Questionnaire Text

2009 ACS
2008 ACS
top
2009 ACS
Questionnaire form view entire document:  text  image

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.

f) VA (including those who have ever used or enrolled for VA health care)
[ ] Yes
[ ] No
Questionnaire instructions view entire document:  text  image

16.Mark the "Yes" or "No" box for each part of question 16.

If the person reports any other type of coverage plan in 16h, specify the type of coverage or name of the plan in the write-in box. DO NOT include plans that cover only one type of health care (such as dental plans) or plans that only cover a person in case of an accident or disability.


top
2008 ACS
Questionnaire form view entire document:  text  image

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.

f) VA (including those who have ever used or enrolled for VA health care)
[ ] Yes
[ ] No
Questionnaire instructions view entire document:  text  image

15. Mark the "Yes" or "No" box for each part of question 15. Mark "Yes" if this person currently has the type of health insurance or health coverage plans listed. Mark "No" if this person does not have the type of health insurance or health coverage plans listed.

These categories include health insurance obtained through a job, an insurance company, or government health care plans such as Medicaid, Medicare, VA, and military health programs.

If the person reports any other type of coverage plan in 15h, specify the type of coverage or name of the plan in the write-in box. DO NOT include plans that cover only one type of health care (such as dental plans) or plans that only cover a person in case of an accident or disability.