Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A)

Medicare Current Beneficiary Survey (MCBS)

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0568 can be found here:

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Created 04/28/05

IA4

Valor Total de los Bienes

D. $20.000 – $39.999

E. $40.000 – $74.999

F. $75.000 – $149.999

G. $150.000 +