Archival Version

The National Medical Expenditure Survey (NMES) series provides information on health expenditures by or on behalf of families and individuals, the financing of these expenditures, and each person's use of services. Public Use Tape 16 is the second public use data release from the NMES Health Insurance Plans Survey (HIPS). The purpose of the HIPS was to verify information reported by respondents to two components of the NMES, the Household Survey and the Survey of American Indians and Alaska Natives (SAIAN), about their health insurance coverage. Additional details were also obtained from the employers, unions, and insurance companies through which coverage was provided. Parts 1 and 2 of Public Use Tape 16 are files that can be used to link data to Household Survey policyholders in NATIONAL MEDICAL EXPENDITURE SURVEY, 1987: POLICYHOLDERS OF PRIVATE INSURANCE: PREMIUMS, PAYMENT SOURCES, AND TYPES AND SOURCE OF COVERAGE [PUBLIC USE TAPE 15] (ICPSR 9901). These link files permit identification of the records in the Private Health Insurance Benefit Database (Parts 3-17 of this collection) that describe the specific benefits held by the policyholders. These files also permit linkage to the personal and socioeconomic characteristics for these policyholders found in NATIONAL MEDICAL EXPENDITURE SURVEY, 1987: HOUSEHOLD SURVEY, POPULATION CHARACTERISTICS AND PERSON-LEVEL UTILIZATION, ROUNDS 1-4 [PUBLIC USE TAPE 13] (ICPSR 9695). Future link files will permit linkage of the Benefit Database to persons in the SAIAN and to dependents of policyholders in the Household Survey. The section files of the Benefit Database, Parts 4-13, contain information on Health Maintenance Organizations (HMOs), copayments, basic coverage, hospital and medical services, cost-containment provisions, major medical coverage, dental care, prescription drugs, vision and hearing care, and Medicare benefits. The schedule files, Parts 14-17, contain specific deductible amounts, dollar benefits, coinsurance provisions, maximum benefits, and benefit periods. Wherever possible, copies of policies or booklets describing the coverage and benefits were obtained in order to abstract this information.

国家医疗支出调查（National Medical Expenditure Survey, NMES）系列数据集提供了家庭及个人自付或代付的医疗支出信息、此类支出的筹资渠道，以及每位个体的医疗服务使用情况。
公共使用文件磁带16（Public Use Tape 16）是NMES下属健康保险计划调查（Health Insurance Plans Survey, HIPS）发布的第二份公开使用数据集。本次HIPS的核心目的为验证受访者针对NMES两项组成部分——家庭调查（Household Survey）与美国印第安人和阿拉斯加原住民调查（Survey of American Indians and Alaska Natives, SAIAN）——所报告的医疗保险覆盖情况信息。研究团队还通过提供医保覆盖服务的雇主、工会及保险公司获取了额外细节数据。
公共使用文件磁带16的第1、2部分为关联专用文件，可用于将数据关联至1987年《国家医疗支出调查：私人保险投保人：保费、付款来源、覆盖类型及来源》[公共使用文件磁带15（Public Use Tape 15），ICPSR 9901]中的家庭调查投保人。
此类关联文件可用于识别私人健康保险福利数据库（Private Health Insurance Benefit Database）（本数据集合集的第3-17部分）中记录投保人具体所持福利的条目，同时还可将数据关联至1987年《国家医疗支出调查：家庭调查、人口特征与个人层面医疗使用情况（第1-4轮）》[公共使用文件磁带13（Public Use Tape 13），ICPSR 9695]中收录的这些投保人的个人及社会经济特征信息。
未来将发布的关联文件将实现福利数据库与SAIAN调查对象，以及家庭调查中投保人受抚养人的数据关联。
福利数据库的分卷文件（第4-13部分）涵盖了健康维护组织（Health Maintenance Organizations, HMOs）、共付额、基础医保覆盖、住院与医疗服务、成本控制条款、大额医疗费用保险、牙科护理、处方药、视力与听力护理，以及联邦医疗保险（Medicare）福利等信息。
计划表文件（第14-17部分）则包含了具体的免赔额金额、货币化福利额度、共保条款、最高福利限额以及福利期限。
研究人员在尽可能的情况下获取了描述医保覆盖范围及福利的保单或手册副本，以此提取上述所有信息。