Which one best describes you?

• I enjoy travel and often leave North Dakota.
• I stay close to home and rarely travel.

Which is more important?

• Having a cap or maximum on the amount I'd pay for medical expenses each year.
• Having a lower monthly premium or insurance payment.

Do you want peace of mind to go to any doctor- (not all doctors accept Medicare or may charge more than what Medicare will reimburse)?

• Yes, I want the most coverage possible.
• No, I'll do my research on cost and choose doctors that accept Medicare.

Were you first eligible for Medicare on or before December 31, 2019?

• Yes
• No

Age*

Gender at Birth*

• Male
• Female

Tobacco Use*

• Yes
• No