Calendar for Continuing Samples

MCBS Planner 2007
Continuing

Sample

Because we care...
Your answers are confidential
All information you provide will be kept in strict confidence under the laws prescribed by the Privacy Act of 1974.
Information cannot be disclosed in any form that would permit identification of an individual in this study.

OMB # 0938-0568 Expiration 03/31/2008

20240.0606.788904

Organizing your medical papers and bills can be
very time consuming. Using this MCBS Respondent
Planner will help! The handy calendar will keep
track of your appointments, important dates and
bills right where you can find them.

Current
Beneficiary
Survey

Message from

T

hank you for participating in the Medicare
Current Beneficiary Survey (MCBS).
With your help, we are working to make Medicare
a more cost-effective purchaser of high-quality
health care that meets the needs of all beneficiaries.

Message from

Y

our participation in the MCBS provides
valuable information to both researchers and
policymakers about the needs of Americans who
have Medicare health insurance.
CMS collects large amounts of information about
hospitals, doctors, and other medical professionals.
They can tell how Medicare works for those groups.
But the only way to learn about how the Medicare
program works for people like you, is to ask.
AARP supports this survey because we think it
is important. Please take part, and help improve
your Medicare program. Whether you take part in
the survey is entirely your choice. Your Medicare
benefits will not be affected by the answers that
you give, or by whether or not you participate.
Also, your answers must be kept private and
confidential. There is a law – the federal Privacy
Act – that requires this.

Using Your Planner

I

t is helpful to use the separate folder to store
Medicare/insurance statements, canceled checks,
medical bills/receipts and RX labels/receipts.
A convenient way you may choose to keep track
of your health care events is to write down the
following items in your planner.
* Doctor and dentist appointments.
* 
Prescribed medicines you obtained,
including refills.
* 
If you do not have a bill or receipt,
record the total cost and what was paid.
* 
Hospital visits including the emergency room
(ER) and outpatient department (OPD).
* Labs, x-rays, or other tests.
* Nursing home stays.
* 
Home Visits by a medical professional,
family, or friend.
* 
Eyeglasses, diabetic equipment, ambulance
services, or other medical items.

Important
Numbers & Websites
MCBS Respondent Hotline: 1-800-937-8286
Medicare Hotline: 1-800-633-4227
Medicare Fraud Hotline: 1-800-447-8477
Social Security Administration: 1-800-772-1213
www.cms.hhs.gov/mcbs
www.aarp.org

Sunday

Monday

Tuesday

1 New Year’s
2
Day

7

8

Wednesday

Thursday

Friday

Saturday

3

4

5

6

9

10

11

12

13

14

Luther
15 Martin
King, Jr. Day 16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

(observed)

January
2007

Medicare Current Beneficiary Survey  •  1-800-937-8286

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

10

16

17

23

24

8

9

11

12

15

18

19

22

25

26

President’s
Day

20

21

27

28

Saturday

4

5

Valentine’s
Day

Friday

10

4

14

Thursday

3

3

13

March
2007

Wednesday

2

2

Lincoln’s
Birthday

Tuesday

1

1

7

Monday

6

Sunday

February
2007

Medicare Current Beneficiary Survey  •  1-800-937-8286

5

6

7

8

9

11

12

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14

15

16

17 St. Patrick’s
Day

18

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20

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23

24

25

26

27

28

29

30

31

First Day
of Spring

Medicare Current Beneficiary Survey  •  1-800-937-8286

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

1

Daylight
Savings
Time Begins

2

3

4

5

8

Easter

9

10

11

12

13

16

17

18

19

20

23

24

25

26

27

15

22

29

Earth Day

30

Saturday

April
2007

Medicare Current Beneficiary Survey  •  1-800-937-8286

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

1

2

3

4

5

14

6

7

8

9

10

11

12

21

13 Mother’s Day 14

15

16

17

18

19 Armed Forces
Day

28

20

21

22

23

24

25

26

27

28

29

30

31

6 Good Friday 7

Passover

Sunday

Memorial
Day

May
2007

Medicare Current Beneficiary Survey  •  1-800-937-8286

Sunday

Monday

Tuesday

June
2007

Wednesday

Thursday

Friday

Saturday

Sunday

Monday

Tuesday

1

2

1

2

3

3

8

9

8

9

10

Wednesday

4 Independence
Day

Thursday

Friday

Saturday

5

6

7

11

12

13

14

4

5

6

7

11

12

13

14

Flag Day

15

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21

17 Father’s Day 18

19

20

21

First Day
of Summer

22

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30

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31

10

25

Medicare Current Beneficiary Survey  •  1-800-937-8286

July
2007

Medicare Current Beneficiary Survey  •  1-800-937-8286

Sunday

Monday

Tuesday

August
2007

Wednesday

Thursday

Friday

Saturday

1

2

3

4

5

Sunday

Monday

Tuesday

Wednesday

September
2007

Thursday

Friday

1

7

8

14

15

6

7

8

9

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11

2

12

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4

5

6

9 Grandparents
Day 10

11

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13

16

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26

27

28

29

23

3

First Day
of Autumn

Labor Day

Rosh
Hashanah;
First Day
of Autumn

30
Medicare Current Beneficiary Survey  •  1-800-937-8286

Saturday

Medicare Current Beneficiary Survey  •  1-800-937-8286

Yom
Kippur

Sunday

Monday

Tuesday

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29

30

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31

28

Daylight
Savings
Time Ends

Columbus
Day

Wednesday

Thursday

Friday

Saturday

Sunday

Monday

Tuesday

Wednesday

November
2007

Thursday

Friday

Saturday

1

2

3

13

4

5

6

7

8

9

10

19

20

11 Veterans Day 12

13

14

15

16

17

26

27

19

19

20

21

22 Thanksgiving
Day 23

24

25

26

27

29

29

Halloween

October
2007

Medicare Current Beneficiary Survey  •  1-800-937-8286

30

Medicare Current Beneficiary Survey  •  1-800-937-8286

Sunday

Monday

Tuesday

Wednesday

December
2007

Thursday

Friday

Saturday

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

1

1 New Year’s
Day

2

3

4

5

2

3

4

5

9

10

11

16

17

18

23

24

25

30

31

Christmas
Day

6

7

8

6

7

8

9

10

11

12

12

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13

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15

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20

Luther
21 Martin
King, Jr. Day 22

23

24

25

26

26

27

28

29

27

28

30

31

Hanukkah

Medicare Current Beneficiary Survey  •  1-800-937-8286

First Day
of Winter

(observed)

29

January
2008

Medicare Current Beneficiary Survey  •  1-800-937-8286

MCBS 2007
Januar y 2 0 0 7

MCBS 2008

F e b r u a ry 2 0 0 7

M a rch 2007

Januar y 2008

Februar y 2008

March 2008

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30 31

April 2 0 0 7

M ay 2 0 0 7

J une 2007

Ma y 2008

June 2008

S M

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A pri l 2008

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29 30

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25 26 27 28 29 30 31

29 30

Jul y 20 0 7

Au g ust 2 0 0 7

S M

T W

T

F

S

S M

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9 10 11 12 13 14

5

4

6

T W
7

S e pt em ber 2007
T W

A ugu st 2008

Sep tem ber 2008

T

F

S

S M

F

S

S M

T W

T

F

S

S M

T

F

S

S M

T W

T

F

S

1

2

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1

1

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9 10 11

2

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T

Jul y 2008

6

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7

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T W
5

6

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3

15 16 17 18 19 20 21

12 13 14 15 16 17 18

9 10 11 12 13 14 15

13 14 15 16 17 18 19

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21 22 23 24 25 26 27

29 30 31

26 27 28 29 30 31

23 24 25 26 27 28 29

27 28 29 30 31

24 25 26 27 28 29 30

28 29 30

30

Oc to ber 2 0 0 7

Nov e m b e r 2 0 0 7

D e c em ber 2007

S M

T W

T

F

S

S M

T W

T

F

S

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1

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3

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9 10 11 12 13

4

8

9

14 15 16 17 18 19 20

3

31

S M

T W

T

Oc to ber 2008

F S

S M

T W

No ve m ber 2008
T W

T

December 2008

T

F

S

S M

F

S

S M

T W

T

F

S

1

2

3

4

1

1

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9 10 11

2

8

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8

9 10 11 12 13

1

10

2

8

1 1 12 13 14 15 16

17

9 10 11 12 13 14 15

12 13 14 15 16 17 18

9 10 11 12 13 14 15

14 15 16 17 18 19 20

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18 19 20 21 22 23

24

16 17 18 19 20 21 22

19 20 21 22 23 24 25

16 17 18 19 20 21 22

21 22 23 24 25 26 27

28 29 30 31

25 26 27 28 29 30

23 24 25 26 27 28 29

26 27 28 29 30 31

23 24 25 26 27 28 29

28 29 30 31

5

6

7

3

30 31

Medicare Current Beneficiary Survey  •  1-800-937-8286

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Medicare Current Beneficiary Survey  •  1-800-937-8286

3