Variable  Format    Q#/Freq           Description/Label
 
BASEID    $BSIDFMT                     Unique SP Identification Number          
                         60,789        LOW-HIGH          BASEID Count                            
 
SURVEYYR  SVYRFMT                      Survey Year                              
                         60,789                    2022  2022                                    
 
VERSION   VERSFMT                      Version Number                           
                         60,789                       1  Version 1                               
 
PLANNUM   RNDFKFMT                     Unique Plan Number                       
                         51,129                       .  Inapplicable                            
                          9,660        Range of values   Unique Plan Id                          
 
PLANTYPE  PLAN3FMT                     Plan Type                                
                         13,926                       1  Medicare A                              
                         13,496                       2  Medicare B                              
                          7,122                       3  Medicare C/Medicare Advantage           
                         11,912                       4  Medicare D/Part D/MAPD                  
                          4,153                       5  Medicaid                                
                            636                       6  Other Public Plan                       
                          2,308                      20  Employer-sponsored insurance (ESI)      
                          1,779                      21  Employer-sponsored (ESI) Specialty Plan 
                          3,235                      30  Self-purchased Private Plan             
                          1,061                      31  Self-purchased Specialty Plan           
                             29                      40  Veteran’s Affairs Plan                  
                            687                      50  Tricare plan                            
                            290                      60  Retiree Drug Subsidy Plan               
                            155                      70  Other Insurance Plan Type Unknown       
 
BEGDATE   MMDDYYn8                     Coverage Begin Date for Year(MMDDYYYY)   
                         60,789        MMDDYYYY          Date as MMDDYYYY                        
 
ENDDATE   MMDDYYn8                     Coverage End Date for Year(MMDDYYYY)     
                             75                       .  Inapplicable                            
                         60,714        MMDDYYYY          Date as MMDDYYYY                        
 
SRCCOV01  COV2FMT                      Coverage Source Jan                      
                          1,592                       0  No Entitlement                          
                         10,237                       1  Survey Data Only                        
                         35,913                       2  CMS Administrative Data Only            
                         13,047                       3  Both Survey and Admin Data              
 
SRCCOV02  COV2FMT                      Coverage Source Feb                      
                          1,642                       0  No Entitlement                          
                         10,240                       1  Survey Data Only                        
                         35,771                       2  CMS Administrative Data Only            
                         13,136                       3  Both Survey and Admin Data              
 
SRCCOV03  COV2FMT                      Coverage Source Mar                      
                          1,669                       0  No Entitlement                          
                         10,226                       1  Survey Data Only                        
                         35,689                       2  CMS Administrative Data Only            
                         13,205                       3  Both Survey and Admin Data              
 
SRCCOV04  COV2FMT                      Coverage Source Apr                      
                          1,699                       0  No Entitlement                          
                         10,222                       1  Survey Data Only                        
                         35,636                       2  CMS Administrative Data Only            
                         13,232                       3  Both Survey and Admin Data              
 
SRCCOV05  COV2FMT                      Coverage Source May                      
                          1,704                       0  No Entitlement                          
                         10,276                       1  Survey Data Only                        
                         35,547                       2  CMS Administrative Data Only            
                         13,262                       3  Both Survey and Admin Data              
 
SRCCOV06  COV2FMT                      Coverage Source June                     
                          1,664                       0  No Entitlement                          
                         10,239                       1  Survey Data Only                        
                         35,489                       2  CMS Administrative Data Only            
                         13,397                       3  Both Survey and Admin Data              
 
SRCCOV07  COV2FMT                      Coverage Source July                     
                          1,624                       0  No Entitlement                          
                         10,240                       1  Survey Data Only                        
                         35,517                       2  CMS Administrative Data Only            
                         13,408                       3  Both Survey and Admin Data              
 
SRCCOV08  COV2FMT                      Coverage Source Aug                      
                          1,599                       0  No Entitlement                          
                         10,241                       1  Survey Data Only                        
                         35,581                       2  CMS Administrative Data Only            
                         13,368                       3  Both Survey and Admin Data              
 
SRCCOV09  COV2FMT                      Coverage Source Sep                      
                          1,547                       0  No Entitlement                          
                         10,253                       1  Survey Data Only                        
                         35,958                       2  CMS Administrative Data Only            
                         13,031                       3  Both Survey and Admin Data              
 
SRCCOV10  COV2FMT                      Coverage Source Oct                      
                          1,567                       0  No Entitlement                          
                         10,250                       1  Survey Data Only                        
                         36,331                       2  CMS Administrative Data Only            
                         12,641                       3  Both Survey and Admin Data              
 
SRCCOV11  COV2FMT                      Coverage Source Nov                      
                          1,668                       0  No Entitlement                          
                         10,239                       1  Survey Data Only                        
                         36,646                       2  CMS Administrative Data Only            
                         12,236                       3  Both Survey and Admin Data              
 
SRCCOV12  COV2FMT                      Coverage Source Dec                      
                          1,753                       0  No Entitlement                          
                         10,231                       1  Survey Data Only                        
                         36,963                       2  CMS Administrative Data Only            
                         11,842                       3  Both Survey and Admin Data              
 
COV01     ELIGCOVF                     Monthly Eligibility Jan                  
                          2,980                       0  Ineligible / Not covered                
                         57,809                       1  Eligible / Covered                      
 
COV02     ELIGCOVF                     Monthly Eligibility Feb                  
                          2,978                       0  Ineligible / Not covered                
                         57,811                       1  Eligible / Covered                      
 
COV03     ELIGCOVF                     Monthly Eligibility Mar                  
                          2,988                       0  Ineligible / Not covered                
                         57,801                       1  Eligible / Covered                      
 
COV04     ELIGCOVF                     Monthly Eligibility Apr                  
                          3,057                       0  Ineligible / Not covered                
                         57,732                       1  Eligible / Covered                      
 
COV05     ELIGCOVF                     Monthly Eligibility May                  
                          2,981                       0  Ineligible / Not covered                
                         57,808                       1  Eligible / Covered                      
 
COV06     ELIGCOVF                     Monthly Eligibility June                 
                          2,788                       0  Ineligible / Not covered                
                         58,001                       1  Eligible / Covered                      
 
COV07     ELIGCOVF                     Monthly Eligibility July                 
                          2,687                       0  Ineligible / Not covered                
                         58,102                       1  Eligible / Covered                      
 
COV08     ELIGCOVF                     Monthly Eligibility Aug                  
                          2,670                       0  Ineligible / Not covered                
                         58,119                       1  Eligible / Covered                      
 
COV09     ELIGCOVF                     Monthly Eligibility Sep                  
                          2,803                       0  Ineligible / Not covered                
                         57,986                       1  Eligible / Covered                      
 
COV10     ELIGCOVF                     Monthly Eligibility Oct                  
                          3,046                       0  Ineligible / Not covered                
                         57,743                       1  Eligible / Covered                      
 
COV11     ELIGCOVF                     Monthly Eligibility Nov                  
                          3,456                       0  Ineligible / Not covered                
                         57,333                       1  Eligible / Covered                      
 
COV12     ELIGCOVF                     Monthly Eligibility Dec                  
                          3,893                       0  Ineligible / Not covered                
                         56,896                       1  Eligible / Covered                      
 
S_PHREL   REL2FMT                      Policyholder relationship                
                         52,251                       .  Inapplicable                            
                            209                       N  Not ascertained                         
                          7,095                       1  Sample person                           
                          1,184                       2  Spouse                                  
                              9                      56  Partner                                 
                             41                      60  Parent                                  
 
S_COVNM   PEOPLE                       Total number of people covered by Plan   
                              1                       D  Don't know                              
                         52,251                       .  Inapplicable                            
                            363                       N  Not ascertained                         
                          5,151                       1  One person                              
                          2,797                       2  Two people                              
                            126                       3  Three people                            
                             74                       4  Four people                             
                             16                       5  Five people                             
                              8                       6  Six people                              
                              1                       7  Seven people                            
                              1                      8+  Eight or more people                    
 
S_OBTNP   MIPFMT                       How did MIP obtain Plan                  
                              7                       D  Don't know                              
                         52,251                       .  Inapplicable                            
                            345                       N  Not ascertained                         
                          3,675                       1  Directly                                
                            911                       2  Main insured person's current employer  
                          2,754                       3  Main insured person's prior employer    
                            191                       4  Union                                   
                             17                       5  Family business                         
                            314                       6  AARP                                    
                            233                       7  Deceased spouse's employer              
                             40                       8  Deceased spouse's union                 
                             24                       9  Fraternal/professional organization     
                             27                      91  Other                                   
 
S_HMOPPO  YESNO_HI                     Is Plan an HMO/PPO                       
                          1,154                       D  Don't know                              
                         52,251                       .  Inapplicable                            
                            209                       N  Not ascertained                         
                              2                       R  Refused                                 
                          2,426                       1  Yes                                     
                          4,747                       2  No                                      
 
S_DVH     DVHFMT                       Dental Vision or Hearing Plan            
                         58,319                       .  Inapplicable                            
                          1,737                       1  Dental only plan                        
                            652                       2  Vision only plan                        
                             65                       3  Dental and vision plan                  
                             16                       4  Other dental vision or hearing          
 
S_OTHPLN  OTPLNFMT                     Other plan type                          
                         60,098                       .  Inapplicable                            
                            112                       1  Long term care plan                     
                            472                       2  Prescription drug only plan             
                             11                       3  Life insurance plan                     
                             96                       4  Cancer / dread disease plan             
 
S_MSCOV   YESNO_HI                     Does Plan cover doctor visits / lab work 
                            144                       D  Don't know                              
                         52,292                       .  Inapplicable                            
                            578                       N  Not ascertained                         
                              1                       R  Refused                                 
                          4,961                       1  Yes                                     
                          2,813                       2  No                                      
 
S_IP      YESNO_HI                     Does Plan cover inpatient stay           
                            291                       D  Don't know                              
                         52,251                       .  Inapplicable                            
                            703                       N  Not ascertained                         
                              2                       R  Refused                                 
                          4,454                       1  Yes                                     
                          3,088                       2  No                                      
 
S_DNTAL   YESNO_HI                     Does Plan cover dental services          
                            132                       D  Don't know                              
                         52,251                       .  Inapplicable                            
                            326                       N  Not ascertained                         
                              1                       R  Refused                                 
                          3,153                       1  Yes                                     
                          4,926                       2  No                                      
 
S_VISN    YESNO_HI                     Does Plan cover vision services          
                            228                       D  Don't know                              
                         52,251                       .  Inapplicable                            
                            326                       N  Not ascertained                         
                              1                       R  Refused                                 
                          2,574                       1  Yes                                     
                          5,409                       2  No                                      
                 First available in 2020
 
S_COVNH   YESNO_HI                     Does Plan cover stay in nursing home     
                          1,649                       D  Don't know                              
                         52,251                       .  Inapplicable                            
                            328                       N  Not ascertained                         
                              4                       R  Refused                                 
                          1,147                       1  Yes                                     
                          5,410                       2  No                                      
 
S_PAYSP   YESNO_HI                     MIP pay any premium for Plan             
                            223                       D  Don't know                              
                         52,251                       .  Inapplicable                            
                            392                       N  Not ascertained                         
                              2                       R  Refused                                 
                          6,589                       1  Yes                                     
                          1,332                       2  No                                      
 
D_PREMMON MONYFMT                      Monthly premium paid for Plan            
                         54,224                       .  Inapplicable/Missing                    
                          6,565        Range of values   Premium Amount                          
         Notes:  Applies only if S_PAYSP = 1.
                 First available in 2022
 
D_PREMN_I WORKMM_I                     Imputation flag for D_PREMMON            
                         54,224                       .  Inapplicable/Missing                    
                          5,029                       0  Not Imputed                             
                          1,536                       1  Imputed by hotdeck                      
                 First available in 2022
 
S_PAYOTH  YESNO_HI                     Anyone else pays a portion of Plan cost  
                            362                       D  Don't know                              
                         52,476                       .  Inapplicable                            
                            377                       N  Not ascertained                         
                              2                       R  Refused                                 
                          2,330                       1  Yes                                     
                          5,242                       2  No                                      
 
S_PAYWHO  PAYWHOF                      Who pays a portion of Plan cost          
                              6                       D  Don't know                              
                         58,459                       .  Inapplicable                            
                            599                       1  Sample person's current employer        
                          1,361                       2  Sample person's prior employer          
                            109                       3  Sample person's union                   
                             23                       4  Spouse's current employer               
                            180                       5  Spouse's former employer                
                              6                       6  Fraternal / professional organization   
                              8                       7  Medicaid / Medical assistance           
                             38                      91  Other                                   
 
D_COVRX   RXPLFMT                      Drug coverage for Plan                   
                              7                       D  Don't know                              
                         51,083                       .  Inapplicable                            
                            511                       N  Not ascertained                         
                          3,809                       1  Plan covers prescription drugs          
                          5,379                       2  Plan does not cover prescription drugs  
 
S_TRIRX   TRIRXFMT                     Where Tricare Member obtains medicine    
                             11                       D  Don't know                              
                         60,221                       .  Inapplicable                            
                            259                       1  Tricare mail order pharmacy             
                             55                       2  Tricare retail network pharmacy         
                            154                       3  Military Treatment Facility             
                             75                       4  Non-network retail pharmacy             
                             14                      91  Other                                   
 
D_FCLTYF  FACILTYF                     Plan information obtained from Facility  
                         50,899                       .  Inapplicable                            
                          9,660                       0  Plan not reported by a facility         
                            230                       1  Plan reported by a facility             
 
