Cms-p-0015a Mcbs

Beneficiary Knowledge (KNQ)
Variable Name
MR Screen Name
KNINTR
KNINTRO

KNOWMC

KN1

Question type
no entry

code 1

Question text/description
Now I have some questions that ask how you get information about the Medicare program [for (SP)]. Your
answers will help Medicare provide the information that people need.
Keep in mind that, generally, there are no right or wrong answers to these questions. Your opinions and
experiences are important to us.
SHOW CARD KN1
Overall, how easy or difficult do you think the Medicare program is to understand?
[PROBE IF NECESSARY: Would you say it is very easy to understand, somewhat easy to understand,
somewhat difficult to understand, or very difficult to understand?]

KCARKNOW

KN2

code 1

SHOW CARD KN2
How much do you think you know about the Medicare program?
Do you know just about everything you need to know, most of what you need to know, some of what you
need to know, a little of what you need to know or almost none of what you need to know about the
Medicare program?

KNINFMCR

KN25B1

yes/no

In the past year, have you tried to find any information [for (SP)] about Medicare?

KNINTMCR

KN25C

code 1

SHOW CARD KN3
How interested are you in getting (more) information [for (SP)] about Medicare?

KNCOVOPT

KN25D

code 1

How easy or difficult would you say it is for [you/(SP)] to review and compare [your/his/her] Medicare
coverage options? Would you say it is …

KNCOVREV

KN25E

code 1

SHOW CARD KN4
How often [do you/does (SP)] review or compare [your/his/her] Medicare coverage options? Would that be
at least once every year, once every few years, rarely, or never?

Code list
(01) CONTINUE
(-7) Empty

(01) VERY EASY
(02) SOMEWHAT EASY
(03) SOMEWHAT DIFFICULT
(04) VERY DIFFICULT
(-8) Don't Know
(-9) Refused
(01) JUST ABOUT EVERYTHING YOU NEED TO KNOW
(02) MOST OF WHAT YOU NEED TO KNOW
(03) SOME OF WHAT YOU NEED TO KNOW
(04) A LITTLE OF WHAT YOU NEED TO KNOW
(05) ALMOST NONE OF WHAT YOU NEED TO KNOW
(-8) Don't Know
(-9) Refused
(01) YES
(02) NO
(-8) Don't Know
(-9) Refused
(01) VERY INTERESTED
(02) SOMEWHAT INTERESTED
(03) NOT VERY INTERESTED
(04) NOT AT ALL INTERESTED
(-8) Don't Know
(-9) Refused
(01) Very easy
(02) Somewhat easy
(03) Somewhat difficult
(04) Very difficult
(05) DOES NOT MAKE DECISIONS ON HEALTH
INSURANCE
(-8) Don't Know
(-9) Refused
(01) AT LEAST ONCE EVERY YEAR
(02) ONCE EVERY FEW YEARS
(03) RARELY
(04) NEVER
(05) ONLY ONCE WHEN FIRST SIGNED UP FOR DRUG
PLAN
(06) ONLY ONCE WHEN FIRST SIGNED UP FOR
MEDICARE
(07) JUST SIGNED UP FOR MEDICARE
(-8) DON'T KNOW
(-9) REFUSED

Beneficiary Knowledge (KNQ)
Variable Name
MR Screen Name
KNCOVINF
KN25F

Question type
code 1

KNFOSATI

KN26

code 1

KN27IN

KN27INT

no entry

KBOKRECD

KN27

yes/no

KBOKREAD

KN28

code 1

KBOKUNDR

KN29

code 1

KNHAVCOM

KN50

yes/no

KN51IN

KN51INT

no entry

KNETPERS

KN51A

code 1

[Do you/Does (SP)] personally ever use the Internet to get information of any kind?

KNETFRND

KN51B

yes/no

[Do you/Does(SP)] have someone else, such as a friend, relative, or anyone else, get information for
(you/him/her) on the Internet?

Question text/description
SHOW CARD KN5

Code list
(01) Completely agree
(02) Somewhat agree
To what extent do you agree or disagree with the following statement:
(03) Somewhat disagree
[I have/(SP) has] the information [I need/he needs/she needs] to make an informed comparison among
(04) Completely disagree
different health insurance choices.
(05) DOES NOT MAKE DECISIONS ON HEALTH
INSURANCE
Would you say you …
(-8) Don't Know
(-9) Refused
SHOW CARD KN6
(01) VERY SATISFIED
How satisfied are you in general with the availability of information about the Medicare program when you (02) SATISFIED
need it [for (SP)]?
(03) DISSATISFIED
(04) VERY DISSATISFIED
(05) NOT APPLICABLE
(-8) Don't Know
(-9) Refused
Now I would like to ask you about publications that are available to you [and (SP)] about the Medicare
(01) CONTINUE
program.
(-7) Empty
SHOW CARD KN7
(01) YES
Did [you/(SP)] receive in the mail or view on the Medicare website a book called "Medicare and You
(02) NO
[CURRENT YEAR]?” This book gives an overview of the Medicare program and is sent to Medicare
(-8) Don't Know
beneficiaries every fall. The cover looks like this.
(-9) Refused
Would you say you have read this book thoroughly, that you have read parts of it, or that you haven't read it (01) READ IT THOROUGHLY
at all?
(02) READ PARTS OF IT
(03) HAVEN'T READ IT AT ALL
(-8) Don't Know
(-9) Refused
SHOW CARD KN1
(01) VERY EASY
How easy or difficult did you find (the parts you read/this book) to understand?
(02) SOMEWHAT EASY
(03) SOMEWHAT DIFFICULT
[PROBE IF NECESSARY: Would you say (they were/it was) very easy to understand, somewhat easy to
(04) VERY DIFFICULT
understand, somewhat difficult to understand, or very difficult to understand?]
(-8) Don't Know
(-9) Refused
Next, I'd like to ask about [your/(SP's)] use of computers.
(01) YES
(02) NO
[Do you/Does (SP)] have a personal computer in (your/his/her) home?
(-8) Don't Know
(-9) Refused
Some people use the Internet to get different kinds of information. The next questions ask about the Internet. (01) CONTINUE
(-7) Empty
[EXPLAIN IF NECESSARY: The Internet includes web sites, e-mail, newsgroups, and other forums.]
(01) YES
(02) NO
(03) NEVER HEARD OF THE INTERNET
(-8) Don't Know
(-9) Refused
(01) YES
(02) NO
(-8) Don't Know
(-9) Refused

Beneficiary Knowledge (KNQ)
Variable Name
MR Screen Name
KNETOFTN
KN51C

Question type
code 1

Question text/description
How often [do you/does (SP)] access the Internet to seek information, either on (your/his/her) own or with
someone else's help?
Please do not include any time spent reading or sending e-mail.

BOX KN7

routing

KVSITWEB

KN53

yes/no

KNDOCREC

KN53D

yes/no

BOX KN8

routing

KN54

code 1

BOX KN9

routing

KN56

yes/no

BOX KN10

routing

KCPHINFO

KN57

yes/no

KCSUGGST

KN58

verbatim text

BOX KNEND

routing

KCHIHELP

KREELINE

Code list
(01) EVERY DAY
(02) A FEW TIMES A WEEK
(03) A FEW TIMES PER MONTH
(04) A FEW TIMES PER YEAR OR LESS
(-8) Don't Know
(-9) Refused

IF SP DID NOT REPORT VISITING OR ACCESSING THE OFFICAL WEBSITE FOR MEDICARE INFORMATION IN ANY
PREVIOUS ROUND (SAMPLE_PERSON.P_KVISITWEB ^=1) GO TO KN53 - KVSITWEB.
ELSE GO TO BOX KN7A.
(Has anyone/[Have you/Has (SP)]) ever visited or ever accessed the official website for Medicare information - (01) YES
www.medicare.gov (- for [you/(SP)])?
(02) NO
(-8) Don't Know
(-9) Refused
Many health care providers are beginning to use electronic or computer-based medical records instead of
(01) YES
using paper-based records.
(02) NO
(-8) Don't Know
When [you/(SP)] (visit/visits) (your/his/her) usual health care provider, does a doctor or other health
(-9) Refused
professional generally enter [your/(SP's)] health information into a computer while (you are/he is/she is)
present?
[EXPLAIN IF NECESSARY: "Health Information" includes information such as symptoms, vital signs, test
results, or prescribed medicines.]
IF PROXY IS RESPONDENT, GO TO BOX KN9.
ELSE GO TO KN54 - KCHIHELP.
Most of the time, do you make decisions about Medicare health insurance on your own, do you get help from (01) MAKES DECISIONS ON OWN
someone in making these decisions, or do you rely on someone else to make decisions about health
(02) GETS HELP ON DECISIONS
insurance for you?
(03) SOMEONE ELSE MAKES DECISIONS
(-8) Don't Know
(-9) Refused
IF IT IS UNKNOWN WHETHER OR NOT THIS SP IS AWARE OF THE 1-800 MEDICARE LINE
(SAMPLE_PERSON.P_KREELINE = .), GO TO KN56 - KREELINE.
ELSE GO TO BOX KN10.
Before today, were you aware of the 1-800-MEDICARE toll-free line?
(01) YES
(02) NO
(-8) Don't Know
(-9) Refused
IF SP DID NOT REPORT CALLING 1-800-MEDICARE TO GET INFORMATION ABOUT MEDICARE IN ANY
PREVIOUS ROUND (SAMPLE_PERSON.P_KREELINE ^= 1) GO TO KN57 - KCPHINFO.
ELSE GO TO KN58 - KCSUGGST.
Have you ever called 1-800-MEDICARE to get information about Medicare?
(01) YES
(02) NO
(-8) Don't Know
(-9) Refused
As you know, this survey is sponsored by the Centers for Medicare and Medicaid Services, which is the
(01) R DOES NOT HAVE SUGGESTIONS OR CONCERNS
government agency that runs Medicare. What are your suggestions or concerns about Medicare?
(02) RECORD ALL OTHER RESPONSES VERBATIM
RECORD VERBATIM.
(-8) Don't Know
(-9) Refused
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