2003 findings with survey instrument - Shadac

EVER. Have you ever been covered by health insurance?1 yes2 no SKIP TO COV17 Don’t know SKIP TO COV19 Refused SKIP TO COV1PRIOR. Prior to becoming uninsured, what type of insurance did you have?01. Medicare02. Some other form of public insurance*03. Insurance through o wn or someone else’s employer or union04. Student health insurance05. Insurance bought directly by you or by someone else06. Veterans Affairs (VA, Champus, Anything Military related)10. COBRA11 Other…97. Don’t know99. Refused* …Please specify – such as MedicaidYOUNG. Was this insurance coverage through your parents’ or guardian’s plan?1 Yes2 No7 Don’t know9 RefusedPATHU You have just explained to me that currently you are NOT covered by health insurance but werecovered at some point in the past 12 months. Is this correct?1 Yes SKIP TO UNIN12 No7 Don’t know9 RefusedRECORD CURRENT AND PAST YEAR INSURANCE STATUS AND TYPE OF INSURANCE ASBEST UNDERSTOODUNINSUREDUNIN1 What type of insurance were you covered by most recently? Was it…01. Medicare02. Some other form of public insurance*03. Insurance through own or someone else’s employer or union05. Student health insurance06. Insurance bought directly by you or by someone else07. Veterans Affairs (VA, Champus, Anything Military related)08. COBRA10 Other…97. Don’t know99. RefusedNAME OF INSURANCE COMPANY (BLUE CROSS OR “MEDICA”) IS NOT A SUFFICIENTANSWER* …Please specify – such as Medicaid45