View 2012 Medicare plans

Web site feedback

Please take a few minutes to answer some questions about your experience on MiBCN.com today. Feedback from users like you will help us to improve the site and ensure that it is helpful and easy to use.


Which health plan are you a member of?


Why are you visiting our Web site today?


Which of the following best describes your experience with our Web site?


How can we improve our site? (Check all that apply)


Optional Fields

Age Range

Sex

What information or functionality would you like to see added to our Web site?


Do you have a question or comment about our Web site? We'd like to hear from you. Please fill out the comments field below.


NOTE: This form is not secure. Please do not include any personal health information.

We can only respond to comments specific to our Web site. If you have a customer service inquiry, please contact our customer service department at 1-800-662-6667 or visit the customer service area of this site for contact information.

Comments:

If you would like someone to contact you regarding your comments about our Web site, please enter your e-mail address in the field below and we will respond to your comments within five business days of feedback form submission.



A health plan with a Medicare contract.

H5883_BCNAdvantageWebR2 CMS Approved 05242011

page modified 09/23/2011