Health Care Choices Form

Let us know what you think about this edition of Health Care Choices for Minnesotans on Medicare!

  1. The information in the publication answered questions I had about Medicare in Minnesota.

    If not, what other questions do you have?

  2. Did Health Care Choices give you enough information to make a decision on your Medicare plan?

    If not, what other kinds of Medicare plan details would be helpful?

  3. Tell us about yourself
    I am a



  4. I will request a copy of the next Health Care Choices for Minnesotans on Medicare publication.

  5. Would you refer someone you know to use this publication?

  6. Additional comments