2010AdvanceLetterwithletterhead

2010AdvanceLetterwithletterhead.pdf

Medicare Current Beneficiary Survey (MCBS)

2010AdvanceLetterwithletterhead

OMB: 0938-0568

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Centers for Medicare & Medicaid Service

7500 Security Boulevard
Baltimore, MD 21244-1850

Dear Medicare Current Beneficiary:
The Centers for Medicare and Medicaid Services (CMS), part of the U.S. Department of Health and Human Services,
would like you to help us better understand the needs of Americans enrolled in Medicare.
We are conducting an important ongoing study, the Medicare Current Beneficiary Survey, which is one of the Nation’s
primary sources of information about how Medicare affects the people it serves. We gather information on more than
16,000 Medicare enrollees who have been scientifically selected to represent all Medicare beneficiaries.
We have chosen you as a result of our sampling. Your participation, however, is voluntary. Let me emphasize that your
Medicare benefits will not be affected in any way by the answers that you provide, or by whether or not you participate.
I hope you will decide to join us in this important study. You will represent thousands of other people similar to you. All
of your information will be strictly confidential. Information is protected by The Federal Privacy Act of 1974.
Westat, Inc., (a research company in Rockville, Maryland) has been contracted to conduct the study. A professional
interviewer will visit you within the next few weeks. If you agree to participate in the study, the interview will take about
1 hour of your time. Enclosed is a brochure that provides more information about the study.
If you have any questions about the study, please call Westat Inc., at 1-800-937-8286 (toll free) between 9:00 a.m. and
5:00 p.m. Eastern Standard Time.
The Medicare Current Beneficiary Survey is important. Please help us in this national effort to improve your Medicare
program.

Sincerely,

Walter Stone
Privacy Officer
Centers for Medicare & Medicaid Services

Enclosure


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