Take the Medicare HMO e-poll

e-Poll

Medicare Coverage for 2004

Please take our Medicare HMO e- Poll. The current topic is about Medicare coverage for 2004.

Click here to read about results from a previous e-Poll, regarding Medicare HMO drug coverage, in our Reports section..

1. Please indicate the zip code area you live in:

Zip Code

2. Please determine which category (A, B or C) describes you, and only answer the questions in that column:

A. Medicare HMO member

B. Medicare Eligible but not a HMO member

C. Not Medicare Eligible

Do you have Medicare Supplemental Coverage:

	No, just regular Medicare
	Yes, I purchase it it individually
	Yes, through my employer or retiree plan

I am:

	A health care professional
	Friend or family of someone with Medicare
	Neither of the above

In 2004, I:

	Hope to keep my current Medicare HMO coverage
	Hope to switch to another Medicare HMO
	Am still deciding if I want a Medicare HMO, or a Medicare Supplement
	Am leaning towards a Medicare Supplement
	Other

In 2004, I:

	Hope to keep my current coverage
	Am still deciding if I want a Medicare HMO, or a Medicare Supplement
	Am leaning towards a Medicare HMO plan
	Other

When I am Medicare Age:

	I hope to get Medicare HMO coverage
	I hope to get Medicare Supplemental Coverage
	Other

How confident are you that your Medicare HMO will still be offered to you in 2004:

Do you think any Medicare HMOs will be offered in your area in 2004:

	Yes
	No

Do you think any Medicare HMOs will be offered in your area in 2004:

	Yes
	No

Please press submit to send your survey response.

Survey facilities for the Medicare HMO e-Poll are provided by HMOSurvey.com

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