Illinois Veterans Health Care
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1. QUALITY AND ACCESS TO HEALTHCARE FOR ILLINOIS VETERANS

This survey is being conducted in compliance with "The Illinois Veterans Health Insurance Program Act of 2008", (330 ILCS 126/45) by the Illinois Department of Healthcare and Family Services in conjunction with the Department of Veterans Affairs. Responses received from this survey and other research conducted will be used to guide future healthcare policy for Illinois Veterans.

There is no personally identifying information and all responses will be kept confidential. Questions about this survey or the Illinois Veterans Care Program may be directed to: www.illinoisveteranscare.com
or by calling (877)-4VETSRX or 877-483-8779, TTY (877) 204-1012. Applications for the Illinois Veterans Care Program can be downloaded from the above web site or by calling your local IDVA Veterans Service Office (VSO). To find a VSO near you, please call (800) 437-9824. Thank you for taking the time to complete this survey.

1. What Illinois county do you live in?

What Illinois county do you live in?

2. What is your age group?

What is your age group? 18-25

26-35

36-45

46-55

56-65

66 or over

3. What is your gender?

What is your gender? Male

Female

4. Are you enrolled in the Illinois Veterans Care healthcare program?

Are you enrolled in the Illinois Veterans Care healthcare program? Yes

I don't know about the Illinois Veterans Care Program

5. Do you have employer-based or other health insurance?

Do you have employer-based or other health insurance? Yes

6. If you currently have insurance, does your coverage pay for: (check all that apply)

If you currently have insurance, does your coverage pay for: (check all that apply) Physician office visits

Inpatient hospital care

Outpatient hospital care

Prescription drugs

Eye care/Vision care

Dental

Mental health treatment

7. Do you have a condition that keeps you from getting insurance (i.e., a pre-existing condition)?

Do you have a condition that keeps you from getting insurance (i.e., a pre-existing condition)? Yes

8. If yes, does it involve Post Traumatic Stress Disorder (PTSD) or Traumatic Brain Injury (TBI)?

If yes, does it involve Post Traumatic Stress Disorder (PTSD) or Traumatic Brain Injury (TBI)? Yes

9. Do you currently have a medical condition that is connected to your military service?

Do you currently have a medical condition that is connected to your military service? Yes

10. If yes, is it physical, mental, or both?

If yes, is it physical, mental, or both? Physical

Mental

Both

11. Do you receive medical treatment from the U.S. Veterans Administration (USVA) hospital or clinic?

Do you receive medical treatment from the U.S. Veterans Administration (USVA) hospital or clinic? Yes

12. Do you currently have a single primary care physician who coordinates and manages your care?

Do you currently have a single primary care physician who coordinates and manages your care? Yes

13. Please rate your overall medical care on a scale of 1 to 5, with 1 being NOT SATISFIED, and 5 being VERY SATISFIED

	Not Satisfied (1)	(2)	(3)	(4)	Very Satisfied (5)
Ease of getting an appointment	*Please rate your overall medical care on a scale of 1 to 5, with 1 being NOT SATISFIED, and 5 being VERY SATISFIED Ease of getting an appointment Not Satisfied (1)	Ease of getting an appointment (2)	Ease of getting an appointment (3)	Ease of getting an appointment (4)	Ease of getting an appointment Very Satisfied (5)
Travel to receive services	Travel to receive services Not Satisfied (1)	Travel to receive services (2)	Travel to receive services (3)	Travel to receive services (4)	Travel to receive services Very Satisfied (5)
Convenience of appointment times	Convenience of appointment times Not Satisfied (1)	Convenience of appointment times (2)	Convenience of appointment times (3)	Convenience of appointment times (4)	Convenience of appointment times Very Satisfied (5)
Affordability	Affordability Not Satisfied (1)	Affordability (2)	Affordability (3)	Affordability (4)	Affordability Very Satisfied (5)
Access to appropriate care	Access to appropriate care Not Satisfied (1)	Access to appropriate care (2)	Access to appropriate care (3)	Access to appropriate care (4)	Access to appropriate care Very Satisfied (5)
Quality of healthcare received	Quality of healthcare received Not Satisfied (1)	Quality of healthcare received (2)	Quality of healthcare received (3)	Quality of healthcare received (4)	Quality of healthcare received Very Satisfied (5)
Ability to get answers to questions	Ability to get answers to questions Not Satisfied (1)	Ability to get answers to questions (2)	Ability to get answers to questions (3)	Ability to get answers to questions (4)	Ability to get answers to questions Very Satisfied (5)
Opportunities to see a Specialist	Opportunities to see a Specialist Not Satisfied (1)	Opportunities to see a Specialist (2)	Opportunities to see a Specialist (3)	Opportunities to see a Specialist (4)	Opportunities to see a Specialist Very Satisfied (5)
Coordination of care with other services	Coordination of care with other services Not Satisfied (1)	Coordination of care with other services (2)	Coordination of care with other services (3)	Coordination of care with other services (4)	Coordination of care with other services Very Satisfied (5)
Overall satisfaction	Overall satisfaction Not Satisfied (1)	Overall satisfaction (2)	Overall satisfaction (3)	Overall satisfaction (4)	Overall satisfaction Very Satisfied (5)

14. Do you know about any Illinois medical programs available to Veterans, such as Veterans Care or the Illinois Warrior Assistance Program?

Do you know about any Illinois medical programs available to Veterans, such as Veterans Care or the Illinois Warrior Assistance Program? Yes

15. Please tell us what the federal government could do to improve healthcare benefits for Veterans.

Please tell us what the federal government could do to improve healthcare benefits for Veterans.

16. Please tell us what the state of Illinois could do to improve healthcare benefits for Veterans.

Please tell us what the state of Illinois could do to improve healthcare benefits for Veterans.

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