Health Care Survey

The ABTA would like to better understand the impact of the Affordable Care Act (ACA) on brain tumor patients. Please take a moment to answer the survey below:

1.
Question - Not Required - How do you primarily pay for your health care? (check all that apply)

2.


3.
Question - Not Required - If you tried to apply for Medicaid, were you approved or denied?



4.
Question - Not Required - If you have employer-provided health insurance, has your coverage changed due to the ACA? (check all that apply)

5.
Question - Not Required - If you have selected a health insurance plan on your state's insurance exchange, please indicate the level of ease or difficulty you experienced in identifying the medical providers (hospitals, physicians) and prescriptions/medications covered by your plan:



6.
Question - Not Required - If you have not joined an insurance exchange, are you concerned about changes to your health care coverage in the future?



7.
Question - Not Required - Do you currently receive treatment at an academic medical center? (i.e. a university-affiliated medical center)



8.
Question - Not Required - If you responded "Yes" to #7 and you have joined an insurance exchange, is the institution where you have been receiving treatment included in your chosen plan?





9.
Question - Not Required - Have you or will you have to change doctors or specialists because of the ACA?



10.
Question - Not Required - How would you describe your access to the specialists you need for treatment compared to one year ago?



11.
Question - Not Required - How would you compare your out of pocket health care costs today compared to one year ago?



12.
Question - Not Required - Please indicate if you have experienced a change in the past year in terms of the quality of your health care:



13.
Question - Not Required - Please indicate if you have experienced a change in the past year in terms of your coverage of the medications you need:



14.
Question - Not Required - Please indicate your connection to brain tumor.



15.
Question - Not Required - Please indicate your gender.


16.
Question - Not Required - Please indicate your age range:








17.  


18.

   Please leave this field empty