Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                          4,671        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                          4,671                    2016  2016                                    
 
VERSION  VERSFMT                       Version Number                           
                          4,671                       1  Version 1                               
 
D_MADV   YNDKNA                        Enrolled in Medicare Advantage           
                          4,671                       1  Yes                                     
 
YDISNROL YDISNROL  MC2B                Why stopped/changed Mcare Adv plan       
                          4,623                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                              5                       1  Too expensive/Couldn't afford           
                              2                       2  Dissatisfied with quality of care       
                              4                       3  To get Rx cvg in other plan             
                              5                       4  To get benefit cvg other than Rx        
                              8                       6  Plan changed or merged with other plan  
                              6                       8  Difficulty getting appt                 
                              8                       9  SP moved out of plan area               
                              4                      10  Didn't like choice of doctors           
                              5                      91  Other                                   
         Notes:  Applies only if D_MADV = 1
                 First available in 2016
 
MADVRX   YNDKNA    HIMC6A              Mcare Adv plan covers drugs              
                              4                       D  Don't know                              
                            131                       .  Inapplicable/Missing                    
                              4                       N  Not ascertained                         
                          4,170                       1  Yes                                     
                            362                       2  No                                      
 
MADVDENT YNDKNA    HIMC7               Mcare Adv plan covers dental             
                            122                       D  Don't know                              
                            231                       .  Inapplicable/Missing                    
                              2                       N  Not ascertained                         
                          1,913                       1  Yes                                     
                          2,403                       2  No                                      
 
MADVEYE  YNDKNA    HIMC8               Mcare Adv plan covers eye exams          
                            160                       D  Don't know                              
                            300                       .  Inapplicable/Missing                    
                              1                       N  Not ascertained                         
                              1                       R  Refused                                 
                          2,460                       1  Yes                                     
                          1,749                       2  No                                      
 
MADVNH   YNDKNA    HIMC10              Mcare Adv plan covers nursing home       
                          1,081                       D  Don't know                              
                          1,283                       .  Inapplicable/Missing                    
                              1                       N  Not ascertained                         
                              2                       R  Refused                                 
                            603                       1  Yes                                     
                          1,701                       2  No                                      
 
MADVPAY  YNDKNA    HIMC11              Ever pay additional for Mcare Adv cvg    
                             98                       D  Don't know                              
                            278                       .  Inapplicable/Missing                    
                              1                       N  Not ascertained                         
                          1,540                       1  Yes                                     
                          2,754                       2  No                                      
 
D_ANHMO  D_ANHMO   HIMC12,HISMC10      Annual add cost for Mcare Adv coverage   
                          3,367                       .  Inapplicable/Missing                    
                          1,304        Range of values   Premium Amount                          
         Notes:  Applies only if MADVPAY = 1
 
MADVCOST YNDKNA    HIMC12A             Did anyone else pay portion of premium   
                             26                       D  Don't know                              
                          2,557                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                            433                       1  Yes                                     
                          1,654                       2  No                                      
 
MADVWHO  MADVWHO   HIMC12B             Who pays the portion of premium          
                          4,241                       .  Inapplicable/Missing                    
                             46                       1  Current employer                        
                            237                       2  Former employer                         
                             51                       3  Union                                   
                              3                       4  Spouse's current employer               
                             60                       5  Spouse's former employer                
                              4                       6  Professional/fraternal organization     
                              7                       7  Medicaid/medical assistance             
                              7                       8  Multiple                                
                             15                      91  Other                                   
         Notes:  Applies only if MADVCOST = 1
 
RECMADV  YNDKNA    HIMC19              Recommend Mcare Adv to family/friends    
                            166                       D  Don't know                              
                            428                       .  Inapplicable/Missing                    
                              8                       N  Not ascertained                         
                              2                       R  Refused                                 
                          3,754                       1  Yes                                     
                            313                       2  No                                      
 
MADVYRS  MADVYRS   HIMC24              Years enrolled in Medicare Advantage     
                            709                       D  Don't know                              
                            183                       .  Inapplicable/Missing                    
                              1                       N  Not ascertained                         
                              1                       R  Refused                                 
                          3,592                       1  Number of years                         
                            185                      96  One year or less                        
 
MADVDFRF MADVDFRF  AC33                Difficulty get referrals thru Mcare Adv  
                             14                       D  Don't know                              
                            208                       .  Inapplicable/Missing                    
                            219                       1  Yes                                     
                          3,809                       2  No                                      
                            421                       3  N/A, haven't tried to obtain referral   
 
MADVSPCL MADVSPCL  AC34A               Mcare Adv ref diff - Kind of specialist  
                              8                       D  Don't know                              
                          4,454                       .  Inapplicable/Missing                    
                             15                       3  Cardiology (heart)                      
                             10                       5  Dermatology (skin)                      
                              7                       7  Endocrinology/metabolism (diabetes,thyro
                             15                       9  Gastroenterology                        
                              4                      11  General surgery                         
                             10                      13  Gynecology/obstetrics                   
                              5                      16  Internal medicine (internist)           
                             15                      18  Neurology                               
                              4                      20  Oncology (tumors/cancer)                
                             17                      21  Ophthalmology (eyes)                    
                             16                      22  Orthopedics                             
                              1                      24  Osteopathy (DO)                         
                              5                      25  Otorhinolaryngology (ear, nose, throat) 
                              5                      27  Phys med/rehab                          
                             13                      30  Psychiatry/psychiatrist                 
                              4                      31  Pulmonary (lungs)                       
                              6                      33  Rheumatology (arthritis)                
                              5                      35  Urology                                 
                              3                      37  Chiropractor                            
                              7                      38  Dentist                                 
                              1                      39  Optometrist                             
                              3                      40  Physical therapist                      
                              3                      41  Psychologist                            
                              3                      88  Multiple                                
                             32                      91  Other Dr specialty                      
         Notes:  Applies only if MADVDFRF = 1
 
MADVAUTH IND1FMT   AC35                Mcare Adv ref diff - Wouldn't authorize  
                          4,452                       .  Inapplicable/Missing                    
                            148                       0  Not indicated                           
                             71                       1  Indicated                               
         Notes:  Applies only if MADVDFRF = 1
 
MADVWAIT IND1FMT   AC35                Mcare Adv ref diff - Wait appt too long  
                          4,452                       .  Inapplicable/Missing                    
                            175                       0  Not indicated                           
                             44                       1  Indicated                               
         Notes:  Applies only if MADVDFRF = 1
 
MADVCONV IND1FMT   AC35                Mcare Adv ref diff - Loc inconvenient    
                          4,452                       .  Inapplicable/Missing                    
                             96                       N  Not ascertained                         
                            112                       0  Not indicated                           
                             11                       1  Indicated                               
         Notes:  Applies only if MADVDFRF = 1
 
MADVNORF IND1FMT   AC35                Mcare Adv ref diff - Plan wouldn't refer 
                          4,452                       .  Inapplicable/Missing                    
                            176                       0  Not indicated                           
                             43                       1  Indicated                               
         Notes:  Applies only if MADVDFRF = 1
 
MADVRFDR IND1FMT   AC35                Mcare Adv ref diff - Not like referral   
                          4,452                       .  Inapplicable/Missing                    
                            210                       0  Not indicated                           
                              9                       1  Indicated                               
         Notes:  Applies only if MADVDFRF = 1
 
MADVHRS  IND1FMT   AC35                Mcare Adv ref diff - Hrs inconvenient    
                          4,452                       .  Inapplicable/Missing                    
                            215                       0  Not indicated                           
                              4                       1  Indicated                               
         Notes:  Applies only if MADVDFRF = 1
 
MADVDFOT IND1FMT   AC35                Mcare Adv ref diff - Other               
                          4,452                       .  Inapplicable/Missing                    
                            131                       0  Not indicated                           
                             88                       1  Indicated                               
         Notes:  Applies only if MADVDFRF = 1
 
MADVNOEM MADVNOEM  AC36                Mcare Adv refused to pay emergency care  
                             32                       D  Don't know                              
                            208                       .  Inapplicable/Missing                    
                            100                       1  Yes                                     
                          3,587                       2  No                                      
                            744                       3  N/A, haven't needed emergency treatment 
 
