Technical Appendix

This compilation of tables and figures shows information on health insurance coverage, cost of care and coverage, and access to care and coverage for people 55-64 years of age.

Definitions for Tables 1, 2, 4, and 5 and Figure 1

Individual Health Insurance

Individual health insurance was defined as private health insurance that was obtained from sources other than an employer or union, including coverage from some other group, such as an association, as well as from non-group sources, such as an insurance company or HMO (health maintenance organization) and coverage identified as being obtained by self-employed individuals with no employees.

Employment-related Health Insurance

Employment-related coverage was defined as including health insurance obtained through an employer or union. It also includes coverage through someone outside of the household or coverage whose source was unknown, since both sources are likely to be employment related.

Other Public Insurance

Individuals were classified as having other public insurance if they reported insurance from other public hospital/medical coverage that was not Medicaid and if they reported TRICARE (Armed Forces related) coverage.

Appendix Tables

General statistics that serve as the basis for Figures 5-10 in the body of the text are shown in Tables A1, A2, and A3.

Table A1. Percentage of adults in families with out-of-pocket spending on health care and health insurance premiums exceeding 10% of after-tax income, by insurance and age, 2005

AgeVariable LabelPrivate GroupPrivate NongroupPublicUninsured
MeanStandard
Error
MeanStandard
Error
MeanStandard
Error
MeanStandard
Error
TotalAfter-tax family income59,34366752,4992,16617,33146226,790866
 OOP spending on care1,394*302,0712341,2262041,016*71
 OOP premiums2,041*474,549*223227*2016016
 Total OOP burden3,435*596,620*3351,453*2051,176*75
 % in families w/ high burdens18.7*0.652.6*2.925.0*1.315.2*0.9
25-34After-tax family income50,841*1,06542,0924,04017,92874822,922933
 OOP spending on care798*331,052*185336*48499*43
 OOP premiums1,505*542,239*24090*1511525
 Total OOP burden2,304*673,291*371427*53614*51
 % in families w/ high burdens12.2*0.934.2*6.211.3*1.710.6*1.3
35-44After-tax family income63,160*1,14055,8953,99517,9481,05329,0451,428
 OOP spending on care1,248*501,310*1821,7288051,007*112
 OOP premiums2,164903,707*390133*2815837
 Total OOP burden3,412*1005,017*4771,8618051,165*119
 % in families w/ high burdens16.4*0.940.8*6.718.9*2.713.5*1.7
45-54After-tax family income63,151*92958,9244,53216,61579130,814*1,724
 OOP spending on care1,654*513,1477621,137*1251,320164
 OOP premiums2,101*755,682474277*4719833
 Total OOP burden3,756*1008,8309461,414*1421,518174
 % in families w/ high burdens19.4*1.160.85.428.5*2.717.0*1.8
55-64After-tax family income58,3961,25351,9053,45416,7611,07125,6741,597
 OOP spending on care1,894792,4322361,7761911,743283
 OOP premiums2,381955,9755104376121041
 Total OOP burden4,2751268,4065682,2142131,953286
 % in families w/ high burdens28.01.369.04.043.92.825.42.6

Source: 2006 Medical Expenditure Panel Survey—Household Component
Notes:* indicates estimates that are significantly different from those in the 55-64 year old category (p<0.05). " OOP" refers to out-of-pocket and " high burdens" refers to out-of-pocket costs for medical care and premiums that exceed 10% of the family's after-tax income. The family is defined as a " Health Insurance Eligibility Unit," which generally refers to an individual and a spouse and children, if present. Each person is assigned the income and costs of the unit. Individuals were classified into one health insurance category based on the type of coverage for which they had the most number of months in 2005. Uninsured individuals were uninsured throughout 2005. Premium amounts were prorated for the number of months of coverage

Table A2. Percent of adults with no medical visits and average visits, by health insurance status, condition, and health status: 2003-2006

Condition/Health StatusInsured Full
Year
Insured Part
Year
Uninsured Full
Year
Insured Full
Year
Insured Part
Year
Uninsured Full
Year
% No
visits
SE% No
visits
SE% No
visits
SEAvg #
visits
SEAvg #
visits
SEAvg #
visits
SE
 Ages 25-54
All persons22.24^0.3231.78*^0.7853.90*^0.798.08^0.126.48*^0.235.33*^0.17
Depression5.49^0.4611.22*^1.4127.45*2.3314.80^0.4610.98*^0.849.46*0.88
Diabetes6.29^0.686.071.5519.19*^2.8413.450.729.70*0.906.49*0.63
Heart disease3.60^0.556.991.9816.62*2.8814.040.629.54*0.877.87*0.99
Hypertension6.68^0.499.97*1.3615.85*1.6111.13^0.379.151.236.03*0.46
Any chronic condition8.81^0.2814.00*^0.8227.71*^1.069.91^0.167.87*^0.346.75*0.28
Trauma7.39^0.4613.65*^1.3423.85*1.4311.51^0.308.22*^0.437.12*0.48
No chronic condition39.320.5248.72*1.1067.93*0.864.590.104.260.203.61*0.20
Health: exc./vg/good23.72^0.3334.79*^0.8557.15*^0.867.01^0.115.65*^0.244.51*^0.16
Health: fair/poor7.96^0.5713.18*1.3632.72*^1.5116.680.5110.35*0.628.74*0.63
SF-12 physical health ≤405.09^0.4310.79*1.4424.64*1.7218.450.5411.65*0.6210.33*0.65
SF-12 physical health >4022.15^0.3432.44*^0.8955.17*^0.886.86^0.105.68*^0.264.40*0.18
SF-12 mental health ≤4011.06^0.5017.871.5938.811.7013.23^0.399.31*^0.457.96*0.62
SF-12 mental health >4021.79^0.3632.52^0.9254.40^0.907.45^0.125.87*^0.294.76*^0.17
 Ages 55-64
All persons11.650.4419.26*1.5837.59*1.6810.930.238.84*0.556.51*0.42
Depression3.190.553.951.8022.30*4.2517.941.0616.312.289.03*1.02
Diabetes2.670.448.17*2.477.78*2.3414.670.639.83*1.018.38*0.79
Heart disease1.630.332.871.7811.10*2.9715.580.6311.64*1.279.99*1.09
Hypertension3.940.347.98*1.6913.77*2.0512.300.329.27*0.757.21*0.54
Any chronic condition4.840.298.24*1.1118.82*1.6011.900.269.69*0.637.05*0.47
Trauma4.530.666.162.0623.18*3.5216.510.6415.612.098.50*1.08
No chronic condition38.891.3552.27*4.2266.19*2.254.900.283.990.584.540.88
Health: exc./vg/good13.090.5022.38*1.9841.47*1.859.320.227.85*0.635.66*0.45
Health: fair/poor4.480.579.66*2.3624.88*2.7818.170.7511.46*1.468.69*0.84
SF-12 physical health ≤403.350.496.902.0723.932.7818.700.7612.641.279.580.95
SF-12 physical health >4011.970.5221.812.2739.962.158.810.217.200.605.040.40
SF-12 mental health ≤407.281.0014.113.4431.773.3817.481.1112.581.368.051.00
SF-12 mental health >4010.350.4517.891.8436.311.9110.370.228.190.656.150.47

Source: Pooled Data from the 2003-2006 Medical Expenditure Panel Survey—Household Component
*  indicates the estimate is statistically different than the estimate for the full-year insured at the 5% level.
^  indicates that the estimates for ages 25-54 are statistically different from the estimates for ages 55-64 at the 5% level. SE is standard error.

Table A3. Percent of adults reporting a delay in medical care/prescription drugs, by health insurance status, condition, and health status: 2003-2006

Condition/Health StatusInsured Full
Year
Insured Part
Year
Uninsured Full
Year
Insured Full
Year
Insured Part
Year
Uninsured Full
Year
% MD
delay
SE% MD
delay
SE% MD
delay
SE% RX
delay
SE% RX
delay
SE% RX
delay
SE
 Ages 25-54
All persons4.41^0.1812.01*0.6312.76*0.623.46^0.148.01^0.507.80*0.51
Depression10.960.6925.82*2.2130.71*2.5610.870.5522.281.8324.33*^1.98
Diabetes8.150.8427.76*4.1521.92*3.419.821.0025.493.2021.02*^3.28
Heart disease9.710.9521.63*3.2929.03*3.657.850.9123.673.3021.54*^3.25
Hypertension6.350.4919.93*^2.0422.99*2.097.010.5419.39^2.1120.78*^2.21
Any chronic condition6.420.2818.78*1.0222.36*^1.185.610.2214.660.9016.46*^1.00
Trauma7.880.4815.75*1.4622.75*1.605.780.3711.031.2512.96*1.30
No chronic condition1.850.145.57*^0.557.62*0.470.720.101.660.253.16*0.33
Health: exc./vg/good3.50^0.179.28*0.5810.11*0.572.590.135.43^0.395.58*0.47
Health: fair/poor13.17^0.7428.92*1.9230.04*1.6611.860.6423.971.9722.27*1.49
SF-12 physical health ≤4014.08^0.7730.51*2.2133.93*2.2812.710.7725.66*2.3423.84*1.66
SF-12 physical health >403.600.1710.01*0.6910.74*0.592.70^0.145.85*0.476.05*0.54
SF-12 mental health ≤4011.120.6924.17*1.5729.45*1.889.380.5719.24*1.4921.72*1.65
SF-12 mental health >403.71^0.179.83*0.7210.04*0.552.89^0.145.75*^0.535.22*^0.43
 Ages 55-64
All persons5.270.3012.67*1.3313.94*1.044.940.3011.301.249.00*0.84
Depression10.101.0927.78*5.0425.42*3.6010.251.0519.634.0316.013.17
Diabetes7.420.8217.67*3.7216.79*3.038.360.9020.303.8212.162.29
Heart disease8.380.8518.17*4.2322.12*4.009.560.9418.784.2611.002.97
Hypertension5.330.4312.98*2.1017.85*2.126.640.5412.391.9113.45*1.76
Any chronic condition5.950.3516.09*1.7317.96*1.456.040.3714.281.5612.81*1.24
Trauma8.760.7820.60*4.5121.96*2.937.040.7912.323.0513.31*2.43
No chronic condition2.560.452.421.107.81*1.190.540.162.391.133.20*0.69
Health: exc./vg/good4.340.309.46*1.2910.06*1.023.540.278.751.386.66*0.90
Health: fair/poor9.870.9022.55*3.0826.63*2.4811.920.8819.172.6216.67*1.84
SF-12 physical health ≤4011.390.9025.313.3827.242.7911.200.8520.772.8719.432.28
SF-12 physical health >403.670.297.941.449.211.043.580.317.541.465.690.79
SF-12 mental health ≤4010.201.0626.384.2427.673.0010.931.1217.363.4118.852.70
SF-12 mental health >404.790.3110.091.5711.281.124.560.3310.261.477.460.87

Source: Pooled Data from the 2003-2006 Medical Expenditure Panel Survey—Household Component
* indicates the estimate is statistically different than the estimate for the full-year insured at the 5% level.
^ indicates that the estimates for ages 25-54 are statistically different from the estimates for ages 55-64 at the 5% level. SE is standard error.

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Page last reviewed May 2009
Internet Citation: Technical Appendix. May 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/policymakers/health-initiatives/meps/mepsneareld/neareldap.html