SHARE:
mcare_3
General information
| Question text: | Could you give us your Medicare number for this purpose? You can find your Medicare number on your red white and blue Medicare card, or on your Medicare statements. Please note that under the Privacy Act of 1974, providing your number is a voluntary decision. The benefits you may be receiving under this program will not be affected in any way by your decision. If you say yes, we will protect your information by protecting your confidentiality. We will use the information only after it has been de-identified. |
| Answer type: | Radio buttons |
| Answer options: | 1 Yes 2 No 3 I would give it to you but I don’t know my Medicare number |
| Label: | Medicare Full Consent |
| Empty allowed: | One-time warning |
| Error allowed: | Not allowed |
| Multiple instances: | No |