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Tell Us YOUR Story

We are eager to hear about your experiences with the Medicare prescription drug program. We would like to hear about both good and bad experiences that you have had selecting and signing up for a plan, getting your drugs, and paying for your drugs. The form below will allow you to write your story.

 

Your story will help us in our efforts to make the Medicare prescription drug program work better. If you do not want to give us your personal information, that is fine. We do require that you tell us your zip code so we will know where your situation occurred. You have the option of giving us your name and contact information in case we need to contact you for additional details. We will not share your personal information with anyone else.

 

If you are having a problem with your Medicare drug plan, we do not have the staff to provide you with assistance. We will send you a contact for help in your local community if you provide us with your email address.

 

Thank you for taking the time to tell us your story.

 

Name (optional):

 

Email (optional):

 

Zip code:

 

My Story:

 

 
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