New Immigrant Survey Section E - Health and Life Insurance

Transcription

1 Section E: Health and Life Insurance E1 Are you currently covered by any health insurance? New Immigrant Survey 1 YES...(E1A_CHECK) 2 NO...(E9B_CHECK) -1 RF...(E1A_CHECK) -2 DK...(E1A_CHECK) E1A_CHECK CHK: TYPE OF EMPLOYMENT? [C16: PRESENTLY WORKING FOR PAY] and [C22]:CURRENT EMPLOYMENT TYPE] 0 NOT WORKING (IF C16 not equal to YES)...(E2) 1 SELF-EMPLOYED (E1A) 2 WORKING FOR SOMEONE ELSE...(E2) -1 RF...(E2) -2 DK...(E2) E1A Now I have some questions about your health insurance. You mentioned earlier that you were self-employed. Do you have health insurance through that business that pays hospital or doctor bills? E2 1 YES...(E2) 2 NO...(E2) -1 RF...(E2) -2 DK...(E2) Not including any government provided healthcare insurance including Medicare, Medicaid, CHAMPUS, CHAMPS-VA, are you covered by any private health insurance? 1 YES...(E3) 2 NO...(E3_CHECK) -1 RF...(E3_CHECK) -2 DK...(E3_CHECK) NIS April 10, 2014

2 E3_CHECK TYPE OF EMPLOYMENT New Immigrant Survey [C16 PRESENTLY WORKING FOR PAY] and [C22: SELF EMPLOYED?] 0 NOT WORKING (IF C16 not equal to YES)....(E9B_CHECK) 1 SELF-EMPLOYED (E12) 2 WORKING FOR SOMEONE ELSE...(E9B_CHECK) -1 RF...(E9B_CHECK) -2 DK...(E9B_CHECK) E3 For this next set of questions I'd like you to think about the private health insurance plan that you consider as your primary or most important health insurance plan. Do you obtain private health insurance through your ["or your spouse's or partner's"] ["current employer"] school, parents, former employer or union, or from someplace else? INTERVIEWER: ASK "WHOSE EMPLOYER?" IF NOT CLEAR. E3OS 1 R'S CURRENT EMPLOYER...(E4) 2 R'S FORMER EMPLOYER...(E4) 3 R'S UNION...(E4) 4 R'S SCHOOL...(E4) 5 R'S PARENTS...(E4) 6 SPOUSE'S CURRENT EMPLOYER...(E4) 7 SPOUSE'S FORMER EMPLOYER...(E4) 8 SPOUSE'S UNION...(E4) 9 SPOUSE'S SCHOOL...(E4) 10 SPOUSE'S PARENTS...(E4) 11 SOMEPLACE ELSE (SPECIFY)...(E3OS) -1 RF...(E4) -2 DK...(E4) OTHER SPECIFY (80 Characters)...(E4) E4 Besides you, is anyone else covered on this health insurance? 1 YES...(E5_X) 2 NO...(E7) -1 RF...(E7) -2 DK...(E7) NIS April 10, 2014

3 E5_X [RANGE=1 TO 3, 97] Who besides yourself is covered? INTERVIEWER: CHOOSE ALL THAT APPLY, BUT DO NOT ALLOW 2 AND 3 SIMULTANEOUSLY. E5OS 1 SPOUSE...(E6_CHECK) 2 ALL MY CHILDREN...(E6_CHECK) 3 SOME OF MY CHILDREN...(E6_CHECK) 97 OTHER (SPECIFY)...(E5OS) -1 RF...(E6_CHECK) -2 DK...(E6_CHECK) OTHER SPECIFY (80 Characters)...(E6_CHECK) E6_CHECK CHK: ANY CHILDREN W/ HEALTH INSURANCE? [E5_3: HEALTH INSURANCE COVERS WHOM] =1 1 CONDITION APPLIES (E6A) 2 CONDITION DOES NOT APPLY (E7) E6A Are all your children in your household covered by this insurance? E7 1 YES...(E7) 2 NO...(E7) 3 NO CHILDREN IN HH...(E7) -1 RF...(E7) -2 DK...(E7) I'd like to ask you a few questions about how your health insurance works for non-emergency care. Does this health insurance plan pay any part of the cost of prescription medicines? 1 YES...(E8) 2 NO...(E8) -1 RF...(E8) -2 DK...(E8) NIS April 10, 2014

4 E8 Does this health insurance plan pay any part of the cost of your routine dental care by a dentist? E9_CHECK CHK: E3 1 YES...(E9_CHECK) 2 NO...(E9_CHECK) -1 RF...(E9_CHECK) -2 DK...(E9_CHECK) [E3: OBTAIN INSURANCE THROUGH WHOM] 1 R'S CURRENT EMPLOYER...(E12_CHECK) 2 R'S FORMER EMPLOYER...(E9A_CHECK) 3 R'S UNION...(E9A_CHECK) 4 R'S SCHOOL...(E9A_CHECK) 5 R'S PARENTS...(E9A_CHECK) 6 SPOUSE'S CURRENT EMPLOYER...(E9A_CHECK) 7 SPOUSE'S FORMER EMPLOYER...(E9A_CHECK) 8 SPOUSE'S UNION...(E9A_CHECK) 9 SPOUSE'S SCHOOL...(E9A_CHECK) 10 SPOUSE'S PARENTS...(E9A_CHECK) 11 SOMEPLACE ELSE (SPECIFY)...(E9A_CHECK) -1 RF...(E9A_CHECK) -2 DK....(E9A_CHECK) E9A_CHECK CHK: E3 [E3: OBTAIN INSURANCE THROUGH WHOM] 1 R'S CURRENT EMPLOYER...(E9B_CHECK) 2 R'S FORMER EMPLOYER...(E9B_CHECK) 3 R'S UNION...(E10) 4 R'S SCHOOL...(E9B_CHECK) 5 R'S PARENTS...(E9B_CHECK) 6 SPOUSE'S CURRENT EMPLOYER...(E9B_CHECK) 7 SPOUSE'S FORMER EMPLOYER...(E9B_CHECK) 8 SPOUSE'S UNION...(E9B_CHECK) 9 SPOUSE'S SCHOOL....(E9B_CHECK) 10 SPOUSE'S PARENTS...(E9B_CHECK) 11 SOMEPLACE ELSE (SPECIFY)...(E9B_CHECK) -1 RF...(E9B_CHECK) -2 DK...(E9B_CHECK) NIS April 10, 2014

5 E9B_CHECK CHK: R WORKING FOR SOMEONE ELSE [C16: PRESENTLY WORKING FOR PAY] and [C22] not equal to 1 and ([C1], [C8], or [C16] = 1) Note: Only 10 people went through E9B_CHECK before we made it into a function instead of a direct check. 1 CONDITION APPLIES (E9) 2 CONDITION DOES NOT APPLY (E12_CHECK) E9 Does your employer or union offer a health insurance plan to any of its employees? E10 1 YES...(E10) 2 NO...(E11) -1 RF...(E11) -2 DK...(E11) Were you offered health insurance through your job? E11 1 YES...(E11) 2 NO...(E11) -1 RF...(E11) -2 DK...(E11) Will you be eligible for health insurance through your job in the future? 1 YES...(E12_CHECK) 2 NO...(E12_CHECK) -1 RF...(E12_CHECK) -2 DK...(E12_CHECK) E12_CHECK CHK: [E1] RESPONDENT HAS NO HEALTH INSURANCE [E1: CURRENTLY COVERED BY HEALTH INSURANCE]=2 NIS April 10, 2014

6 1 CONDITION APPLIES...(E21_CHECK) 2 CONDITION DOES NOT APPLY...(E12) New Immigrant Survey E12 Are you currently covered by any government-provided health insurance from a country other than the United States? E13 Which country? 1 YES...(E13) 2 NO...(E19) -1 RF...(E19) -2 DK...(E19) E13OS [COUNTRY PICK LIST]...(E14) 997 OTHER SPECIFY...(E13OS) 999 DECEASED...(E14) 995 NO OTHER COUNTRY...(E14) -1 RF...(E14) -2 DK...(E14) OTHER SPECIFY (80 Characters)...(E14) E14 Besides you, is anyone else covered on this health insurance? 1 YES...(E15_X) 2 NO...(E17) -1 RF...(E17) -2 DK...(E17) E15_X [RANGE X=1 to 3, 97] Who besides yourself is covered? INTERVIEWER: CHOOSE ALL THAT APPLY, BUT DO NOT ALLOW 2 AND 3 SIMULTANEOUSLY. 1 SPOUSE...(E16_CHECK) 2 ALL MY CHILDREN...(E16_CHECK) NIS April 10, 2014

7 3 SOME OF MY CHILDREN...(E16_CHECK) 4 OTHER (SPECIFY)...(E15OS) -1 RF...(E16_CHECK) -2 DK...(E16_CHECK) E15OS OTHER SPECIFY (80 Characters)...(E16_CHECK) E16_CHECK CHK: [E15] SOME CHILDREN COVERED BY HEALTH INSURANCE? [E15: SOME CHILDREN COVERED BY HEALTH INSURANCE?] =3 E16A 1 CONDITION APPLIES...(E16A) 2 CONDITION DOESN T APPLY...(E17) Are all your children in your household covered by this insurance? E17 1 YES...(E17) 2 NO...(E17) 3 NO CHILDREN IN HH...(E17) -1 RF...(E17) -2 DK...(E17) I'd like to ask you a few questions about how your health insurance works for non-emergency care. Does this health insurance plan pay any part of the cost of prescription medicines? E18 1 YES...(E18) 2 NO...(E18) -1 RF...(E18) -2 DK...(E18) Does this health insurance plan pay any part of the cost of your routine dental care by a dentist? 1 YES...(E19) 2 NO...(E19) -1 RF...(E19) -2 DK...(E19) NIS April 10, 2014

8 E19 The next questions are about public health insurance in the United States. In the United States, Medicare is a public health insurance program for people 65 or older and for disabled persons. Medicaid ["name of the state's medicaid program"] is a public health insurance program for people with low incomes. Are you currently covered by Medicare health insurance? E20 1 YES...(E20) 2 NO...(E20) -1 RF...(E20) -2 DK...(E20) Are you currently covered by your state's Medicaid program? 1 YES...(E21_CHECK) 2 NO...(E21_CHECK) -1 RF... E21_CHECK) -2 DK...(E21_CHECK) E21_CHECK CHK: RESPONDENT HAS CHILDREN LIVING IN HOUSEHOLD [CORESIDENT_KIDS_COUNT: Number of Coresident Children] > 0 E21 1 CONDITION APPLIES...(E21) 2 CONDITION DOESN T APPLY...(E21A_CHECK) Are your children living in your household currently covered by your state's Medicaid Children's Health Insurance Program ["name of state's CHIP"]? 1 YES...(E21A_CHECK) 2 NO...(E21A_CHECK) -1 RF...(E21A_CHECK) -2 DK...(E21A_CHECK) E21A_CHECK CHK: [E1] ANY HEALTH INSURANCE? [E1: HAVE HEALTH INSURANCE] 1 CONDITION APPLIES (E21A) NIS April 10, 2014

9 2 CONDITION DOES NOT APPLY... (E21D_CHECK) E21A Do you currently have any private health insurance from a country other than the United States? 1 YES...(E21B) 2 NO...(E21D_CHECK) -1 RF...(E21D_CHECK) -2 DK...(E21D_CHECK) E21B Which country? [COUNTRY PICK LIST]...(E21D_CHECK) 997 OTHER SPECIFY...(E21BOS) 999 DECEASED...(E21D_CHECK) 995 NO OTHER COUNTRY...(E21D_CHECK) -1 RF...(E21D_CHECK) -2 DK...(E21D_CHECK) E21BOS OTHER SPECIFY (80 Characters)...(E21D_CHECK) E21D_CHECK CHK: ANY PRESCRIPTION COVERAGE? [E7: ANY PRESCRIPTION COVERAGE]=1or [E17: ANY PRESCRIPTION COVERAGE]=1 E21D 1 CONDITION APPLIES...(E21E_CHECK) 2 CONDITION DOES NOT APPLY...(E21D) Do you currently have any insurance plan that pays any part of the cost of prescription medicines? 1 YES...(E21E_CHECK) 2 NO...(E21E_CHECK) -1 RF...(E21E_CHECK) -2 DK...(E21E_CHECK) NIS April 10, 2014

10 E21E_CHECK CHK: ANY DENTAL COVERAGE? [E8: ANY DENTAL COVERAGE]=1 or [E18: ANY DENTAL COVERAGE]=1 E21E 1 CONDITION APPLIES...(E21F_CHECK) 2 CONDITION DOES NOT APPLY...(E21E) Do you currently have any insurance plan that pays any part of the cost of your routine dental care by a dentist? 1 YES...(E21F_CHECK) 2 NO...(E21F_CHECK) -1 RF...(E21F_CHECK) -2 DK...(E21F_CHECK) E21F_CHECK CHK: MARITAL STATUS [MARITAL_STATUS] 1 Married...(E21F1_CHECK) 2 Living together in a marriage-like relationship but not married (E21G_CHECK) 3 Separated (E21G_CHECK) 4 Divorced (E21G_CHECK) 5 Widowed (E21G_CHECK) 6 Never married, not living with someone in a marriage-like relationship (E21G_CHECK) E21F1_CHECK CHK: SPOUSE HAS INSURANCE COVERAGE? [E5_1: HEALTH INSURANCE COVERS WHOM]=1 or [E15_1: NON-U.S. INSURANCE COVERAGE]=1 E21F 1 CONDITION APPLIES...(E21G_CHECK) 2 CONDITION APPLIES...(E21F) Is your ["spouse"] currently covered by any health insurance? 1 YES...(E21G_CHECK) 2 NO...(E21G_CHECK) -1 RF...(E21G_CHECK) -2 DK...(E21G_CHECK) NIS April 10, 2014

11 E21G_CHECK CHK:R HAS CHILDREN LIVING IN HOUSEHOLD [CORESIDENT_KIDS_COUNT: Number of Coresident Children]> 0 1 CONDITION APPLIES...(E21G1_CHECK) 2 CONDITION DOES NOT APPLY...(E22) E21G1_CHECK CHK: [E5] [E6A] [E15] [E21] ANY CHILDREN HAVE HEALTH COVERAGE? [E5_2]=1 or ([E5_3]=1 and [E6A]=1) or [E15_2]=1 or ([E15_3]=1 and [E16A]=1) or [E21]=1 1 CONDITION APPLIES...(E22) 2 CONDITION DOES NOT APPLY...(E21G) E21G ["Are your children"] currently covered by any health insurance? E22 1 YES...(E22) 2 NO...(E22) -1 RF...(E22) -2 DK...(E22) Do you currently have any life insurance? E23 1 YES...(E23) 2 NO...(NEXT SECTION) Altogether, what is the total face value of all of your life insurance policies, that is, the amount of money the beneficiaries would get if you were to die? INTERVIEWER: DO NOT PROBE DK. INTERVIEWER: AMOUNT IN US DOLLARS AMOUNT:$ (9 digits)...(next SECTION) -1 RF [assign random # 1-2; go to RANDOM ASSIGNMENT based on #] NIS April 10, 2014

12 -2 DK [assign random # 1-2; go to RANDOM ASSIGNMENT based on #] RANDOM ASSIGNMENT 1 E23A (Does it amount to) less than $2,500, more than $2,500, or what? E23B 1 LESS THAN $2,500...(NEXT SECTION) 3 ABOUT $2,500...(NEXT SECTION) 5 MORE THAN $2,500...(E23B) Does it amount to less than $20,000, more than $20,000, or what? E23C 1 LESS THAN $20,000...(NEXT SECTION) 3 ABOUT $20,000...(NEXT SECTION) 5 MORE THAN $20,000...(E23C) (Does it amount to) less than $50,000, more than $50,000, or what? E23D 1 LESS THAN $50,000...(NEXT SECTION) 3 ABOUT $50,000...( NEXT SECTION) 5 MORE THAN $50,000...(E23D) (Does it amount to) less than $250,000, more than $250,000, or what? 1 LESS THAN $250,000...(NEXT SECTION) 3 ABOUT $250,000...(NEXT SECTION) 5 MORE THAN $250,000...(NEXT SECTION) NIS April 10, 2014

13 RANDOM ASSIGNMENT 2 E23B Does it amount to less than $20,000, more than $20,000, or what? 1 LESS THAN $20,000...(E23A) 3 ABOUT $20,000...(NEXT SECTION) 5 MORE THAN $20,000...(E23C) E23C (Does it amount to) less than $50,000, more than $50,000, or what? E23D 1 LESS THAN $50,000...(NEXT SECTION) 3 ABOUT $50,000...(NEXT SECTION) 5 MORE THAN $50,000...(E23D) (Does it amount to) less than $250,000, more than $250,000, or what? E23A 1 LESS THAN $250,000...(NEXT SECTION) 3 ABOUT $250,000...(NEXT SECTION) 5 MORE THAN $250,000...(NEXT SECTION) (Does it amount to) less than $2,500, more than $2,500, or what? 1 LESS THAN $2,500...(NEXT SECTION) 3 ABOUT $2,500...(NEXT SECTION) 5 MORE THAN $2,500...(NEXT SECTION) NIS April 10, 2014