Medicaid Asset Limit Survey

Question Title

* 1. What county do you live in?

Question Title

* 2. What is your age?

50 - 55

56 - 60

61 - 65

66 - 70

71 - 75

76 - 80

80 and older

Question Title

* 3. Are you currently enrolled in Health First Colorado, Colorado’s Medicaid Program?

Yes

No