CMS-10488 Cover Letter (Chinese)

Health Insurance Marketplace Consumer Experience Surveys: Enrollee Satisfaction Survey and Marketplace Survey Data Collection (CMS-10488)

2024-QHP-Enrollee-Survey-Cover-Letter-1-Chinese-508

Adult Qualified Health Plan Enrollee Experience Survey

OMB: 0938-1221

Document [pdf]
Download: pdf | pdf
[VENDOR LOGO]
[VENDOR ADDRESS]

and/or

[QHP ISSUER LOGO ONLY NO ADDRESS]

[FIRST AND LAST NAME]
[LINE ONE OF ADDRESS]
[LINE TWO OF ADDRESS (IF ANY)]
[CITY, STATE ZIP]
亲爱的[ENROLLEE FIRST AND LAST NAME],
请您在所附的问卷调查告诉我们您最近的使用[QHP ISSUER NAME]的体验。这份问卷调查是由
美国卫生与公共服务部赞助的。这份调查问卷可在大约 10 分钟内完成。
这份问卷调查的目的是为了了解投保人对其保健计划的体验。您对您的保健计划的体验是独一无
二的,这些信息只能由您提供。这份问卷访问关于您自 2023 年 7 月到 12 月期间接受的健保服
务,比如:
•

您觉得您需要健保服务的时候,能方便找到健保服务吗?

•

您的医生在您的身上花了够时间吗?您的医生有尊重您吗?

•

您是否收到足够关于您保健服务费用的信息?

您的参与纯属自愿。您所提供的资料不会公开。[QHP ISSUER NAME]将会用合并的问卷数据来
改善它们所提供的照护服务。您完成的问卷将会协助它们达到理想的目标。这份问卷的数据会在
healthcare.gov 或在您州的网页用来评分为其他人相比不同的健保服务。
您的健保计划已和 [VENDOR NAME] 签订合约进行这调查问卷。如果您对本调查有任何疑问,请
于周一到周五(不包括联邦假期)[VENDOR LOCAL TIME]上午 [XX:XX] 到下午 [XX:XX] 拨打
免付费电话 (XXX) [XXX-XXXX] 或寄电子邮件 [VENDOR EMAIL] 联络 [VENDOR NAME]。
请使用已付邮资的信封将填妥的调查问卷寄回。
谢谢您对改善医疗保健的帮助。
敬祝 安康,
[SIGNATURE]
[NAME AND TITLE OF SENIOR EXECUTIVE FROM VENDOR or QHP ISSUER]
[VENDOR or QHP ISSUER NAME]
To request an English survey by mail, or to respond to the survey over the phone, call the following
number: (XXX) [XXX-XXXX].

2024 Qualified Health Plan Enrollee Experience Survey
Cover Letter for First Survey Mailing: Chinese
[DO NOT INCLUDE THIS FOOTER IN LETTERS SENT TO ENROLLEES]

[VENDOR LOGO]
[VENDOR ADDRESS]

and/or

[QHP ISSUER LOGO ONLY NO ADDRESS]

Para solicitar una encuesta en papel y en español, o para responder la encuesta en español por teléfono,
llame al número siguiente: (XXX) [XXX-XXXX].

2024 Qualified Health Plan Enrollee Experience Survey
Cover Letter for First Survey Mailing: Chinese
[DO NOT INCLUDE THIS FOOTER IN LETTERS SENT TO ENROLLEES]


File Typeapplication/pdf
File Title2024 Qualified Health Plan Enrollee Experience Survey Cover Letter for First Survey Mailing: Chinese
Subject问卷调查, 受保人, 健保计划, 体验, 供应商
AuthorCenters for Medicare & Medicaid Services
File Modified2023-02-22
File Created2023-02-16

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