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MILITVA
Covered by VA or Military health care last year

Questionnaire Text

ASEC 2018
ASEC 2017
ASEC 2016
ASEC 2015
ASEC 2014
ASEC 2013
ASEC 2012
ASEC 2011
ASEC 2010
ASEC 2009
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ASEC 2018
Questionnaire form view entire document:  text  image
MILPLAN
ASK OR VERIFY
(Is/Was) that plan related to military service in any way?
Examples of military plans include:
- VA Care
- TRICARE
- TRICARE for Life
- CHAMPVA
- Other military care
1 Yes
2 No

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ASEC 2017
Questionnaire form view entire document:  text  image
MILPLAN
ASK OR VERIFY
(Is/Was) that plan related to military service in any way?
Examples of military plans include:
- VA Care
- TRICARE
- TRICARE for Life
- CHAMPVA
- Other military care
1 Yes
2 No

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ASEC 2016
Questionnaire form view entire document:  text  image
MILPLAN
ASK OR VERIFY
(Is/Was) that plan related to military service in any way?
Examples of military plans include:
- VA Care
- TRICARE
- TRICARE for Life
- CHAMPVA
- Other military care
1 Yes
2 No

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ASEC 2015
Questionnaire form view entire document:  text  image
MILPLAN
ASK OR VERIFY
(Is/Was) that plan related to military service in any way?
Examples of military plans include:
- VA Care
- TRICARE
- TRICARE for Life
- CHAMPVA
- Other military care
1 Yes
2 No

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ASEC 2014

No questionnaire text is available for this sample.


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ASEC 2013
Questionnaire form view entire document:  text  image
SHI20
What plan (was/were) (name/you) covered by? Enter all that apply, separate using the space bar or a comma. Probe: Any Other Plan?
1 TRICARE
2 CHAMPVA
3 VA
4 Indian Health Service
5 Other

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ASEC 2012
Questionnaire form view entire document:  text  image
SHI20
What plan (was/were) (name/you) covered by? Enter all that apply, separate using the space bar or a comma. Probe: Any Other Plan?
1 TRICARE
2 CHAMPVA
3 VA
4 Indian Health Service
5 Other

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ASEC 2011
Questionnaire form view entire document:  text  image
SHI20
What plan (was/were) (name/you) covered by? Enter all that apply, separate using the space bar or a comma. Probe: Any Other Plan?
1 TRICARE
2 CHAMPVA
3 VA
4 Indian Health Service
5 Other

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ASEC 2010
Questionnaire form view entire document:  text  image
SHI20
What plan (was/were) (name/you) covered by? Enter all that apply, separate using the space bar or a comma. Probe: Any Other Plan?
1 TRICARE
2 CHAMPVA
3 VA
4 Indian Health Service
5 Other

top
ASEC 2009
Questionnaire form view entire document:  text  image
SHI20
What plan (was/were) (name/you) covered by? Enter all that apply, separate using the space bar or a comma. Probe: Any Other Plan?
1 TRICARE
2 CHAMPVA
3 VA
4 Indian Health Service
5 Other