESCRIPTION DRUGS
N033^FLN033PLAN THROUGH EMPLOYER/BUSINESS
N034Do you obtain this health insurance through a former employer of yours?PLAN THROUGH OLD EMPLOYER/BUSINESS
N035^FLN035PLAN THROUGH SPOUSE/PARTNER CURRENT EMPLOYER
N036^FLN036PLAN THROUGH SPOUSE/PARTNER FORMER WORK
N037Did you purchase this plan directly from an insurance company, through an insurance marketplace or exchange, through your^FLN037 union, through a group such as AARP, a church, or other organization?PURCHASE THROUGH ORGANIZATION
N040How much do you^FLN040 pay per month in premiums for this plan for you and any members of your household that are also covered? ^FLN040_2

Please enter zero for nothing.
HOW MUCH PREMIUM
N041_UnfThinking about the amount you^FLN040 pay per month in premiums for this plan:

Per month, is it more, about, or less than...
N041_Unf_RandomRANDOM START NUMBER FOR UNFOLDING BRACKETS
N041_Unf_ResultsUnfolding bracket results
N048Besides you, is anyone else covered on this health insurance policy?ANYONE ELSE COVERED
N049Who besides yourself is covered?

Please select all that apply.
WHO ELSE COVERED
N051Could you have obtained coverage for your spouse through this health insurance plan?COULD HAVE COVERED SPOUSE
N059^FLN059CAN CONTINUE COVERAGE
N060^FLN060CAN CONTINUE COVERAGE AFTER 65
N062^FLN062CAN CONTINUE SPOUSE COVERAGE UNTIL 65
N067Do you have any insurance that covers dental bills?INSURANCE DENTAL BILLS
N068Is that one of the plans you have already described, or a different plan?DENTAL INSURANCE PREVIOUS
N069Which of these plans provides this coverage?

For your reference, below are plans you've mentioned before.

If you select a plan already on the list, please be sure to confirm the entire plan name has remained the same. If not, select "Add a plan" and enter the new plan name in the space provided.

If you don't know your plan name, select "Add a plan" and enter "Dental Plan" in the space provided.
WHICH PLAN DENTAL INSURANCE
N071Not including government programs, do you now have any long-term care insurance which specifically covers nursing home care for a year or more or any part of personal or medical care in your home?LONG TERM INSURANCE FOR NURSING HOME CARE
N072Is that one of the plans you have already described, or a different plan?NURSING HOME INSURANCE PREVIOUS
N073Which of these plans provides this coverage? ^FLN073

If you don't know your plan name, select "Add a plan" and enter "LTC Plan" in the space provided.
WHICH PLAN NURSING HOME COVERAGE
N075Does this plan cover care in a nursing home facility only, personal or long-term care at home, or both in-home and nursing home care?PLAN COVERAGE NURSING HOME
N077^FLN077RECEIVED BENEFITS FROM LONG TERM PLAN
N078Does this plan increase payments with inflation?INCREASE PAYMENTS WITH INFLATION LONG TERM PLAN
N079^FLN079

Please enter zero if no payments are made.
AMOUNT RECEIVED BENEFITS FROM LONG TERM PLAN
N082_UnfThinking about how much you pay for your long-term care plan:

Per month, is it more, about, or less than...
N082_Unf_RandomRANDOM START NUMBER FOR UNFOLDING BRACKETS
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N083Per:AMOUNT RECEIVED BENEFITS FROM LONG TERM PLAN - PER
N090NUMBER OF PLANS
N091Were you ever without health insurance coverage at any time ^FLTwoYears?EVER WITHOUT HEALT INSURANCE IN LAST TWO YEARS
N092Does your employer or union offer a health insurance plan to any of its employees?EMPLOYER OFFER HEALTH INSURANCE PLAN
N093Were you offered health insurance through your job?OFFERED HEALTH INSURANCE PLAN THROUGH EMPLOYER
N094In the last two years, has your employer offered a choice of different health insurance plans that provided hospital and physician benefits or was only one health insurance plan offered to you?OFFERED CHOICE OF HEALTH INSURANCE PLAN THROUGH EMPLOYER
N099The next questions are about health care you have received.

^FLTwoYearsCaps, have you been a patient in a hospital overnight?
HOSPITAL OVERNIGHT
N100How many different times were you a patient in a hospital overnight ^FLTwoYears?NUMBER OF OVERNIGHT STAYS
N101^FLN101 many nights were you a patient in the hospital ^FLTwoYears?HOW MANY NIGHTS IN HOSPITAL
N106About how much did you pay out-of-pocket for hospital bills ^FLTwoYears?

Please enter zero for nothing.
PAID OUT-OF-POCKET HOSPITAL
N107_UnfThinking about how much you paid in hospital bills ^FLTwoYears:

Was it more, about, or less than...
N107_Unf_RandomRANDOM START NUMBER FOR UNFOLDING BRACKETS
N114^FLTwoYearsCaps, have you been a patient overnight in a nursing home, or other long-term health care facility?

[DEF: By "nursing home or other long-term health care facility" we mean a facility that provides all of the following services for its residents: 24-hour nursing assistance and supervision, dispensing of medication, personal assistance, and room & meals.]
OVERNIGHT IN NURSING HOME
N115^FLN115NUMBER OF TIMES IN NURSING HOME
N116HOW MANY NIGHTS IN NURSING HOME
N116_options^FLN116 many nights or months have you been a patient in a nursing home or other long-term care facility ^FLTwoYears?
N117HOW MANY MONTHS IN NURSING HOME
N119About how much did you pay out-of-pocket for nursing home or other long-term care facility bills ^FLTwoYears?

Please include any amount paid by others.
PAID OUT-OF-POCKET NURSING BILLS
N120_UnfThinking about how much you paid in nursing home bills ^FLTwoYears:

Was it more, about, or less than...
N120_Unf_RandomRANDOM START NUMBER FOR UNFOLDING BRACKETS
N123What month was that?

If you don't know the month, please select a season from the bottom of the list.
MONTH INTO NURSING HOME
N124^FLN124 nursing home or other long-term care facility.

In what year did you go into the nursing home or health care facility?
YEAR INTO NURSING HOME
N124_max
N125What month was that?

If you don't know the month, please select a season from the bottom of the list.
MONTH OUT OF NURSING HOME
N125_minimum
N126In what year did you move out of the nursing home or health care facility?YEAR OUT OF NURSING HOME
N127Were you eligible for ^FLMedicaid at the time your ^FLN124 nursing home or other long-term care facility stay started?ELIGIBLE MEDICAID START NURSING HOME STAY
N130Did you lose your eligibility for ^FLMedicaid when you were discharged from your^FLN130 nursing home or other long-term care facility stay?NO LONGER ELIGIBLE MEDICAID AFTER NURSING HOME STAY
N131Who did you live with after leaving the nursing home or health care facility?WHERE LIVE AFTER NURSING HOME STAY
N134^FLN134, have you had outpatient surgery?HAD OUTPATIENT SURGERY
N139About how much did you pay out-of-pocket for outpatient surgery ^FLTwoYears?

Please enter zero for nothing.
PAID OUT-OF-POCKET OUTPATIENT SURGERY
N140_UnfThinking about how much you paid in outpatient surgery bills ^FLTwoYears:

Was it more, about, or less than...
N140_Unf_RandomRANDOM START NUMBER FOR UNFOLDING BRACKETS
N140_Unf_ResultsUnfolding bracket results
N147^FLN147 many times have you seen or talked to a medical doctor about your health, including emergency room, clinic visits, or house calls ^FLTwoYears?

Please just enter zero if you did not see or talk to a medical doctor ^FLTwoYears.
NUMBER OF DOCTOR VISITS
N148Even if you cannot remember the exact number of times you saw a doctor ^FLTwoYears, please give us your best guess.

Did it amount to less than 20 times, more than 20 times, or what?
MORE THAN 20 TIMES
N149Did it amount to less than 5 times, more than 5 times, or what?MORE THAN 5 TIMES
N150Do you think you have seen a medical doctor about your health at least once ^FLTwoYears?SEEN DOCTOR AT LEAST ONCE
N151Did it amount to less than 50 times, more than 50 times, or what?MORE THAN 50 TIMES
N156About how much did you pay out-of-pocket for doctor or clinic visits ^FLTwoYears?

Please enter zero for nothing.
PAID OUT-OF-POCKET DOCTOR VISITS
N157_UnfThinking about how much you paid for doctor or clinic visits ^FLTwoYears:

Was it more, about, or less than...
N157_Unf_RandomRANDOM START NUMBER FOR UNFOLDING BRACKETS
N157_Unf_ResultsUnfolding bracket results
N164^FLTwoYearsCaps, have you seen a dentist for dental care, including dentures?SEEN DENTIST
N168About how much did you pay out-of-pocket for dental bills ^FLTwoYears?

Please enter zero for nothing.
PAID OUT-OF-POCKET DENTAL BILLS
N169_UnfThinking about how much you paid in dental bills ^FLTwoYears:

Was it more, about, or less than...
N169_Unf_RandomRANDOM START NUMBER FOR UNFOLDING BRACKETS
N169_Unf_ResultsUnfolding bracket results
N175Do you regularly take prescription medications?REGULARLY TAKE MEDICATIONS
N178What is the name of the health insurance plan that covered the largest share of the costs? ^FLN178

If you don't know your plan name, select "Add a plan" and leave the space provided empty.
PLAN THAT COVERED LARGEST SHARE
N180On average, about how much have you paid out-of-pocket per month for these prescriptions ^FLTwoYears?

Please enter zero for nothing.
PAID OUT-OF-POCKET PRESCRIPTIONS
N181_UnfThinking about how much you paid for prescriptions:

Per month, was it more, about, or less than...
N181_Unf_RandomRANDOM START NUMBER FOR UNFOLDING BRACKETS
N181_Unf_ResultsUnfolding bracket results
N188Sometimes people delay taking medication or filling prescriptions because of the cost. At any time ^FLTwoYears have you ended up taking less medication than was prescribed for you because of the cost?TAKEN LESS MEDICATION DUE TO COST
N189^FLTwoYearsCaps, has any medically-trained person come to your home to help you?

Only include help given to you. Do not include help that you received in order to care for someone else.

Please include hospice care received at home.
HELP MEDICAL PERSON
N194About how much did you pay out-of-pocket for in-home medical care ^FLTwoYears?

Please enter zero for nothing.
PAID OUT-OF-POCKET HOME MEDICAL CARE
N195_UnfThinking about how much you paid for in-home medical care ^FLTwoYears:

Was it more, about, or less than...
N195_Unf_RandomRANDOM START NUMBER FOR UNFOLDING BRACKETS
N202^FLTwoYearsCaps, did you use any special facility or service which we haven't asked about, such as: an adult care center, a social worker, an outpatient rehabilitation program, physical therapy, or transportation for the elderly or disabled?OTHER MEDICAL HELP
N203Did you^FLOrYour have to pay for any of these other health care services?PAY OTHER MEDICAL HELP
N211TOTAL OUT OF POCKET COST

SHOWN FOR TESTING PURPOSES ONLY--REMOVE FROM ROUTING AFTERWARDS
TOTAL OUT OF POCKET COST
N211_constant_arrayARRAY FOR N211 CALCULATION FUNCTION--CONSTANT VALUES
N211_unfolding_arrayARRAY FOR N211 CALCULATION FUNCTION--UNFOLDING BKT VALUES
N212Besides any costs covered by insurance, has anyone helped you^FLAndYour pay for your health care costs ^FLTwoYears, or helped you pay the cost of health insurance or for long-term care insurance?ANY HELP
N213Is that a ^FLN254_2 relative of yours^FLAndYours, or is that someone else who helped with medical expenses ^FLTwoYears?

Please select all that apply.
WHO HELPED
N215Altogether, about how much money did that help with medical expenses amount to ^FLTwoYears?

Please enter zero for nothing.
HOW MUCH HELP
N216_UnfThinking about how much you received in help for medical expenses ^FLTwoYears:

Was it more, about, or less than...
N216_Unf_RandomRANDOM START NUMBER FOR UNFOLDING BRACKETS
N235Thinking about the quality, cost, and convenience of your health care, how satisfied are you overall?OVERALL SATISFACTION HEALTH CARE
N236How often did you receive assistance with answers to the previous questions about your health insurance and any health services you use?ASSIST SECTION N
N238Does this plan provide long-term care coverage for your ^FLHWP as well as for yourself?COVERAGE FOR SPOUSE/PARTNER
N239Altogether, about how much did you have to pay for these other health care services ^FLTwoYears?

Please enter zero for nothing.
PAID OTHER HELP
N246_UnfThinking about how much you paid for other health care services ^FLTwoYears:

Was it more, about, or less than...
N246_Unf_RandomRANDOM START NUMBER FOR UNFOLDING BRACKETS
N254Which child is that who helped with medical expenses? (If it was a grandchild, which of your children is the parent of that grandchild?)

Please select all that apply.
CHILD HELPED
N260About how long has it been since you last had health care coverage?WHEN LAST COVERAGE
N261What is the main reason you don't have health care coverage?MAIN REASON NO COVERAGE
N274^FLN274 Are you still covered by ^preload_n024_temp[cnt]?STILL COVERED BY PLAN
N274_askedINDICATES WHETHER N274 HAS ALREADY BEEN ASKED
N277When did this coverage stop?MONTH WHEN STOPPED COVERED BY PLAN
N278YEAR WHEN STOPPED COVERED BY PLAN
N280^FLN280 ^FLN280_2

If you don't know your plan name, select "Add a plan" and leave the space provided empty.
PREVIOUS PLAN SELECTION
N281In what month was that?

If you don't know the month, please select a season from the bottom of the list.
MONTH COVERAGE STARTED
N282When did this coverage start? That is, when did coverage from the plan with this name start?YEAR COVERAGE STARTED
N282_optionsWhen did this coverage start? That is, when did coverage from the plan with this name start?OPTIONS COVERAGE STARTED
N283Do you regularly take prescription medications other than aspirin to thin your blood or to prevent blood clots?BLOOD CLOTS
N284Overall, how satisfied are you with this health plan? HOW SATISFIED PLAN
N285^FLTwoYearsCaps, have you obtained medical care or prescription drugs from a Veterans’ Administration facility?OBTAINED MEDICAL CARE FROM VA FACILITY
N286What kind of care did you obtain from the VA? Please select all that apply.WHICH MEDICAL CARE FROM VA FACILITY
N290^FLTwoYearsCaps, was there any time when you needed medical care, but did not get it because you couldn't afford it?

[DEF: By "Medical Care" we mean visits with any medical professional, including dentists and psychologists.]
EVER NOT CARE BECAUSE OF COST
N291Is there a place that you usually go to when you are sick or need advice about your health?USUAL PLACE
N292What kind of place ^FLN292 - a clinic, doctor's office, emergency room, or some other place?

If there is more than one place you usually go, please select the place you use most often.
KIND OF PLACE
N293^FLTwoYearsCaps, did you have any trouble finding a general doctor or provider who would see you?KIND OF PLACE
N294Altogether, how many months were you without health insurance ^FLTwoYears?HOW LONG WITHOUT HEALT INSURANCE IN LAST TWO YEARS
N295Thinking about your experiences with the health care system over the past year, how often were your preferences for care taken into account?

[DEF: By "wishes for care taken into account" we mean your medical provider(s) asked about and considered your values and what matters most to you as a person when recommending a plan for your care.]
PREFERENCES TAKEN INTO ACCOUNT
N296Was the cost of the premium subsidized based on your family income?PREMIUM SUBSIZIDED
N332^FLTwoYearsCaps, aside from the medical expenses we already mentioned, have you had any other out-of pocket expenses, that is, expenses not covered by insurance, such as medications, special food, equipment such as a special bed or chair, visits by health professionals, or other costs?OTHER OUT OF POCKET EXPENSES
N333About how much did you pay out-of-pocket for these other expenses ^FLTwoYears?

Please enter zero for nothing.
HOW MUCH PAID OTHER OUT OF POCKET
N334_UnfThinking about how much you paid for other medical expenses ^FLTwoYears:

Was it more, about, or less than...
N334_Unf_RandomRANDOM START NUMBER FOR UNFOLDING BRACKETS
N342According to what you have answered so far, you are not currently covered by any government or private health insurance plans that cover medical care.

Is that correct?
NO PLANS CONFIRMATION
N343Under which of the following plans are you covered? Please choose all that apply.COVERED UNDER WHICH PLANS
N351Does this plan cover or provide help with paying for regular prescription drugs?PLAN COVERS REGULAR PRESCRIPTION DRUGS
N351_askedasked PLAN COVERS REGULAR PRESCRIPTION DRUGS
N352Part D of Medicare provides coverage for prescription drugs, usually through a private insurance provider.

Are you enrolled in Medicare Part D, also known as the Medicare Prescription Drug Plan?
ENROLLED IN MEDICATE PART D
N360To help lower your cholesterol?LOWER CHOLESTEROL
N361For pain in your joints or muscles?JOINT PAIN
N362For asthma or allergies or other breathing problems?ASTMA, ALLERGIES
N363For stomach problems?STOMACH
N364To help you sleep?SLEEP
N365To help relieve anxiety or depression?ANXIETY, DEPRESSION
N368^FLN368 Have there been some months when your out-of-pocket payments were much higher than this?OUT OF POCKET HIGHER COSTS
N404How much do you, yourself, pay per month in premiums for this plan?

Please enter zero for nothing.
PREMIUM FOR PRESCRIPTION DRUGS COVERAGE PLAN
N405_UnfThinking about how much you pay per month in premiums for your Medicare part D plan:

Per month, is it more, about, or less than...
N405_Unf_RandomRANDOM START NUMBER FOR UNFOLDING BRACKETS
N405_Unf_ResultsUnfolding bracket results
N414The last time when we asked you about Part D (in ^z092, ^z093), you indicated that ^Z245 provided your Medicare drug coverage.

Do you still get your Medicare drug coverage through this plan?
same medicare part d plan
N415Why did you change to your new Part D plan?

Choose all that apply.
why change medicare d plan
N417Do you have prescription drug coverage from some other source?PRESCRIPTION DRUGS COVERAGE OTHER SOURCE
N431Earlier you indicated that you have prescription drug coverage. Which plan is that?

For your reference, below are plans you've mentioned before.

If you select a plan already on the list, please be sure to confirm the entire plan name has remained the same. If not, select "Add a plan" and enter the new plan name in the space provided.

If you don't know your plan name, select "Add a plan" and leave the space provided empty.
WHICH PLAN PRESCRIPTION DRUG COVERAGE
N433^FLN433 Did insurance pay for any ^FLN433B?INSURANCE PAY FOR HOSPITAL STAY
N434Did insurance pay for all of ^FLN434?INSURANCE ALL PAY FOR MEDICAL
N435Did insurance pay for more than half of ^FLN434?INSURANCE MORE THAN HALF PAY FOR MEDICAL
N444Per:AMOUNT PAID OUT-OF-POCKET PRESCRIPTIONS - PER
N453AGE COVERAGE STARTED
N473YEARS AGO COVERAGE STARTED
N480Did your family live with you, in your home, or did you live with them in their home?family with you or you with them
N482Even if you cannot remember the exact date this coverage started, please give us your best guess.

Was it less than 5 years ago, more than 5 years ago, or about 5 years ago?
less than, more than, about 5 years ago
N483Was it less than 2 years ago, more than 2 years ago, or about 2 years ago?less than, more than, about 2 years ago
N485^FLN485_newCONFIRM SOURCE OF PREVIOUS PLAN
z553Z553: Did you purchase this plan directly from an insurance company, through an insurance exchange, through your^FLN037 union, through a group such as AARP, a church, or other organization, or what?PRELOADED PURCHASE THROUGH ORGANIZATION