Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                         65,151        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                         65,151                    2018  2018                                    
 
VERSION  VERSFMT                       Version Number                           
                         65,151                       3  Version 3                               
 
PLANNUM  RNDFKFMT                      Unique Plan Number                       
                         54,744                       .  Inapplicable                            
                         10,407        Range of values   Unique Plan Id                          
                 First available in 2015
 
PLANTYPE PLAN3FMT                      Plan Type                                
                         15,156                       1  Medicare A                              
                         14,724                       2  Medicare B                              
                          6,926                       3  Medicare C/Medicare Advantage           
                         12,554                       4  Medicare D/Part D/MAPD                  
                          4,565                       5  Medicaid                                
                            831                       6  Other Public Plan                       
                          2,856                      20  Employer-sponsored insurance (ESI)      
                          1,806                      21  Employer-sponsored (ESI) Specialty Plan 
                          3,258                      30  Self-purchased Private Plan             
                            985                      31  Self-purchased Specialty Plan           
                             68                      40  Veteran’s Affairs Plan                  
                            699                      50  Tricare plan                            
                            445                      60  Retiree Drug Subsidy Plan               
                            278                      70  Other Insurance Plan Type Unknown       
 
S_INS    INSPLFMT                      Insurance coverage Plan                  
                         54,370                       .  Inapplicable                            
                            431                       N  Not ascertained                         
                          7,198                       1  Comprehensive insurance                 
                          1,712                       2  Dental only                             
                            467                       3  Vision only                             
                            153                       4  LTC                                     
                            638                       5  Rx only                                 
                             48                       6  Dental/Vision                           
                             13                       7  Life insurance                          
                            121                       8  Cancer/Dread disease                    
                 First available in 2015
 
BEGDATE  MMDDYYn8                      Coverage Begin Date for Year(MMDDYYYY)   
                         65,151        MMDDYYYY          Date as MMDDYYYY                        
 
ENDDATE  MMDDYYn8                      Coverage End Date for Year(MMDDYYYY)     
                            115                       .  Inapplicable                            
                         65,036        MMDDYYYY          Date as MMDDYYYY                        
 
SRCCOV01 COV2FMT                       Coverage Source Jan                      
                          1,788                       0  No Entitlement                          
                         11,901                       1  Survey Data Only                        
                         37,821                       2  CMS Administrative Data Only            
                         13,641                       3  Both Survey and Admin Data              
 
SRCCOV02 COV2FMT                       Coverage Source Feb                      
                          1,899                       0  No Entitlement                          
                         11,886                       1  Survey Data Only                        
                         37,677                       2  CMS Administrative Data Only            
                         13,689                       3  Both Survey and Admin Data              
 
SRCCOV03 COV2FMT                       Coverage Source Mar                      
                          1,958                       0  No Entitlement                          
                         11,875                       1  Survey Data Only                        
                         37,581                       2  CMS Administrative Data Only            
                         13,737                       3  Both Survey and Admin Data              
 
SRCCOV04 COV2FMT                       Coverage Source Apr                      
                          2,051                       0  No Entitlement                          
                         11,866                       1  Survey Data Only                        
                         37,495                       2  CMS Administrative Data Only            
                         13,739                       3  Both Survey and Admin Data              
 
SRCCOV05 COV2FMT                       Coverage Source May                      
                          2,116                       0  No Entitlement                          
                         11,855                       1  Survey Data Only                        
                         37,407                       2  CMS Administrative Data Only            
                         13,773                       3  Both Survey and Admin Data              
 
SRCCOV06 COV2FMT                       Coverage Source June                     
                          2,141                       0  No Entitlement                          
                         11,851                       1  Survey Data Only                        
                         37,372                       2  CMS Administrative Data Only            
                         13,787                       3  Both Survey and Admin Data              
 
SRCCOV07 COV2FMT                       Coverage Source July                     
                          2,122                       0  No Entitlement                          
                         11,874                       1  Survey Data Only                        
                         37,288                       2  CMS Administrative Data Only            
                         13,867                       3  Both Survey and Admin Data              
 
SRCCOV08 COV2FMT                       Coverage Source Aug                      
                          2,172                       0  No Entitlement                          
                         11,898                       1  Survey Data Only                        
                         37,210                       2  CMS Administrative Data Only            
                         13,871                       3  Both Survey and Admin Data              
 
SRCCOV09 COV2FMT                       Coverage Source Sep                      
                          2,152                       0  No Entitlement                          
                         11,950                       1  Survey Data Only                        
                         37,431                       2  CMS Administrative Data Only            
                         13,618                       3  Both Survey and Admin Data              
 
SRCCOV10 COV2FMT                       Coverage Source Oct                      
                          2,210                       0  No Entitlement                          
                         11,944                       1  Survey Data Only                        
                         37,840                       2  CMS Administrative Data Only            
                         13,157                       3  Both Survey and Admin Data              
 
SRCCOV11 COV2FMT                       Coverage Source Nov                      
                          2,303                       0  No Entitlement                          
                         11,939                       1  Survey Data Only                        
                         38,218                       2  CMS Administrative Data Only            
                         12,691                       3  Both Survey and Admin Data              
 
SRCCOV12 COV2FMT                       Coverage Source Dec                      
                          2,420                       0  No Entitlement                          
                         11,928                       1  Survey Data Only                        
                         38,571                       2  CMS Administrative Data Only            
                         12,232                       3  Both Survey and Admin Data              
 
COV01    ELIGCOVF                      Monthly Eligibility Jan                  
                          3,491                       0  Ineligible / Not covered                
                         61,660                       1  Eligible / Covered                      
 
COV02    ELIGCOVF                      Monthly Eligibility Feb                  
                          3,611                       0  Ineligible / Not covered                
                         61,540                       1  Eligible / Covered                      
 
COV03    ELIGCOVF                      Monthly Eligibility Mar                  
                          3,616                       0  Ineligible / Not covered                
                         61,535                       1  Eligible / Covered                      
 
COV04    ELIGCOVF                      Monthly Eligibility Apr                  
                          3,698                       0  Ineligible / Not covered                
                         61,453                       1  Eligible / Covered                      
 
COV05    ELIGCOVF                      Monthly Eligibility May                  
                          3,693                       0  Ineligible / Not covered                
                         61,458                       1  Eligible / Covered                      
 
COV06    ELIGCOVF                      Monthly Eligibility June                 
                          3,569                       0  Ineligible / Not covered                
                         61,582                       1  Eligible / Covered                      
 
COV07    ELIGCOVF                      Monthly Eligibility July                 
                          3,376                       0  Ineligible / Not covered                
                         61,775                       1  Eligible / Covered                      
 
COV08    ELIGCOVF                      Monthly Eligibility Aug                  
                          3,390                       0  Ineligible / Not covered                
                         61,761                       1  Eligible / Covered                      
 
COV09    ELIGCOVF                      Monthly Eligibility Sep                  
                          3,548                       0  Ineligible / Not covered                
                         61,603                       1  Eligible / Covered                      
 
COV10    ELIGCOVF                      Monthly Eligibility Oct                  
                          3,923                       0  Ineligible / Not covered                
                         61,228                       1  Eligible / Covered                      
 
COV11    ELIGCOVF                      Monthly Eligibility Nov                  
                          4,430                       0  Ineligible / Not covered                
                         60,721                       1  Eligible / Covered                      
 
COV12    ELIGCOVF                      Monthly Eligibility Dec                  
                          4,910                       0  Ineligible / Not covered                
                         60,241                       1  Eligible / Covered                      
 
S_HMOPPO YESNO_HI                      Is Plan an HMO/PPO                       
                            692                       D  Don't know                              
                         55,968                       .  Inapplicable                            
                            335                       N  Not ascertained                         
                            151                       R  Refused                                 
                          2,125                       1  Yes                                     
                          5,880                       2  No                                      
                 First available in 2015
 
S_PHREL  REL2FMT                       Policyholder relationship                
                         55,968                       .  Inapplicable                            
                            364                       N  Not ascertained                         
                          7,275                       1  Sample person                           
                          1,463                       2  Spouse                                  
                             37                      30  Father                                  
                             36                      40  Mother                                  
                              8                      56  Partner                                 
                 First available in 2015
 
S_COVNM  PEOPLE                        Total number of people covered by Plan   
                             23                       D  Don't know                              
                         55,968                       .  Missing                                 
                            503                       N  Not ascertained                         
                              2                       R  Refused                                 
                          5,218                       1  One person                              
                          3,166                       2  Two people                              
                            153                       3  Three people                            
                             77                       4  Four people                             
                             25                       5  Five people                             
                             10                       6  Six people                              
                              4                       7  Seven people                            
                              2                      8+  Eight or more people                    
                 First available in 2015
 
S_OBTNP  MIPFMT                        How did MIP obtain Plan                  
                            147                       D  Don't know                              
                         55,968                       .  Inapplicable/Missing                    
                            495                       N  Not ascertained                         
                              1                       R  Refused                                 
                          3,442                       1  Directly                                
                            974                       2  Main insured person's current employer  
                          3,007                       3  Main insured person's prior employer    
                            269                       4  Union                                   
                             32                       5  Family business                         
                            261                       6  AARP                                    
                            337                       7  Deceased spouse's employer              
                             30                       8  Deceased spouse's union                 
                             29                       9  Fraternal/professional organization     
                            159                      91  Other                                   
                 First available in 2015
 
S_MSCOV  YESNO_HI                      Does Plan cover doctor visits / lab work 
                            203                       D  Don't know                              
                         55,968                       .  Inapplicable                            
                            407                       N  Not ascertained                         
                              2                       R  Refused                                 
                          5,955                       1  Yes                                     
                          2,616                       2  No                                      
                 First available in 2015
 
S_IP     YESNO_HI                      Does Plan cover inpatient stay           
                            370                       D  Don't know                              
                         55,968                       .  Inapplicable                            
                            507                       N  Not ascertained                         
                              2                       R  Refused                                 
                          5,360                       1  Yes                                     
                          2,944                       2  No                                      
                 First available in 2015
 
S_DNTAL  YESNO_HI                      Does Plan cover dental services          
                            159                       D  Don't know                              
                         55,968                       .  Inapplicable                            
                            453                       N  Not ascertained                         
                              1                       R  Refused                                 
                          2,996                       1  Yes                                     
                          5,574                       2  No                                      
                 First available in 2015
 
S_COVNH  YESNO_HI                      Does Plan cover stay in nursing home     
                          1,769                       D  Don't know                              
                         55,968                       .  Inapplicable                            
                            453                       N  Not ascertained                         
                              5                       R  Refused                                 
                          1,392                       1  Yes                                     
                          5,564                       2  No                                      
                 First available in 2015
 
D_COVRX  RXPLFMT                       Drug coverage for Plan                   
                             12                       D  Don't know                              
                         54,716                       .  Inapplicable/Missing                    
                             68                       N  Not ascertained                         
                          5,010                       1  Plan covers prescription drugs          
                          5,345                       2  Plan does not cover prescription drugs  
                 First available in 2015
 
S_TRIRX  TRIRXFMT                      Where Tricare Member obtains medicine    
                              2                       D  Don't know                              
                         64,452                       .  Inapplicable                            
                            111                       N  Not ascertained                         
                            310                       1  Tricare mail order pharmacy             
                             49                       2  Tricare retail network pharmacy         
                            150                       3  Military Treatment Facility             
                             57                       4  Non-network retail pharmacy             
                             20                      91  Other                                   
                 First available in 2015
 
S_PAYSP  YESNO_HI                      MIP pay any premium for Plan             
                            255                       D  Don't know                              
                         55,968                       .  Inapplicable                            
                            510                       N  Not ascertained                         
                          7,067                       1  Yes                                     
                          1,351                       2  No                                      
                 First available in 2015
 
S_PREM   PREMAFMT                      Premium MIP pays for Plan                
                          1,836                       D  Don't know                              
                         58,085                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                             24                       R  Refused                                 
                          5,203        Range of values   Premium Amount                          
                 First available in 2015
 
D_ANNPRM PREMAFMT                      Annualized premium MIP pays for Plan     
                          1,836                       D  Don't know                              
                         58,084                       .  Inapplicable/Missing                    
                             40                       N  Not ascertained                         
                             24                       R  Refused                                 
                          5,167        Range of values   Premium Amount                          
                 First available in 2015
 
S_PAYUNT PAYUNITF                      Unit of premium MIP pays for Plan        
                            220                       D  Don't know                              
                         58,084                       .  Inapplicable                            
                              2                       N  Not ascertained                         
                              6                       R  Refused                                 
                            665                       1  Per year                                
                            186                       2  Quarterly / Every 3 months              
                             51                       3  Every 2 months                          
                          5,621                       4  Per month                               
                             86                       5  Per week                                
                             35                       6  Every 6 months                          
                             70                       7  Every 2 weeks                           
                            125                      91  Other                                   
                 First available in 2015
 
S_PAYOTH YESNO_HI                      Anyone else pays a portion of Plan cost  
                            419                       D  Don't know                              
                         55,968                       .  Inapplicable                            
                            514                       N  Not ascertained                         
                              3                       R  Refused                                 
                          2,864                       1  Yes                                     
                          5,383                       2  No                                      
                 First available in 2015
 
S_PAYWHO PAYWHOF                       Who pays a portion of Plan cost          
                             12                       D  Don't know                              
                         62,287                       .  Inapplicable                            
                            655                       1  Sample person's current employer        
                          1,667                       2  Sample person's prior employer          
                            234                       3  Sample person's union                   
                             13                       4  Spouse's current employer               
                            221                       5  Spouse's former employer                
                             10                       6  Fraternal / professional organization   
                             11                       7  Medicaid / Medical assistance           
                             41                      91  Other                                   
                 First available in 2015
 
D_FCLTYF FACILTYF                      Plan information obtained from Facility  
                         54,370                       .  Inapplicable                            
                         10,407                       0  Plan not reported by a facility         
                            374                       1  Plan reported by a facility             
                 First available in 2015
 
