MEPS-HC Show Cards

MEDICAL EXPENDITURE PANEL SURVEY

HOUSEHOLD COMPONENT
MAIN STUDY

SHOW CARDS
Panels 27, 26, 25, 24, and 23
January 2022

TABLE OF CONTENTS
Card Number
RE-1
RE-2
RE-3
PE-1
PE-2
PE-3
HE-1
PP-1
PP-2
PP-3
PP-4
PP-5
PP-6
PP-7
PP-8
PP-9
PP-10
PP-11
PP-12
PP-13
PP-14
PP-15
PP-16
EV-1A
EV-1B
HS-1
ER-1
ER-2
OP-1
OP-2
OP-3
OP-4
MV-1

Topic
Periods of Active Duty Service
Ethnic Background
Racial Background
Types of Heart Conditions
Types of Cancer
Frequency Scale
Level of Difficulty Categories
Types of Hospital Visits
Types of Emergency Room Services
Types of Outpatient Care
Types of Primary Care
Types of Medical Specialists
Types of Dental Care Providers
Types of Mental Health Professionals
Types of Other Medical Professionals
Types of Clinics
Types of Laboratories
Types of Therapists
Types of Vision Care Providers
Types of Alternative Care
Types of Home Care Services
Types of Residential Care
Records Job Aid – Examples of Health Care
Examples of Where Care Received (Event Typing)
Examples of Where Care Received (Event Typing)
Reasons for Entering the Hospital
Care Received During ER Visit
Services Received During ER Visit
Type of Medical Doctor Seen During Outpatient Visit
Type of Provider Seen During Outpatient Visit
Care Received During Outpatient Visit
Services Received During Outpatient Visit
Type of Medical Doctor Seen During Medical Provider Visit

TABLE OF CONTENTS (Cont.)
Card Number
MV-2
MV-3
MV-4

Topic
Type of Provider Seen During Medical Provider Visit
Care Received During Medical Provider Visit
Services Received During Medical Provider Visit

TH-1

Type of Medical Doctor Contacted During Telehealth Visit

TH-2

Type of Provider Contacted During Telehealth Visit

TH-3

Care Received During Telehealth Visit

DN-1

Types of Dental Care Providers

DN-2

Care Received During Dental Visit

HH-1

Types of Home Health Care Workers

HH-2

Types of Home Health Care Workers

IC-1

Types of Residential Care Facilities

OM-1

Types of Disposable Medical Supplies

OM-2

Types of Other Medical Equipment

CP-1

Reasons for Not Receiving Anything in Writing

CP-2

Total Charges for Disposable Supplies

CS-1

Scale for Child Health Supplement

CS-2

Scale for Child Health Supplement

CS-3

Number of Times Went to Doctor’s Office or Clinic

CS-4

Scale for Child Health Supplement

AC-1

Provider’s Race

AC-2

Difficulty Scale

AC-3

Frequency Scale

HX-1

Sample Medicare Card

HX-2

Source of Health Insurance (for STATE)

HX-3

Types of Public Insurance

HX-4

Medicare HMO Premium Ranges

HX-5

Medicare Part D Premium Ranges

HX-6

Types of Health Insurance Coverage

TABLE OF CONTENTS (Cont.)
Card Number
HX-7

Topic
State Sources of Health Insurance for Self-Employed Jobs

IN-1

Yearly Income Ranges

IN-2

Yearly Income Ranges

IN-3

Monthly Income Ranges

IN-4

Other Sources of Income Categories

AS-1

Asset Ranges

AS-2

Asset Ranges

CARD RE-1

RE-1

One or more categories may be selected.
--

September 2001 or later

--

August 1990 to August 2001, including the Persian
Gulf War

--

May 1975 to July 1990

--

Vietnam era, August 1964 to April 1975

--

February 1955 to July 1964

--

Korean War, July 1950 to January 1955

--

January 1947 to June 1950

--

World War II, December 1941 to December 1946

--

November 1941 or earlier

Spring 2022

CARD RE-2
One or more categories may be selected.
Mexican

--

Mexican-American/Chicano

--

Puerto Rican

--

Cuban/Cuban American

--

Dominican

--

Central or South American

RE-2

--

Spring 2022

CARD RE-3
One or more categories may be selected.
White
Black or African American
American Indian or Alaska Native
Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
Other Asian
Native Hawaiian
Guamanian or Chamorro
Samoan
Other Pacific Islander

RE-3

---------------

Spring 2022

CARD PE-1
Heart murmur

--

Heart arrhythmia/Irregular heartbeat

--

Blocked or clogged artery

--

Congestive Heart Failure

--

Atrial Fibrillation

--

Mitral Valve Prolapse

--

Enlarged heart

--

Heart valve problems (e.g., leaky, blocked, collapsed)

--

Tachycardia/Rapid heart rate

--

Bradycardia/Slow heart rate

--

Other

PE-1

--

Spring 2022

CARD PE-2
----------------

Bladder
Blood
Bone
Brain
Breast
Cervical
Colon
Esophagus
Gallbladder
Kidney/Renal
Larynx-Windpipe
Leukemia
Liver
Lung
Lymphoma
(Non-Hodgkin’s)

----------------

Mouth/Tongue/Lip
Ovarian
Pancreas
Prostate
Rectum
Skin – Melanoma
Skin – Non-Melanoma
Skin (unknown type)
Soft tissue muscle or fat
Stomach
Testicular
Throat or Pharynx
Thyroid
Uterine
Other

PE-2
Spring 2022

CARD PE-3
Within the last 7 days

--

More than 7 days ago, but within last 30 days

--

More than 30 days ago

PE-3

--

Spring 2022

CARD HE-1
No difficulty

--

Some difficulty

--

A lot of difficulty

--

Completely unable to do it

HE-1

--

Spring 2022

CARD PP-1
--

Admitted to the hospital for one or more nights

PP-1
Spring 2022

CARD PP-2
--

Any type of care received in a hospital emergency
room

PP-2
Spring 2022

CARD PP-3
Same-day care received at a hospital outpatient
department such as...
--

Surgery centers

--

Cancer treatment centers

--

Physical therapy and rehabilitation centers

--

Cardiology centers

--

Obesity treatment centers

--

Radiology and imaging centers

PP-3
Spring 2022

CARD PP-4

PP-4

Primary care doctor such as...
--

General practitioner

--

Internist

--

Pediatrician

--

Family medicine provider

--

Medical doctor

Spring 2022

CARD PP-5
Such as...
Orthopedist

--

Cardiologist

--

Dermatologist

--

Oncologist

--

Neurologist

--

Gynecologist

--

Allergist

--

Gastroenterologist

--

Surgeon

--

Kidney specialist (Nephrologist)

--

Radiologist

--

Ear, nose and throat specialist
(Otorhinolaryngologist)

--

Urologist

--

Podiatrist

--

Audiologist

--

Any other type of medical specialist

PP-5

--

Spring 2022

CARD PP-6
Such as...
Dentists

--

Oral surgeons

--

Orthodontists

--

Dental assistants

--

Dental hygienists

--

Pediatric dentists

--

Endodontists

--

Periodontists

--

Dental technicians

--

Other type of dental care provider

PP-6

--

Spring 2022

CARD PP-7
Such as...
--

Psychiatrist

--

Psychologist

--

Licensed clinical social worker

--

Mental health therapist

--

Counselor

--

Psychiatric social worker

--

Other mental health professional

PP-7
Spring 2022

CARD PP-8
Such as...
--

Nurse (RN, LPN, PHN, BSN)

--

Nurse practitioner

--

Nurse’s aide

--

Physician assistant (PA)

--

Midwife

--

Health aide

PP-8
Spring 2022

CARD PP-9

PP-9

Such as...
--

Walk-in urgent care

--

Retail clinic – in a pharmacy

--

Retail clinic – in a grocery store

--

Family planning center

--

College or university clinic

--

Employer clinic

--

Free clinic

--

Infirmary

--

Other type of health clinic

Spring 2022

CARD PP-10
Such as...
Independent medical lab

--

Testing facility lab

PP-10

--

Spring 2022

CARD PP-11
Such as...
Physical therapist

--

Occupational therapist

--

Speech therapist

--

Chiropractor

--

Physiatrist

--

Behavioral therapist

--

Other type of therapist

PP-11

--

Spring 2022

CARD PP-12
Such as...
--

Optometrist

--

Ophthalmologist

--

Vision technician

--

Optician

--

Orthoptist

--

Other eye care professional

PP-12
Spring 2022

CARD PP-13
Such as...
--

Acupuncture

--

Homeopathic care

--

Massage therapy

--

Hypnosis

--

Naturopathic care

--

Herbalist

--

Other alternative care professional

PP-13
Spring 2022

CARD PP-14

Skilled medical care from -- a home care nurse,
-- any type of therapist,
-- a social worker,
-- anyone else providing nursing or medical care
Personal care services such as help with -- bathing,
-- dressing,
-- taking medication
Household chore services
-- help with cooking
-- help with cleaning
Companionship services such as -- reading,
-- talking,
-- going for a walk or drive
Any other type of home care
Spring 2022

PP-14

Care received from someone who visited your home,
such as…

CARD PP-15
Residential or long-term care received at places such
as...
Nursing home for rehabilitation services

--

Inpatient rehabilitation facility or convalescent home

--

Hospice care

--

Respite care

--

Mental health treatment center

--

Drug and alcohol treatment center

--

Addiction treatment center

--

Eating disorder treatment center

--

Other treatment center

Spring 2022

PP-15

--

CARD PP-16
MEPS counts many things you might not think of as health care:
Preventive and Diagnostic Care
-Diagnostic tests such as blood work, X-rays, mammograms, MRI or CAT
scans
-Vaccinations for children and adults, flu shots and allergy shots
-Blood pressure checks and other types of heart health monitoring
-All types of preventive care, including well visits
Acute Illness Care
-Hospital stays, even if just part of a day or longer
-Care received at the Emergency Room or Urgent Care Centers
-Care at walk-in clinics such as clinics at work, or in a pharmacy (Minute
Clinics)
-Sick visits to a doctor, nurse or physician assistant

Other Types of Care
-Pre-natal care, and all other obstetrician/gynecological care
-Pre-op care before surgery, the surgery and the follow-up care
-Eye exams and prescription glasses or contact lenses
-Prescription medicines including birth control, insulin and diabetic
supplies
-Phone calls to medical providers or labs to check test results
-Dental check-ups and orthodontic care (braces)
-Oral surgery
And much more -- ask your interviewer if you are not sure what to include!

Spring 2022

PP-16

Continuing Medical Treatment
-Care received at home by visiting nurses or other home health aides
-Cancer treatments including chemotherapy and radiation
-Dialysis
-Counseling and other care from psychologists or mental health specialists
-Physical, speech or occupational therapy
-Chiropractic care, acupuncture, homeopathic or other alternative care

CARD EV-1A
--

Hospital – Inpatient Stay

--

Hospital Emergency Room

--

Hospital Outpatient Department

--

Dental Office

--

Medical Provider Office or Clinic

--

Telehealth

--

Care Received at Home

--

Residential or Long Term Care Facility
psychiatric facility

Spring 2022

EV-1A

• e.g., Nursing home, rehabilitation facility, drug treatment,

CARD EV-1B
--

Hospital – Inpatient Stay

--

Hospital Emergency Room

--

Hospital Outpatient Department

--

Dental Office

--

Medical Provider Office or Clinic

--

Telehealth

--

Care Received at Home

--

Residential or Long Term Care Facility
•

e.g., Nursing home, rehabilitation facility, drug treatment,
psychiatric facility

--

Glasses/Contact Lenses

--

Other Medical Expenses

EV-1B
Spring 2022

CARD HS-1
Operation or surgical procedure

--

Treatment or therapy, not including surgery

--

Diagnostic tests only

--

Give birth to a baby - Normal or
Caesarean section (Mother)

--

To be born (Baby)

--

Pregnancy-Related complications

HS-1

--

Spring 2022

CARD ER-1
Diagnosis or treatment

--

Emergency (e.g., accident or injury)

--

Psychotherapy or mental health counseling

--

Follow-up or post-operative visit

--

Immunization or shots

--

Pregnancy-Related (Including prenatal care and
delivery)

ER-1

--

Spring 2022

CARD ER-2
Laboratory tests

--

Sonogram or ultrasound

--

X-rays

--

Mammogram

--

MRI or CAT scan

--

EKG, ECG, or EEG

--

Vaccination

ER-2

--

Spring 2022

CARD OP-1
Cardiology (Heart)

--

Endocrinology/Metabolism (Diabetes, Thyroid)

--

Family practice

--

Gastroenterology

--

General practice

--

General surgery

--

Gynecology/Obstetrics

--

Internal Medicine (Internist)

--

Nephrology (Kidneys)

--

Neurology

--

Oncology (Tumors, Cancer)

--

Ophthalmology (Eyes)

--

Orthopedics

--

Otorhinolaryngology (Ear, Nose, Throat)

--

Pediatrician

--

Physical medicine/Rehab

--

Psychiatry/Psychiatrist

--

Radiology

--

Urology

--

Other specialty

OP-1

--

Spring 2022

CARD OP-2
--

Acupuncturist

--

Chiropractor

--

Dentist/Dental care person

--

Homeopathic/Naturopathic/Herbalist/Other
alternative/Complementary care provider

--

Massage therapist

--

Mental health counselor/Marital or family therapist

--

Midwife

--

Nurse/Nurse practitioner

--

Optometrist

--

Physical/Occupational therapist

--

Physician assistant

--

Podiatrist

--

Psychologist

--

Social worker

--

Technician

--

Other

OP-2

Spring 2022

CARD OP-3
General checkup

--

Diagnosis or treatment

--

Emergency (e.g., accident or injury)

--

Psychotherapy or mental health counseling

--

Follow-up or post-operative visit

--

Immunizations or shots

--

Vision exam

--

Pregnancy-Related (Including prenatal care and
delivery)

--

Well child exam

--

Laser eye surgery

OP-3

--

Spring 2022

CARD OP-4
Laboratory tests

--

Sonogram or ultrasound

--

X-rays

--

Mammogram

--

MRI or CAT scan

--

EKG, ECG, or EEG

--

Vaccination

OP-4

--

Spring 2022

CARD MV-1
Allergy/Immunology

--

Cardiology (Heart)

--

Dermatology (Skin)

--

Endocrinology/Metabolism (Diabetes, Thyroid)

--

Family practice

--

Gastroenterology

--

General practice

--

General surgery

--

Gynecology/Obstetrics

--

Internal medicine (Internist)

--

Nephrology (Kidneys)

--

Neurology

--

Oncology (Tumors, Cancer)

--

Ophthalmology (Eyes)

--

Orthopedics

--

Otorhinolaryngology (Ear, nose, throat)

--

Pediatrician

--

Psychiatry/Psychiatrist

--

Urology

--

Other

MV-1

--

Spring 2022

CARD MV-2

--

Acupuncturist

--

Chiropractor

--

Dentist/Dental care person

--

Homeopathic/Naturopathic/Herbalist/Other
alternative/Complementary care provider
Massage therapist

--

Mental health counselor/Marital or family therapist

--

Midwife

--

Nurse/Nurse practitioner

--

Optometrist

--

Physical/Occupational therapist

--

Physician assistant

--

Podiatrist

--

Psychologist

--

Social worker

--

Technician

--

Other

MV-2

--

Spring 2022

CARD MV-3
--

General checkup

--

Diagnosis or treatment

--

Emergency (e.g., accident or injury)

--

Psychotherapy or mental health counseling

--

Follow-up or post-operative visit

--

Immunizations or shots

--

Vision exam

--

Pregnancy-Related (Including prenatal care and
delivery)

--

Well child exam

--

Laser eye surgery

MV-3
Spring 2022

CARD MV-4
Laboratory tests

--

Sonogram or ultrasound

--

X-rays

--

Mammogram

--

MRI or CAT scan

--

EKG, ECG, or EEG

--

Vaccination

MV-4

--

Spring 2022

CARD TH-1
Allergy/Immunology

--

Cardiology (Heart)

--

Dermatology (Skin)

--

Endocrinology/Metabolism (Diabetes, Thyroid)

--

Family practice

--

Gastroenterology

--

General practice

--

General surgery

--

Gynecology/Obstetrics

--

Internal medicine (Internist)

--

Nephrology (Kidneys)

--

Neurology

--

Oncology (Tumors, Cancer)

--

Ophthalmology (Eyes)

--

Orthopedics

--

Otorhinolaryngology (Ear, nose, throat)

--

Pediatrician

--

Psychiatry/Psychiatrist

--

Urology

--

Other

TH-1

--

Spring 2022

CARD TH-2

--

Acupuncturist

--

Chiropractor

--

Dentist/Dental care person

--

Homeopathic/Naturopathic/Herbalist/Other
alternative/Complementary care provider
Massage therapist

--

Mental health counselor/Marital or family therapist

--

Midwife

--

Nurse/Nurse practitioner

--

Optometrist

--

Physical/Occupational therapist

--

Physician assistant

--

Podiatrist

--

Psychologist

--

Social worker

--

Technician

--

Other

TH-2

--

Spring 2022

CARD TH-3
General checkup

--

Diagnosis or treatment

--

Emergency (e.g., accident or injury)

--

Psychotherapy or mental health counseling

--

Follow-up or post-operative visit

--

Immunizations or shots

--

Vision exam

--

Pregnancy-Related (Including prenatal care and
delivery)

--

Well child exam

--

Laser eye surgery

TH-3

--

Spring 2022

CARD DN-1
--

General dentist

--

Pediatric dentist

--

Dental specialist
(e.g., Orthodontist, Endodontist, Periodontist)

--

Dental hygienist

DN-1
Spring 2022

CARD DN-2

Restorative or Endodontic
-- Fillings, inlays, crowns or caps
-- Root canal
Periodontic (Gum Treatment)
-- Periodontal scaling, root planing, or gum surgery
Oral Surgery
-- Extraction, tooth pulled, or other oral surgery
-- Implants
Prosthetics
-- Fixed bridges, dentures or removable partial dentures,
relining or repair of bridges or dentures
Orthodontics
-- Orthodontia, braces, or retainers
Additional Procedures

Spring 2022

DN-2

Diagnostic or Preventive
-- General exam, check-up, or consultation
-- Cleaning, prophylaxis, polishing, or periodontal recall visit
(Periodic or regular)
-- X-rays, radiographs, or bitewings
-- Fluoride treatment
-- Sealant (Plastic coatings on back teeth)

CARD HH-1
Certified Nursing Assistant (CNA)

--

Dietitian/Nutritionist

--

I.V. or infusion therapist

--

Medical doctor

--

Nurse/Nurse practitioner

--

Occupational therapist

--

Physical therapist

--

Respiratory therapist

--

Social worker

--

Speech therapist

HH-1

--

Spring 2022

CARD HH-2
Companion

--

Homemaker or house cleaner

--

Home health aide or home care aide

--

Hospice worker

--

Nurse’s aide

--

Personal care attendant

HH-2

--

Spring 2022

CARD IC-1
--

Inpatient rehabilitation facility or
convalescent home

--

Nursing home

--

Residential mental health treatment center

--

Residential eating disorder treatment center

--

Residential drug and alcohol or
addiction treatment center

--

Residential hospice care

--

Residential respite care

IC-1
Spring 2022

CARD OM-1
Disposable Supplies such as...
--

Ostomy supplies

--

Bandages and dressings

--

Tape

--

Adult disposable diapers

--

Catheters

--

Syringes not prescribed by a physician

--

IV supplies

OM-1
Spring 2022

CARD OM-2

OM-2

Medical Equipment such as...
Mobility aids
- Walker
- Scooter

- Wheelchair
- Braces

Equipment used in the home
- Hospital bed - Lift
- Monitor
- Special chair
- Bed pan
- Adaptive feeding equipment
Home and automobile modifications
- Ramp
- Handrails
- Elevator
- Automobile modifications
Hearing and speech assistance
- Hearing aid
- Amplifier for a telephone
- Adaptive speech equipment
Other
- Blood pressure monitor
- Oxygen
- Vaporizer or nebulizer

Spring 2022

CARD CP-1
Paid at time of visit

--

Made a co-payment

--

Bill sent directly to other source

--

Bill has not arrived

CP-1

--

No Bill Sent:
-- HMO plan
-- VA (Veterans Administration)/CHAMPVA
-- Military facility
-- Public Assistance/Medicaid/SCHIP
-- Indian Health Service (IHS)
-- Worker’s Compensation
-- Private health center/Clinic
-- Public clinic/Health center or private charity
--

Telephone call – No charge

--

Free from provider

--

Government-Financed research and clinical trials

Spring 2022

CARD CP-2
--

0

--

1 - 10

--

11 - 30

--

31 - 100

--

101 or More

CP-2
Spring 2022

CARD CS-1
0

No problem

1
2

Some problem

3
4

A very big problem

CS-1
Spring 2022

CARD CS-2
--

Never

--

Sometimes

--

Usually

--

Always

CS-2
Spring 2022

CARD CS-3

CS-3

None
1 time
2 times
3 times
4 times
5 to 9 times
10 or more times

Spring 2022

CARD CS-4

CS-4

0 Worst health care possible
1
2
3
4
5
6
7
8
9
10 Best health care possible

Spring 2022

CARD AC-1
White

--

Black/African American

--

Asian

--

Indian/Native American/Alaska Native

--

Other Pacific Islander

--

Some other race

AC-1

--

Spring 2022

CARD AC-2
--

Very difficult

--

Somewhat difficult

--

Not too difficult

--

Not at all difficult

AC-2
Spring 2022

CARD AC-3
--

Never

--

Sometimes

--

Usually

--

Always

AC-3
Spring 2022

CARD HX-1

HX-1

Medicare Card Sample

Spring 2022

CARD HX-2
From a group or association

--

Directly through a school

--

Directly from an insurance agent

--

Directly from an insurance company

--

Directly from an HMO

--

From a union

--

From anyone’s previous employer

--

From spouse’s/Deceased spouse’s previous employer

--

From some other employer

--

Under a plan of someone not living here

--

Directly from the Health Insurance Marketplace

HX-2

--

Spring 2022

CARD HX-3
Medicare

--

Medicaid

--

SCHIP

--

TRICARE

--

CHAMPVA

--

VA

--

Other government program providing hospital and
physician benefits

Spring 2022

HX-3

--

CARD HX-4
--

1 - 50

--

51 - 100

--

101 - 200

--

201 - 300

--

301 or more

HX-4
Spring 2022

CARD HX-5
--

1 - 30

--

31 - 60

--

61 - 90

--

91 - 120

--

121 or more

HX-5
Spring 2022

CARD HX-6
Hospital and physician benefits, including coverage
through an HMO

--

Dental

--

Prescription drugs

--

Vision

--

Medicare supplement/Medigap

--

Long-Term care in a nursing home

--

Extra cash for hospital stays

--

Serious disease or dread disease

Spring 2022

HX-6

--

CARD HX-7
From a professional association

--

From a small business group

--

From a union

--

Directly from an insurance agent

--

Directly from an insurance company

--

Directly from an HMO

--

From a previous employer

--

Directly from the Health Insurance Marketplace

HX-7

--

Spring 2022

CARD IN-1
1 - 5,000

--

5,001 - 10,000

--

10,001 - 15,000

--

15,001 - 25,000

--

25,001 - 50,000

--

50,001 - 100,000

--

100,001 or more

IN-1

--

Spring 2022

CARD IN-2
--

1 - 100

--

101 - 500

--

501 - 1,000

--

1,001 - 5,000

--

5,001 - 15,000

--

15,001 or more

IN-2
Spring 2022

CARD IN-3
--

1 - 250

--

251 - 500

--

501 - 750

--

751 - 1,000

--

1,001 or more

IN-3
Spring 2022

CARD IN-4
Wages and salary

--

Farm income (or loss)

--

Business income (or loss)

--

Social Security/Railroad retirement

--

Private, military, or government pensions

--

Interest

--

Dividends

--

Rental income (or loss)

--

Other source

IN-4

--

Spring 2022

CARD AS-1
0 - 10,000

--

10,001 - 25,000

--

25,001 - 50,000

--

50,001 - 100,000

--

100,001 - 250,000

--

250,001 - 500,000

--

500,001 - 1,000,000

--

1,000,001 or more

AS-1

--

Spring 2022

CARD AS-2
0 - 1,000

--

1,001 - 5,000

--

5,001 - 10,000

--

10,001 - 25,000

--

25,001 - 50,000

--

50,001 - 100,000

--

100,001 - 250,000

--

250,001 - 500,000

--

500,001 or more

AS-2

--

Spring 2022