POZ232_December

The Cost of Care
If you’re living with HIV in the United States, you can access health care coverage in many different ways. But navigating our nation’s health care system can be daunting. POZ wants to know about your experience with health care coverage and costs.
1) What type of health insurance do you currently have? (Check all that apply.)

Employer-based insuranceIndividual-based insurance (including coverage through the Affordable Care Act)MedicaidMedicareVeterans AffairsNoneOther
2) Do you use any of the following programs to help with your health care costs? (Check all that apply.)

Patient assistance program (PAP)Cost-sharing assistance program (CAP)Ryan White HIV/AIDS Program (including ADAP)NoneOther
3) On average, how much do you spend on your health insurance coverage each month?

NoneLess than $100$100–$299$300–$499$500 or more
4) On average, how much do you spend each month on out-of-pocket costs for your health care (for example, co-pays and deductibles)?

NoneLess than $100$100–$299$300–$499$500 or more
5) Do you worry about how to pay for your health care?

YesNo
6) Have you ever skipped or delayed health care because of the cost?

YesNo
7) Are you satisfied with your health care coverage?

YesNo
8) How difficult is it for you to navigate the health care system?

Very difficultSomewhat difficultNot very difficult
9) How far do you travel for your HIV medical care?

Less than 5 miles5–10 miles10-25 miles25–50 milesMore than 50 miles
10) Do you have dental insurance?

YesNo
11) What year were you born?
12) What is your gender?

MaleFemaleTransgenderOther
13) What is your sexual orientation?

StraightGay/LesbianBisexualOther
14) What is your ethnicity? (Check all that apply.)

American Indian or Alaska NativeArab or Middle EasternAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or other Pacific IslanderWhiteOther
15) What is your current level of education?

Some high schoolHigh school graduateSome collegeBachelor’s degree or higher
16) What is your annual household income?

Less than $15,000$15,000–$34,999$35,000–$49,999$50,000–$74,999$75,000–$99,999$100,000 or more
17) What is your zip code?
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The Cost of Care