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. Author manuscript; available in PMC: 2014 Apr 1.
Published in final edited form as: Psychooncology. 2012 May 18;22(4):911–921. doi: 10.1002/pon.3091
A.
Did this
happen to
you?
B.
If it did happen, how upsetting was it?
No Yes Not at all
upsetting
A little
bit
upsetting
Moderately
upsetting
Very
upsetting
Extremely
upsetting
1. You had to have your transplant
at a treatment center that was not
your first choice because of your
health insurance coverage
0 1 2 3 4
2. You had to have your transplant
at a treatment center that was far
from home because of your health
insurance coverage
0 1 2 3 4
3. You lost your health insurance
coverage at some point during
your illness/transplant
0 1 2 3 4
4. You had to change health
insurance carriers because of your
illness/transplant
0 1 2 3 4
5. You spent a lot of time dealing
with your health insurance
company (for instance, to arrange
approvals or sort out coverage
problems)
0 1 2 3 4
6. Someone else had to spend a lot
of time dealing with your health
insurance company (for instance,
to arrange approvals and sort out
coverage problems)
0 1 2 3 4
7. Your health insurance company
denied payment at some point
during your illness/transplant
0 1 2 3 4
8. Problems with your health
insurance company caused some
or all of your treatment to be
delayed
0 1 2 3 4

Note. Responses to Part A are first coded such that “No”=0 and “Yes”=1. Next, for each item, responses to Part A and Part B are multiplied. The resulting products are then summed. Scores range from 0–32, with higher scores indicating greater perceived insurance stress.