 |
 |
| • Home |
| • Activities |
| • Bexar Census 2000 |
| • Contact Us |
| • Current Research |
| • Faculty |
| • Geographic Profiles |
| • News |
| • Policy Briefs |
| • Profiles |
| • Recent Publications |
| • What is MRPI? |
Current Population Surveys, 1996-1999
[Source: http://www.bls.census.gov/cps/ads/1996/sqestair.htm]
>SHI1< These next questions are about health insurance coverage during the calendar year 1995. The questions apply to ALL persons of ALL ages.
===>_
>SHI2< At any time in 1995, (were you/was anyone in this household) covered by a health plan provided through (their/your) current or former employer or union? (MILITARY HEALTH INSURANCE WILL BE COVERED LATER IN ANOTHER QUESTION.)
<1> Yes
<2> No
NOTE: THIS ITEM DOES NOT APPEAR FOR SINGLE PERSON HOUSEHOLDS
>SHI3< Who in this household were policyholders?
PROBE: Anyone else? ENTER <N> FOR NO MORE
R LN NAME R LN NAME
(person 1) (person 9)
(person 2) (person 10)
etc. etc.
(person 8) (person 16)
ENTER LINE NUMBER
===>__ ===>__ ===>__ ===>__ ===>__
===>__ ===>__ ===>__
NOTE: THIS ITEM DOES NOT APPEAR FOR SINGLE PERSON HOUSEHOLDS
>SHI4< In addition to (you/name), who else in this household was covered by (name's/your) plan?
PROBE: Anyone else? ENTER <X> FOR NONE
ENTER <N> FOR NO MORE
R LN NAME R LN NAME
(person 1) (person 9)
(person 2) (person 10)
etc. etc.
(person 8) (person 16)
ENTER LINE NUMBER
===>__ ===>__ ===>__ ===>__ ===>__ ===>__ ===>__ ===>__
>SHI5< Did (name's/your) plan cover anyone living outside this household?
<1> Yes
<2> No
>SHI6< Did (name's/your) former or current employer or union
pay for all, part, or none of the health insurance premium?
(NOTE: REPORT HERE EMPLOYER'S CONTRIBUTION TO EMPLOYEE'S HEALTH INSURANCE PREMIUMS, NOT THE EMPLOYEE'S MEDICAL BILLS.)
<1> All
<2> Part
<3> None
===>_
>SHI7< At anytime during 1995, (were you/was anyone in this household) covered by a plan that (you/they) PURCHASED DIRECTLY, that is, not related to current or past employer?
<1> Yes
<2> No
NOTE: THIS ITEM DOES NOT APPEAR FOR SINGLE PERSON HOUSEHOLDS
>SHI8< Who in this household were policyholders?
PROBE: Anyone else? ENTER <N> FOR NO MORE
R LN NAME R LN NAME
(person 1) (person 9)
(person 2) (person 10)
etc. etc.
(person 8) (person 16)
ENTER LINE NUMBER
===>__ ===>__ ===>__ ===>__ ===>__ ===>__ ===>__ ===>__
NOTE: THIS ITEM DOES NOT APPEAR FOR SINGLE PERSON HOUSEHOLDS
>SHI9< In addition to (you/name), who else in this household was covered by (name's/your) plan?
PROBE: Anyone else? ENTER <X> FOR NONE
ENTER <N> FOR NO MORE
R LN NAME R LN NAME
(person 1) (person 9)
(person 2) (person 10)
etc. etc.
(person 8) (person 16)
ENTER LINE NUMBER
===>__ ===>__ ===>__ ===>__ ===>__ ===>__ ===>__ ===>__
>SHI10< Did (name/you) plan cover anyone living outside this household?
<1> Yes
<2> No
>SHI11< At any time in 1995, (were you/was anyone in this household) covered by the health plan of someone who does not live in this household?
<1> Yes
<2> No
NOTE: THIS ITEM DOES NOT APPEAR FOR SINGLE PERSON HOUSEHOLDS
>SHI12< Who was that?
PROBE: Anyone else? ENTER <N> FOR NO MORE
R LN NAME R LN NAME
(person 1) (person 9)
(person 2) (person 10)
etc. etc.
(person 8) (person 16)
ENTER LINE NUMBER
===>__ ===>__ ===>__ ===>__ ===>__ ===>__ ===>__ ===>__
>SHI13< At any time in 1995, (were you/was anyone in this household) covered by Medicare?
READ IF NECESSARY: Medicare is the health insurance for persons 65 years old and over or persons with disabilities
<1> Yes
<2> No
NOTE: THIS ITEM DOES NOT APPEAR FOR SINGLE PERSON HOUSEHOLDS
>SHI14< Who was that?
PROBE: Anyone else? ENTER <N> FOR NO MORE
R LN NAME R LN NAME
(person 1) (person 9)
(person 2) (person 10)
etc. etc.
(person 8) (person 16)
ENTER LINE NUMBER
===>__ ===>__ ===>__ ===>__ ===>__ ===>__ ===>__ ===>__
>SHI15< At any time in 1995, (were you/was anyone in this household) covered by Medicaid/(fill state name)?
READ IF NECESSARY: Medicaid/ (fill state name) is the government assistance program that pays for health care?
<1> Yes
<2> No
State fills for item SHI15:
MEDCAL: California
WELFARE: Oregon
MEDIKAN: Kansas
MEDICAL ASSISTANCE:
Alaska Kentucky Oklahoma
Arkansas Louisiana Pennsylvania
Colorado Maine Rhode Island
Delaware Maryland South Carolina
District of Columbia Massachusetts Texas
Georgia Michigan Virginia
Hawaii Minnesota Washington
Idaho New Jersey Wisconsin
NOTE: THIS ITEM DOES NOT APPEAR FOR SINGLE PERSON HOUSEHOLDS
>SHI16< Who was that?
PROBE: Anyone else? ENTER <N> FOR NO MORE
R LN NAME R LN NAME
(person 1) (person 9)
(person 2) (person 10)
etc. etc.
(person 8) (person 16)
ENTER LINE NUMBER
===>__ ===>__ ===>__ ===>__ ===>__ ===>__ ===>__ ===>__
>SHI17< How many months during 1995, (were/was) (name/you) covered by Medicaid/(local name)?
ENTER NUMBER OR MONTHS
===>__
(1-12)
>SHI18< At any time in 1995, (were you/was anyone in this household) covered by CHAMPUS, CHAMP-VA, VA, military health care, or Indian Health Service?
NOTE: "CHAMP-VA" IS THE CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE DEPARTMENT OF VETERAN'S AFFAIRS.
<1> Yes
<2> No
NOTE: THIS ITEM DOES NOT APPEAR FOR SINGLE PERSON HOUSEHOLDS
>SHI19< Who was that?
PROBE: Anyone else? ENTER <N> FOR NO MORE
R LN NAME R LN NAME
(person 1) (person 9)
(person 2) (person 10)
etc. etc.
(person 8) (person 16)
ENTER LINE NUMBER
===>__ ===>__ ===>__ ===>__ ===>__ ===>__ ===>__ ===>__
>SHI20a< What plan (were/was) (name/you) covered by?
<1> CHAMPUS or military health care
<2> CHAMP-VA
<3> VA
<4> Indian Health Service
<5> Other
===>_
>SHIC1< Other than the plans I have already talked about, during 1995, was anyone in this household covered by a health insurance plan (such as the [use fill specified for particular state shown below] plan or any other type of plan/of any other type)?
<1> Yes
<2> No
Fills for State-specific health insurance programs for low-income uninsured individuals (to be used in SHIC1).
Arizona........ Medically Indigent Program
California...... AIM (Access for Infants and Mothers)
California's children's health insurance program
Colorado....... Children's Health Plan
Connecticut.... Healthy Steps
Delaware....... Nemours Child Program
Florida........ Healthy Kids
Hawaii......... Hawaii HealthQUEST
Iowa........... Iowa coverage for unemployed workers
Kansas......... Kansas Caring Program for Kids
Maine.......... Maine Health Program
Maryland....... AIDS Insurance Assistance Program
Massachusetts.. Healthy Kids
CenterCare Program
Medical Security Plan
Michigan....... Caring for Children
Minnesota...... Minnesota Care
Mississippi.... Mississippi subsidized insurance coverage
Missouri....... Missouri's coverage for unemployed
New Hampshire.. Healthy Kids
New Jersey..... New Jersey's coverage for pregnant women and children
Health Access New Jersey
New York....... Child Health Plus
New York's subsidized insurance
Ohio........... Children's Health Care Program
Oregon......... Oregon Health Plan
Pennsylvania... Children's Health Insurance Programs
Rhode Island... Rite Care
Tennessee...... TennCare
Washington..... Children's Health Plan
Basic Health Plan
Wisconsin...... Healthy Start
NOTE: THIS ITEM DOES NOT APPEAR FOR SINGLE PERSON HOUSEHOLDS
>SHIC2< Who has insurance?
ENTER LINE NUMBER OF INSURED PERSON.
LN NAME RELATION LN NAME RELATION
(person 1) (person 9)
(person 2) (person 10)
etc. etc.
(person 8) (person 16)
ENTER LINE NUMBER <N> No more
PROBE: Anyone else?
===>__ ===>__ ===>__ ===>__ ===>__ ===>__ ===>__ ===>__
(Ask SHIC3 for each person listed in SHIC2)
>SHIC3< What type of insurance did (you/name) have in 1995.
<1> Medicare
<2> Medicaid
<3> CHAMPUS
<4> CHAMPVA ("CHAMPVA" IS THE CIVILIAN HEALTH AND MEDICAL
PROGRAM OF THE DEPARTMENT OF VETERAN'S AFFAIRS.)
<5> VA health care
<6> Military health care
<7> Indian Health Service
<8> Other government health care
<9> Employer/unionprovided (policyholder)
<10> Employer/unionprovided (as dependent)
<11> Privately purchased (policyholder)
<12> Privately purchased (as dependent)
<13> Plan of someone outside the household
<14> Other
===>__
>SHI21< These next questions are about CURRENT health insurance coverage, that is, health coverage last week. (Were you/Was anyone in this household) covered by ANY type of health insurance plan last week?
<1> Yes
<2> No
NOTE: THIS ITEM DOES NOT APPEAR FOR SINGLE PERSON HOUSEHOLDS
>SHI22< Who was that?
PROBE: Anyone else? ENTER <N> FOR NO MORE
R LN NAME R LN NAME
(person 1) (person 9)
(person 2) (person 10)
etc. etc.
(person 8) (person 16)
ENTER LINE NUMBER
===>__ ===>__ ===>__ ===>__ ===>__ ===>__ ===>__ ===>__
>SHI23a< What types of plans (were/was) (name/you) covered by last week?
<1> Same as last year
<2> Medicare
<3> Medicaid/(state fill name)
<4> CHAMPUS
<5> CHAMPVA ("CHAMPVA" IS THE CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE
DEPARTMENT OF VETERAN'S AFFAIRS.)
<6> VA health care
<7> Military health care
<8> Indian Health Service
<9> Other government health care
<10> Employer/unionprovided (policyholder)
<11> Employer/unionprovided (as dependent)
<12> Privately purchased (policyholder)
<13> Privately purchased (as dependent)
<14> Plan of someone outside the household
<15> Other
===>__
>SHI24< An important factor in evaluating a person's or family's health insurance situation is their current health status and/or the current health status of other family members.
ENTER <P> TO PROCEED
===>_
>SHI25< Would you say (name's/your) health in general is:
<1> Excellent
<2> Very good
<3> Good
<4> Fair
<5> Poor
===>_