Other medical expenses
[Information collected includes when and where the use occurred, what happened during the encounter, the reason for it, and other characteristics, depending on the type of care received.]
Whether a bill/statement received for the care and, if not, why not (e.g., Medicaid, HMO)
The charge, if any, for medical care
Which sources paid (family, insurance) for the care
How much each source paid for the care
Whether there was a discrepancy between the charge and the total payments, and why (discount, professional courtesy)
Each family member's usual source of health care (or that they do not have one)
Reason for not having a usual source of health care
Confidence and satisfaction with the quality of care received from a usual source of care
Barriers to receiving health care, including experiencing difficulty, delaying, or not receiving health
care due to cost, insurance problems, time constraints, or other reasons
Public insurance coverage
Medicare
Medicaid (including Medicaid waiver programs)
CHAMPUS/CHAMPVA
Other government programs
Private insurance coverage (including policyholder, covered individuals, and covered months)
Employer-sponsored coverage
Directly purchased insurance (e.g., through a group, association, school, etc.)
If not insured, length of uninsured spell
If privately or publicly insured, whether covered under a managed care plan
Satisfaction with health plan, including satisfaction with choice of providers, difficulty in seeing specialists, plan coverage, plan costs, overall satisfaction