Clinical Trial Insurance Coverage Experiences

The purpose of this survey is to better understand the experiences of individuals diagnosed with cancer, and other medical conditions, and health care providers regarding Medicaid coverage of clinical trials. Your responses will help identify challenges and potential solutions to improve access. We appreciate you taking the time to answer these questions!

If you have any questions about Triage Cancer or this survey, please email us at info@TriageCancer.org.

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* 1. Please provide your email address to join our newsletter and to be entered into a drawing to win a $50 gift card of your choosing! The recipient will be notified by email.

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* 2. What state are you in?

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* 3. Are you a (please check all that apply)

Individual who is considered high risk/seeking preventative services

Individual diagnosed with cancer (pre-treatment)

Individual diagnosed with cancer (in-treatment)

Individual diagnosed with cancer (post-treatment)

Individual diagnosed with cancer (metastatic)

Individual with a medical condition other than cancer (please specify below)

Caregiver

Social Worker

Nurse

Navigator

Community Health Worker

Advocate (e.g., Certified Patient Advocate, staff of advocacy organization)

Financial Counselor/Navigator

Other (please specify)