Skip survey header

Medicare Disenrollment Survey

1. Can you tell us why you left Priority Health? *This question is required.
2. Can you give us more information about the reason you did not choose Priority Health this year?
(please check all that apply) *This question is required.
  • * This question is required.
You indicated you had trouble finding information when you were with Priority Health. Can you tell us what you had problems with?
(please check all that apply) *This question is required.
  • * This question is required.
3. Which insurance company do you have now? *This question is required.
4. Why did you choose a plan from this insurance company?
(please select up to 3) *This question is required.
  • * This question is required.
What is better about the out of pocket costs of this new plan?
(please check all that apply) *This question is required.
  • * This question is required.
5. How did you enroll in your new health insurance company? *This question is required.