Previous Chapter: Health Care Use
Suggested Citation: "Health Insurance Coverage." National Research Council. 1998. Providing National Statistics on Health and Social Welfare Programs in an Era of Change: Summary of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/6097.

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.]

Charge And Payment (for each medical care use reported by household)

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)

Access To Care (asked once a year)

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

Health Insurance Coverage

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

Suggested Citation: "Health Insurance Coverage." National Research Council. 1998. Providing National Statistics on Health and Social Welfare Programs in an Era of Change: Summary of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/6097.
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