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General information

Question text: Under which of the following plans are you covered? Please choose all that apply.
Answer type: Check boxes
Answer options: 1 Medicare
2 Medicaid
3 TRI-CARE/CHAMPUS/CHAMPVA
4 A private plan from an employer
5 A private plan purchased directly
6 Other plan
Label: COVERED UNDER WHICH PLANS
Empty allowed: One-time warning
Error allowed: Not allowed
Multiple instances: No

Data information

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