Section 15, Part A collects out-of-pocket medical payments, including payments for medical services, prescription drug purchases, and rentals or purchases of medical supplies and equipment. IMPORTANT: The Census Bureau does not release to the Bureau of Labor Statistics any confidential information such as names and addresses. This information is only used during the course of the interview.
By payments I mean any expenses paid by any members of your CU directly to a medical provider by cash, check, credit card, or automatically deducted from your account for a medical service or item. Include all payments, even those for persons who are outside of your CU.
For definitions Information Booklet »
Since the first of the reference month, have you or any members of your CU made any
payments for the following?
* Read each item on list
* Ask if not apparent
Describe the care/service/item.[enter text] _______________
In what month was(were) the payment(s) made?
[enter text] _____________ What was the total amount paid in the above month?/
What is your monthly expense?
[enter value] _____________
* Enter 'C' for a combined expense
What is the "care/service/item"combined with? Did you or any members of your CU make any other payments for
the "care/service/item"?
Go to Section 15 Part B - Screening Questions for Reimbursements » Go to CE CAPI Survey Instrument Home Page » Last Modified Date: September 19, 2008
* Enter 13 for same amount each month of the reference period
* Enter all that apply
1. Eye examinations, treatment, or surgery
2. Purchase of eye glasses or contact lenses
3. Dental care
4. Hospital room or hospital services
5. Services by medical professionals other than physicians
6. Physician services
7. Lab tests or x-rays
8. Care in convalescent or nursing homes
9. Other medical care and services
10. Hearing aids
11. Prescribed medicines or prescribed drugs
12. Rental of supportive or convalescent equipment
13. Purchase of supportive or convalescent equipment
14. Rental of medical or surgical equipment for general use
15. Purchase of medical or surgical equipment for general use
77. Misc. combined (unable to specify/DK)