Insurance Provider Study

SIS International Research is conducting research on customer preferences for finding and choosing the best medical insurance provider.

We will have a 45 minutes phone interview with a larger group of participants on April 10th-17th. And after the phone interviews, we will choose a subset of these participants for in-person 1.5 hours interviews in LA.
The incentive is $100 for phone interview and $150 for in-depth interview.

If you would like to be considered as a participant for this research, please complete a pre-screening survey.

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* 1. Contact Information

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. Do you or any member of your family work for an advertising firm, a market research firm, an insurance company or government agency currently or in the last three years?

Yes

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* 3. What types of activities do you perform on the internet?

Research

Shop

Blog

Gaming

Banking

Social Media (Facebook, Twitter, etc.)

I do not use the internet

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* 4. Do you currently have Medical Insurance?

Yes

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* 5. Do you currently have Medical Insurance Offered to you through your employer or your family member’s employer?

Yes

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* 6. Who is enrolled under the medical insurance plan you belong to?

Myself

Spouse/partner

Dependents / Children

Parents, they are on my plan

Parents, I am on their plan

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* 7. What is the name of your current Medical Insurance insurer?

United Healthcare

Aetna

Blue Cross and Blue Shield

Humana

Kaiser

Oxford

Cigna

Anthem

HealthNet

Medicare

Medicaid

I don’t know / I don’t remember

Other (please specify)

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* 8. Who makes the health insurance decisions for your household?

I do by myself

I do with other members of my household

I do not make the decisions

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* 9. Which type of medical plan below best represents your current health insurance plan?

HMO or Health Maintenance Organization where your plan requires you to choose a Primary Care Provider (PCP) who coordinates your care and referrals to specialists and hospitals within the HMO network

PPO or Preferred Provider Organization where you receive care from any physician in the health plan’s network of doctors and hospitals without a referral or a designated Primary Care Provider (PCP). You can have out-of-network coverage, but you pay a higher portion of the cost

POS or Point of Service where you can choose to get care from network and out-of-network physicians. If you get a referral from your physician, you pay less than if you do not get a referral

I do not know

Other (please specify)

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* 10. Do you currently have a High-Deductible Health Plan (also known as a consumer driven health plan) which combines a high deductible health plan with some type of account (Health Savings Account or Health Reimbursement Account that you can draw on to pay for qualified medical expenses? A high deductible health plan is any plan with a deductible of at least $1,350 for an individual or $2,700 for a family. )

Yes

I do not know

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* 11. Do you sign in (with an ID and Password) to your Medical insurer’s the website to review claims, coverage, etc.?

Yes

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* 12. Within the last year, what activities have you performed on your health insurer's secure website (site that requires an ID and password) to complete?

View Claims

View benefits/coverage information

View account balances

View Explanation of Benefits (EOB’s)

Find a doctor/facility

Order a prescription

Pay a bill

Submit for reimbursement

Pay a premium

Chat with customer service

Other

I do not log in to my health insurer’s secure website

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* 13. A Primary Care Physician (PCP) can be both the first contact for a person with an undiagnosed health concern as well as continuing care of varied medical conditions. They may be the person you see for routine health issues like physicals, wellness exams, etc. Some plans require you to have a PCP and while other plans do not require you to have a PCP, many people have a primary, go-to doctor for initial issues or continuing care. Regardless of whether or not your plan requires you to have a PCP, do you have a primary doctor?

Yes

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* 14. If you had to estimate, how many medical visits (e.g., visit a doctor/specialist, X-Ray/Imaging, Lab, Hospital, Urgent Care, etc.) did you and/or your family have within the last year?

No medical visits

1 to 5 medical visits

6 to 20 medical visits

21+ medical visits

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* 15. In thinking about how long you’ve been with your primary care doctor or general practioner, which statement best matches you?

I have a primary care doctor and am not looking to switch to a new doctor

I have recently switched to a new PCP within the last 6 months

I have a primary care doctor but am actively looking to switch to a new doctor

I have a primary care doctor but am open to switching.

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* 16. Which one of the following ranges best describes your current age?

Under 18

18 to 25 years old

26 to 45 years old

46 to 60 years old

Over 60 years old

Refused to answer

Other

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* 17. Which of the following best describes your current employment situation?

Self-employed

Employed full-time through an employer

Employed part-time through an employer

Full-time homemaker

Temporarily unemployed

Full-time student

Retired

Disabled

Prefer not to answer

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* 18. Which of the following ranges best describes your annual total household income? Please stop me when I get to the appropriate range.

Less than $30,000

$30,000 to less than $40,000

$40,000 to less than $50,000

$50,000 to less than $60,000

$60,000 to less than $70,000

$70,000 or more

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* 19. What is the highest level of education you have attained?

Some high school

High School

Some college

College Graduate

Graduate School

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* 20. Please select the gender with which you most closely identify:

Female

Male

Other

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* 21. What is your marital status?

Single

Married without kid(s)

Married with kid(s)

Divorced/Widowed