Community Reminder Advance Letter Multimode

[Mailing_ID]
[Respondent Name]
[Respondent Address]
[Respondent City, State Zip]

[Month, Year]

Dear [Respondent Name]:
The U.S. Centers for Medicare and Medicaid Services has selected you to participate in a study about
Medicare, called the Medicare Current Beneficiary Survey (MCBS). We conduct this study in order
to better understand your experiences receiving Medicare services in order to improve the Medicare
program.
We have selected you as part of a sample of people with Medicare from across the United States that
can give us an accurate picture of how well people’s health care needs are being met. Your
participation in the study is your choice. Your Medicare benefits cannot be affected in any way by
your decision to participate or the answers you provide.
The study can be completed by phone at a time that is convenient for you.
To complete the interview, call us at 1-844-777-2151.
You may also visit the survey website at mcbs.norc.org to learn more and to request to have a
representative contact you.
Your safety and privacy is our greatest priority. If we are unable to reach you by phone, our
representative may visit you in-person to conduct the interview. This person will have identification
showing they are a representative for this Medicare survey. The information you provide will be kept
private to the extent permitted by law, as prescribed by the Federal Privacy Act of 1974.
If you are unable for any reason to participate in the interview, a friend or relative can also complete
the interview on your behalf. If you have any questions, please call NORC toll-free at 1-844-7772151, or email [email protected]. The enclosed material has more information about why we are
conducting this study.
I hope you’ll be able to help us with this important project to improve Medicare services.
Sincerely,

Marina Vornovitsky
Director, Medicare Current Beneficiary Survey
Centers for Medicare and Medicaid Services

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