Wave 2 - SURVEY COVER LETTER

Attachment V. Wave 2 Cover Letter
DEPARTMENT OF HEALTH & HUMAN SERVICES
Centers for Medicare & Medicaid Services 7500
Security Boulevard, Mail Stop C1-25-05 Baltimore,
Maryland 21244-1850
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OMB 0938-1113
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Dear Medicare Beneficiary,
The Centers for Medicare & Medicaid Services (CMS) is the federal agency that administers the Medicare
program, and our responsibility is to ensure that you receive high-quality care at a reasonable price. One of the
ways we can fulfill this responsibility is to find out directly from you about the care you received from your
former Medicare health plan.
CMS is conducting a survey to learn why people change, switch, or drop their Medicare health plans.
Your name was selected at random because according to our records you recently changed, switched, or
dropped your Medicare health plan. We would greatly appreciate it if you would take the time, about 18
minutes, to fill out this survey about your experiences with your former Medicare health plan.
All information you provide will be held in confidence and is protected by the Privacy Act. This means that the
information you provide will not be shared with anyone other than authorized persons at CMS. You do not
have to participate in this survey. Your help is voluntary, and your decision to participate or not to
participate will not affect your Medicare benefits in any way. The information you provide will help us
improve the quality of services you receive from Medicare health plans. This is your opportunity to help us
serve you better.
We recently mailed this same survey to you, but we haven’t received it back from you. Learning about your
experiences is very important to us. Your knowledge and experiences could help other people with Medicare to
make more informed choices. If you have already sent the survey back, thank you for completing the survey.
If you have any questions about the survey please call the survey direct toll-free number 1-855-400-3657
anytime from 9:00 a.m. to midnight Eastern time, Monday through Friday.
Thank you for your help with this important survey.
Sincerely,

Amy K. Larrick
Acting Director
Medicare Drug Benefit and C & D Data Group