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 hospitalization and health insurance.
  1. Enter 1 to continue
  2. No policies were previously reported

    3. For definitions Information Booklet »

Do you/Does your household still make payments on the hospitalization and health insurance from {the inventory of insurance previously reported} for someone outside your household?
  1. Yes
  2. No
Since the first of the reference month were any payments made on this policy by you or any members of your household?
(Include those made by payroll deductions.)
  1. Yes
  2. No
How much was paid?

[enter value]

How much was paid this month?

[enter value]

{The following two questions will be asked IF the amount paid falls outside a range of 90% to 110% of previous reported value}

Have there been any changes to the terms of this policy such as premium amount or payment period?

  1. Yes
  2. No

What were the changes? (specify): [enter text] ______________

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 12, 2011