16. Is this person currently covered by any of the following types of health insurance or health coverage plans?
Mark "Yes" or "No" for each type of coverage in items a - h.
a) Insurance through a current or former employer or union (of this person or another family member)
[] Yes
[] No
b) Insurance purchased directly from an insurance company (by this person or another family member)
[] Yes
[] No
c) Medicare, for people 65 and older, or people with certain disabilities
[] Yes
[] No
d) Medicaid, Medical Assistance, or any kind of government- assistance plan for those with low incomes or a disability
[] Yes
[] No
e) TRICARE or other military health care
[] Yes
[] No
f) VA (including those who have ever used or enrolled for VA health care)
[] Yes
[] No
g) Indian Health Service
[] Yes
[] No
h) Any other type of health insurance or health coverage plan -
[] Yes, specify ________
[] No
Answer person questions 7 through 17 for all persons on pages 2, 3, and 4.
Questions 7-48 are a continuation of the questions for each person. (Questions 1-6 appear on pages 2, 3, and 4 of the questionnaire.)
18a-18c. Mark the "Yes" or "No" box to indicate if the person has serious difficulty with any of the activities listed in parts a, b, and c because of a physical, mental, or emotional condition.