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APPENDIX C 63 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
