Health Insurance Coverage

General Details:

Name:
Health Insurance Coverage
Steward:
PhenX
Definition:
Question asking whether the respondent is covered by health insurance or some other form of health care coverage at the time of the interview.
Registration Status:
Retired

Designations:

Designation:
Health Insurance Coverage
Tags:

Designations:

Definition:
Question asking whether the respondent is covered by health insurance or some other form of health care coverage at the time of the interview.
Tags:
Definition:
The respondent is asked about health insurance coverage. A number of possible types of health care coverage are included, not simply health insurance.
Tags:

Reference Documents:

ID:
Title:
URI:
Provider Org:
Language Code:
en-us
Document:
None

Properties:

Key:
Derived Variables
Value:
None
Key:
Equipment Needs
Value:
These questions can be administered in a computerized or noncomputerized format (i.e., paper-and-pencil instrument). Computer software is necessary to develop computer-assisted instruments. The interviewer will require a laptop computer/handheld computer to administer or to allow the respondent to self-administer a computer-assisted questionnaire.
Key:
Keywords
Value:
Demographics, health care, health insurance plan, Medicare, Medicaid, medical care, medical bills, Medicare Supplemental Insurance, Medigap, Health Reform Monitoring Survey, HRMS
Key:
Language
Value:
English, Spanish
Key:
Life Stage
Value:
Adult
Key:
Mode Of Administration
Value:
Interviewer-administered questionnaire
Key:
Participants
Value:
Individuals aged 18-64 years.
Key:
Personnel And Training Required
Value:
No specific training is needed if data are collected through a self-administered questionnaire. The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e., tested by an expert) at the completion of personal interviews. The interviewer should be trained to prompt respondents further if a "don’t know" response is provided.
Key:
Process And Review
Value:
The Expert Review Panel #2 (ERP 2) reviewed the measures in the Demographics, Social Environments and Environmental Exposures domains.Guidance from ERP 2 includes:• Replaced protocol• New Data DictionaryBack-compatible: there are changes to the Data Dictionary, previous version of the Data Dictionary and Variable mapping in Toolkit archive (link)
Key:
Protocol
Value:
The next question asks about your health insurance or health coverage plans. In answering this question, please exclude plans that pay for only one type of service (such as nursing home care, accidents, family planning, or dental care) and plans that only provide extra cash when hospitalized. 1. Are you currently covered by any of the following types of health insurance or health coverage plans? Covered Not Covered Not Sure a. Insurance through a current or former employer or union (of yours or another family member’s). This would include COBRA coverage. 1 2 3 b. Insurance purchased directly from an insurance company (by you or another family member). This would include coverage purchased through an exchange or marketplace, such as HealthCare.gov [IF THE RESPONDENT IS IN A STATE WITH STATE-SPECIFIC NAMES, INSERT [or (INSERT PROGRAM NAME)]]. 1 2 3 c. Medicare, for people 65 and older, or people with certain disabilities. 1 2 3 d. Medicaid, Medical Assistance (MA), the Children’s Health Insurance Program (CHIP), or any kind of state or government-sponsored assistance. plan based on income or a disability. You may know this type of coverage as [IF THE RESPONDENT IS IN A STATE WITH STATE-SPECIFIC NAMES INSERT PROGRAM NAME]. 1 2 3 e. TRICARE or other military health care, including VA health care. 1 2 3 f. Indian Health Service. 1 2 3 g. Any other type of health insurance. coverage or health coverage plan 1 2 3 [IF “COVERED” NOT SELECTED FOR ANY ITEMS IN Q1] 2. Does this mean you currently have no health insurance or health coverage plan? In answering this question, please exclude plans that pay for only one type of service (such as, nursing home care, accidents, family planning, or dental care) and plans that only provide extra cash when hospitalized. I do NOT have health insurance 1 I HAVE some kind of health insurance 2 [IF Q1G = 1 OR Q2 = 2] 2.b. What type of health insurance do you have? [TEXT BOX]
Key:
Protocol Name From Source
Value:
Health Reform Monitoring Survey 2015
Key:
Purpose
Value:
Individuals who do not have health insurance do not visit health care providers on a regular basis or for preventive testing (e.g., prostate examination) and may be more vulnerable to illness or disease. Usually, individuals who do not have health insurance are those who cannot afford to pay the insurance premiums and are not eligible for government programs (e.g., immigrants).
Key:
Requirements
Value:
Requirement CategoryRequired
Major equipmentNo
Specialized trainingNo
Specialized requirements for biospecimen collectionNo
Average time of greater than 15 minutes in an unaffected individualNo
Key:
Selection Rationale
Value:
The Health Reform Monitoring Survey (HRMS) protocol was vetted against other health insurance coverage measures and was chosen because it determined if the respondent had health insurance and the type of coverage. The question also acknowledges recent changes to insurance coverage options provided by the Patient Protection and Affordable Care Act. Note that the questions do not address the adequacy of health insurance coverage or the cost for copayments.
Key:
Source
Value:
Health Reform Monitoring Survey (HRMS), Quarter 1 2015 Questionnaire, Question numbers Q7, Q8, Q8b. http://hrms.urban.org/survey-instrument/HRMS-Quarter-1-2015-survey.pdfUrban Institute. (2015). Health Reform Monitoring Survey (HRMS), 2015. Washington, DC: Author.
Key:
Standards
Value:
SourceIDNameStandard
CDE Browser2518985Person Health Insurance TypeCommon Data Elements (CDE)
LOINC63066-5Health ins coverage protoLogical Observation Identifiers Names and Codes (LOINC)

Identifiers:

Source:
NLM
Id:
myeeiw3q4X
Version:
1.2
Source:
PhenX
Id:
11502
Version:
Source:
LOINC
Id:
63066-5
Version:
2.67
Source:
NINDS
Id:
F2876
Version: