landline
cell
$10 Incentive
No incentive
LANDLINE PHONE
CELL PHONE
SCHEDULE A CALLBACK (CATI GOES TO CALLBACK SCREEN)
OTHER CODES (CATI GOES TO OTHER CODES SCREEN)
none
1 ADULT
2 ADULTS
3 ADULTS
4 ADULTS
5 ADULTS
6 ADULTS
7 ADULTS
8 ADULTS
9 OR MORE ADULTS
dk
refuse
YES, THERE ARE NO ADULTS
NO, THERE ARE ADULTS
refused
SPEAKING TO ADULT WITH MOST RECENT BIRTHDAY
NOT SPEAKING TO ADULT WITH MOST RECENT BIRTHDAY
INDIVIDUAL ON PHONE DOES NOT KNOW HOUSEHOLD MEMBERS BIRTHDAYS
THERE ARE NO ADULTS 19 OR OVER IN HOUSEHOLD
PERSON COMING TO THE PHONE
NO ONE AVAILABLE WHO KNOWS HHM BIRTHDAYS
yes
no
available
NOT ABLE TO PARTICIPATE AT THIS TIME
Non-proxy interview
Proxy interview
YOU ARE RESPONDENT'S WIFE / FEMALE PARTNER
YOU ARE RESPONDENT'S HUSBAND / MALE PARTNER
YOU ARE RESPONDENT'S MOTHER
YOU ARE RESPONDENT'S FATHER
YOU ARE RESPONDENT'S DAUGHTER
YOU ARE RESPONDENT'S SON
YOU ARE RESPONDENT'S GRANDMOTHER
YOU ARE RESPONDENT'S GRANDFATHER
YOU ARE RESPONDENT'S AUNT
YOU ARE RESPONDENT'S UNCLE
YOU ARE RESPONDENT'S SISTER
YOU ARE RESPONDENT'S BROTHER
YOU ARE RESPONDENT'S OTHER FEMALE RELATIVE
YOU ARE RESPONDENT'S OTHER MALE RELATIVE
YOU ARE RESPONDENT'S FEMALE LEGAL GUARDIAN
YOU ARE RESPONDENT'S MALE LEGAL GUARDIAN
YOU ARE RESPONDENT'S FOSTER MOTHER
YOU ARE RESPONDENT'S FOSTER FATHER
YOU ARE RESPONDENT'S OTHER FEMALE NON-RELATIVE
YOU ARE RESPONDENT'S OTHER MALE NON-RELATIVE
male
female
other
LESS THAN 1 MONTH
MORE THAN 1 MONTH BUT LESS THAN 12 MONTHS
1 YEAR
MORE THAN 1 YEAR
NORTH CENTRAL
NORTH EAST
NE CENTRAL
NORTH WEST
SOUTH CENTRAL
SOUTH EAST
southwest
CHANGE NUMBER OF ADULTS IN HOUSEHOLD, ENTER NEW NUMBER AND RECODE NUM_ADULTS
CHANGE NUMBER OF ADULTS IN FAMILY, ENTER NEW NUMBER AND RECODE S11
NO CHANGES
NO CHILDREN
1 CHILD
2 CHILDREN
3 CHILDREN
4 CHILDREN
5 CHILDREN
6 CHILDREN
7 CHILDREN
8 CHILDREN
9 CHILDREN
10 CHILDREN
11 CHILDREN
12 OR MORE CHILDREN
CHANGE NUMBER OF CHILDREN IN HOUSEHOLD, ENTER NEW NUMBER AND RECODE S12
CHANGE NUMBER OF CHILDREN IN FAMILY, ENTER NEW NUMBER AND RECODE S13
18-24
25-34
35-44
45-54
55-64
65 or older
DK - SKIPPING TO PLACEHOLDER INT UNTIL IT IS DETERMINED HOW THESE WILL BE CODED
REFUSED - SKIPPING TO PLACEHOLDER INT UNTIL IT IS DETERMINED HOW THESE WILL BE CODED
continue
DON'T KNOW
YES, INSURED
NO, NOT INSURED
YES, (COVERED BY A HEALTH INSURANCE PLAN THROUGH CURRENT/FORMER EMPLOYER OR UNION)
NO, (NOT COVERED THROUGH CURRENT/FORMER EMPLOYER OR UNION)
YOUR OWN WORK
SOMEONE ELSE'S WORK
BOTH THROUGH YOUR OWN WORK AND SOMEONE ELSE'S WORK
YES, INSURANCE BOTH THROUGH MY OWN and SOMEONE ELSE'S WORK
NO, INSURANCE THROUGH MY OWN WORK ONLY
NO, INSURANCE THROUGH SOMEONE ELSE'S WORK
CURRENT WORK
PAST WORK
"
the MyCare Ohio program that includes Aetna Better Health Care and Molina Healthcare,
the MyCare Ohio program that includes Buckeye Community Health Plan and Molina HealthCare,
the MyCare Ohio program that includes CareSource and United HealthCare Community Plan,
the MyCare Ohio program that includes CareSource, United HealthCare Community Plan, and Buckeye Community Health Plan,
the MyCare Ohio program that includes Aetna Better Health Care and Buckeye Community Health Plan,
Amerigroup Community Care, Buckeye Community Health Plan, CareSource or Molina Healthcare,
Buckeye Community Health Plan, CareSource or Paramount Advantage,
Buckeye Community Health Plan, or CareSource,
Buckeye Community Health Plan, CareSource, or WellCare,
CareSource or Molina Healthcare,
Amerigroup Community Care, CareSource or Molina Healthcare,
CareSource,
CareSource, or Molina Healthcare,
MEDICAID ONLY
MEDICARE ONLY
BOTH MEDICAID AND MEDICARE
neither
19-24 years old
25-34 years old
35-44 years old
45-54 years old
55-64 years old
65 years or older
days
weeks
months
years
AGE IS CORRECT
LENGTH OF TIME COVERED BY INSURANCE IS CORRECT
EARN TOO MUCH MONEY (SUCH AS NEW JOB THAT PAYS MORE MONEY)
OBTAINED OTHER COVERAGE (SUCH AS NEW/BETTER JOB WITH BENEFITS, COMPANY CHANGED TO NEW PLAN ETC,)
NO LONGER DISABLED OR DO NOT QUALIFY AS DISABLED
DO NOT RECEIVE WELFARE/CASH ASSISTANCE/ADC/TANF
OTHER REASON (EXPIRATION OF BENEFITS, CHANGE IN AGE, CHANGE IN MARITAL STATUS, PREGANCY STATUS,  CUSTODY, LIVING ARRANGMENTS)
NOT SURE WHY
DO NOT NEED ANYMORE- IN GOOD HEALTH
DO NOT NEED ANYMORE
PAPERWORK DELAY OR PROBLEMS
WAITING TO BECOME ELIGIBLE FOR COVERAGE
DO NOT WANT TO GO THROUGH APPLICATION PROCESS AGAIN
HOSPITAL, MEDICAL CENTER, VA, NOT SPECIFIED
YOU OR FAMILY
EMPLOYER OR UNION
STATE, LOCAL, GOVERNMENT, OR COMMUNITY PROGRAM
SOMEONE ELSE
DON'T KNOW IF PLAN COVERS THIS
LENGTH OF TIME COVERED BY CURRENT INSURANCE PLAN IS CORRECT
NO LONGER DISABLED OR DO NOT QUALIFY AS DISABLED.
OTHER REASON (EXPIRATION OF BENEFITS, CHANGE IN AGE, CHANGE IN MARITAL STATUS, PREGANCY STATUS, CUSTODY, LIVING ARRANGMENTS)
COVERAGE NO LONGER AVAILABLE/NO LONGER ELIGIBLE
OTHER: SPECIFY
DONT KNOW
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
dontknow
LENGTH OF TIME LAST HAD HEALTH INSURANCE COVERAGE IS CORRECT
excellent
VERY GOOD
good
fair
poor
BORDERLINE (VOLUNTEERED)
YES ONLY WHEN PREGNANT
EVERY DAY
SOME DAYS
NOT AT ALL
HAVE NOT SEEN A HEALTH PROFESSIONAL IN THE PAST YEAR
4 or more
5 or more
pounds
kilograms
ANSWERED IN FEET/INCHES
ANSWERED IN CENTIMETERS
Breastfeed only (infant will not be given formula),
Formula feed only (no breast milk), or
Both breast and formula feed?
01-NOT AT ALL CONFIDENT
02
03
04
05-VERY CONFIDENT
never
LAST VISIT IS CORRECT
NEVER BEEN TO A DOCTOR/HEALTH CARE PROFESSIONAL IN THEIR OFFICES
BEEN TO A DOCTOR/HEALTH CARE PROFESSIONAL BUT NOT IN AN OFFICE
INCORRECT RESPONSE--BACK UP TO PREVIOUS QUESTION
LAST TIME YOU SAW A DOCTOR OR OTHER HEALTH CARE PROFESSIONAL
LAST TIME YOU SAW A DOCTOR FOR A ROUTINE CHECKUP
MORE THAN 20
BIG PROBLEM
SMALL PROBLEM
NO PROBLEM
YES, VOLUNTEERED THAT THERE IS MORE THAN ONE PLACE
NO PLACE AT ALL
MORE THAN ONE PLACE
YES, ONE PERSON
YES, MORE THAN ONE PERSON
Never
Sometimes
Usually, or
Always
sometimes
usually, or
always
DID NOT TRY TO GET MEDICAL ASSISTANCE ON EVENINGS, WEEKENDS OR HOLIDAYS.
SAME DAY
1 DAY
2 TO 3 DAYS
4 TO 7 DAYS
MORE THAN 7 DAYS
DID NOT TRY TO MAKE AN APPOINTMENT
Within the past 30 days, that is since <FL_D46C_2MON> <FL_D46C_2DAY>
More than 30 days ago, but within the past 12 months, or
More than 12 months ago
easier
harder
STAYED THE SAME
Costs too much
Have other insurance
Hope to get other insurance
Do not need or want insurance
Did not like plan/benefit package
Did not like choice of doctors or hospitals
I AM PARTICIPATING
OTHER -  Why are you not participating in your/his/her employer or union health insurance plan?
LESS THAN 30 HOURS/WEEK
30 HOURS/WEEK OR MORE
MORE THAN 50 PEOPLE
LESS THAN 50 PEOPLE
ABOUT 50 PEOPLE
married
divorced,
widowed,
separated,
never married, or
a member of an unmarried couple?
LESS THAN FIRST GRADE
FIRST THROUGH 8TH GRADE
SOME HIGH SCHOOL, BUT NO DIPLOMA
HIGH SCHOOL GRADUATE OR EQUIVALENT (GED/VOCATIONAL/TRADE SCHOOL GRADUATE)
SOME COLLEGE, BUT NO DEGREE
ASSOCIATE DEGREE (1-2 YEAR OCCUPATIONAL, TECHNICAL OR ACADEMIC PROGRAM)
FOUR YEAR COLLEGE GRADUATE/BACHELOR'S DEGREE
ADVANCED DEGREE (INCLUDING MASTER'S, PROFESSIONAL DEGREE, OR DOCTORATE)
WHITE HISPANIC
BLACK OR AFRICAN AMERICAN HISPANIC
ASIAN HISPANIC
NATIVE AMERICAN, AMERICAN INDIAN, OR ALASKAN NATIVE HISPANIC
NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER HISPANIC
HISPANIC, LATINO, SPANISH HISPANIC
MULTI-RACE
REFUSED TO DISCRIMINATE
MORE THAN 10
01
05
06
07
08
09
15 OR MORE
DO NOT HAVE INCOME
$1,300
$1,800
$2,300
$2,700
$3,200
$3,700
$4,100
$4,600
$5,100
$5,500
$6,000
$6,500
$6,900
$7,400
$7,900
below
EXACTLY NUMBER FILLED
above
$400  or less
Over $400  to $600
Over $600  to $900
Over $900  to $1,000
$1,000 to $1,300
$600  or less
Over $900  to $1,200
Over $1,200 to $1,300
$1,300 to $1,800
$700  or  less
Over $700  to $1,100
Over $1,100 to $1,500
Over $1,500 to $1,600
$1,600 to $2,300
$900  or  less
Over $900  to $1,300
Over $1,300 to $1,800
Over $1,800 to $2,000
$2,000 to $2,700
$1,000 or  less
Over $1,000 to $1,500
Over $1,500 to $2,100
Over $2,100 to $2,300
$2,300 to $3,200
$1,200 or  less
Over $1,200 to $1,800
Over $1,800 to $2,400
Over $2,400 to $2,700
$2,700 to $3,700
$1,300 or  less
Over $1,300 to $2,000
Over $2,000 to $2,700
Over $2,700 to $3,000
$3,000 to $4,100
$1,500 or  less
Over $1,500 to $2,200
Over $2,200 to $3,000
Over $3,000 to $3,300
$3,300 to $4,600
$1,600 or  less
Over $1,600 to $2,400
Over $2,400 to $3,300
Over $3,300 to $3,700
$3,700 to $5,100
$1,800 or  less
Over $1,800 to $2,700
Over $2,700 to $3,600
Over $3,600 to $4,000
$4,000 to $5,500
$1,900 or  less
Over $1,900 to $2,900
Over $2,900 to $3,900
Over $3,900 to $4,400
$4,400 to $6,000
$2,100 or  less
Over $2,100 to $3,100
Over $3,100 to $4,200
Over $4,200 to $4,700
$4,700 to $6,500
$2,200 or  less
Over $2,200 to $3,300
Over $3,300 to $4,500
Over $4,500 to $5,000
$5,000 to $6,900
$2,400 or  less
Over $2,400 to $3,500
Over $3,500 to $4,800
Over $4,800 to $5,400
$5,400 to $7,400
$2,500 or  less
Over $2,500 to $3,800
Over $3,800 to $5,100
Over $5,100 to $5,700
$5,700 to $7,900
$1,300 to $1,500
Over $1,500 to $2,000
Over $2,000 to $2,900
$3,900 or more
$1,800 to $2,000
Over $2,700 to $3,900
Over $3,900 to $5,200
$5,200 or more
$2,300 to $2,600
Over $2,600 to $3,400
Over $3,400 to $4.900
Over $4,900 to $6,600
$6,600 or more
$2,700 to $3,100
Over $3,100 to $4,100
Over $4,100 to $6,000
Over $6,000 to $8,000
$8,000 or more
$3,200 to $3,600
Over $3,600 to $4,800
Over $4,800 to $7,000
Over $7,000 to $9,300
$9,300 or more
$3,700 to $4,200
Over $4,200 to $5,500
Over $5,500 to $8,000
Over $8,000 to $10,700
$10,700 or more
$4,100 to $4,700
Over $4,700 to $6,200
Over $6,200 to $9,000
Over $9,000 to $12,000
$12,000 or more
$4,600 to $5,200
Over $5,200 to $6,900
Over $6,900 to $10,000
Over $10,000 to $13,400
$13,400 or more
$5,100 to $5,700
Over $5,700 to $7,600
Over $7,600 to $11,000
Over $11,000 to $14,700
$14,700 or more
$5,500 to $6,300
Over $6,300 to $8,300
Over $8,300 to $12,000
Over $12,000 to $16,000
$16,000 or more
$6,000 to $6,800
Over $6,800 to $9,000
Over $9,000 to $13,000
Over $13,000 to $17,400
$17,400 or more
$6,500 to $7,300
Over $7,300 to $9,700
Over $9,700 to $14,000
Over $14,000 to $18,800
$18,800 or more
$6,900 to $7,900
Over $7,900 to $10,400
Over $10,400 to $15,100
Over $15,100 to $20,100
$20,100 or more
$7,400 to $8,400
Over $8,400 to $11,100
Over $11,100 to $16,100
Over $16,100 to $21,500
$21,500 or more
$7,900 to $8,900
Over $8,900 to $11,800
Over $11,800 to $17,100
Over $17,100 to $22,800
$22,800 or more
DID NOT HAVE INCOME
$16,000
$22,000
$27,000
$33,000
$39,000
$44,000
$50,000
$55,000
$61,000
$67,000
$72,000
$78,000
$83,000
$89,000
$95,000
$5 thousand or less
Over $5 thousand to $8 thousand
Over $8 thousand to $11 thousand
Over $11 thousand to $12 thousand
$12 thousand to $16 thousand
$7 thousand or less
Over $7 thousand to $10 thousand
Over $10 thousand to $14 thousand
Over $14 thousand to $16 thousand
$16 thousand to $22 thousand
$9 thousand or less
Over $9 thousand to $13 thousand
Over $13 thousand to $18 thousand
Over $18 thousand to $20 thousand
$20 thousand to $27 thousnad
$10 thousand or less
Over $10 thousand to $16 thousand
Over $16 thousand to $21 thousand
Over $21 thousand to $24 thousand
$24 thousand to $33 thousand
$12 thousand or less
Over $12 thousand to $18 thousand
Over $18 thousand to $25 thousand
Over $25 thousand to $28 thousand
$28 thousand to $39 thousand
$14 thousand or less
Over $14 thousand to $21 thousand
Over $21 thousand to $29 thousand
Over $29 thousand to $32 thousand
$32 thousand to $44 thousand
$16 thousand or less
Over $16 thousand to $24 thousand
Over $24 thousand to $32 thousand
Over $32 thousand to $36 thousand
$36 thousand to $50 thousand
$18 thousand or less
Over $18 thousand to $26 thousand
Over $26 thousand to $36 thousand
Over $36 thousand to $40 thousand
$40 thousand to $55 thousand
$19 thousand or less
Over $19 thousand to $29 thousand
Over $29 thousand to $40 thousand
Over $40 thousand to $44 thousand
$44 thousand to $61 thousand
$21 thousand or less
Over $21 thousand to $32 thousand
Over $32 thousand to $44 thousand
Over $44 thousand to $48 thousand
$48 thousand to $67 thousand
$23 thousand or less
Over $23 thousand to $34 thousand
Over $34 thousand to $47 thousand
Over $47 thousand to $52 thousand
$52 thousand to $72 thousand
$25 thousand or less
Over $25 thousand to $37 thousand
Over $37 thousand to $51 thousand
Over $51 thousand to $56 thousand
$56 thousand to $78 thousand
$27 thousand or less
Over $27 thousand to $40 thousand
Over $40 thousand to $54 thousand
Over $54 thousand to $60 thousand
$60 thousand to $83 thousand
$28 thousand or less
Over $28 thousand to $43 thousand
Over $43 thousand to $58 thousand
Over $58 thousand to $64 thousand
$64 thousand to $89 thousand
$30 thousand or less
Over $30 thousand to $45 thousand
Over $45 thousand to $62 thousand
Over $62 thousand to $69 thousand
$69 thousand to $95 thousand
$16  thousand to $18 thousand
Over  $18 thousand to $24  thousand
Over $24 thousand to $35 thousand
Over $35 thousand to $47 thousand
$47  thousand or more
$22  thousand to $25 thousand
Over $25 thousand to $32  thousand
Over $32 thousand to $47 thousand
Over $47 thousand to $63 thousand
$63 thousand or more
$27 thousand to $31 thousand
Over  $31 thousand to $41  thousand
Over $41 thousand to $59 thousand
Over $59 thousand to $79 thousand
$79 thousand or more
$33 thousand to $37 thousand
Over $37 thousand to $49 thousand
Over $49 thousand to $72 thousand
Over $72 thousand to $95 thousand
$95 thousand or more
$39 thousand to $44 thousand
Over $44 thousand to $57 thousand
Over $57 thousand to $84 thousand
Over $84 thousand to $112 thousand
$112 thousand or more
$44 thousand to $50 thousand
Over $50 thousand to $66 thousand
Over $66 thousand to $96 thousand
Over $96 thousand to $128 thousand
$128 thousand or more
$50 thousand to $56 thousand
Over $56 thousand to $74 thousand
Over $74 thousand to $108 thousand
Over $108thousand to $144 thousand
$144 thousand or more
$55 thousand to $63 thousand
Over $63 thousand to $83 thousand
Over $83 thousand to $120 thousand
Over $120thousand to $160 thousand
$160 thousand or more
$61 thousand to $69 thousand
Over $69 thousand to $91 thousand
Over $91 thousand to $132 thousand
Over $132thousand to $177 thousand
$177 thousand or more
$67 thousand to  $75 thousand
Over $75 thousand to $99 thousand
Over $99 thousand to $145 thousand
Over $145thousand to $193 thousand
$193 thousand or more
$72 thousand to $82 thousand
Over $82 thousand to $108 thousand
Over $108thousand to $157 thousand
Over $157thousand to $209 thousand
$209 thousand or more
$78 thousand to $88 thousand
Over $88 thousand to $116 thousand
Over $116thousand to $169 thousand
Over $169thousand to $225 thousand
$225 thousand or more
$83 thousand to $94 thousand
Over $94 thousand to $124 thousand
Over $124thousand to $181 thousand
Over $181thousand to $242 thousand
$242 thousand or more
$89 thousand to $101 thousand
Over $101thousand to $133 thousand
Over $133thousand to $193 thousand
Over $193thousand to $258 thousand
$258 thousand or more
$95 thousand to $107 thousand
Over $107 thousand to $141 thousand
Over $141 thousand to $206 thousand
Over $206 thousand to $274 thousand
$274 thousand or more
LESS THAN ONE YEAR
CHILD IS OLDER THAN 18
PERSON IS CHILD's MOTHER
PERSON IS CHILD's FATHER
PERSON IS CHILD's GRANDPARENT
PERSON IS CHILD's AUNT/UNCLE
PERSON IS CHILD's BROTHER/SISTER
PERSON IS CHILD's OTHER RELATIVE
PERSON IS CHILD's LEGAL GUARDIAN
PERSON IS CHILD's FOSTER PARENT
PERSON IS CHILD's OTHER NON-RELATIVE
PERSON IS CHILD's STEP-MOTHER
PERSON IS CHILD's STEP-FATHER
DIFFERENT PERSON
CHILD PROXY NOT IN HH
ok
YES, COVERED BY A HEALTH INSURANCE PLAN THROUGH CURRENT/FORMER EMPLOYER OR UNION
NO, NOT COVERED
HELP SCREEN
CORRECT, CHILD IS COVERED BY MEDICARE
INCORRECT, CHILD IS NOT COVERED BY MEDICARE
BUREAU FOR CHILDREN WITH MEDICAL HANDICAPS (BCMH)
MEDICAID (INCLUDES CARE SOURCE, HEALTHY START, & HEALTHY FAMILY, JOB & FAMILY SERVICES)
MEDICAL, HMO, or PPO
supplemental
dental
vision
MENTAL HEALTH
CANCER INSURANCE
hearing
ACCIDENT, DISABILITY, LIFE, OR ANY INSURANCE THAT PAYS CASH BENEFITS AND NOT MEDICAL EXPENSES.
cobra
SPECIFIC PLAN NAME GIVEN
INSURED THROUGH A FAMILY MEMBER NOT THROUGH WORK
STUDENT INSURANCE / THROUGH COLLEGE OR UNIVERSITY
medicaid
OTHER (What type of coverage is that?)
STATE, LOCAL, OR COMMUNITY PROGRAM
NOW ENROLLED IN THE OHIO HEALH INSURANCE EXCHANGE OR THROUGH HEALTHCARE.GOV
Very difficult
Somewhat difficult, or
Not at all difficult
Excellent
Very good
Good
Fair, or
Poor
ALREADY HAVE INSURANCE
PARENT WORKING
APPLICATION IN PROCESS/WAITING FOR APPLICATION
APPLICATION DENIED/REFUSED/DIDN'T QUALIFY
APPLICATION IN PROCESS / WAITING FOR APPLICATION
APPLICATION DENIED / REFUSED / DIDN'T QUALIFY
ANSWERED IN POUNDS
ANSWERED IN KILOGRAMS
Compared to other children his/her age, would you say he/she experiences any difficulty taking care of <FL_HIMHERSEL>, for example, doing things like eating, dressing and bathing?
Compared to other <I90A>-year-old children, would you say he/she experiences any difficulty taking care of <FL_HIMHERSEL>, for example, doing things like eating, dressing and bathing?
Compared to other children his/her age, would you say he/she experiences any difficulty learning, understanding, or paying attention?
Compared to other <I90A>-year-old children, would you say he/she experiences any difficulty learning, understanding, or paying attention?
Compared to other children his/her age, would you say he/she experiences any difficulty speaking, communicating, or being understood?
Compared to other <I90A>-year-old children, would you say he/she experiences any difficulty speaking, communicating, or being understood?
MORE THAN 12
CLINIC OR HEALTH CENTER
DOCTOR'S OFFICE OR HMO
HOSPITAL EMERGENCY ROOM
HOSPITAL OUTPATIENT DEPARTMENT
SCHOOL (NURSE'S OFFICE, ATHLETIC TRAINER'S OFFICE, ETC)
FRIEND/RELATIVE
URGENT CARE CENTER
DOES NOT GO TO ONE PLACE MOST OFTEN
SOME OTHER PLACE
usually
OR MORE THAN 7 DAYS
DID NOT NEED CARE RIGHT AWAY
DID NOT NEED CARE DURING EVENINGS, WEEKENDS, OR HOLIDAYS
rarely
NOT A PROBLEM
VOLUNTEERED: NO, NEVER HAD A PRESCRIPTION
RTI LL
RTI Cell
Precision LL
Precision Cell
rti
Precision
HEALTHY FAMILIES
HEALTHY START
MEDICAID FOR THE AGED, BLIND AND DISABLED or MBI WD
PASSPORT OR ASSISTED LIVING WAIVER
OHIO HOME CARE WAIVER
INDIVIDUAL OPTIONS, IO, LEVEL ONE, TRANSITIONS, or SELF WAIVER
MYCARE OHIO
MEDICARE PREMIUM ASSISTANCE PROGRAM (MPAP), QMB, OR SLMB
AETNA BETTER HEALTH CARE
BUCKEYE COMMUNITY HEALTH PLAN
caresource
MOLINA HEALTHCARE
PARAMOUNT ADVANTAGE
UNITED HEALTH CARE COMMUNITY PLAN
EMPLOYEE/PERSONAL/NON-MEDICAID
NOT ANSWERING THE QUESTION/NOT ENOUGH INFORMATION
Insurance offer by an employer
Private insurance from an insurance company or broker
Ohio Medicaid
Did not have insurance
Had plan through the Ohio Health Care Exchange
Or some other type of insurance?
FAMILY COVERAGE
RESPONDENT AND SPOUSE ONLY (NO CHILDREN)
SINGLE COVERAGE
SINGLE PLUS ONE
NOT ANSWERING THE QUESTION/NOT ENOUGH INFO
SOME OTHER TYPE OF ARRANGEMENT
LOST JOB, RETIRED, OR CHANGED EMPLOYERS
GOT MARRIED/GOT DIVORCED/SEPARATED/DEATH OF SPOUSE
EMPLOYER STOPPED OFFERING INSURANCE
EMPLOYER DID NOT OFFER HEALTH INSURANCE/NOT ELIGIBLE FOR COVERAGE THROUGH EMPLOYER
INSURANCE TOO EXPENSIVE/ CAN NOT AFFORD THE PREMIUM
EMPLOYER CHANGED PLANS
AGED OUT / BECAME MEDICARE ELIGIBLE
EMPLOYEE DECIDED TO CHANGE PLANS
BECAME A SECONDARY PLAN
ENROLLED THROUGH THE OHIO HEALTH CARE EXCHANGE PLAN OR A HEALTHCARE.GOV PLAN
ENROLLED THROUGH MEDICAID
INSURANCE COVERAGE PERIOD ENDED
BECAME ELIGIBLE FOR OWN INSURANCE COVERAGE/PLAN
COVERAGE HAS NOT ENDED
OTHER (PLEASE SPECIFY)
SELDOM OR NEVER GET SICK
DON'T KNOW WHERE TO GO FOR CARE
PREVIOUS DOCTOR/SOURCE NO LONGER AVAILABLE
LIKE TO GO TO DIFFERENT PLACES FOR DIFFERENT HEALTH NEEDS
JUST CHANGED INSURANCE PLANS
DON'T USE OR LIKE DOCTORS/TREAT MYSELF
COST/TOO EXPENSIVE
NO INSURANCE
USE BOOKS/INTERNET/HOTLINE
DOCTOR COMES TO PATIENT
LACK OF TRANSPORTATION / WAY TO GET TO THE DOCTOR
RELIES ON FAMILY OR FRIENDS
HAS USUAL SOURCE OF CARE
pharmacy
FRIEND / FAMILY MEMBER / COLLEAGUE
internet
ALTERNATIVE CARE
PERSONAL NURSE / CAREGIVER
HAVE NOT BEEN SICK
SOME OTHER PLACE - What kind of place do you go to most often?
government
PRIVATE INDUSTRY
SELF-EMPLOYED
RETIRED/UNEMPLOYED/ELDERLY
OTHER - How would you describe where you work(s)?
EMPLOYEES ONLY
EMPLOYEES AND THEIR FAMILIES
EMPLOYEES AND SPOUSE ONLY (NOT CHILDREN)
DOES NOT OFFER INSURANCE
NOT ELIGIBLE
OTHER - Who does the employer or union offer coverage to?
DEFINITELY WILL
PROBABLY WILL
PROBABLY NOT
DEFINITELY NOT
depends
MEDICARE PREMIUM ASSISTANCE PROGRAM (MPAP), QMB, or SLMB
NON-MEDICAID PLAN
aetna
aultcare
coventry
healthspan
HUMANA HEALTH PLAN OF OHIO
kaiser
MEDICAL HEALTH INSURING CORPERATION OF OHIO
MOLINA HEALTH PLAN
PARAMOUNT HEALTH PLAN
summacare
UNITED HEALTHCARE COMMUNITY PLAN
PARENT LOST JOB OR CHANGED EMPLOYERS
PARENT GOT DIVORCED / SEPARATED / DEATH OF PARENT
INSURANCE TOO EXPENSIVE / CAN NOT AFFORD THE PREMIUM
TOO MUCH PAPERWORK/HASSLE
SWITCHED TO ANOTHER PLAN
HAD TO CHANGE PLANS DUE TO AFFORDABLE CARE ACT
CHILD ALREADY HAS INSURANCE
CHILD DOES NOT NEED THE COVERAGE
DIDN'T THINK CHILD WAS ELIGIBLE OR QUALIFIED
DIDN'T KNOW ABOUT IT / NEVER HEARD OF IT
APPLICATION PROCESS TOO INVOLVED / HASSLE / TOO INTRUSIVE
CHILD WAS PREVIOUSLY TURNED DOWN
ANTICIPATE OBTAINING ADDITIONAL COVERAGE / FINDING ANOTHER JOB
APPLICATION IN PROCESS
DO NOT LIKE OR WANT GOVERNMENT ASSISTANCE
DIDN'T KNOW ABOUT IT/NEVER HEARD OF IT
DO NOT LIKE OR WANT GOVENRMENT ASSISTANCE
SELF PAY
PREVIOUS DOCTOR / SOURCE NO LONGER AVAILABLE
COST / TOO EXPENSIVE
BOOKS / INTERNET / HOTLINE (GET NEEDED INFO FROM)
HOSPITAL, HEALTH CENTER, NOT SPECIFIED
GOT DIVORCED/ SEPARATED/DEATH OF SPOUSE
RESPONDENT DECIDED TO CHANGE PLANS
ENROLLED THROUGH THE OHIO HEALTH CARE EXCHANGE OR A HEALTHCARE.GOV PLAN
DO NOT NEED ANYMORE - IN GOOD HEALTH
NOT LONGER QUALIFIED, GENERAL
NOW ENROLLED IN THE OHIO HEALH INSURANCE EXCHANGE OR THROUGH
Adult interview only
Adult and Child interview only
01-WHITE
02-BLACK/AFRICAN AMERICAN
03-ASIAN
04-OTHER
98-DK
99-RF
01-HISPANIC
02-NOT HISPANIC
01-UP TO HIGH SCHOOL BUT NO DIPLOMA
02-HIGH SCHOOL GRADUATE OR EQUIVALENT
03-SOME COLLEGE
04-ASSOCIATE DEGREE
05-4-YEAR COLLEGE GRADUATE
06-ADVANCED DEGREE
01-YES, INSURED
02-NO, UNINSURED
97-UNKNOWN
01-MEDICAID
02-NOT MEDICAID
01-MARRIED
02-DIVORCED/SEPARATED
03-WIDOWED
04-NEVER MARRIED
05-UNMARRIED COUPLE
01-OWN EMPLOYER
02-OTHER EMPLOYER
03-DUAL EMPLOYER
01-SPOUSE/PARTNER
02-PARENT
03-CHILD
04-GRANDPARENT
05-AUNT/UNCLE
06-BROTHER/SISTER
07-OTHER RELATIVE
08-LEGAL GUARDIAN
09-FOSTER PARENT OR OTHER NON RELATIVE
10-OTHER NON-RELATIVE
97-OTHER
01: 19-24
02: 25-34
03: 35-44
04: 45-54
05: 55-64
06: 65+
98: DK
99: RF
01-OCCURRED
02-DID NOT OCCUR
01-YES
02-NO
01-HAD PROBLEMS
02-NO PROBLEMS
1-UNDERWEIGHT
2-NORMAL OR HEALTHY WEIGHT
3-OVERWEIGHT
4-OBESE
00: 0
01: 1+
01-USUAL SOURCE OF CARE
02-NO USUAL PLACE
01-NEEDED SPECIALIST
02-DID NOT NEED SPECIALIST
01-BIG PROBLEM
02-SMALL PROBLEM
03-NOT A PROBLEM
01-EASIER
02-HARDER
03-STAYED THE SAME
Did not get needed health care
Received needed health care
rf
01-ENROLLED
02-NOT ENROLLED
1=Delayed treatment
2=Did not delay treatment
97=Unknown
98= DK
99= RF
1=Covered
2=Not covered
1=Occurred
2=Did not occur
1=Had problems
2=No problems
01-PARENT
02-GRANDPARENT
03-AUNT/UNCLEF
04-BROTHER/SISTER
05-OTHER RELATIVE
06-LEGAL GUARDIAN
07-FOSTER PARENT OR OTHER NON RELATIVE
08-STEP-MOTHER/STEP-FATHER
01-HAS SHCN
02-DOES NOT HAVE SHCN
0 - No
1 - Yes
03-HISPANIC
04-ASIAN
05-OTHER
Rural Appalachian
Metro
Rural Non-Appalachian
Suburban
9  ADULTS
10  ADULTS
11  ADULTS
12 OR MORE ADULTS
Yes
No
Unknown
01-MEDICAID AND MEDICARE
02-MEDICAID, NO MEDICARE
03-MEDICARE, NO MEDICAID
04-JOB-BASED COVERAGE
05-OTHER DIRECTLY PURCHASED
06-OTHER
07-INSURANCE TYPE UNKNOWN
08-UNINSURED
09-EXCHANGE COVERAGE
97-INSURANCE STATUS UNKNOWN
01-WHITE/OTHER
RESPONDENT AND SPOUSE ONLY, EXCLUDES CHILDREN
Child interview not completed/applicable
Completed Child interview
1-Insurance through exchange
2-Insurance not through exchange
01-  1 ADULT, 0 KIDS
02-  1 ADULT, 1+ KID
03-  2+ ADULTS, 0 KIDS
04-  2+ ADULTS, 1+ KID
97-  UNKNOWN
01-MALE
02-FEMALE
98-OTHER
01-  LESS THAN ONE MONTH AGO
02-  1-3 MONTHS AGO
03-  4-6 MONTHS AGO
04-  6-12 MONTHS AGO
05-  MORE THAN ONE YEAR AGO
97- DK/RF
02-EMPLOYER/UNION
03-DIRECT PURCHASE
01: < 1
02: 1-5
03: 6-12
04: 13-18
01-  LESS THAN 50
02-  50+
03-  UNKNOWN
98-  DK
99-  RF
1=Single
2=Two party
3=Family
4=Other arrangement
00-  NEVER HAD INSURANCE
05-  1-2 YEARS AGO
06-  2-3 YEARS AGO
07-  3+ YEARS AGO
97- UNKNOWN
1-Never Smoked
2-Former Smoker
3-Currently Smokes
4-Missing
01-  63% OR LESS
02-  63%-100%
03-  100%-138%
04-  138%-150%
05-  150%-200%
06-  200%-250%
07-  250%-300%
08-  300%-400%
09-  400% OR MORE
01-  100% OR LESS
02-  100%-150%
03-  150%-200%
04-  200%-300%
05-  300% OR MORE
0-OVER 138% FPL
1-AT OR BELOW 138% FPL
0-OVER 100% FPL
1-AT OR BELOW 100% FPL
0-OVER 90% FPL
1-AT OR BELOW 90% FPL
1 - Complete Adult
2 - Partial Adult
1 - Complete Child
2 - Child Breakoff
3 - Child RF/Non-interview
4 - No Children in Household