Monitoring Outcomes for Former Welfare Recipients: A Review of 11 Survey Instruments. Appendix III: Health Insurance

08/11/1999

State Health Insurance Why not covered? Medicaid/Type of Insurance Employer
Arizona 204. Are you currently covered by Medical Assistance (AHCCCS), do you have other health insurance coverage for yourself, or are you currently uninsured? 207. Ditto children. 203a. Why didn't you continue to get Medical Assistance (AHCCS) after you stopped receiving Cash Assistance? 206a. Ditto children. 203. Did you continue to receive Medical Assistance (AHCCS) for yourself after you stopped receiving Cash Assistance? (Also see 204 to left). 206. Ditto children. [204] Is this (other) health insurance coverage through your employer or your spouse's employer (Coded as other­employer, other­not employer) [207]Ditto children.
Florida Q85a. Do you have any kind of health care coverage, including health insurance, prepaid plans such as HMO's, or government plans such as Medicaid? Q88a. Do your children have any kind of health care coverage? Q85b. What is the most important reason that you do not have coverage? Ditto children. Q62. I would like you to tell me whether you or someone in your home currently receives any of these (or has received any of these in the past 6 months)? Medicaid? Q86. What type of health care coverage do you use to pay for MOST of your medical care? Q88b. What type of health care coverage do you use to pay for most of your child's medical care? Q9. Do/did you get any of the following benefits from your employer (or most recent employer)? [want to know if offered, not what employee taking advantage of] A health plan or medical insurance for you? A health plan or medical insurance for your children?
Georgia Qing. Do you currently have health insurance for yourself? Do the children in your household currently have health insurance? When did you last have insurance for the children? (Within the last 6 mos, 6mos - 1 yr, 1-2 yrs, more than 2 yrs, DK, No Answer). What was the insurance ? (Medicaid, Peach care, employer provided insurance)   Qins1. Are you enrolled in Medicaid, Medicare, an employer provided plan, or one you pay for on your own? Are the children enrolled in Medicaid, Peach care, ....... Please tell me if the child's absent father has done any of the following...paid for dental or insured medical expenses? Paid for child's medical insurance?
Illinois VIII-5. Not counting Medicaid, do you have health insurance for yourself? Ditto, kids.   VIII-2. Now let's talk about Medicaid. Since you left welfare, have you ever received a Medicaid card for yourself? Do you have a medicaid card for yourself now? Why don't you have a Medicaid card for yourself? VIII-2D Have you applied for a Medicaid card for yourself since you left welfare in [month] Why haven't you...Ditto all for kids, asking about "Medicaid or KidCare card" Do you have this health insurance through your employer or your spouse's employer? If no: What kind of program covers you? Ditto children.
Missouri See question I.3 to left; "no insurance coverage during prior month" is one of eight items. I5. Since you left AFDC on {date} have there been any periods of time when a child living in your household did not have medical coverage, including Medicaid? I6. Ditto, YOU. See items to right on why participating in employer health plan. I.3. There are many kinds of health insurance plans. [for each person in H.H., for prior month] please tell me which kind of health insurance each person has. Next, what kind of health insurance coverage does [each person in H.H.] currently have? (List of 8 types, including:

3. Medicaid or Medicaid­paid HMO

F16. Did your employer offer any of the following benefits to you? C. A health insurance plan? E. Dental benefits? I.1. Earlier you said your employer offers a hp. Do you participate in that plan? Which of the following statements most clearly describes why you do not participate in your employer's health plan? (Read list of 5 items: not need, premium too high, don't like, pre­existing cond, other health insurance, other). Note that I3. to right include health insurance offered by current or former employer; by spouse's current or former employer.
South Carolina 40. Do you or other people who live with have some kind of health insurance that will pay all or some of the medical bills? Insurance includes Medicaid.   39. Now I will read you a list of benefit programs and types of support and I'd like you to tell me whether you or someone in your home gets this. Is anyone in your home getting Medicaid? 40a. What kind of medical coverage?

How many people under 18 years are covered? How many 18 years or older are covered?

40b. Is this private insurance from an employer, do you pay for it all yourself, or what?
Wisconsin 1j. Does person have health insurance (y/n)? [asked for each person in current H.H.] 1k. If no ins., why not? 1I. Health insurance type? (Interviewer codes Medicaid, medical assistance, Title XIX or Healthy Start as 1)[each person] 1m. If private ins. who pays premium?
Washington E12. Do you have any health care coverage for yourself, including DSHS medical coupons? E23. Do any of your children have health care coverage or insurance, including DSHS medical coupons? E22. What is the main reason that you are without any health coverage? E25. Ditto children E14. Next I am going to read a list of types of health care coverage that people may have. As I read each one, please tell me whether you have this type of health care coverage. (2ND item: .... Medicaid / medical coupons / healthy options) What is the primary type of health care coverage for each of your children (different answer for up to 4 kids) B14. Does your employer offer health care plan? B15. Were/are you actually enrolled in your employer sponsored health care plan? B16. Ditto children. E15. Type of care includes: .... My employer / union sponsored plan. E24. Type of primary healthcare coverage for children includes employer sponsored plan
Cuyahoga & LA H1a. In [prior month] were you covered by any health insurance plan? H2a. Ditto spouse / partner. H3. Thinking about the children who were not covered by Medicaid / Medi-Cal, were all of them covered by some other health plan, some covered, none? H3b. What is the main reason your children who are not covered by Insurance are not covered by Medicaid / Medi-Cal? (Write down verbatim) H1. In [prior month] were you covered by Medicaid / Medi-Cal? Probe: Did you have a valid Medicaid / Medi-Cal card? H2. Ditto spouse/partner. H3. Thinking about all your children under 18 who lived with you in [prior month], were all of your children covered by Medicaid / Medi-Cal, were some of them covered, or were none of them?

W12. When you left cash welfare benefits did anyone in your family continue on Medicaid (Medi-Cal in LA survey)? Did your children continue on Medicaid (Medi-Cal)

LF17. Do/did you get any of the following benefits from your employer? C) a health plan or medical insurance for you? D) ... for your children?
San Mateo Is your child(ren) currently covered by a plan that helps pay for their/his/her medical care, such as Medi-Cal or Medicaid, Healthy Families, which is sometimes called "Medi-Cal for Kids," a private insurance plan, such as a plan provided by an employer or one you pay for yourself, or some other government health plan, such as Champus or Medicare? (Answer for each child) 86. Are you yourself currently covered by any sort of plan that helps pay for your medical care, such as Medicaid or private health insurance?   What type of medical insurance plan is {each child} currently covered by? Is it... a) Medi-Cal or Medicaid, b) Healthy Families, which is sometimes called "Medi-Cal for Kids," c) a private insurance plan, such as a plan provided by an employer or one you pay for yourself, or d) some other government health plan, such as Champus or Medicare? (Answer for each child) 86a. Ditto, you. 95. When you stopped receiving cash aid in (exit month), did the county welfare agency or another government agency ... d) continue to provide you with health insurance? Current/just before you left does/did this job provide you with... c) a health plan or medical insurance for yourself? d) A health plan or medical insurance that covers children?
D.C. E2a. Do you have any health insurance coverage? E2b. So are you uninsured? E3. Do any of your children... E3a. So all your children are uninsured? E2c. Why aren't you enrolled in Medicaid? E2a. What is the source of your health insurance coverage? E3b. What are the sources of health insurance coverage for your children? A 10. Do you receive health insurance through (your employer, union, temporary agency, or contract company) Does your (employer, union, etc) offer health insurance to any of its (temporary) employees? Cold you begin this plan if you wanted to? Why aren't you in this plan? Why can't you be in this plan? Does your (employer, union, etc) pay for all, part or none of the insurance premiums? E1. Are any of your children covered under your health insurance policy through your employer?