Section 15, Part B - Medical and Health Expenditures - Screening Questions for Reimbursements

Section 15, Part B covers reimbursements received by the consumer unit for medical services, prescription drugs, and medical supplies or equipment. IMPORTANT: The Census Bureau does not release to the Bureau of Labor Statistics any confidential information such as names and addresses. This information is only used during the course of the interview.

Now I am going to ask you some questions about your reimbursements.

By reimbursements I mean any money received for any members of your CU from an insurance company, medical care provider or non-CU member for medical expenses which you previously paid or will pay. Do not include reimbursements from a flexible spending account.

Since the first of the reference month, have you or any members of your CU received any medical reimbursements?
* IF YES - What did you get reimbursed for?

* Ask if not apparent

Describe the care/service/item. [enter text] _____________

* Ask if not apparent

Who was/were the "care/service/item" for?

* Enter name of person: [enter text] _____________

In what month was(were) the reimbursement(s) received? [enter text] _____________

What was the total amount received? [enter value] _____________

* Enter 'C' for a combined reimbursement

What other medical reimbursement is the "care/service/item" combined with?
* Enter all that apply

Did you or any members of your CU receive any other reimbursements for the "care/service/item"?

End of Section 15B

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Last Modified Date: November 8, 2007