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medicare

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Variable Question text Label
last_four_ssn_askedasked ssn last four
mc_idmedicare identifier
mcare_3Could 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.Medicare Full Consent
mcare_5Even if you cannot provide your new Medicare number, would you allow us to link to these data using your name, date of birth, and address, and/or using the last four digits of your social security number? We will of course protect the confidentiality of your information as we have previously described. use info for medicare number
mcare_altconsentalternative medicare consent