Section 14, Part A.1 - Hospitalization and Health Insurance - Screening Questions (For New Households Go to Part A.2)

Section 14, Part A.1 is used in subsequent interviews to update information on previously recorded health insurance policies and to find out if any new health insurance policies have been purchased during the reference period.

    
Now I am going to ask about health insurance.
  1. Enter 1 to continue
  2. No policies were previously reported
  3. For definitions Information Booklet »

Do you/Does your household still have your health insurance policy from {the inventory of insurance previously reported}?
  1. Yes
  2. No
Since the first of the reference month, have you or any member of your household made any payments on this policy [including payroll deductions]?
  1. Yes
  2. No
Last time, I recorded that payments are made [once a week/once every 2 weeks/ etc.]. Is this still correct??
  1. Yes
  2. No

How often are payments made [including payroll deductions]?

  1. Once a week
  2. Once every 2 weeks
  3. Twice a month
  4. Once a month
  5. Every 2 months
  6. Quarterly (every 3 months)
  7. Once every 4 months
  8. Twice a year (every 6 months)
  9. Once a year
  10. Other
What is the amount currently paid [once a week/once every 2 weeks/ etc.]?

[enter value]

How much was paid since the first of the reference month?

[enter value]

How much of that was paid this month?

[enter value]

Since the first of the reference month, have you or any members of your household purchased any [additional] health or hospitalization insurance? Include any policies paid for someone outside your household.
Include those made by payroll deductions.

*Do not report Medicare Prescription Drug plans (Medicare Part D) here. Medicare Prescription Drug plans are collected in Section 14C in Interviews 2 through 5.

  1. Yes [Go to Section 14 B - Detailed Questions]
  2. No

End of Section 14A.1

Go to Section 14 Part B - Detailed Questions »

Go to CE CAPI Survey Instrument Home Page »

           

 

Last Modified Date: April 3, 2014