Do you have a clinic, doctor, nurse, or physician assistant who gives you your usual medical care?

Which category or categories below best describe how you usually pay for your medical care? (Mark all that apply.) Pre-paid private insurance (for example: Health Maintenance Organization, Kaiser Permanente, or other Group Health-type plan)

Which category or categories below best describe how you usually pay for your medical care? (Mark all that apply.) Other private insurance (for example: Blue Cross, Aetna, etc.)

Which category or categories below best describe how you usually pay for your medical care? (Mark all that apply.) Medicare

Which category or categories below best describe how you usually pay for your medical care? (Mark all that apply.) Medicaid (for example: Medical Assistance or DPA)

Which category or categories below best describe how you usually pay for your medical care? (Mark all that apply.) Military or Veterans Administration-sponsored

Which category or categories below best describe how you usually pay for your medical care? (Mark all that apply.) No insurance

Which category or categories below best describe how you usually pay for your medical care? (Mark all that apply.) Other

Have you ever made use of a VA Medical Center?

Computed from Form 20, questions 12, 12.2 and 18.  Time in months since last visit to participant's usual medical care provider.

Computed from Form 20, questions 12, 12.2 and 18.  Indicator of whether participant reported visiting her ususal medical care provider within the last year.

Computed from Form 20, question 16.  Indicator for whether the participant has any medical insurance.

Have you chosen a specific person you trust to make health care decisions for you in case you cannot speak for yourself?

Who did you choose to make health care decisions for you?  (Mark one.).

Have you talked to the person you chose about the type of health care you want if you were very sick or near the end of your life?  (Mark one.).

Have you made plans for what should happen if you become too sick to live on your own?  (Mark one.).

An Advance Directive or Living Will are documents that let a person choose how she wants to be treated if she gets very sick and is near the end of her life.  Have you filled out a written Advance Directive or Living Will?

In the past year, has a health care provider refused to have you as a patient because you are on Medicare?

Do you have a clinic, doctor, nurse or physician assistant who provides your usual medical care?

When did you last visit this clinic or person?  (Please give your best guess.)

Has your usual health care provider changed in the past 3 years?

Do you currently have health insurance?  This includes pre-paid private insurance such as a Health Maintenance Organization (HMO), other private insurance, Medicare, Medicaid (including State Medical Assistance, Medi-Cal or DPA), Military or VA coverage.

Which of the following best describes the doctors and hospitals covered by your current health insurance?  (Mark one.)

Pre-paid private insurance, such as a Health Maintenance Organization (HMO), Kaiser Permanente or other Group Health-type plan?

Who pays for this insurance? (Mark all that apply.)  Costs are paid by my employer or my spouse's employer

Who pays for this insurance? (Mark all that apply.)  Costs are paid by me

Who pays for this insurance? (Mark all that apply.)  Medicare

Other private insurance such as Blue Cross, Aetna, etc.?

Do you have additional coverage to supplement your Medicare benefits?

Medicaid, including State Medical Assistance, Medi-Cal, or DPA?

Military or Veterans Administration-sponsored?

Do you have a clinic, doctor, nurse, or physician assistant who provides your usual medical care?

When did you last visit this clinic or person? (Please give your best guess.)

Do you currently have health insurance? This includes pre-paid private insurance such as Health Maintenance Organization (HMO), other private insurance, Medicare, Medicaid (including State Medical Assistance or Medi-Cal), or Miliary or Veterans Administration health care coverage.

Which of the following best describes the doctors and hospitals covered by your current health insurance?

Pre-paid/Costs are paid by my employer or my spouse's employer

Other/Costs are paid by my employer or my spouse's employer

Medicaid, including State Medical Assistance (for example, Medi-Cal)

id	Variable	Description	Collected	File
idCAREPROV	VariableCurrent Health Care Provider	DescriptionDo you have a clinic, doctor, nurse, or physician assistant who gives you your usual medical care?	CollectedBaseline	FileForm 20 - Personal Information
idLSTVISDY	VariableDays from rand to last visit	Description ^*Sub-question of F20 V4 Q12 "Usual care provider" (skip pattern rule not applied).	CollectedBaseline	FileForm 20 - Personal Information
idHMOINS	VariablePre-paid private insurance	DescriptionWhich category or categories below best describe how you usually pay for your medical care? (Mark all that apply.) Pre-paid private insurance (for example: Health Maintenance Organization, Kaiser Permanente, or other Group Health-type plan)	CollectedBaseline	FileForm 20 - Personal Information
idOTHPRVIN	VariablePrivate insurance (other than pre-paid)	DescriptionWhich category or categories below best describe how you usually pay for your medical care? (Mark all that apply.) Other private insurance (for example: Blue Cross, Aetna, etc.)	CollectedBaseline	FileForm 20 - Personal Information
idMEDICARE	VariableMedicare	DescriptionWhich category or categories below best describe how you usually pay for your medical care? (Mark all that apply.) Medicare	CollectedBaseline	FileForm 20 - Personal Information
idMEDICAID	VariableMedicaid	DescriptionWhich category or categories below best describe how you usually pay for your medical care? (Mark all that apply.) Medicaid (for example: Medical Assistance or DPA)	CollectedBaseline	FileForm 20 - Personal Information
idMLTRYINS	VariableMilitary or VA insurance	DescriptionWhich category or categories below best describe how you usually pay for your medical care? (Mark all that apply.) Military or Veterans Administration-sponsored	CollectedBaseline	FileForm 20 - Personal Information
idNOINS	VariableNo insurance	DescriptionWhich category or categories below best describe how you usually pay for your medical care? (Mark all that apply.) No insurance	CollectedBaseline	FileForm 20 - Personal Information
idPAYOTH	VariableOther insurance than listed	DescriptionWhich category or categories below best describe how you usually pay for your medical care? (Mark all that apply.) Other	CollectedBaseline	FileForm 20 - Personal Information
idVAMEDCTR	VariableUsed a VA medical center ever	DescriptionHave you ever made use of a VA Medical Center? ^*Sub-question of F20 V4 Q17 "Served in U.S. Armed Forces". Not collected on all versions of Form 20.	CollectedBaseline	FileForm 20 - Personal Information

Variables related to Heath Care and Insurance