MEDICAL EXPENDITURE PANEL SURVEY HOUSEHOLD COMPONENT MAIN STUDY

SHOW CARDS

Panels 26, 25, 24, and 23

January 2021

**TABLE OF CONTENTS**
Card Number	Topic
RE-1	Periods of Active Duty Service
RE-2	Ethnic Background
RE-3	Racial Background
PE-1	Types of Heart Conditions
PE-2	Types of Cancer
PE-3	Frequency Scale
HE-1	Level of Difficulty Categories
PP-1	Types of Hospital Visits
PP-2	Types of Emergency Room Services
PP-3	Types of Outpatient Care
PP-4	Types of Primary Care
PP-5	Types of Medical Specialists
PP-6	Types of Dental Care Providers
PP-7	Types of Mental Health Professionals
PP-8	Types of Other Medical Professionals
PP-9	Types of Clinics
PP-10	Types of Laboratories
PP-11	Types of Therapists
PP-12	Types of Vision Care Providers
PP-13	Types of Alternative Care
PP-14	Types of Home Care Services
PP-15	Types of Residential Care
PP-16	Records Job Aid – Examples of Health Care
EV-1A	Examples of Where Care Received (Event Typing)
EV-1B	Examples of Where Care Received (Event Typing)
HS-1	Reasons for Entering the Hospital
ER-1	Care Received During ER Visit
ER-2	Services Received During ER Visit
OP-1	Type of Medical Doctor Seen During Outpatient Visit
OP-2	Type of Provider Seen During Outpatient Visit
OP-3	Care Received During Outpatient Visit
OP-4	Services Received During Outpatient Visit
MV-1	Type of Medical Doctor Seen During Medical Provider Visit
MV-2	Type of Provider Seen During Medical Provider Visit
MV-3	Care Received During Medical Provider Visit
MV-4	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	Sample Medicaid Card (for STATE)
HX-3	Source of Health Insurance (for STATE)
HX-4	Types of Public Insurance
HX-5	Medicare HMO Premium Ranges
HX-6	Medicare Part D Premium Ranges
HX-7	Types of Health Insurance Coverage
HX-8	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

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CARD 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

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CARD RE-2

One or more categories may be selected.

– Mexican
– Mexican-American/Chicano
– Puerto Rican
– Cuban/Cuban American
– Dominican
– Central or South American

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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

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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

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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 ï¿½ Melanoma
– Skin ï¿½ Non-Melanoma
– Skin (unknown type)
– Soft tissue muscle or fat
– Stomach
– Testicular
– Throat or Pharynx
– Thyroid
– Uterine
– Other

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CARD PE-3

– Within the last 7 days
– More than 7 days ago, but within last 30 days
– More than 30 days ago

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CARD HE-1

– No difficulty
– Some difficulty
– A Lot of difficulty
– Completely unable to do it

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CARD PP-1

– Admitted to the hospital for one or more nights

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CARD PP-2

– Any type of care received in a hospital emergency room

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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

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CARD PP-4

Primary care doctor such as...

– General practitioner
– Internist
– Pediatrician
– Family medicine provider
– Medical doctor

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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

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CARD PP-6

Such as...

– Dentists
– Oral surgeons
– Orthodontists
– Dental assistants
– Dental hygienists
– Pediatric dentists
– Endodontists
– Periodontists
– Dental technicians
– Other type of dental care providers

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CARD PP-7

Such as...

– Psychiatrist
– Psychologist
– Licensed clinical social worker
– Mental health therapist
– Counselor
– Psychiatric social worker
– Other mental health professional

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CARD PP-8

Such as...

– Nurse (RN, LPN, PHN, BSN)
– Nurse practitioner
– Nurse’s aide
– Physician’s assistant (PA)
– Midwife
– Health aide

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CARD PP-9

Such as...

– Walk-in urgent care
– Retail clinic ï¿½ in a pharmacy
– Retail clinic ï¿½ in a grocery store
– Family planning center
– College or university clinic
– Employer clinic
– Free clinic
– Infirmary
– Other type of health clinic

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CARD PP-10

Such as...

– Independent medical lab
– Testing facility lab

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CARD PP-11

Such as...

– Physical therapists
– Occupational therapist
– Speech therapist
– Chiropractor
– Physiatrist
– Behavioral therapist
– Other type of therapist

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CARD PP-12

Such as...

– Optometrist
– Ophthalmologist
– Vision technician
– Optician
– Orthoptist
– Other eye care professional

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CARD PP-13

Such as...

– Acupuncture
– Homeopathic care
– Massage therapy
– Hypnosis
– Naturopathic care
– Herbalist
– Other alternative care professional

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CARD PP-14

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

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

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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

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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
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
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!

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CARD EV-1A

– Hospital ï¿½ 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

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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

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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

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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)

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CARD ER-2

– Laboratory tests
– Sonogram or ultrasound
– X-Rays
– Mammogram
– MRI or CAT scan
– EKG, ECG, or EEG
– Vaccination

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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

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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
– Physicianï¿½s assistant
– Podiatrist
– Psychologist
– Social worker
– Technician
– Other

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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

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CARD OP-4

– Laboratory tests
– Sonogram or ultrasound
– X-rays
– Mammogram
– MRI or CAT scan
– EKG, ECG, or EEG
– Vaccination

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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

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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
– Physicianï¿½s assistant
– Podiatrist
– Psychologist
– Social worker
– Technician
– Other

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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

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CARD MV-4

– Laboratory tests
– Sonogram or ultrasound
– X-rays
– Mammogram
– MRI or CAT scan
– EKG, ECG, or EEG
– Vaccination

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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

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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
– Physicianï¿½s assistant
– Podiatrist
– Psychologist
– Social worker
– Technician
– Other

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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

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CARD DN-1

– General dentist
– Pediatric dentist
– Dental specialist (e.g., Orthodontist, Endodontist, Periodontist)
– Dental hygienist

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CARD 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)
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

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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

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CARD HH-2

– Companion
– Homemaker or house cleaner
– Home health aide or home care aide
– Hospice worker
– Nurse’s aide
– Personal care attendant

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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

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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

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CARD OM-2

Medical Equipment such as...

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

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CARD CP-1

– Paid at time of visit
– Made a co-payment
– Bill sent directly to other source
– Bill has not arrived
– 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