Document
Medicare Advantage Organization Survey
ICR 202610-0938-001 · OMB 0938-1185 · Object 173851000.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Medicare Advantage Organization Survey |
| Author | Giles, Robyn (CMS/OPOLE) |
| Last Modified By | Writer |
| File Modified | 2023-12-01 |
| File Created | 2026-10-15 |
| Conversion State | complete |
Extracted Text
Top of Form 1. What is your combined Medicare enrollment? Less than 50,000 members Between 50,000 to 100,000 members Between 100,000 and 500,000 members Greater than 500,000 members 2. My Account Manager is readily accessible and responsive. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Comments 3. Routine conversations with my Account Manager are collaborative and educational. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Comments 4. My Account Manager effectively facilitates the resolution of questions/issues and/or directs me to the appropriate resource (this may be a mailbox) to obtain an answer. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Comments 5. How would you rate your experience with your Account Manager? Exceeded expectations Met expectations Below expectations Comments 6. Do you have any suggestions on how Medicare Account Management could be improved? Yes No Comments PRA Disclosure Statement The purpose of the PRA package is to conduct a survey of Medicare Advantage Plans and obtain information about their satisfaction with their CMS account manager. The results of the survey will be used to improve the customer experience. Completion of the survey is voluntary. Under the Privacy Act of 1974 any personally identifying information obtained will be kept private to the extent of the law. According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-1185 (CMS-10748). The time required to complete this information collection is estimated to average 10 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.