Community Language Insert

You are invited to participate in a research survey about Medicare. This interview can be conducted in
English or Spanish. A friend or relative can also complete the interview on your behalf. Call us at 1-844777-2151 to schedule an appointment to contribute to this important national effort.

[Text above will be professionally translated into several languages below, including Mandarin and
Arabic]

OMB No. 0938-0568 | Expires 8/31/2025