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Welcome!

Let Blue Cross of Idaho help you assess your Medicare readiness

Please provide your contact information for fulfillment of your gift card and to receive helpful information about navigating your Medicare journey.

First Name*

Please enter your first name (no special characters).

Last Name*

Please enter your last name (no special characters).

Address*

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City*

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State*

ZIP Code*

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Phone

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Email*

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Date of Birth*

Please match the requested format: MM/DD/YYYY.

*Required fields

Survey

Lets get started!

1. What's your current healthcare insurance status?

Individual plan I bought myself (not through an employer)

Insured through my employer

Insured through my spouse or partner's employer

Not currently insured through a health plan

Other

2. Please tell us your date of birth so that we can help you understand the Medicare timeline that fits your age. Your information is completely secure and private. It will not be shared.

Please match the requested format: MM/DD/YYYY.

3. At what age do you plan to retire?

4. If you are insured through your spouse or partner's employer, at what age do they plan to retire?

At the age of 65

Later than the age of 65

Before the age of 65

Unsure

I'm not insured through my spouse or partner's employer

5. How important will your Social Security benefits be in determining when you retire?

Extremely important

Important

Neutral

Not important

6. Upon retirement do you plan to utilize your health savings account (HSA) benefits to pay for your Medicare Premiums?

Yes

I don't have a Health Savings Account

7. Do you frequently travel out of state or spend a long period of time outside of your home state or do you have future plans for extended travel?

Yes

Maybe

8. What aspect of the cost of healthcare most concerns you? (Check all that apply.)

Please fill in the missing fields.