This free survey is powered by QUESTIONPRO.COM
Exit Survey »
 
 
Hello:
You are invited to take our survey about Medicare insurance plans. The survey asks questions about your Medicare insurance plan and why you chose the one you did. It will take about 10 to 20 minutes to complete the questionnaire.

If you feel uncomfortable with any questions, you can quit the survey at any point. We hope you won't because it's very important for us to learn your opinions.

Your answers will be strictly confidential and will be combined with others for the final report.

Thank you very much for helping us. Please start with the survey now by clicking on the Continue button below.

 
 
 
Are you between 64 and 69 years of age?
 
Yes
 
No
 
 
 
* What is your zip code?
   
 
 
 
* In general, would you say your health is:
 
Excellent
 
Very Good
 
Good
 
Fair
 
Poor
 
 
 
* Are you now in a Medicare insurance plan?
 
Yes
 
No
 
 
 
* What plan are your in?
 
Traditional Medicare (Part A & Part B) from the government
 
Traditional Medicare with private insurance added to it
 
Medicare Advantage private insurance plan
 
Don't know
 
 
 
At what age did your join a Medicare insurance plan?
 
65
 
66
 
67
 
68
 
69
 
Other
 
 
 
 
Why did you join a Medicare insurance plan when you did?
 
I got in when I was allowed to join at 65
 
I continued to work past 65 and joined when I retired
 
My other insurance was getting too expensive
 
I work for a small business so I had to get it when I turned 65 or I would be penalized later
 
I lost my insurance I had through my job or through my spouse's job
 
Other
 
 
 
 
Why aren't you a member of a Medicare insurance Plan?
 
Not old enough
 
I'm still working and I get insurance from by job
 
My spouse is still working and I'm on his or her insurance
 
Other
 
 
 
 
* At what age do you plan to join a Medicare insurance plan?
 
65
 
66
 
67
 
68
 
69
 
70 or later
 
 
 
* Did you have help in deciding what Medicare insurance plan you would join?
 
Yes
 
No
 
 
 
* Who helped you choose a Medicare insurance plan?
 
A person from a group that helps seniors
 
One of my children
 
My insurance agent
 
A friend of mine
 
Someone from the Medicare office
 
My husband or wife
 
Other
 
 
 
Step 1 of 1
* Besides covering your medicines, which of the benefits listed below are the most and least important to you in choosing a Medicare insurance plan?
MostLeast
Having a counselor that can help me do the things I need to stay well
Eye exams and glasses
Dental exams and dental work
Gym or health club membership
Hearing tests and hearing aids
 
 
Step 1 of 1
* What other things in the list below are most or least important to you in a Medicare insurance plan?
MostLeast
Having a counselor that can help me do the things I need to stay well
Eye exams and glasses
Dental exams and dental work
Gym or health club membership
Hearing tests and hearing aids
 
 
 
* What is the single most important thing in picking a Medicare insurance plan?
 
A lot of doctors available to me
 
The reputation or Medicare quality rankings of the doctors
 
How much it would cost me
 
Keeping my own doctors
 
The other benefits besides covering my medicine
 
Covering my medicines
 
Other
 
 
 
 
* Using numbers with 1 being the most important and 5 being the least important, please rank the importance of the following things in helping you decide on a Medicare insurance plan.

Place 1 in the box for the thing with greatest importance; 2 to the second most important thing, 3 to the third most important thing; 4 to the fourth most important; and 5 to the least important.
There are lots of doctors to choose from
The reputation and quality of the doctors in the plan
The other benefits of the plan
It covers my medicines
I can keep my own doctors
 
 
Step 1 of 1
* In picking your doctor for the first time, what kinds of things would make you feel good about the doctor you choose?
MostLeast
Having a counselor that can help me do the things I need to stay well
Eye exams and glasses
Dental exams and dental work
Gym or health club membership
Hearing tests and hearing aids
 
 
 
* Have you ever changed your Medicare insurance plan?
 
Yes
 
No
 
 
 
* What change did you make in your Medicare insurance?
 
I switched from a Traditional Medicare plan to a Medicare Advantage private insurance plan
 
I switched from a Medicare Advantage plan to a traditional Medicare plan and added private insurance to it
 
I switched from a traditional Medicare plan with added private insurance to a Medicare Advantage plan
 
I switched from one insurance company's Medicare Advantage Plan to another insurance company's Medicare Advantage plan
 
Don't know
 
 
Step 1 of 1
* Why did you switch? Rate the importance for the reasons you may have switched.
MostLeast
Having a counselor that can help me do the things I need to stay well
Eye exams and glasses
Dental exams and dental work
Gym or health club membership
Hearing tests and hearing aids
 
 
Step 1 of 1
* Why did you switch? Rate the reasons you decided to switch plans?
MostLeast
Having a counselor that can help me do the things I need to stay well
Eye exams and glasses
Dental exams and dental work
Gym or health club membership
Hearing tests and hearing aids
 
 
Step 1 of 1
* Why did you switch? Rate the importance of the things that helped you decide to switch.
MostLeast
Having a counselor that can help me do the things I need to stay well
Eye exams and glasses
Dental exams and dental work
Gym or health club membership
Hearing tests and hearing aids
 
 
 
* Did you know that Medicare rates the quality of care provided by different Medicare insurance plans?
 
Yes
 
No
 
 
 
* Medicare uses a 1 to 5 star rating system for the quality of care provided by a plan. 1 Star = Poor; 3 Stars = Average; 5 Stars = Excellent
Do you know the Medicare star rating for your current Medicare insurance plan?
 
Yes
 
No
 
 
 
* If your current plan is not 4 – 5 stars in its quality ratings, why don’t you switch to a higher quality plan?
 
There are no 4-5 star plans in my area
 
The higher rated plans costs too much
 
Don’t know
 
Too difficult to get to their clinics
 
I plan to someday…just never got around to switching
 
They don’t cover my medicines
 
I don’t know their doctors
 
My doctor is not in the higher rated plans
 
Other
 
 
 
How satisfied are you with your current Medicare insurance plan about the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
* The care they provide to you
* The customer service they provide to you
* The costs to you
 
 
 
* Do you plan on switching to another Medicare insurance plan this year?
 
Yes
 
No
 
 
 
What is the best thing you like about your the Medicare insurance plan you have now?
   
 
 
 
If you could add a new benefit to your plan, what would it be?
   
 
 
Would you like your Medicare insurance plan to provide you with an option to reduce your out-of-pocket costs if you did things to improve your health such as losing weight, quitting smoking, getting more exercise, taking all of your medicine when you are supposed to, and doing other healthy things?
 
Yes, I definitely would join it
 
Yes, I would probably join it if I saved enough
 
Not sure one way or the other
 
Probably not
 
No, not interested
 
 
 
Most Medicare Advantage plans are HMOs. What is your opinion of Medicare HMOs?
 
Very favorable
 
Favorable
 
Neutral
 
Unfavorable
 
Very Unfavorable
 
 
Step 1 of 1
Rate the importance of the things that give you a bad opinion of HMOs.
MostLeast
Having a counselor that can help me do the things I need to stay well
Eye exams and glasses
Dental exams and dental work
Gym or health club membership
Hearing tests and hearing aids
 
 
Step 1 of 1
Rate the importance of things that could give you a good opinion about HMOs.
MostLeast
Having a counselor that can help me do the things I need to stay well
Eye exams and glasses
Dental exams and dental work
Gym or health club membership
Hearing tests and hearing aids
 
 
 
* Are you male or female?
 
Male
 
Female
 
 
 
* What is your current age?
 
64
 
65
 
66
 
67
 
68
 
69
 
 
 
* what is the highest grade level of school that you have completed?
 
8th grade or less
 
Some high school but did not graduate
 
High school graduate or GED
 
Some college or 2-year degree
 
4-year college graduate
 
More than 4-year college degree
 
 
 
* Are you single or married?
 
Single
 
Married
 
I have a life (domestic) partner
 
 
 
* Do you live with someone else?
 
No, I live alone
 
With my husband, wife or life partner
 
With family or friends
 
 
 
* What is your race? You can check more than one race.
 
Asian
 
Hispanic (Latino)
 
Black (African American)
 
White (Caucasian)
 
Don't want to say
 
Other
 

 
 
 
How much money did you and your spouse receive last year?
 
Less than $10,000
 
$10,000 to $19,999
 
$20,000 to $29,999
 
$30,000 to $39,999
 
$40,000 to $59,999
 
$60,000 to $79,999
 
$80,000 to $99,999
 
Over $100,000
 
I prefer not to say
 
Survey Software Powered by QuestionPro Survey Software