Medicare Plan Page Survey Question Title * 1. Rank the following in order of importance to you when choosing a health plan, with 1 being the most important and 5 being the least important: 1 2 3 4 5 Cost of health insurance premiums 1 2 3 4 5 Out-of-pocket costs (deductible, office co-pays, co-insurance, prescription costs) 1 2 3 4 5 Network of doctors/hospitals 1 2 3 4 5 Customer service support 1 2 3 4 5 Timeliness of claims processing OK Question Title * 2. Did you find a plan that meets your health needs? Yes No OK Question Title * 3. How well do you feel like you understand your benefits? I fully understand my plan's benefits Very well Enough A little bit Not at all OK Question Title * 4. How satisfied are you with the information provided by CHPW Medicare Advantage about coverage options? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied OK Question Title * 5. I am happy with the current network of doctors/clinic locations through CHPW Medicare Advantage. Yes No OK Question Title * 6. How satisfied are you with the range of services covered by your health benefits (i.e. preventative care, emergency care, vision, dental, available specialists, chiropractic, etc?) Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied OK Question Title * 7. How would you suggest we improve our plans to serve you better? OK DONE